Aircraft Accident/Incident Report

Cedar Rapids, Iowa 52404
Friday, October 13, 1995 20:51 CDT

NTSB Narrative Summary Released at Completion of Accident

Shortly after an intermediate level-off at 13,000 feet, the crew heard a loud bang and felt the airplane shudder. They diverted to a nearby airport. During the landing roll, the engine's thrust reversers were deployed. The right engine thrust reverser deploy light illuminated. The left engine thrust reverser deploy light did not illuminate. Maintenance personnel found the left engine lower thrust reverser door had been struck repeatedly by the top reverser door. An investigation revealed broken and bent thrust reverser linkages. A pivot bolt, washers, castellated nut, and cotterpin associated with a driver linkage arm were missing. Two other company airplanes were found with a missing cotterpin from the pivot bolt. Examination of these assemblies revealed the bolt end did not protrude beyond the nut's outer edge. The result was that the cotterpin could not fit through the hole in the bolt. The manufacturer's parts manual and maintenance manual text indicated that one countersunk washer should have been below the bolt head and one flat washer under the nut. However, the corresponding illustration in the maintenance manual showed an additional washer (2 washers) under the nut.

NTSB Probable Cause Narrative

inadequate installation of a thrust reverser, driver linkage arm pivot bolt and nut, which resulted in the nut and bolt becoming disconnected. A factor relating to the accident was: the manufacturer's unclear information regarding the type and number of washers to be installed on the pivot bolt assembly.

Event Information

Type of Event Accident
Event Date 10/13/1995
Event Day of the Week Friday
Time of Event 2051
Event Time Zone Central Daylight Time
Event City CEDAR RAPIDS
Event State IOWA
Event Country --
Zipcode of the event site 52404
Event Date Year 1995
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 2052 Central Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID CID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation CDT
Lighting Conditions Night/Dark
Lowest Ceiling Height 15000
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 20
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 240
Variable Wind Indicator Unknown
Wind Speed (knots) 5
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 2076
NTSB Notification Source --
NTSB Notification Date Oct 17 1995 12:00AM
NTSB Notification Time 1415
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:39PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N945AX
NTSB Number CHI96LA011
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name McDonnell Douglas
Aircraft Model DC-9-31
Aircraft Series Identifier DC-9-31
Aircraft Serial Number 47551
Certified Max Gross Weight 105000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Dec 26 1995 12:00AM
Airframe hours since last inspection 584
Airframe Hours 50975
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name ABX AIR INC
Aircraft Owner Street Address --
Aircraft Owner City WILMINGTON
Aircraft Owner State OH
Aircraft Owner Country USA
Aircraft Owner Zipcode 45177
Operator is an individual? No
Operator Name AIRBORNE EXPRESS INC
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code ABXA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code DSM
Departure City DES MOINES
Departure State IA
Departure Country
Departure Time 2043
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code ILN
Destination City WILLMINGTON
Destination State OH
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 6 2004 10:48AM
User who most recently changed record NTSB\HAMG
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --