Aircraft Accident/Incident Report

Seattle, Washington 98158
Thursday, October 16, 1997 8:30 PDT

NTSB Narrative Summary Released at Completion of Accident

As the airplane was rotated for liftoff from Seattle, the captain noticed that the EICAS (engine indication and crew alerting system) 'EMERGENCY DOOR' light had illuminated. According to the Airplane Fight Manual, if pressurization is normal (and it was), the crew need not take further action. During the descent for landing, a flight attendant said she heard a loud noise from the left side of the airplane. The airplane landed uneventfully at Denver. Inspection disclosed the left off-wing slide had separated from the airplane, causing minor damage to the access door, flap, and fuselage skin. The slide had been routinely replaced the previous evening by a mechanic using a flashlight and referencing the airplane maintenance manuals. After installing the slide, the mechanic closed the panel and placed the actuator handle in the horizontal position (as per instructions placarded on the maintenance access door). He said he had never received any training for installing the off-wing slide. There have been four similar incidents since the airplane entered commercial service, prompting the manufacturer to issue Service Bulletin (S.B.) 757-25-0182.

NTSB Probable Cause Narrative

Maintenance personnel's failure to properly secure the left off-wing slide door after routine slide replacement, allowing an inflight separation of the slide. Factors were inadequate training of maintenance personnel and inadequate written instructions by the airplane manufacturer.

Event Information

Type of Event Incident
Event Date 10/16/1997
Event Day of the Week Thursday
Time of Event 830
Event Time Zone Pacific Daylight Time
Event City SEATTLE
Event State WASHINGTON
Event Country --
Zipcode of the event site 98158
Event Date Year 1997
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 856 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID SEA
Elevation of weather observation facility 429
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 16000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 6
Air Temperature at event time (in degrees celsius) 11
Dew Point at event time (in degress fahrenheit) 11
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 0
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 196
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5030
NTSB Notification Source --
NTSB Notification Date Oct 16 1997 12:00AM
NTSB Notification Time 930
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 12:37PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N581UA
NTSB Number FTW98IA019
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Boeing
Aircraft Model 757-222
Aircraft Series Identifier 757-222
Aircraft Serial Number 26701
Certified Max Gross Weight 230000
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 207
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Sep 19 1997 12:00AM
Airframe hours since last inspection 258
Airframe Hours 15521
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name UNITED AIRLINES, INC.
Aircraft Owner Street Address 1200 ALGONQUIN RD.
Aircraft Owner City ELK GROVE TWNSP
Aircraft Owner State IL
Aircraft Owner Country
Aircraft Owner Zipcode 60007
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code UALA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code SEA
Departure City
Departure State WA
Departure Country
Departure Time 830
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code DEN
Destination City DENVER
Destination State CO
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
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 --