Aircraft Accident/Incident Report

Kansas City, Missouri 66102
Saturday, April 10, 1993 11:12 CDT

NTSB Narrative Summary Released at Completion of Accident

THE FLIGHT CREW NOTED A LOSS OF AILERON CONTROL (FELT FROZEN), WHILE CRUISING AT FL 370. THEY WERE ABLE TO MAKE HEADING CHANGES BY USING THE RUDDER & ELECTED TO DIVERT TO KANSAS CITY (MCI). THE AIRPLANE HAD BEEN EXPOSED TO RAIN & STANDING WATER BEFORE THE FLIGHT. THE CREW FELT THE LOSS OF AILERON CONTROL MAY HAVE BEEN DUE TO FROZEN WATER IN THE CONTROL SYSTEM. DURING DESCENT TO MCI, ABOVE FREEZING AIR TEMPERATURES WERE ENCOUNTERED, & CONTROL OF THE AILERONS GRADUALLY RETURNED UNTIL FULL CONTROL WAS REGAINED. AN UNEVENTFUL LANDING WAS MADE AT MCI. INVESTIGATION REVEALED WORN AILERON CONTROL BEARINGS IN THE LATERAL CONTROL ACTUATOR SYSTEM. THE WORN BEARINGS WERE TESTED BY SOAKING IN WATER & FREEZING. WATER PENETRATED A BEARING HOUSING & FROZE INSIDE THE BEARING RACE, DISABLING THE BEARING. SUBSEQUENT DISASSEMBLY OF THE BEARING DISCLOSED CORRODED & WORN BALL BEARINGS. BOEING SERVICE LETTER (767-S-27-094) & SEVICE BULLETIN 767-27-0128 WERE ISSUED TO ADDRESS INSPECTION/REPLACEMENT CRITERIA OF THE BEARINGS.

NTSB Probable Cause Narrative

A FROZEN AILERON CONTROL BEARING AFTER IT HAD BECOME WORN, CORRODED AND EXPOSED TO WATER, AND THE MANUFACTURER'S INADEQUATE MAINTENANCE/INSPECTION REQUIRMENT OF THE BEARING(S).

Event Information

Type of Event Incident
Event Date 4/10/1993
Event Day of the Week Saturday
Time of Event 1112
Event Time Zone Central Daylight Time
Event City KANSAS CITY
Event State MISSOURI
Event Country --
Zipcode of the event site 66102
Event Date Year 1993
Event Date Month 4
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 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 50
Air Temperature at event time (in degrees celsius) -56
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) -28536
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 101
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 6000
NTSB Notification Source --
NTSB Notification Date Apr 12 1993 12:00AM
NTSB Notification Time 1400
Fiche Number and/or location -used to find docket information 52842
Date of most recent change to record Dec 11 2000 1:13PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number CGAUP
NTSB Number CHI93IA152
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 129: Foreign
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOEING
Aircraft Model 767-233
Aircraft Series Identifier 767-233
Aircraft Serial Number 22521
Certified Max Gross Weight 330000
Aircraft Category Airplane
Aircraft Registration Class Foreign Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 255
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jan 2 2000 12:00AM
Airframe hours since last inspection --
Airframe Hours 32301
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name AIR CANADA
Aircraft Owner Street Address MONTREAL INTN'L AIRPORT
Aircraft Owner City MONTREAL
Aircraft Owner State CD
Aircraft Owner Country
Aircraft Owner Zipcode
Operator is an individual? --
Operator Name AIR CANADA
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address MONTREAL INTN'L AIRPORT
Operator City MONTREAL
Operator State CD
Operator Country
Operator Zip code
Operator Code ACA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? Yes
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 International
Operator carrying Pax/Cargo/Mail Passenger/Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code SFO
Departure City SAN FRANCISCO
Departure State CA
Departure Country
Departure Time 747
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code YYZ
Destination City TORONTO
Destination State CD
Destination Country
Specific Phase of Flight Cruise
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 --