Aircraft Accident/Incident Report

Los Angeles, California 90045
Tuesady, June 8, 1993 10:59 PDT

NTSB Narrative Summary Released at Completion of Accident

The aircraft was climbing through 25,000 feet in light turbulence when the crew felt two jolts and heard a loud explosive noise followed by a sharp roll to the left. A visual inspection revealed that the left overwing emergency escape slide deployed and separated in flight. The crew returned to Los Angeles and made an uneventful landing. Post incident examination revealed that the slide compartment door was unlatched and open, and, the adjacent maintenance access door was open, with the latching handle in the unlocked position. The flight prior to the incident one had experienced two EICAS warning messages concerning the left overwing slide door. After landing, maintenance personnel accessed the compartment, cleaned a proximity switch then functionally tested the system. The flight was then dispatched with no open items. The maintenance closing procedure in effect at the time of the incident called for one mechanic to hold the bottom corners of the 33 inch wide slide door closed while manipulating the latching handle in a maintenance access door 12 inches aft of the slide door. The procedure has since been changed to require two mechanics, one to hold the door closed while the second manipulates the latching handle.

NTSB Probable Cause Narrative

the inadvertent deployment of an overwing emergency excape slide due to the inadequate latching of the slide compartment door following access by maintenance personnel. A factor in the accident was the inadequate door closing procedure specified by the manufacturer and the airline in the maintenance instructions.

Event Information

Type of Event Incident
Event Date 6/8/1993
Event Day of the Week Tuesday
Time of Event 1059
Event Time Zone Pacific Daylight Time
Event City LOS ANGELES
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90045
Event Date Year 1993
Event Date Month 6
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 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) --
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 Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
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 197
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5028
NTSB Notification Source --
NTSB Notification Date Jun 8 1993 12:00AM
NTSB Notification Time 1115
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 18 2002 11:28AM
User who most recently changed record NTSB\GIUV
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N540UA
NTSB Number LAX93IA245
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 25252
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 197
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection May 17 1993 12:00AM
Airframe hours since last inspection --
Airframe Hours --
ELT Installed No
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name WILMINGTON TRUST CO. TRUSTEE
Aircraft Owner Street Address RODNEY SQ. N. ATTN. CORP. TRST
Aircraft Owner City WILMINGTON
Aircraft Owner State DE
Aircraft Owner Country
Aircraft Owner Zipcode 19890
Operator is an individual? --
Operator Name UNITED AIRLINES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address EXOFS P.O.BOX 66100
Operator City CHICAGO
Operator State IL
Operator Country
Operator Zip code 60666
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
Departure City
Departure State
Departure Country
Departure Time 1020
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 --