Lambert-St Louis Intl Airport
Aircraft Accident/Incident Report

St Louis, Missouri 63145
Monday, August 12, 1991 11:09 CDT

NTSB Narrative Summary Released at Completion of Accident

DRG FLT, A HYDR LINE (PN 137311D1443) IN THE MAIN HYDR SYS FAILED. THE CAPT & 1ST OFFICER MADE NUMEROUS ATMTS TO EXTD THE LNDG GEAR BY USING THE EMERG CHECKLIST & ACFT FLT MANUAL. TWO OF 3 LNDG GEAR LEGS WERE EXTDD, BUT THE PLTS WERE UNABLE TO EXTD THE LEFT MAIN LNDG GEAR. SUBSEQENTLY, THE ACFT WAS DMGD DRG LNDG. THE HYDR LINE WAS CURVED & MEASURED ABT 15' FM END TO END. IT HAD FAILED AT THE BASE OF A FLARED FITTING. THIS ALLOWED HYDR FLUID IN THE MAIN SYS RESERVOIR TO BE PUMPED OVERBOARD. THE EMERG HYDR SYS HAD A 3 PSN SLCTR: NORMAL, FLAPS DOWN, GEAR DOWN. TESTS OF THE GEAR EXTN SYS REVEALED IT WORKED PROPERLY PER INSTRNS FM THE EMERG CHECKLIST, BUT WITH THE SLCTR IN THE NORMAL PSN, THE LINE FAILURE ALLOWED FLUID TO BE PUMPED FM THE EMERG RESERVOIR TO THE MAIN SYS. A METALLURGICAL EXAM REVEALED THE HYDR LINE HAD FAILED FM MULTIPLE FATIGUE ORIGINS ON THE OUTSIDE DIAMETER OF THE TUBE & ON DIAMETRICALLY OPPOSITE SIDES. LATER, BRITISH AEROSPACE ISSUED A SVC BULLETIN (23-JM-8170) TO REINFORCE THE HYDR LINE.

NTSB Probable Cause Narrative

FAILURE OF THE PILOT(S) TO FOLLOW THE CORRECT EMERGENCY PROCEDURE. FACTORS RELATED TO THIS ACCIDENT WERE: INADEQUATE SYSTEM DESIGN BY THE MANUFACTURER, WHICH ALLOWED HYDRAULIC LINE VIBRATION, FATIGUE FAILURE OF THE LINE, AND LOSS OF FLUID FROM THE NORMAL HYDRAULIC SYSTEM.

Event Information

Type of Event Accident
Event Date 8/12/1991
Event Day of the Week Monday
Time of Event 1109
Event Time Zone Central Daylight Time
Event City ST LOUIS
Event State MISSOURI
Event Country --
Zipcode of the event site 63145
Event Date Year 1991
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport LAMBERT-ST LOUIS INTL
Event Location Nearest Airport ID STL
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation 605
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1113 Central Daylight Time
Direction of event from weather observation facility (degrees) 110
Weather Observation Facility ID STL
Elevation of weather observation facility 605
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height 25000
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) -18
Dew Point at event time (in degress fahrenheit) -18
Wind Direction (degrees magnetic) 70
Variable Wind Indicator Unknown
Wind Speed (knots) 6
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
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 7
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 1678
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 45555
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 N339TE
NTSB Number CHI91MA260
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BRITISH AEROSPACE
Aircraft Model 3201
Aircraft Series Identifier 3201
Aircraft Serial Number 935
Certified Max Gross Weight 16204
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 21
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection --
Airframe hours since last inspection 0
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name BRITISH AEROSPACE, INC.
Aircraft Owner Street Address P.O. BOX 17414 DULLES ARPT.
Aircraft Owner City WASHINGTON, DC
Aircraft Owner State
Aircraft Owner Country
Aircraft Owner Zipcode 20041
Operator is an individual? --
Operator Name TRANS STATES AIRLINES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 3990 FEE FEE ROAD
Operator City ST. LOUIS
Operator State MO
Operator Country
Operator Zip code 63044
Operator Code RAIA
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/Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code FSM
Departure City FT SMITH
Departure State AR
Departure Country
Departure Time 830
Departure Time Zone CDT
Destination Same as Local Flt crash at destination city
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Landing
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 3L
Runway Length 11918
Runway Width 200
Sight Seeing flight No
Air Medical Flight No
Medical Flight --