Aircraft Accident/Incident Report

Chicago, Illinois 60666
Thursday, October 28, 1999 21:32 CDT

NTSB Narrative Summary Released at Completion of Accident

The pilot reported, "We encountered substantial vertical control flutter FL310-350 .78-.80 Mach with left, center, right autopilot and no autopilot. Flutter stopped when IAS was decreased. Descended to FL310, 250 kts., .75 Mach and had no more flutter. The flight diverted to O'Hare Airport and made an uneventful landing. Maintenance inspections revealed excessive free play in the elevator flight controls. The allowable limit is 0.340 inch and 0.50 inch was measured. The free play was corrected in accordance with the current maintenance manual. The bushings, the left center power control actuator (PCA), two reaction links, and four ilder links were replaced. During a subsequent test flight, vertical oscillations were still present. Further maintenance action included replacing all elevator hinge bearings and four PCA's. The third flight test was successful and the airplane was returned to service. Inspection of two reaction link rod ends revealed axial and radial wear which exceeded allowable limits. Inspection of the 16 hinge bearings revealed 3 bearings had axial and radial wear which exceeded limits and had moderate to severe corrosion. On October 11, 2001, the FAA issued Airworthiness Directive (AD) 2001-20-11 that was applicable to all B-757 series airplanes to "prevent unacceptable airframe vibration during flight, which could lead to excessive wear of elevator bearings and result in reduced controllability of the airplaneā€¦" The AD required, "Before further flight after the free-play checks, lubricate the bearings in the elevator PCA load loop and hinge line." Lubrication of the hinge bearings had not been required in a previous AD. The new AD required recurrent inspections every 18 months instead of the previous requirement of 4,000 hours, or 3,000 hours for some models. On January 28, 2001, Boeing issued a maintenance manual revision that corrected improper instructions for elevator free-play checks. The improper procedures in the maintenance manual had been in effect from September 20, 1997, to January 28, 2001.

NTSB Probable Cause Narrative

the in-flight vibration of the airplane's elevator due to excessive freeplay in the elevator control system. Factors included the corrosion of the elevator PCA reaction link bearings and the elevator hinge bearings, excessive axial and radial wear of the elevator PCA reaction link bearings, the inadequate procedures for lubricating the elevator hinge bearings, and the incorrect procedures for measuring elevator free play.

Event Information

Type of Event Incident
Event Date 10/28/1999
Event Day of the Week Thursday
Time of Event 2132
Event Time Zone Central Daylight Time
Event City CHICAGO
Event State ILLINOIS
Event Country --
Zipcode of the event site 60666
Event Date Year 1999
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 2056 Central Daylight Time
Direction of event from weather observation facility (degrees) 10
Weather Observation Facility ID ORD
Elevation of weather observation facility 668
Distance of event from weather observation facility (units?) 105
Time Zone of the weather observation CDT
Lighting Conditions Night
Lowest Ceiling Height --
Lowest Non-Ceiling Height 25000
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) 7
Air Temperature at event time (in degrees celsius) 10
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 80
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation --
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 68
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 11720
NTSB Notification Source --
NTSB Notification Date Oct 28 1999 12:00AM
NTSB Notification Time 2155
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 3 2002 12:16PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N575UA
NTSB Number CHI00IA018
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Boeing
Aircraft Model 757-222
Aircraft Series Identifier 757
Aircraft Serial Number 26689
Certified Max Gross Weight 241000
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 196
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Nov 16 1998 12:00AM
Airframe hours since last inspection 3160
Airframe Hours 23631
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name UNITED AIRLINES INC
Aircraft Owner Street Address 1200 E. ALGONQUIN RD
Aircraft Owner City ELK GROVE
Aircraft Owner State IL
Aircraft Owner Country --
Aircraft Owner Zipcode 60007
Operator is an individual? No
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 UALR
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 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 No
Departure Airport Code IAD
Departure City HERNDON
Departure State VA
Departure Country --
Departure Time 1943
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code SFO
Destination City SAN FRANCISCO
Destination State CA
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred No
Date of most recent change to record May 13 2002 9:48AM
User who most recently changed record SULP
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --