Aircraft Accident/Incident Report

San Francisco, California 94111
Monday, October 9, 1989 11:45 PDT

NTSB Narrative Summary Released at Completion of Accident

THE FLIGHT CREW REPORTED THAT THEY RECEIVED A 'FLAP DISAGREE' MESSAGE DURING THE DESCENT AND APPROACH TO THEIR DESTINATION AIRPORT. WHEN CHECKLIST PROCEDURES WERE NOT SUCCESSFUL IN CORRECTING THE SITUATION, AN UNEVENTFUL 'ABNORMAL FLAP' LANDING WAS PERFORMED. POST-INCIDENT INSPECTION REVEALED A FAILED INBOARD TRAILING EDGE FLAP DRIVE TORQUE TUBE COUPLING. FURTHER INVESTIGATION REVEALED ONE SIMILAR FAILURE, AND EXAMINATION OF THE OPERATING 757 FLEET REVEALED NUMEROUS OCCURRENCES OF EXCESSIVE WEAR ON THE AFT COUPLING OF THE TORQUE TUBE ASSEMBLY. LAB ANALYSIS OF THE WEAR, AND A METALLURGICAL EXAMINATION RESULTED IN THE MANUFACTURER REDUCING THE RECOMMENDED MAINTENANCE INTERVAL AND RECOMMENDING MORE FREQUENT VISUAL INSPECTIONS OF THE COMPONENT.

NTSB Probable Cause Narrative

THE EXTREME WEAR AND EVENTUAL FAILURE OF A TORQUE TUBE IN THE INBOARD TRAILING EDGE FLAP SYSTEM. INSPECTION AND LUBRICATION INTERVALS WERE A FACTOR, AS WAS THE PHYSICAL LOCATION OF THE TORQUE TUBE WITH REFERENCE TO EXTERNAL FACTORS.

Event Information

Type of Event Incident
Event Date 10/9/1989
Event Day of the Week Monday
Time of Event 1145
Event Time Zone Pacific Daylight Time
Event City SAN FRANCISCO
Event State CALIFORNIA
Event Country --
Zipcode of the event site 94111
Event Date Year 1989
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 0
Degrees magnetic from airport 0
Airport Elevation 0
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) 15
Air Temperature at event time (in degrees celsius) 21
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 290
Variable Wind Indicator Unknown
Wind Speed (knots) 6
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 147
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5059
NTSB Notification Source --
NTSB Notification Date Oct 10 1989 12:00AM
NTSB Notification Time 1030
Fiche Number and/or location -used to find docket information 41595
Date of most recent change to record Dec 13 2000 1:07PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N512US
NTSB Number CHI90IA006
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 757-251
Aircraft Series Identifier 757-251
Aircraft Serial Number 23201
Certified Max Gross Weight 240000
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 178
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours 11582
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name FIRST NAT'L BANK OF BOSTON TST
Aircraft Owner Street Address 100 FEDERAL ST.
Aircraft Owner City BOSTON
Aircraft Owner State MA
Aircraft Owner Country
Aircraft Owner Zipcode 02110
Operator is an individual? --
Operator Name NORTHWEST AIRLINES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address MSP/ST. PAUL INT'L AIRPORT
Operator City ST. PAUL
Operator State MN
Operator Country
Operator Zip code 55111
Operator Code
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 DTW
Departure City DETROIT
Departure State MI
Departure Country
Departure Time 936
Departure Time Zone EDT
Destination Same as Local Flt crash at destination city
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
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 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --