Chicago O'hare Intl Airport
Aircraft Accident/Incident Report

Chicago, Illinois 60666
Thursday, December 13, 2001 12:03 CST

NTSB Narrative Summary Released at Completion of Accident

The scheduled domestic passenger carrying flight of a Boeing 737-322 achieved a maximum altitude of about 27,000 feet with an outside air temperature of about -36 degrees Celsius. About 30 minutes after departure and while on a visual descent to the destination airport, the flight encountered wake turbulence while descending through 9,300 feet mean sea level for visual approach to the destination airport. The airplane began a correction back to the right while continuing to bounce. The airplane rapidly banked 10 degrees when the captain said that he was disengaging the autopilot and autothrottles. The captain applied left aileron and left rudder to oppose the roll and eventually the first officer began to assist the captain in his control inputs. The digital flight data recorder showed that the airplane achieved a right 26-degree roll; a left 45-degree control wheel deflection followed by right control wheel deflections. The rudder pedal deflection achieved a maximum value of left 6.5 degrees which was followed by a right 1.5 degree deflection with corresponding aileron deflections ranging from left 6.0 degrees to right 1.0 degrees. The pedal then remained deflected to the left over a range from 2.0-0.25 degrees with corresponding left rudder deflections ranging from 2.0-0.25 degrees until the airplane landed. The first officer reported that A and B hydraulic quantity and pressure gauge indications were normal and there was no change in hydraulic pressure and quantity indication upon completion of each uncommanded rudder checklist item. The captain stated that during landing roll, about 100 knots indicated airspeed, they heard a banging noise and got a full right deflection of the rudder pedals. The cockpit voice recorder recording of the flight was not retained by the operator following the incident. Inspection of the cockpit nose area forward of the main landing gear revealed a wood-handled wire brush. The first officer's pedal arms contained scuff marks on the paint surface and gouge marks which penetrated the paint surface and metal. Further inspection with the aid of a borescope revealed the presence of displaced white paint on the structure aft of the pedal arms. No dents were noted in the vertical structure surrounding the pedal arm. The UAL party representative stated that work relating to an airworthiness directive was performed weeks prior to the incident. The brush along with a new brush and the first officer's pedal arms were sent to the National Transportation Safety Board's Materials Laboratory for further examination. Examination of the first officer's rudder pedal arms and brush revealed that in the vicinity of the bolt heads revealed only light score marks scattered around the edge of the boss, consistent with tool usage. The right pedal arm contained one score mark on the rear edge of the boss. The score mark was circumferential for approximately 90 degrees of arc, centered at the horizontal line. It was more significant above the horizontal and tapered to nothing below it. Examination of the left, right , top, and bottom faces of the brush handle revealed no indications of any crush damage. Functional testing and macroscopic visual examination of the rudder power control unit revealed no anomalies. One estimate of the maximum rudder forces that can be exerted for various positions of rudder pedal range from 246 - 424 lbs depending upon rudder pedal position and distance from back of seat. Several like brushes were loaded in the lengthwise direction and also placed in various obstructive positions within the pedal arms. Brushes placed in obstructive positions with a pilot applying rudder pressure estimated that force he applied to the rudder pedals to fracture the brushes was 15-20 pounds. Brushes loaded in the lengthwise directions broke at loadings from a maximum of 80 pounds and below. A flight training simulator was back driven at UAL's Flight Training Facility using FDR data from the incident flight with both flight crew members aboard. The simulator structure at the rudder pedals had the same platform/shelf structure as the incident airplane. The rudder pedals set to the same adjustment as reported by the first officer, and the brush was inserted with the application of left rudder pedal pressure to hold the brush in place due to the resting platform being shorter than the actual airplane. The brush position for the best strength and holding power was noted when the brush was orientated such that the wire bristles were facing downward and towards the rudder control arms and the convex portion of the brush handle facing upwards with the other end against the vertical wall of the pedal box. Further pressure on the rudder pedals was not added due to a concern of causing damage to the simulator. A search of the Federal Aviation Administration’s service difficulty reporting system relating to "Boeing Rudder Controls" was performed for a time period from January 1, 1997 to February 1, 2002. One occurrence shows that maintenance could not find any fault with the airplane and that the rudder hydraulic system components were replaced. A second occurrence shows that after the accomplishment of engineering callouts relating to rudder hydraulic system components, no defects were noted. A third occurrence noted the replacement of the PCU.

NTSB Probable Cause Narrative

Reason for occurrence is undetermined.

Event Information

Type of Event Incident
Event Date 12/13/2001
Event Day of the Week Thursday
Time of Event 1203
Event Time Zone Central Standard Time
Event City Chicago
Event State ILLINOIS
Event Country --
Zipcode of the event site 60666
Event Date Year 2001
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport CHICAGO O'HARE INTL
Event Location Nearest Airport ID ORD
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 668
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID ORD
Elevation of weather observation facility 655
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height 1500
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 6
Dew Point at event time (in degress fahrenheit) 3
Wind Direction (degrees magnetic) 250
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29.93
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 99
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 15270
NTSB Notification Source FAA
NTSB Notification Date Dec 13 2001 12:00AM
NTSB Notification Time 1237
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 28 2004 3:34PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office O'Hare CMO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N359UA
NTSB Number CHI02IA050
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? No
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Boeing
Aircraft Model 737-322
Aircraft Series Identifier --
Aircraft Serial Number 24452
Certified Max Gross Weight 130000
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 124
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Dec 4 2001 12:00AM
Airframe hours since last inspection --
Airframe Hours 39295
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Willimington Trust CO Trustee
Aircraft Owner Street Address Rodney Sq Nth Attn Corp Tr Admin
Aircraft Owner City Wilmington
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19890
Operator is an individual? No
Operator Name United Airlines
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address PO Box 66100
Operator City Chicago
Operator State IL
Operator Country USA
Operator Zip code 60666
Operator Code UALA
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) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code STL
Departure City St. Louis
Departure State MO
Departure Country USA
Departure Time 1729
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code ORD
Destination City Chicago
Destination State IL
Destination Country USA
Specific Phase of Flight Descent
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Feb 20 2004 3:45PM
User who most recently changed record SULP
Since inspection or accident --
Event Location Runway Number and Location 27L
Runway Length 10144
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --