Chicago O'hare Intl Airport
Aircraft Accident/Incident Report

Chicago, Illinois 60666
Tuesady, April 1, 2003 11:15 CST

NTSB Narrative Summary Released at Completion of Accident

While in normal cruise flight, the crew experienced lateral control problems. An emergency was declared. The aircraft landed safely at the intended destination. Evidence of a water leak was identified by the cabin crew approximately 5 hours from the destination. Efforts to control the leak were effective, however it was not completely stopped. Water was reported coming from the upper deck and flowing through the main deck ceiling. The flight was subsequently directed by air traffic control to make an enroute course change. However, when this command was entered in the Flight Management Computer (FMC) the aircraft began a shallow left turn instead of a right turn as required. Initial attempts to disconnect the autopilot were not successful and the autopilot was manually overridden. The relief first officer at the controls stated the controls "felt unusual" and "stiff." The captain reported elevator and rudder were normal, but bank angle was limited. The landing was accomplished smoothly and safely according to the captain, and the aircraft was taxied to the gate without incident. After landing, the captain noted the controls felt normal. Ramp personnel reported a significant amount of water draining from the fuselage and the drain masts at the gate. A post-incident examination of the aircraft revealed that areas of the main deck carpeting was saturated. The canted pressure deck overboard drains were not obstructed. A 6-inch long by 0.125-inch wide gap was located along the outboard edge of the canted pressure bulkhead on the right side of the aircraft. The seam was not sealed as required. Immediately aft of the canted pressure bulkhead were aileron and flight spoiler control cables. Four (4) circuit breakers common to the external drain line heaters were found open. The external drain lines route wastewater from the cabin overboard. The breakers were pulled in conjunction with routine cleaning of the drain lines prior to departure. Ground functional testing of the aileron controls, the aileron trim and the autopilot did not find any anomalies. A flight test was completed to verify in-flight operation of the flight controls and potable water system. No anomalies were noted. Airline procedures related to the routine inspection and cleaning of the external drains were reviewed. Resetting of the drain heater circuit breakers was the last item. A service bulletin had been issued which recommended testing, cleaning and inspection of the canted pressure deck drainage system (overboard drains), general visual inspection of the deck structure a pressurization test. Service bulletin instructions included a visual inspection for loose, missing or cracked sealant. The airline was in the process of incorporating the service bulletin into its maintenance program. As a result, the initial service bulletin procedures had not been completed prior to the incident. An airworthiness directive (AD) which required cleaning of "the cavity aft of the wing center section" and verification that all drains were open and clean was in effect at the time of the incident and had been complied with. A new AD was issued following the incident which mandated full compliance with the existing service bulletin.

NTSB Probable Cause Narrative

Failure of company maintenance personnel to fully comply with published maintenance/inspection procedures, as well as the resulting inoperative drain heaters and restricted movement of the aileron control cables. Contributing factors were the impeded waste water drain system due to the inoperative heaters and the reduced aileron control due to restricted movement of the control cables.

Event Information

Type of Event Incident
Event Date 4/1/2003
Event Day of the Week Tuesday
Time of Event 1115
Event Time Zone Central Standard Time
Event City Chicago
Event State ILLINOIS
Event Country --
Zipcode of the event site 60666
Event Date Year 2003
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 415847N
Event Location Longitude 0875416W
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 175
Degrees magnetic from airport 315
Airport Elevation 668
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1156 Central Standard Time
Direction of event from weather observation facility (degrees) 135
Weather Observation Facility ID ORD
Elevation of weather observation facility 668
Distance of event from weather observation facility (units?) 175
Time Zone of the weather observation CST
Lighting Conditions Day
Lowest Ceiling Height 25000
Lowest Non-Ceiling Height 15000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 21
Dew Point at event time (in degress fahrenheit) 6
Wind Direction (degrees magnetic) 240
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 10
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.69
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 319
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 13918
NTSB Notification Source FAA
NTSB Notification Date Apr 1 2003 12:00AM
NTSB Notification Time 1209
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Sep 30 2003 9:55AM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office FAA -- O'Hare FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N175UA
NTSB Number CHI03IA097
Missing Aircraft Indicator --
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 747-422
Aircraft Series Identifier --
Aircraft Serial Number 24382
Certified Max Gross Weight 875000
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 370
Number of Engines 4
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Dec 18 2002 12:00AM
Airframe hours since last inspection 1036
Airframe Hours 50293
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Wilmington Trust Company
Aircraft Owner Street Address Rodney Square North -- 11th & Market St
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 Inc
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 1200 Algonquin Road
Operator City Arlington Heights
Operator State IL
Operator Country USA
Operator Zip code 60005
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 International
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 HKG
Departure City Hong Kong
Departure State --
Departure Country HK
Departure Time 440
Departure Time Zone UTC
Destination Same as Local Flt --
Destination Airport Code ORD
Destination City Chicago
Destination State --
Destination Country USA
Specific Phase of Flight Cruise - normal
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Jul 30 2003 3:43PM
User who most recently changed record SULP
Since inspection or accident Time of Accident
Event Location Runway Number and Location 14R
Runway Length 13000
Runway Width 200
Sight Seeing flight No
Air Medical Flight No
Medical Flight --