Aircraft Accident/Incident Report

Los Angeles, California 90009
Thursday, October 19, 2006 1:00 PDT

NTSB Narrative Summary Released at Completion of Accident

During cruise flight, just after entry into foreign airspace, the flight crew was alerted to a System B hydraulic failure, and they decided to return to, and land in the United States (US). Upon re-entry to US airspace, the flight crew declared an emergency and requested to land at the departure airport. On final approach, about 5 minutes after selecting flaps to 15 and lowering the landing gear, the flight crew was alerted to the System A hydraulic quantity gage, that had dropped to 0 pounds per square inch (psi). At this point both System A LOW PRESSURE LIGHTS illuminated and the airplane went into the manual reversion mode. The flight crew indicated that the airplane was difficult to control; however, they landed uneventfully at the airport. Maintenance personnel for the airline, and the airplane manufacturer, inspected the hydraulic systems. They noted that the initiating event was a failed engine driven pump. The secondary event was a cracked hydraulic line that failed due to fatigue. A metallurgical examination revealed the fatigue fracture initiated at the toe of the welding root where they were able to locate a crack that had propagated through half the perimeter. The airframe manufacturer redesigned the affected tube, part number 272A4451-87, a titanium tube, with part number 272A4451-200, a stainless steel tube.

NTSB Probable Cause Narrative

A complete failure and depressurization of both hydraulic systems due to two separate events: 1) the failure of a engine driven pump on the 'A' system, and 2) the fatigue fracture and failure of a hydraulic line on the 'B' system.

Event Information

Type of Event Incident
Event Date 10/19/2006
Event Day of the Week Thursday
Time of Event 100
Event Time Zone Pacific Daylight Time
Event City Los Angeles
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90009
Event Date Year 2006
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 335655N
Event Location Longitude 1182449W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 50 Pacific Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID LAX
Elevation of weather observation facility 125
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PDT
Lighting Conditions Night
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 17
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 110
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) 30.04
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 5
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 23170
NTSB Notification Source FAA
NTSB Notification Date Oct 19 2006 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Mar 31 2008 11:52AM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office FAA Northwest Mtn Region CMO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N614AS
NTSB Number LAX07IA014
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 737-790
Aircraft Series Identifier --
Aircraft Serial Number 30343
Certified Max Gross Weight 174200
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 177
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 --
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Alaska Airlines, Inc.
Aircraft Owner Street Address 19300 Pacific Hwy S
Aircraft Owner City Seattle
Aircraft Owner State WA
Aircraft Owner Country USA
Aircraft Owner Zipcode 98188
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 ASAA
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 Yes
Departure Airport Code LAX
Departure City Los Angeles
Departure State CA
Departure Country USA
Departure Time 0
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code MMX
Destination City Mexico City
Destination State UN
Destination Country MX
Specific Phase of Flight Cruise - normal
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 27 2008 2:27PM
User who most recently changed record COOS
Since inspection or accident --
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --