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Aviation safety reports, made easier to study

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August 5, 1995 · Boeing 737-3B7 · N396US

Charlotte, NC

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
August 5, 1995
Injury Outcomes
No injuries (83 uninjured)
Location
Charlotte, NC
Aircraft
Boeing 737-3B7
Tail Number
N396US
Operator
Usair
Injuries
None
NTSB Number
MIA95IA194

THE CAPTAIN REPORTED THAT DURING DESCENT THROUGH 12,000 FEET WITH THE 'A' SYSTEM AUTOPILOT ENGAGED AND WITH AN AIRSPEED OF 250 KNOTS, THERE WAS AN UNCOMMANDED ROLL TO THE LEFT. HE DISENGAGED THE AUTOPILOT AND ROLLED THE THE AIRPLANE TO WINGS LEVEL FLIGHT, THEN CONTINUED THE FLIGHT WITH THE AUTOPILOT OFF. POSTINCIDENT EXAMINATION OF THE AIRCRAFT REVEALED AN INTERMITTENT ELECTRICAL CONNECTION IN AN 'A' AUTOPILOT CIRCUIT, DUE TO PIN CONNECTOR(S) BEING PUSHED OUT OF PLACE ON THE FLIGHT CONTROL COMPUTER SHELF CONNECTOR. ONE OF THE PINS WAS IN THE AILERON POSITION SENSOR EXCITATION CIRCUIT. THE 'A' FLIGHT CONTROL COMPUTER HAD BEEN REMOVED AND REINSTALLED THE DAY BEFORE THE INCIDENT TO INSPECT THE RACK FOR FLUID CONTAMINATION.

NTSB Probable Cause

IMPROPER INSTALLATION OF THE 'A' SYSTEM FLIGHT CONTROL COMPUTER BY COMPANY MAINTENANCE PERSONNEL, WHICH RESULTED IN PIN CONNECTOR(S) BEING PUSHED LOOSE AND SUBSEQUENT MALFUNCTION OF THE AUTOPILOT.

Full Narrative

On August 5, 1995, about 1000 eastern daylight time, a Boeing 737-3B7, N396US, operated by USAir, Inc., as flight 7, a 14 CFR Part 121 domestic passenger flight from Albany, New York, to Charlotte, North Carolina, had an uncommanded roll to the left while descending to land at Charlotte. Visual meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed. The aircraft was not damaged and the airline transport-rated pilot, first officer, 3 flight attendants, and 78 passengers were not injured. The flight originated from Albany, New York, on August 5, 1995, about 0833. The captain stated that during descent through 12,000 feet at 250 knots airspeed, the "A" autopilot system was on LNAV and level change. The aircraft shuttered and then rolled to the left to a 30-degree bank angle. He disengaged the autopilot and rolled the aircraft level. The flight was continued with the autopilot off. Postincident investigation revealed the "LO" side of the roll sensor excitation from the "A" autopilot system flight control computer (FCC) to the "A" aileron autopilot actuator LVDT and "A" airleron postion sensor was intermittently open due to a socket pushed out of the locked position in the connector. Intermittent contact of this socket with its pin in the connector could cause airplane roll oscillations. The "A" system FCC had been removed and reinstalled the day before the incident to inspect the connectors for contamination. See attached Boeing Commercial Airplane Company report.

Flight

Event TypeIncident
Event Time10:00 EDT
Nearest Airport0nm
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBoeing 737-3B7
Tail NumberN396US
Aircraft CategoryAir
OperatorUsair
Operating RulePart 121
Engines2
Engine TypeTurbofan
Engine DetailsGe · CFM56-3 · Turbofan · 22000
Seats149

People & Injuries

Injury SummaryNo injuries (83 uninjured)
Fatal0
Serious0
Minor0
Uninjured83
Total83
Crew 1Age 40 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind230° @ 6 kt
Visibility7 sm
CeilingOvercast 2700 ft
Altimeter30.00 inHg
Observation Time14:15
Weather SourceWFAC

Appendix: Source Data