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Aviation safety reports, made easier to study

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August 25, 1995 · Boeing 737-3B7 · N373US

Fort Lauderdale, FL

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
August 25, 1995
Injury Outcomes
No injuries (50 uninjured)
Location
Fort Lauderdale, FL
Aircraft
Boeing 737-3B7
Tail Number
N373US
Operator
Usair
Injuries
None
NTSB Number
MIA95IA214

THE FLIGHT EXPERIENCED AN UNCOMMANDED ROLL TO THE RIGHT DURING DESCENT FOR LANDING. THE 'B' AUTOPILOT SYSTEM WAS ENGAGED AT THE TIME. POST INCIDENT EXAMINATION SHOWED THE 'B' AUTOPILOT AILERON ACTUATOR HAD LOW ELECTRICAL RESISTANCE. TESTS BY BOEING COMMERCIAL AIRPLANE COMPANY HAVE SHOWN THAT LOW ELECTRICAL RESISTANCE WITHIN THE AUTOPILOT AILERON ACTUATOR WILL CAUSE UNCOMMANDED ROLL OCCURRENCES.

NTSB Probable Cause

LOW ELECTRICAL RESISTANCE OF THE AUTOPILOT AILERON ACTUATOR FOR UNSPECIFIED REASONS WHICH RESULTED IN AN UNCOMMANDED ROLL TO THE RIGHT.

Full Narrative

On August 25, 1995, about 1230 eastern daylight time, a Boeing 737-3B7, N373US, registered to Society National Bank and operated by USAir, Inc., as flight No. 93, a 14 CFR Part 121 scheduled, domestic, passenger service from Philadelphia, Pennsylvania, to Fort Lauderdale, Florida, experienced an uncommanded roll to the right during descent for landing. 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, 4 flight attendants, and 44 passengers were not injured. The flight originated from Philadelphia on August 25, 1995, about 1027. The captain stated to USAir personnel that about 25 nautical miles northeast of Fort Lauderdale, the flight was descending to 6,000 feet, on a 222-degree heading, at 250 knots. The "B" autopilot system was on longitudinal and vertical navigation. The first officer was flying the aircraft. They felt a small "bump" and the aircraft suddenly rolled uncommanded to the right to about 30 degrees of bank angle. The captain disconnected the autopilot system and returned the aircraft to wings level with aileron control. There was no yaw associated with the roll event. The flight continued to Fort Lauderdale without further incident. Postincident readout of the digital flight data recorder was performed by USAir personnel. The data shows the aircraft was descending through 6,250 feet on a 225-degree heading when the aircraft rolled to the left about 4 degrees and then rolled to the right to about 20 degrees of bank. It took about 4 seconds for the aircraft roll from 4 degrees left bank to 20 degrees right bank. See the Aircraft 373 Flight Recorder Data. Postincident examination of the aircraft showed the "B" system aileron actuator had low electrical resistance when tested on the aircraft. Additionally a shear rivet was found failed in the aileron autopilot lever arm which connects the aileron autopilot actuators to the aileron bellcrank and aileron position sensor. Examination of the failed rivet showed it had been failed for a long period of time and the second shear rivet had moved in its hole causing elongation of the hole. Testing of the "B" system autopliot actuator was performed by the manufacturer. The actuator manifold and electrical hydraulic valve failed the insulation resistance test and the de-energize friction test. See E Systems Failure Analysis Report. Testing performed by Boeing Commercial Airplane Company after previous uncommanded roll incidents showed that low electrical resistance within the aileron autopilot actuator would cause uncommanded rolls. See Boeing 737 Autopilot Review.

Flight

Event TypeIncident
Event Time12:30 EDT
Nearest Airport0nm
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBoeing 737-3B7
Tail NumberN373US
Aircraft CategoryAir
OperatorUsair
Operating RulePart 121
Engines2
Engine TypeTurbofan
Engine DetailsCfm · CFM 56-3 · Turbofan · 22000
Seats149

People & Injuries

Injury SummaryNo injuries (50 uninjured)
Fatal0
Serious0
Minor0
Uninjured50
Total50
Crew 1Age 45 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind160° @ 6 kt
Visibility10 sm
CeilingBroken clouds 10000 ft
Altimeter29.00 inHg
Observation Time16:47
Weather SourceWFAC

Appendix: Source Data