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NTSB Report

March 31, 1996 · Dornier DO 328-100 · N334PH

Eugene, OR

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
March 31, 1996
Injury Outcomes
No injuries (27 uninjured)
Location
Eugene, OR
Aircraft
Dornier DO 328-100
Tail Number
N334PH
Operator
Horizon Air
Injuries
None
Aircraft Damage
Minor
NTSB Number
SEA96IA074

The flight crew reported that as the airplane was climbing between 14,000 feet and 16,000 feet in light icing conditions, they felt a moderate shudder. The autopilot disconnected, and the airplane immediately rolled 15 degrees to the left. An emergency was declared, and the flight was diverted with no further incident. After landing, examination revealed that a section of the left wing de-icing boot had delaminated. When pressure was applied to the system, a bubble was created. When pressure was off, the delaminated plies were stretched beyond their elastic limits and would not return to the normal shape, thus creating wrinkles. Examination of the plies revealed that there was no evidence of contamination. The separation occurred between the adhesion coat and the knit fabric. The manufacturer of the boot reported that this mode of failure was consistent with an elastromeric construction that had reached the end of its useful life. The outer delaminated plies were found to be unusually durable, which resulted in a large bubble instead of the normally expected 'burst' of the outer plies.

NTSB Probable Cause

delamination of the wing de-icing boot, due to the boot reaching its life limit.

Full Narrative

On March 31, 1996, at 0630 Pacific standard time, a Dornier Luftfahrt GMBH DO 328-100, N334PH, flight number 2620, registered to First Security Bank of Utah, operated by Horizon Air as a 14 CFR Part 121 passenger flight, diverted to Portland, Oregon, after the flight crew felt a shudder and an immediate roll to the left. The flight crew declared an emergency and landed at Portland without further incident. Visual meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed. The airplane received minor damage and there were no injuries to the 24 passengers, one flight attendant, and the two airline transport pilots. The flight originated from Eugene, Oregon, about 30 minutes before the incident. The flight crew reported that as the airplane was climbing between 14,000 feet and 16,000 feet, at 200 KIAS in light icing conditions, they felt a moderate shudder. The auto pilot disconnected and the airplane immediately rolled 15 degrees to the left. An emergency was declared and the flight was diverted to Portland. After landing, it was found that a portion of the left wing leading edge de-icing boot was loose. When air pressure was applied to the boot, a 12 inch diameter "bubble" formed six inches in from the outboard section of the middle boot. When air pressure was removed, that portion of the boot remained loose. The boot was removed from the wing and transported to Daimler-Benz Aerospace, Germany. The boot was installed on a test airplane and wind tunnel tested. The test revealed that the airplane was controllable even with the delamination in front of the aileron. The boot was removed and transported to BFGoodrich Ice Protection Systems, Uniontown, Ohio to determine the reason for the delamination. Preliminary inspection determined that the delaminated plies had stretched beyond their elastic limits and would not return to the normal shape upon deflation. The result was permanent wrinkles in the affected area. Samples of the affected area were taken and examined under optical microscopy and scanning electron microscopy. The result of the examination revealed no evidence of contamination. Peel adhesion samples were then constructed and found that the separation occurred between the adhesion coat and the knit fabric. BFGoodrich reports that this mode of failure is consistent with an elastromeric construction de-icer that has reached the end of its useful life. The outer delaminated plies were found to be unusually durable which resulted in a large bubble instead of the normally expected "burst" of the outer plies.

Flight

Event TypeIncident
Event Time06:30 PST
Nearest Airport0nm
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftDornier DO 328-100
Tail NumberN334PH
Aircraft CategoryAir
DamageMinor
OperatorHorizon Air
Operating RulePart 121
Engines2
Engine TypeTurboprop
Engine DetailsP&W · 119B · Turboprop · 2180
Seats34

People & Injuries

Injury SummaryNo injuries (27 uninjured)
Fatal0
Serious0
Minor0
Uninjured27
Total27
Crew 1Age 32 · First Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
CeilingNone
Temperature / Dew Point0 C / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data