N733TW

Unknown
None

Boeing 737-2H4S/N: 22732

Accident Details

Date
Tuesday, January 8, 2008
NTSB Number
CHI08IA065
Location
Lincoln, NE
Event ID
20080122X00088
Coordinates
40.851387, -96.765274
Aircraft Damage
Unknown
Highest Injury
None
Fatalities
0
Serious Injuries
0
Minor Injuries
0
Uninjured
38
Total Aboard
38

Probable Cause and Findings

The improper installation of the swivel valve fittings by the operator's mechanic leading to the total loss of both hydraulic systems. Contributing to the incident were the swivel valves leaking and the total failure of the hydraulic system.

Aircraft Information

Registration
N733TW
Make
BOEING
Serial Number
22732
Year Built
1982
Model / ICAO
737-2H4

Registered Owner (Historical)

Name
COMMERCIAL JET PARTNERS LLC
Address
4430 LAVON DR STE 374-110
Status
Deregistered
City
GARLAND
State / Zip Code
TX 75040-3000
Country
United States

Analysis

On January 8, 2008, about 1745 central standard time, N733TW, a Boeing 737-2H4, operated by Ameristar Air Cargo, Inc., sustained no damage when it lost directional control and exited the taxiway while taxiing from landing at the Lincoln Airport (LNK), near Lincoln, Nebraska. The non-scheduled domestic passenger flight was operating under 14 CFR Part 121. The airline transport rated pilot and co-pilot, 4 flight attendants, 1 jump seat occupant, and 31 passengers were uninjured after deplaning via the airplane's airstairs. Visual meteorological conditions prevailed at the time of the accident. The flight originated about 1559 from the Austin-Bergstrom International Airport, near Austin, Texas, and was destined for LNK.

The operator reported that on January 6, 2008, the airplane was in maintenance for a "[Left/Hand Main Landing Gear] swivel valve leaking." The corrective action was accomplished by one of the operator's mechanics. The mechanic reportedly removed both the swivel valves on the left main landing gear. The aft swivel valve was removed and replaced with a new valve. The forward one was removed and reinstalled. That maintenance was checked for leaks and the airplane was returned to service.

The airplane's maintenance manual 32-41-61 contained a warning that stated:

WARNING: MAKE SURE THAT THE SWIVEL JOINT AND

HYDRAULIC LINES ARE ORIENTED AS SHOWN ... . THE

HYDRAULIC LINE TO THE BRAKE ASSEMBLY MUST BE

CONNECTED TO THE SWIVEL HOUSING AND THE

HYDRAULIC LINE FROM THE ANTI-SKID VALVE TO THE

SWIVEL FITTING AS SHOWN ... . IF THE ASSEMBLY OF

THE SWIVEL AND THE HYDRAULIC LINES ARE ROTATED

180 DEGREES, THE HYDRAULIC LINES CAN BE

CONNECTED BUT THE SWIVEL WILL NOT OPERATE. THIS

CAN CAUSE THE HYDRAULIC LINES TO BREAK DURING

EXTENSION AND RETRACTION AND CAUSE THE BRAKES

PRESSURE TO BE LOST.

The captain, in part, stated:

At about 12 miles from the airport with runway 36 insight and the

airspeed at 210 knots started extending the flaps on schedule. When

lowering the gear we performed the Before Landing Checklist and

observed all systems normal upon completing the checklist and the

flaps at 30 degrees. I landed on runway 36 in Lincoln, NE (LNK)

with all systems normal and exited taxiway Juliet to the right per

tower instructions. As I exited runway 36 I then stowed the speed

brakes and called for the after landing checklist. ...

While taxiing to parking ... the Master Caution "HYD" Light

illuminated followed by an immediate loss of System "B" Hydraulics.

I immediately started trying to get the airplane stopped and observed

no braking and no response to tiller movement for nose wheel

steering. I then tried to deploy the thrust reversers and couldn't get

the [thrust reverser]'s to deploy. Within a few seconds after the loss

of System B, we observed that a total loss of System "A" Hydraulics

had occurred as well.

In this very short time period the airplane started a slight turn to the

left. I was applying the right rudder with no response in the steering.

I then asked for assistance from [the] First Officer ... with the right

rudder. The [a]irplane exited the taxiway to the left into the mud and

snow.

After coordinating with fire and rescue, I made the decision to use

the aircraft stairs to deplane the passengers.

Examination of the swivel valves after the incident revealed that both valves were not installed as depicted in the maintenance manual.

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CHI08IA065