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Aviation accident DCA89MA027

9 fatal · BOEING 747-122 · 1989-02-24 · HONOLULU, HI, USA

Event

NTSB number
DCA89MA027
Event ID
20001213X27705
Type
Accident
Date
1989-02-24
Location
HONOLULU, HI, USA
Coordinates
21.270326, -157.819931

Injuries

Highest injury
FATL
Fatal
9
Serious
5
Minor
33
Uninjured
309
Total aboard
356

Aircraft

Make
BOEING
Model
747-122
Registration
N4713U
FAR Part
121
Engines
4
Damage
SUBS

Conditions

Light
NDRK
Weather
VMC

Probable cause

THE SUDDEN OPENING OF THE IMPROPERLY LATCHED FORWARD LOBE CARGO DOOR IN FLIGHT AND THE SUBSEQUENT EXPLOSIVE DECOMPRESSION. CONTRIBUTING TO THE ACCIDENT WAS A DEFICIENCY IN THE DESIGN OF THE CARGO DOOR LOCKING MECHANISMS, WHICH MADE THEM SUSCEPTIBLE TO INSERVICE DAMAGE, AND WHICH ALOWED THE DOOR TO BE UNATCHED, YET TO SHOW A PROPERLY LATCHED AND LOCKED POSITION. ALSO CONTRIBUTING TO THE ACCIDENT WAS THE LACK OF PROPER MAINTENANCE AND INSPECTION OF THE CARGO DOOR BY UNITED AIRLINES, AND A LACK OF TIMELY CORRECTIVE ACTIONS BY BOEING AND THE FAA FOLLOWING A PREVIOUS DOOR OPENING INCIDENT.

Source

Authoritative
NTSB CAROL
Machine
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