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.