Accident · 1989-02-24

NTSB case DCA89MA027 · BOEING 747-122 · Part 121

What the record says

Event date
1989-02-24
Event type
Accident
Highest injury level
Fatal injury
Aircraft
BOEING 747-122 (N4713U)
Operating rule
Part 121
Operator
UNITED AIRLINES, INC. Operator named in NTSB report
Operated by (per NTSB report)
UNITED AIRLINES

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: NTSB case DCA89MA027

Flight crew

Flight-crew details for this event aren't in the NTSB database extract we hold (its coverage starts with 2008 events) — a gap in our data, not an absence of crew.

Facts as the NTSB records them — GroundCheck adds no judgement. Preliminary records may be revised as the investigation proceeds.

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