Casualties unknown

1993-06-08: Boeing 757-222 (N540UA) — United Airlines — Los Angeles, CA

Los Angeles, CA, US

On June 8, 1993, a Boeing 757-222 (registration N540UA) operated by United Airlines was involved in an aviation accident near Los Angeles, CA. Investigators recorded the probable cause as: the inadvertent deployment of an overwing emergency excape slide due to the inadequate latching of the slide compartment door following access by maintenance personnel. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive; 12 related events involving the same aircraft type or operator are linked below.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards
Aircraft registered N540UA
Aircraft registered N540UA. Photo: skinnylawyer from Los Angeles, California, USA / CC BY-SA 2.0, via Wikimedia Commons

During climb through 25,000 feet, an aircraft's left overwing escape slide deployed and separated. Crew returned to Los Angeles for an uneventful landing. Investigation revealed unlatched doors and a maintenance procedure that required revision.

Incident Sequence

The aircraft was climbing through 25,000 feet in light turbulence when the crew experienced two jolts accompanied by a loud explosive noise, followed by a sharp roll to the left. A visual inspection revealed that the left overwing emergency escape slide had deployed and separated in flight. The crew subsequently returned to Los Angeles, where the aircraft landed without further incident.

Post-Incident Examination

Examination following the incident disclosed that the slide compartment door was unlatched and open, and the adjacent maintenance access door was also open, with its latching handle in the unlocked position. These findings indicated that the slide was not securely stowed prior to the flight.

Maintenance Background

The flight immediately preceding the incident had triggered two EICAS warning messages related to the left overwing slide door. After landing, maintenance personnel accessed the slide compartment, cleaned a proximity switch, and performed a functional test of the system. The aircraft was then dispatched with no open maintenance items.

The maintenance closing procedure in effect at the time of the incident specified that one mechanic hold the bottom corners of the 33-inch-wide slide door closed while manipulating the latching handle in a maintenance access door located 12 inches aft of the slide door. This procedure was identified as a contributing factor to the door not being properly secured, as the single mechanic could not simultaneously ensure the door was fully closed and correctly latch the handle.

Procedure Revision

Following the incident, the maintenance closing procedure was revised to require two mechanics: one to hold the slide door closed while the second manipulates the latching handle. This change aims to ensure that the door is securely latched before the aircraft is returned to service.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001211X12640. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.