Elevator balance tab failure, Boeing 737-229, VH-OZX, Port Moresby, Papua New Guinea, on 31 December 2007

AO-2008-001

Preliminary report

Preliminary report released 27 February 2008

After departing Port Moresby, Papua New Guinea, at 0430 Coordinated Universal Time on 31 December 2007, the flight crew of a Boeing 737-229 aircraft, registered VH-OZX, being operated on a scheduled flight from Port Moresby to Brisbane, reported severe vibration through the airframe, resulting in a Mayday broadcast and return to Port Moresby.

A subsequent examination on the ground, found a section of the right elevator balance tab had detached and was missing. Preliminary examination of the tab indicated that a failure of one of the elevator tab hinge blocks had occurred.

Summary

After departing Port Moresby, Papua New Guinea, at 0406 Universal time, coordinated on 31 December 2007, the flight crew of a Boeing 737-229 aircraft, registered VH-OZX, operating a scheduled flight from Port Moresby to Brisbane, experienced severe vibration through the aircraft's airframe, resulting in the crew declaring a MAYDAY and returning to Port Moresby.

A subsequent examination found a section of the right elevator balance tab had detached and was missing. Examination of the remaining sections of the balance tab revealed that two attachment screws from one of the elevator balance tab hinge blocks had unwound, which led to the tab failure.

The investigation found that airframe vibration had been reported by the flight crew the day prior to the accident. On that occasion, a level I - General Inspection of the aircraft was conducted by a licensed aircraft maintenance engineer after the aircraft landed, with no defects found.

The aircraft manufacturer was aware that other operators had experienced in-flight vibration as a result of excessive wear in the elevator balance tab hinge and control linkages, and had issued a number of service bulletins (SBs) to address the issues. These SBs included SB737-55A1070, which directed operators to carry out detailed inspection of the elevator balance tabs, including checks for free-play, control rod wear and loose hinge screws.

As a result of this accident, the aircraft operator implemented a 'fleet campaign directive' requiring the immediate accomplishment of SB 737-55A1070 on all of its aircraft.

Occurrence summary

Investigation number AO-2008-001
Occurrence date 31/12/2007
Location Port Moresby
State International
Report release date 23/06/2009
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Objects falling from aircraft
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 737
Registration VH-OZX
Serial number 21177
Sector Jet
Operation type Air Transport High Capacity
Departure point Port Moresby, PNG
Destination Brisbane, QLD
Damage Substantial