Aloha Airlines Flight 243 (1988): Fatigue and Corrosion in Lap Joints
On April 28, 1988, Aloha Airlines Flight 243, a Boeing 737-200 on an inter-island flight in Hawaii, lost part of its upper fuselage at 24,000 ft (about 7,300 m) and suffered an explosive decompression. The airplane landed on nearby Maui, but one flight attendant was lost. The failure was in a fuselage skin lap joint, where the bond had come apart and many fatigue cracks had grown from rivet holes; the NTSB found the probable cause to be the maintenance program’s failure to detect this damage.
What happened
- Date
- April 28, 1988
- Location
- Near Maui, Hawaii, USA (flight from Hilo to Honolulu)
- Airplane
- Boeing 737-200 (line number 152), with 35,496 flight hours and 89,680 flight cycles
- Casualties
- Of 89 passengers and 6 crew, one flight attendant was swept overboard and presumed killed, and 8 people were seriously injured
- Damage
- About 18 ft (about 5.5 m) of cabin skin and structure aft of the cabin entrance door, above the floor line, separated
- Investigation
- U.S. National Transportation Safety Board (NTSB), report NTSB/AAR-89/03
Sequence of events and the investigation’s findings
Flight 243 was an inter-island flight from Hilo on the island of Hawaii to Honolulu. As it reached 24,000 ft, the upper fuselage skin and structure separated over about 18 ft aft of the cabin entrance door, causing an explosive decompression. The crew made an emergency descent and landed at Kahului Airport on Maui.
The NTSB determined that the probable cause was the failure of Aloha Airlines’ maintenance program to detect significant disbonding and fatigue damage, which ultimately led to the failure of the lap joint at the location called S-10L and the separation of the upper fuselage. Contributing factors included inadequate supervision of maintenance, the FAA’s failure to require inspection of all the lap joints proposed by Boeing in airworthiness directive AD 87-21-08, and the lack of a complete terminating action for problems with the early 737 cold-bonded lap joints (low bond durability, corrosion and premature fatigue cracking).
The chain of causes from the materials side
Early 737s (up to line number 291) bonded the fuselage skin lap joints with a scrim cloth impregnated with an adhesive that cures at room temperature (a cold bond). Manufacturing problems left randomly weak bonds and some areas not bonded at all, and made the joints susceptible to corrosion. Moisture wicking into disbonded areas caused further disbonding.
Once the bond failed, the rivets carried the pressurization loads. The rivet countersinks went through the full skin thickness, leaving a thin knife edge at the hole and a higher-than-usual stress concentration. Fatigue cracks therefore formed at many adjacent rivet holes (multiple site damage, MSD), and small cracks linked up into a long, critical crack. Visual inspection showed cracks growing from the holes of the top row of rivets.
Fatigue crack initiation and growth are driven by the number of flights (pressurization cycles), not flight hours, and Aloha’s airplanes flew about twice the cycle rate that Boeing had assumed. Lap joint corrosion had first been reported in 1970, and inspections of the fleet after the accident found swelling, bulging, popped rivets and blistered paint along lap joints.
On interpretations of the cause: a university student paper (Hashmi) suggests that chlorides in the marine operating environment probably caused pitting and drove the corrosion and corrosion fatigue. The NTSB’s probable cause is the maintenance program’s failure to detect the disbonding and fatigue damage.
The clues that revealed the cause
- Cracks grow with the number of flights (pressurization cycles), not flight hours, and this airplane flew about twice the assumed cycle rate Loading: Cyclic load (vibration, r…
- Fatigue cracks had started at many adjacent rivet holes (multiple site damage) Fracture surface and crack features
- Corrosion of the lap joints and disbonds wetted by moisture Environment: Water, humidity or conden…
- The skin was aluminum, 0.036 in (about 0.9 mm) thick Material: Aluminum alloy
- The airplane had made 89,680 flights Time to failure: Years or more
Open the guide with this case’s clues
Opening the guide with these clues ranks corrosion fatigue and fatigue at the top. Corrosion fatigue comes first because of the moisture and corrosion clues, but the NTSB’s probable cause is the failure to detect disbonding and fatigue damage; it does not identify corrosion fatigue as such.
Related failure modes: Fatigue / Corrosion fatigue
What changed afterwards: design, rules and inspection
- Corrosion prevention and control programs became mandatory.
- Airworthiness directives AD 2002-07-08 and AD 2002-07-11 required removal and replacement of certain lap splice skin areas on the Boeing 737.
- The transport airplane design rule 14 CFR 25.571 (Amendment 96) began to require consideration of widespread fatigue damage (WFD) and evidence from full-scale fatigue tests.
- A rule on repair assessment for pressurized fuselages and a final rule on widespread fatigue damage were issued.
Lessons
- A structure that relies on bonding cannot stay safe without inspection and maintenance that verify the bond.
- Inspection programs must rest on a thorough understanding of the design’s fatigue behavior: where, after how many cycles and what kind of cracks will appear.
- Relying on repeated inspections for a known fatigue problem has limits; a terminating action such as replacing parts is preferable.
- The design assumption that “a crack will be arrested at a tear strap, the skin will flap open and the damage will be obvious” fails when many cracks grow at once.
- After the accident, lap joint cracks were reported across many airplanes of the same type: the problem was not confined to one airplane.