RFT 523: UAL Flight 266
This is information from my upcoming book, Crash and Learn: Accidents That Changed Aviation and Made the Skies Safer.
From Wikipedia:
United Airlines Flight 266 was a scheduled flight from Los Angeles International Airport, California, to General Mitchell International Airport, Milwaukee, Wisconsin via Stapleton International Airport, Denver, Colorado with 38 on board. On January 18, 1969 at approximately 18:21 PST it crashed into Santa Monica Bay, Pacific Ocean, about 11.5 miles (18.5 km) west of Los Angeles International Airport, four minutes after takeoff.
Rescuers (at the time) speculated that an explosion occurred aboard the plane, a Boeing 727. Three and a half hours after the crash three bodies had been found in the ocean along with parts of fuselage and a United States mail bag carrying letters with that day's postmark. Hope was dim for survivors because the aircraft was configured for domestic flights and did not carry liferafts or lifejackets. A Coast Guard spokesman said it looked "very doubtful that there could be anybody alive."
Up until 2013, United used "Flight 266" designation on its San Francisco-Chicago (O'Hare) route.
The crew of Flight 266 was Captain Leonard Leverson, 49, a veteran pilot who had been with United Airlines for 22 years and had almost 13,700 flying hours to his credit. His first officer was Walter Schlemmer, 33, who had approximately 7,500 hours, and the flight engineer was Keith Ostrander, 29, who had 634 hours. Between them the crew had more than 4,300 hours of flight time on the Boeing 727.
The Boeing 727-22C aircraft, registration N7434U, was almost new and had been delivered to United Airlines only four months earlier. It had less than 1,100 hours of operating time. The aircraft had had a nonfunctional #3 generator for the past several days leading up to the accident. Per standard procedure, the crew placed masking tape over the switches and warning lights for the generator. Approximately two minutes after takeoff, the crew reported a fire warning on engine #1 and shut it off. The crew radioed to departure control that they only had one functioning generator and needed to come back to the airport, but it turned out to be their last communication, with subsequent attempts to contact Flight 266 proving unsuccessful. Shortly after engine #1 shut down, the #2 generator also ceased operating for reasons unknown. The National Transportation Safety Board (NTSB) was unable to determine why the #2 generator had failed after it had become the plane's sole power source, nor why the "standby electrical system either was not activated or failed to function."
Several witnesses saw Flight 266 take off and reported seeing sparks emanating from either engine #1 or the rear of the fuselage, while others claimed an engine was on fire. Salvage operations were conducted to recover the wreckage of the aircraft, but not much useful information was gleaned as the cockpit instruments were not recovered. The wreckage was in approximately 930 feet (280 meters) of water and had been severely fragmented, however the relatively small area in which it was spread indicated an extremely steep, nose-down angle at impact. There was little in the way of identifiable human remains at the wreckage site, only two passengers were identified and only one intact body was found. The #2 and #3 engines suffered severe rotational damage from high RPM speeds at impact, but the #1 engine had almost no damage because it had been powered off. No evidence of any fire or heat damage was found on the engines, thus disproving the witnesses' claims. The small portion of the electrical system that was recovered did not provide any relevant information. The CVR took nearly six weeks to locate and recover. NTSB investigators could not explain the sparking seen by witnesses on the ground and theorized that it might have been caused by debris being sucked into the engine, a transient compressor stall or an electrical system problem that led to the eventual power failure. They also were unable to explain the engine #1 fire warning in the absence of a fire, but this may have resulted from electrical system problems or a cracked duct that allowed hot engine air to set off the temperature sensors. The sensors from the #1 and #2 engines were recovered and exhibited no signs of malfunction. Some tests indicated that it was indeed possible for the #2 generator to fail from an overload condition as a result of the operating load being suddenly shifted onto it following the #1 generator's shutdown, and this was maintained as a possible cause of the failure.
N7434U had recently been fitted with a generator control panel that had been passed around several different UAL aircraft because of several malfunctions. After being installed in N7434U the month prior to the ill-fated flight, generator #3 once again caused operating problems and was swapped with a different unit. Since that generator was subsequently tested and found to have no mechanical issues, the control panel was identified as the problem after it caused further malfunctions with the replacement generator. Busy operating schedules and limited aircraft availability meant that repair work on N7434U was put on hold, with nothing that could be done in the meantime except to disable the #3 generator. The NTSB investigators believed that the inoperative #3 generator probably was not responsible for the #2 generator's in-flight failure since it was assumed to be isolated from the rest of the electrical system.
With the loss of all power to the lights and flight attitude instruments, flying at night in instrument conditions, the pilots quickly became spatially disoriented and unable to know which inputs to the flight controls were necessary to keep the plane flying normally. Consequently, the crew lost control of the aircraft and crashed into the ocean in a steep nose-down angle, killing everyone on board. The flight control system would not have been affected by the loss of electrical power, since it relied on hydraulic and mechanical lines, so it was concluded that loss of control was the result of the crew's inability to see around the cockpit. It was theorized that the non-activation of the backup electrical system might have been for one of several reasons:
- The aircraft's battery, which powered the backup electrical system, could have been inadvertently disconnected by the flight engineer following the shutdown of engine 1, as he made sure that the galley power switch (which was similar in shape and adjacent to the battery switch) was turned off (in accordance with procedures for operating with only one functional generator).
- The battery, or its charging circuitry, could have malfunctioned, rendering it unable to power the backup electrical system.
- The flight engineer could have mistakenly set the aircraft's essential power switch to the APU position, rather than the standby (backup) position; the switch has to pass through a gate when turning from the APU position to the standby position, and the flight engineer, turning the switch until he encountered resistance, may have assumed that this meant that the switch had reached the end of its travel and was now in the standby position, when it had actually hit the detent between the APU and standby positions. The 727's APU is inoperative in flight.
- The flight engineer could simply have neglected to switch the aircraft to the backup electrical system; the United Airlines procedures for the loss of all generators did not, at the time, explicitly tell the crew to switch to backup power (instead focusing on regaining at least one generator), and it is possible that the flight engineer repeatedly tried to bring a generator back online instead of immediately switching the aircraft to the backup system.
The CVR and FDR both lost power just after the crew informed ATC of the fire warning on engine #1. At an unknown later point, both resumed operation for a short period of time. The FDR came back online for 15 seconds, the CVR nine seconds during which time it recorded the crew discussing their inability to see where the plane was. No sounds of the plane impacting the water could be heard when this second portion of the recording ceased.
At the time, a battery-powered backup source for critical flight instruments was not required on commercial aircraft. The accident prompted the Federal Aviation Administration to require all transport-category aircraft to carry backup instrumentation, powered by a source independent of the generators.
The NTSB's "probable cause" stated:
"The Board determines that the probable cause of this accident was loss of altitude orientation during a night, instrument departure in which the altitude instruments were disabled by loss of electrical power. The Board has been unable to determine (a) why all generator power was lost or (b) why the standby electrical power system either was not activated or failed to function."
As a result of this accident, all air carrier aircraft are required to have an additional attitude indicator (Standby Attitude Indicator) that has its own power supply and will operate without selection in the event of a failure of the aircraft electrical system.
Accident Report: