United
Airlines flight 173 was operating from
Denver, Colorado to Portland, Oregon on
the night of December 28, 1978.
Captaining the DC-8 that evening was
Malburn McBroom, a highly experienced
pilot with nearly 28,000 hours, some
5500 of them captaining the DC-8. Along
with McBroom on the flight deck was
First Officer Rodrick Beebe and Flight
Engineer Forrest Mendenhall.
Four cabin attendants
were also on board to look after the 181
passengers. The aircraft had been loaded
with enough fuel for just over an hour's
reserve. The weather was good and
darkness had just fallen as 173
approached Portland. Shortly after
5:00pm, with Beebe at the controls,
McBroom called Portland Approach to
report descending out of 10,000ft.
Approach told 173 to maintain it's
heading for a visual approach to runway
28. McBroom conformed the instruction,
reporting the airport in sight. As 173
continued it's approach, Beebe called
for the landing gear to be extended.
When McBroom moved the gear handle,
there was an immediate thump and a
shudder which shook the whole aircraft.
Only the nose gear light went green and
the main gear showed neither "down and
locked" nor "in transit".
At this point,
Approach told 173 to contact the tower,
unaware of 173's problem. McBroom
replied, saying that 172 would like to
stay with Approach at 5,000ft and that
they had a gear problem. Approach told
173 to turn left to 200 followed by
another left turn to 100 saying "...I'll
just orbit you out there until you get
your problem right." For the next 23
minutes, 173 circled the outskirts of
Portland trying to remedy it's problem.
Mendenhall went back to the passenger
compartment, checking the main gear
position indicators which appeared to
show that the main gear had in fact
extended. McBroom brought the senior
flight attendant forward, explaining the
problem and telling her to be prepared
if they were unable to fix the problem.
173 then called it's
San Fransisco maintenance facility to
get assistance with the problem,
reporting that they would hold another
15 to 20 minutes before getting the
passengers ready and making it's landing
at about 6:05pm. United's facility
confirmed that the crew had done
everything possible to remedy the
problem. Now having held for more than
thirty minutes, McBroom had another
discussion with the senior flight
attendant concerning the imminent
landing and how it would be announced to
the passengers. Beebe, still flying the
aircraft, asked Mendenhall what the
remaining fuel was, to which he replied
5,000 pounds. At this point, Mendenhall
pointed out the fuel pump lights, which
had started to blink, indicating that
the remaining usable fuel was, in fact,
5000 pounds. McBroom then asked
Mendenhall to recalculate the weight for
landing, saying he expected to land in
approximately 15 minutes.
Mendenhall was heard
to say to himself "Not enough! 15
minutes is going to really run us low on
fuel here." McBroom again spoke to
Mendenhall, asking him to call the
United facility at Portland and inform
them of the number of people on board
and the fuel remaining at landing, which
he guessed to be 4,000 pounds. After
this was done, they completed the final
checks in preparation for landing.
McBroom then suggested that Mendenhall
go back into the cabin and check on the
passengers, which resulted in him being
gone from the flight deck for the next
four minutes. Mendenhall returned and
the McBroom told him that when 173 was
about four miles out, he should call
over the PA for the passengers to assume
the brace position. Mendenhall then told
McBroom that they were down to 3,000
pounds of fuel remaining.
At this point, 173
had just turned south away from the
airport on the last of it's orbits.
Approach called and asked 173 for a
status report to which Beebe replied
that the gear indication was abnormal
and that 173 would land on runway 28 in
approximately five minutes. In addition,
he requested fire and rescue crews
standing by. Approach asked when 173
would like to begin it's approach and
McBroom replied that they would begin in
another "...three, four, five minutes."
McBroom then reported that they had
3,000 pounds of fuel remaining and 178
people on board. McBroom then began a
discussion with the senior flight
attendant during which Beebe began a
conversation with Mendenhall, saying "I
think you've just lost number four,
better get some crossfeeds open there or
something." As the flight attendant was
leaving, Beebe said "We're going to lose
an engine!" to which McBroom replied
"Why?", Beebe saying "Fuel!" At this
point, the crew scrambled to get control
of the situation. Mendenhall succeeded
in getting the number four engine back
by opening the crossfeeds, but he
reported that now they were showing
1,000 pounds on the totaliser with zero
in the number two tank.
173 then told
Approach that they were returning to the
airport and it was cleared to land on
runway 28. When 173 was 12 miles out,
Mendenhall called out "We've lost
engines guys! We just lost two engines,
number one and two." McBroom then said
"They're all going, we can't make
Troutdale [Portland's general aviation
airport]!" Beebe then replied "We can't
make anything!" McBroom told him to
report a Mayday and Beebe then said
"Portland Tower, United 173 Mayday!
We're...the engines are flaming
out...we're going down! We're not going
to be able to make the airport!" At
6:15pm, the aircraft, now with all four
engines flamed out, crashed six miles
short of the runway in a wooded suburb
area. It just missed an apartment
building and crashed into an unoccupied
house. 156 of the passengers were able
to escape with only minor injuries. Ten
occupants were killed including
Mendenhal and the senior flight
attendant.
......Wreckage of the examination
revealed that the main landing gear had
been fully extended at the time of the
crash. The starboard retraction
mechanism showed corrosion of an eyebolt
thread which had pulled away from the
actuator cylinder piston rod.
Investigation showed that 173 had
consumed fuel at a normal rate, arriving
at Portland with nearly 14,000 pounds
remaining. When the landing gear was
selected down, the corrosion from the
thread allowed the gear to fall free,
immediately swinging into down position
and damaging the micro switches, which
caused the lack of gear down indication
on the flightdeck.
United's policy for
landing gear problems calls for
verifying the position visually at which
point a landing can be made. Mendenhal
verified that the visual indicators
showed the gear to be extended, though
he said he couldn't be sure. By the time
173 contacted maintenance, nearly half
an hour had elapsed. Once maintenance
had confirmed that the crew had
adequately handled the problem,
investigators felt that McBroom should
have began the approach. Instead, he
spoke with the senior flight attendant
about the coming landing, but did not
tell her to complete preparing the
passengers by a certain time.
The crew obviously
was not fully aware of their fuel state
or they would have calculated that they
would run out of fuel not long after
their proposed landing time of 6:05pm.
Another indication of McBroom's lack of
awareness was his statement just 16
minutes before 6:05pm that they would be
landing with 4,000 pounds remaining,
while he had just two minutes prior
acknowledged that there was only 5,000
pounds remaining. In reality, the
aircraft would have used at least 3,000
pounds. Further, McBroom was obviously
unconcerned about their status as
evidenced by his ordering Mendenhal to
walk the cabin to check on the
passengers.
When Mendenhal
returned, the aircraft was headed
towards the airport and all of the
checks had been done. At this point,
there was no reason not to continue
towards the airport and land. Instead,
McBroom accepted a vector outbound for
another circuit. At this point, the
accident was unavoidable. Clearly the
accident resulted in a breakdown of crew
co-ordination. McBroom remained unaware
of the aircraft's fuel state throughout
the flight. Even when the first engine
flamed out, he said "Why?", clearly not
understanding how critical a situation
they were in. His continued efforts to
rectify the gear problem and prepare the
flight attendants apparently distracted
him from making sure the airport was
within range at all times.
This seemed
particularly disturbing considering the
extent of McBroom flight experience.
Beebe, preoccupied with flying the
aircraft, apparently remained unaware of
the fuel situation as well. Mendenhal
was obviously aware of the dangerously
low fuel state as evidenced by his
remark "Not enough! 15 minutes is going
to really run us low on fuel here."
However, he seemed unable to convince
McBroom of the severity of the situation
and did not reinforce his original
comments. This accident, in addition to
the crash of Eastern 401 six years
prior, was the basis of the institution
of many airline's Crew Resource
Management programs.