Investigation number
200405118
Occurrence date
Location
Canberra, Aero.
State
Australian Capital Territory
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence category
Landing gear/indication
Occurrence class
Incident
Highest injury level
None

On 19 December 2004, a Boeing Company 737-86N aircraft, registered VH-VOH, was being operated on a scheduled passenger flight from Melbourne, Victoria to Canberra, ACT. At about 1655 Eastern Daylight-saving Time, while landing on runway 35, the right inboard main landing gear tyre failed.

In December 2004, the Australian Transport Safety Bureau (ATSB) noted an increase in the rate of tyre failures on Boeing 737 aircraft in Australia. It was noted that all of the failed tyres were at retread level (the number of times it had been retreaded) 4 and 5. The ATSB investigated the VH-VOH tyre failure in conjunction with these other recent failures.

Examination by the ATSB and the tyre manufacturer found that all the tyres had failed by fatigue in the sidewall. That fatigue was a result of cyclic flexing of the sidewall and was possibly present to some degree, but not detected, at the last retread.

Aircraft tyres of this type had several operational measures to prevent premature failure. Those included non-destructive inspection during the retread process, inflation pressure maintenance, and aircraft weight and speed limitations. The ATSB found that changes could be made by the aircraft operator and retread facility to improve the pressure maintenance and inspections during retread.

As a result of this investigation, safety improvements have been made by the aircraft manufacturer, aircraft operator and tyre retread facility to improve the life and reliability of the retreaded tyres. The United States Federal Aviation Administration is reviewing the certification requirements for the tyres and retread packages to include improved reliability programs.

Aircraft Details
Manufacturer
The Boeing Company
Model
737
Registration
VH-VOH
Serial number
29884
Operation type
Air Transport High Capacity
Sector
Jet
Departure point
Melbourne, Vic
Departure time
1545 ESuT
Destination
Canberra, ACT
Damage
Minor