NYC04TA103
2004-04-10 · Atlantic Ocean, Atlantic Ocean, United States · None · 1 aircraft · Status: Completed
Aircraft involved
Probable cause & findings
The failure of the number two upper forward right engine cowling attachment, which resulted in substantial damage to the right inboard elevator. A factor was the inadequate procedures in the airliner maintenance manual.
Factual narrative
On April 10, 2004, about 2258 eastern daylight time, a McDonnell Douglas DC-10-30, N14075, operated by World Airways Inc., as flight 725, was substantially damaged during cruise flight over the Atlantic Ocean. The 3 cockpit crewmembers, 9 cabin crewmembers, and 240 passengers were not injured. Night visual meteorological conditions prevailed for the flight that departed Naples, Italy; destined for Norfolk Naval Station (NGU), Norfolk, Virginia. An instrument flight rules flight plan was filed for the public use non-scheduled passenger flight. The captain reported that the airplane was in cruise flight at 32,000 feet. The airplane "shuddered and bounced" for a half-second, and then returned to stable flight. At that time, a flight attendant heard a "bang" from the rear of the airplane. The cockpit crew then felt a slight vibration, and noted a fuel burn of approximately 1,000 pounds per hour more than expected. However, all cockpit controls and instruments appeared normal. The flight proceeded to NGU and landed uneventfully about 0300, on April 11. A subsequent inspection of the airplane revealed that the right engine cowling had separated from the number two engine. Approximately 40 percent of the right inboard elevator had separated, consistent with the elevator being struck by the engine cowling. Further inspection of the airplane by a Federal Aviation Administration (FAA) investigator revealed that the engine cowling upper forward hinge required three bolts. However, only one bolt remained attached, and the investigator did not observe any evidence that the other two bolts tore away during flight. The investigator also noted fretting in the area of the bolt holes, consistent with an oscillation over a period of time, due to the absence of two bolts. The FAA investigator added that the airliner maintenance manual required a general inspection of the area, but did not specifically mention cowling hinge bolts. In addition, the hinges were located in an area that was not easily accessible to maintenance personnel. The investigator subsequently submitted a safety recommendation to have the cowling hinge bolts inspected every "D" check. During cruise flight, the crewmembers heard a "bang" from the rear of the cabin, and the airplane momentarily shuddered and bounced. After landing uneventfully at their destination airport, the crewmembers observed that the number two right engine cowling had separated and struck the right inboard elevator. Inspection of the airplane revealed that the engine cowling upper forward hinge required three bolts. However, only one bolt remained attached, and there was no evidence that the other two bolts tore away during flight. Fretting was observed in the area of the bolt holes, consistent with an oscillation over a period of time, due to the absence of two bolts. The airliner maintenance manual required a general inspection of the area, but did not specifically mention cowling hinge bolts. In addition, the hinges were located in an area that was not easily accessible to maintenance personnel. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2004_NYC04TA103.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…