2294
2009-JUL-13 · near Charleston, West Virginia

Southwest Airlines — Flight 2294

A Boeing 737-300 experienced a rapid decompression at 35,000 feet when a section of the fuselage crown skin ruptured, creating a hole measuring approximately 17.4 inches by 11.5 inches. The flight crew performed an emergency descent and landed safely at Yeager Airport in Charleston, West Virginia, with no injuries to the 131 people on board. The investigation identified metal fatigue at a chemically milled step in the fuselage skin as the cause of the failure.

Aircraft
Boeing 737-3H4
Registration
N387SW
Phase
Cause
Souls on Board
131
Fatalities
0
Origin → Dest
Nashville International Airport, TN (BNA) → Baltimore/Washington International Airport, MD (BWI)
Report

Investigation Summary

Approximately 25 minutes after departing Nashville, while cruising at FL350, the aircraft suffered a sudden structural failure in the fuselage crown skin just forward of the vertical stabilizer. The resulting hole caused an immediate loss of cabin pressure, triggering the automatic deployment of passenger oxygen masks and a cabin altitude warning in the cockpit. The captain disengaged the autopilot and initiated an emergency descent to 9,000 feet, where the air was dense enough to sustain the occupants without supplemental oxygen. Post-flight inspection revealed a three-sided flap of skin had peeled back. The NTSB determined that the failure originated from multiple fatigue cracks along a 'chemically milled step,' a manufacturing feature where the thickness of the aluminum skin changes. At the time of the incident, the aircraft had accumulated 50,888 airframe hours. This specific area had not been subject to previous mandatory inspections because finite element modeling by the manufacturer had not previously flagged it as a high-stress zone, despite the stiffness differential at the boundary of the milled and non-milled sections.

Final Conclusions

The National Transportation Safety Board determined the probable cause was fuselage skin failure due to preexisting fatigue at a chemically milled step. The investigation found that fatigue cracks initiated on the inner surface of the skin and propagated outward until the skin could no longer withstand the pressure differential. The NTSB adopted the final report on August 18, 2010.

Video Analysis

The Punctured Plane Luckily Landed Successfully | Southwest 2294 — A detailed look at the structural failure and rapid decompression of Southwest Airlines Flight 2294 and the subsequent emergency landing in West Virginia.

If playback is blocked, the owner has disabled embedding — use the link above.

Airframe & Maintenance

Airframe Hours
50,888
Cycles
42,500
Last Major Check
2009-06-15
Engines
CFMI CFM56-3B1

Crew Experience

Captain

Total hours
22,500
On type
19,300
Duty time
75 hours (Last 30 days)

Held ATP certificate and Class 1 medical.

First Officer

Total hours
10,100
On type
2,240
Duty time
67 hours (Last 30 days)

Held ATP certificate and Class 2 medical.

Systems & Failure Modes

i

Fuselage Skin Assembly

Constructed of two 0.036-inch-thick 2024-T3 aluminum sheets bonded together, with pockets chemically milled away to create a waffle pattern for weight reduction.

i

Cabin Pressure Control System

Maintains a safe atmospheric pressure inside the aircraft; the failure of the fuselage skin exceeded the system's ability to compensate, leading to rapid decompression.

Interesting Facts

  • 01The fuselage rupture measured approximately 17.4 inches longitudinally and between 8.6 to 11.5 inches circumferentially.
  • 02The failure occurred at a non-chemically milled bay intended for a potential emergency locator transponder (ELT) antenna installation.
  • 03The aircraft had completed 42,500 cycles and 50,888 airframe hours at the time of the incident.
  • 04No injuries were reported among the 126 passengers and 5 crew members.
  • 05A similar fatigue-related decompression occurred on Southwest Flight 812 less than two years later in April 2011.

Safety Actions & Advisories

Boeing Service Bulletin 737-53A1301

Issued on September 3, 2009, calling for repetitive external inspections to detect cracks in the fuselage skin along the chemically milled step at specific stringers and body stations.

FAA Airworthiness Directive 2010-01-09

Issued on January 12, 2010, mandating the inspection requirements outlined in Boeing's Service Bulletin for 737 Classic aircraft.

Known Controversies & Unanswered Questions

Maintenance and Inspection Oversight

Reference ↗

Following the incident, critics pointed to Southwest Airlines' history of maintenance issues, including a $7.5 million fine in 2008 for failing to perform mandatory fuselage inspections on other aircraft. While the specific area that failed on Flight 2294 was not yet subject to mandatory inspections, the event renewed scrutiny of the airline's safety culture and the FAA's oversight.

Location

near Charleston, West Virginia · 38.3758, -81.5931

Case File History

  1. CorrectionUpdated event timeline and investigation summary.
  2. CorrectionUpdated event timeline and open questions.

Related Cases

Case ID · southwest-2294-2009Last updated · Filed

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