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Accidents · NTSB DCA11MA039 · Final report

Boeing 737 accident near Yuma, Arizona, April 1, 2011

On April 1, 2011 at about 10:57 pm local time, a Boeing 737, registered N632SW, was substantially damaged in an accident during enroute (climb to cruise) near Yuma, Arizona (Yuma International Airport). It was flown under scheduled airline rules (Part 121). 2 people had minor injuries; 120 others were unhurt. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

the improper installation of the fuselage crown skin panel at the S-4L lap joint during the manufacturing process, which resulted in multiple site damage fatigue cracking and eventual failure of the lower skin panel. Contributing to the injuries was flight attendant A's incorrect assessment of his time of useful consciousness, which led to his failure to follow procedures requiring immediate donning of an oxygen mask when cabin pressure is lost.

Source: NTSB aviation accident database, copy made November 2, 2026. Docket and reports at the NTSB.

What the record shows

Date
April 1, 2011 · about 10:57 pm local time · cases in 2011
Place
Yuma, Arizona · Yuma International Airport · cases near this airport · map
Type
Accident
Injuries
2 people had minor injuries; 120 others were unhurt.
Weather
visual conditions (good weather)
Aircraft
Boeing 737 300 · all 737s on the register
Registration
N632SW · not in the FAA's current or past register files · serial 27707
Damage
Substantial damage
Flight
Flight · scheduled airline rules (Part 121)

The NTSB's narrative final · quoted from the NTSB record

The Safety Board's full report is available at http://www.ntsb.gov/investigations/reports_aviation.html. The Aircraft Accident Brief number is NTSB/AAB-13/02. On April 1, 2011, about 1558 mountain standard time (MST), a Boeing 737-3H4, N632SW, operating as Southwest Airlines flight 812 experienced a rapid decompression while climbing through flight level 340. The flight crew conducted an emergency descent and diverted to Yuma International Airport (NYL), Yuma, Arizona. Of the 5 crewmembers and 117 passengers on board, one crewmember and one nonrevenue off-duty airline employee passenger sustained minor injuries. The airplane sustained substantial damage; postaccident inspection revealed that a section of fuselage skin about 60 inches long by 8 inches wide had fractured and flapped open on the upper left side above the wing. The flight was conducted under the provisions of 14 Code of Federal Regulations (CFR) Part 121 as a regularly scheduled domestic passenger flight from Phoenix Sky Harbor International Airport, Phoenix, Arizona, to Sacramento International Airport, Sacramento, California.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Aircraft structural failure during enroute (climb to cruise) defining event

The NTSB's findings

  • factor Personnel issues › Experience/knowledge › Knowledge › Knowledge of procedures › Cabin crew
  • cause Aircraft › Aircraft structures › Fuselage › Fuselage main structure › Incorrect service/maintenance other cases naming the airframe structure

The aircraft

  • Maximum gross weight: 139,500 lb
  • Seats: 149
  • Landing gear: retractable
  • Engine 1: Cfm 56 (turbofan); 74,316 hours total
  • Engine 2: Cfm 56 (turbofan); 58,220 hours total
  • Operator: Southwest Airlines CO

The flight

  • Departed from: PHX Phoenix AZ
  • Destination: SMF Sacramento CA
  • Flight plan: IFR
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Temperature: 0°F (-18°C), dew point 0°F (-18°C)

Injuries

FatalSeriousMinorNone
Cabi12
Flight crew2
Passengers1116

Documents from the investigation the NTSB's docket: the evidence folder behind the report

30 documents, released by the NTSB on March 7, 2012. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Materials Laboratory Factual Report 11-092 (Contains 18 Pages of Figures) PDF, 34 pages View Download
2 Materials Laboratory Factual Report 11-070 (Contains 3 Pages of Figures) PDF, 5 pages View Download
3 Materials Laboratory Factual Report 12-010 PDF, 1 page View Download
4 Materials Laboratory Factual Report 12-011 with 2 Figures) PDF, 1 page View Download
5 Materials Laboratory Factual Report 12-033 with 1 Figure) PDF, 1 page View Download
6 Materials Laboratory Factual Report 12-012 with 10 Figures) PDF, 24 pages View Download
7 Survival Factors 6 - Factual Report of Group Chairman PDF, 13 pages View Download
8 Operations 2 - Flight Crew Statements PDF, 3 pages View Download
9 Survival Factors 6 - Attachment 1 - Flight Attendant Statements PDF, 3 pages View Download
10 Survival Factors 6 - Attachment 2 - Passenger Questionnaires PDF, 241 pages View Download
11 Structures 7 - Factual Report of Group Chairman PDF, 7 pages View Download
12 Structures 7 - Appendix A - Figures PDF, 4 pages View Download
13 Structures 7 - Addendum 1 - Skin Panel Information (3 Embedded Photos) PDF, 5 pages View Download
14 Flight Data Recorder 10 - Specialist's Factual Report PDF, 6 pages View Download
15 Flight Data Recorder 10 - Incident Flight Tabular Data data file Download
16 Maintenance Records 11 - Factual Report of Group Chairman PDF, 18 pages View Download
17 Maintenance Records 11 - Attachment 1 - Air Carrier Certificate PDF, 2 pages View Download
18 Maintenance Records 11 - Attachment 2 - Supplemental Type Certificates PDF, 12 pages View Download
19 Maintenance Records 11 - Attachment 3 - Airworthiness Directives and Service Bulletin Listing PDF, 345 pages View Download
20 Maintenance Records 11 - Attachment 4 - Aircraft Flight Logs PDF, 45 pages View Download
21 Maintenance Records 11 - Attachment 5 - Weight and Balance PDF, 5 pages View Download
22 Maintenance Records 11 - Attachment 6 - Service Difficulty Report and Mechanical Interruption Summary Report PDF, 10 pages View Download
23 Maintenance Records 11 - Attachment 7 - Major Repairs and Alterations PDF, 45 pages View Download
24 Maintenance Records 11 - Attachment 8 - Time Limit Component Listing PDF, 6 pages View Download
25 Maintenance Records 11 - Attachment 9 - Spirit Aerosystems PDF, 24 pages View Download
26 Cockpit Voice Recorder 12 - Specialist's Factual Report PDF, 6 pages View Download
27 Cockpit Voice Recorder 12 - Errata 1 PDF, 4 pages View Download
28 Exterior and Interior Views of the Skin Showing Fracture Along the Lower Row of Rivets. PDF, 1 page View Download
29 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 3 pages View Download
30 Pilot/operator Aircraft Accident Report, NTSB Form 6120.1 PDF, 9 pages View Download

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Connections how this case links to the rest of the register

Aircraft
  • Boeing 737 2,896 registered today · the model family and its accident history
  • Boeing 6,677 aircraft on the register
  • Engine: Cfm 56 · as the NTSB recorded it
  • Engine: Cfm 56 · as the NTSB recorded it
Place

The whole map of how records connect · these connections as data: /graph/accident/DCA11MA039.json.

The bigger picture in Aviation Analytics: accidents over time since 1982, by model, by phase of flight and conditions, by place and on the map.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text does not name anyone involved, its policy at this time. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.