Serious incident McDonnell Douglas MD-11 N814DE,
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ASN Wikibase Occurrence # 356500
 
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Date:Thursday 7 November 1996
Time:21:15 LT
Type:Silhouette image of generic MD11 model; specific model in this crash may look slightly different    
McDonnell Douglas MD-11
Owner/operator:Delta Air Lines
Registration: N814DE
MSN: 48623/605
Total airframe hrs:550 hours
Engine model:P&W PW 4460
Fatalities:Fatalities: 0 / Occupants: 209
Aircraft damage: None
Category:Serious incident
Location:Dayton, OH -   United States of America
Phase: En route
Nature:Unknown
Departure airport:GATWICK (KLGW)
Destination airport:Cincinnati, OH (KCVG)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
While en route the flight crew experienced a failure of the pitch trim control system. The crew was unable to change the pitch trim by the yoke mounted trim switches or the center console mounted horizontal stabilizer control handles. The crew stated that when the slats were extended on descent, they were unable to change stabilizer trim. Subsequent examination of the horizontal stabilizer pitch trim system found that there was no lubrication on the screw actuator assemblies and that the fuse pin had sheared in the output drive unit of the horizontal stabilizer drive gearbox. The sheared fuse pin locked the horizontal stabilizer in its last set position, as designed. A review of Assembly Orders at Douglas Aircraft (DAC) found that DAC production personnel and DAC Inspection personnel stamped the assembly orders indicating completion and acceptance of the lubrication. However, the investigation revealed that no lubrication had been applied to the screw actuator nuts.

Probable Cause: Failure of the output drive unit shear pin due to lack of lubrication to the screw actuator assemblies. Contributing to the cause was the aircraft manufacturer's production and inspection personnel failing to lubricate the screw assemblies after initial installation and again after washing.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: IAD97IA018
Status: Investigation completed
Duration: 1 year and 4 months
Download report: Final report

Sources:

NTSB IAD97IA018

Location

Revision history:

Date/timeContributorUpdates
13-Mar-2024 07:53 ASN Update Bot Added

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