Serious incident Dornier 328-110 N336PH,
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ASN Wikibase Occurrence # 357329
 
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Date:Wednesday 29 May 1996
Time:17:45 LT
Type:Silhouette image of generic D328 model; specific model in this crash may look slightly different    
Dornier 328-110
Owner/operator:Horizon Air
Registration: N336PH
MSN: 3014
Total airframe hrs:3846 hours
Engine model:P&W PW119B
Fatalities:Fatalities: 0 / Occupants: 23
Aircraft damage: None
Category:Serious incident
Location:Billings, MT -   United States of America
Phase: En route
Nature:Unknown
Departure airport:, MT (KBIL)
Destination airport:Spokane, WA (KGEG)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The crew lost elevator trim after leveling at flight level (FL) 310, and they had to hold continuous control pressure to maintain level flight. Total air temperature was -50 degrees C at altitude. The captain elected to continue flight to the destination. Normal elevator trim operation was regained as the aircraft descended through 16,000 feet on its approach (total air temperature -7 degrees C); the flight subsequently landed without further incident. Postflight inspections of the elevator trim actuators by FAA inspectors revealed paint overspray on the elevator trim actuator push rods, scoring and corrosion on the push rods, and white desiccant windows on the actuators. The airline's FAA principal maintenance inspector (PMI) reported that there had been 10 unscheduled removals of DO-328 elevator trim actuators in the last 2-1/2 years for moisture and/or freezing in flight; that maintenance check cards did not address checking desiccant windows for moisture contamination or color criteria for checking the desiccant windows; that teardown reports from the vendor, AVIAC Technologies of France, indicated the paint overspray on the push rods was damaging the actuator quad rings during operation; and that he believed that damage to the quad rings was allowing moisture to enter the actuator housings.

Probable Cause: paint overspray on the elevator trim actuator push rods, which damaged the actuator quad rings during normal operation and allowed water to enter the actuators; and the resultant freezing of the actuators. Factors relating to the incident included the aircraft manufacturer's failure to adequately protect the actuators from overspray during aircraft painting, insufficiently defined maintenance procedures by the aircraft manufacturer, and low temperatures at cruising altitude.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: SEA96IA104
Status: Investigation completed
Duration: 9 months
Download report: Final report

Sources:

NTSB SEA96IA104

Location

Revision history:

Date/timeContributorUpdates
13-Mar-2024 16:41 ASN Update Bot Added

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