Stuck elevator, Airbus A320, November 24, 1996

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Transcription:

Stuck elevator, Airbus A32, November 24, 996 Micro-summary: This Airbus A32-2's rudder stuck at zero deflection at 5' AGL on landing. Event Date: 996--24 at 45 EST Investigative Body: (NTSB), USA Investigative Body's Web Site: http://www.ntsb.gov/ Cautions:. Accident reports can be and sometimes are revised. Be sure to consult the investigative agency for the latest version before basing anything significant on content (e.g., thesis, research, etc). 2. Readers are advised that each report is a glimpse of events at specific points in time. While broad themes permeate the causal events leading up to crashes, and we can learn from those, the specific regulatory and technological environments can and do change. Your company's flight operations manual is the final authority as to the safe operation of your aircraft! 3. Reports may or may not represent reality. Many many non-scientific factors go into an investigation, including the magnitude of the event, the experience of the investigator, the political climate, relationship with the regulatory authority, technological and recovery capabilities, etc. It is recommended that the reader review all reports analytically. Even a "bad" report can be a very useful launching point for learning. 4. Contact us before reproducing or redistributing a report from this anthology. Individual countries have very differing views on copyright! We can advise you on the steps to follow. Aircraft Accident Reports on DVD, Copyright 26 by Flight Simulation Systems, LLC All rights reserved. www.fss.aero

NTSB ID: CHI97IA34 Aircraft Registration Number: N3NW Occurrence Date: Occurrence Type: /24/996 Incident Most Critical Injury: None Investigated By: NTSB Location/Time Nearest City/Place ROMULUS Zip Code Local Time Time Zone MI 4874 45 EST Airport Proximity: On Airport Aircraft Information Summary Aircraft Manufacturer Airbus Industrie Distance From Landing Facility: Model/Series A-32-2 Direction From Airport: 25 Type of Aircraft Sightseeing Flight: No Air Medical Transport Flight: Narrative Brief narrative statement of facts, conditions and circumstances pertinent to the accident/incident: HISTORY OF FLIGHT No On November 24, 996, at 45 eastern standard time (est), an Airbus A32-2, N3NW, operated as Northwest Airlines flight 2, experienced a rudder system malfunction approximately 5 feet above ground level (agl) while transitioning from approach to landing on runway 3L at Detroit Metropolitan Airport, Romulus, Michigan. The airplane was subsequently landed with the rudder stuck at zero deflection. While taxiing to the gate, the rudder system returned to normal. Instrument meteorological conditions prevailed at the time of the incident. The flight was being conducted as regular scheduled domestic air carrier service under 4 CFR Part 2. An IFR flight plan was on file. There were no reported injuries to the 6 crew and 4 passengers who deplaned normally at the gate. The flight originated at Fort Lauderdale, Florida, at 3 est. In his written statement, the captain said that he "was at the controls, conducting a manually flown (autopilot off) ILS approach." He said that the weather conditions "were approximately, feet overcast with very light icing in the clouds. There was a right-quartering tailwind on final which subsided to a very light crosswind over the runway threshold. Due to this light crosswind, a slight application of rudder/wing low compensation was required for the flare and landing." When the captain attempted to use the rudder, he found that the rudder pedals "were locked in the neutral position." The captain used slight banking to keep the airplane on runway centerline through the touchdown. After touchdown, the captain used differential braking to stay on runway centerline. On reaching a ground speed of approximately 8 knots, the captain used nosewheel steering for directional control. During the landing roll, the captain asked the first officer to come on the rudder pedals with him. The first officer stated that he did not apply any force, but did notice that "the rudder pedals seemed stiff or possibly locked." After exiting the runway, the captain performed several autopilot disconnects using the autopilot disengage button on the control stick. "This had no effect other than to verify that there was truly no autopilot involvement." The captain then made several attempts to move the rudder pedals. "After about 5 seconds of this, the rudders became free and moved normally." AIRCRAFT INFORMATION Northwest Airlines Maintenance conducted a post-incident inspection at Romulus, Michigan, on November 25, 996. First, a test of the autopilot disengagement system was conducted. The test revealed no anomalies in the autopilot system. Northwest Airlines Maintenance then examined all of the rudder system control components from the cockpit to the rudder control surfaces. No indications of mechanical anomalies were found. No signs of water or ice were found through the rudder cable inspection. The rudder attach points were cold soaked with dry ice. No binding was - Page

NTSB ID: CHI97IA34 Narrative (Continued) noted. The rudder autopilot artificial feel solenoid was removed, replaced and retained for further examination. METEOROLOGICAL INFORMATION The National Weather Service Weather Observation Facility at Detroit Metropolitan Airport's 455 est observation was a 4 foot overcast ceiling, 3 miles visibility with drizzle and mist. The temperature was 33 degrees Fahrenheit. The dew point was 3 degrees Fahrenheit. The surface winds were 4 degrees magnetic at 7 knots. TESTS AND RESEARCH The flight data recorder was removed on November 26, 996, and read out on December 6, 996. A review of the flight data recorder readout showed that the autopilot was disengaged at the time of the incident. The data showed some movement in the crew's rudder pedal positions during the landing. The data showed little to no movement of the rudder surfaces. A review of all airworthiness directives and service bulletins with respect to the A-32 rudder system revealed an Airbus Industrie service bulletin dated March 2, 992 entitled "Flight Controls-Rudder-Increase Radial Play of Lever Bearing in the Artificial Feel and Trim Unit." The service bulletin addressed conditions where the A-32 rudder artificial feel and trim unit did not disengage from the autopilot mode to normal pedal operating forces during approach and landing. "Investigations have shown that the radial play of the autopilot mode engagement/disengagement lever bearing together with low temperature could cause an increased operating force. In this case, the back driving force is not able to rotate the lever to get the autopilot mode disengaged." The service bulletin introduced a new modified lever with a larger radial play of the bearing to eliminate this problem. The A-32-2, N3NW, did not have this modification at the time of the incident. The rudder autopilot artificial feel unit was tested in the laboratories of Aerospatiale in Toulouse, France on January 27, 997. A representative from the Bureau Enquetes-Accidents (BEA) was present to oversee the testing. The examination revealed that the "radial play of the autopilot mode engagement/ disengagement lever was not sufficient. This introduced a higher friction in the bearing of the lever, resulting in an increased operating force. In this case, the back driving force is not able to rotate the lever to get the autopilot mode disengaged. This results in increased pedal forces to move the rudder." ADDITIONAL INFORMATION Parties to the investigation were the Federal Aviation Administration, Northwest Airlines, Airbus Industrie of North America, and the Air Line Pilot's Association. The airplane was released and put back into service on November 25, 996. The flight data recorder and rudder autopilot artificial feel solenoid were released and returned to Northwest Airlines. - Page a

NTSB ID: CHI97IA34 Landing Facility/Approach Information Airport Name Airport ID: Airport Elevation Runway Used Runway Length Runway Width DETROIT METROPOLITAN DTW 64 Ft. MSL 3L 2 2 Runway Surface Type: Concrete Runway Surface Condition: Wet Type Instrument Approach: ILS-complete VFR Approach/Landing: Full Stop Aircraft Information Aircraft Manufacturer Airbus Industrie Model/Series A-32-2 Serial Number 2 Airworthiness Certificate(s): Transport Landing Gear Type: Retractable - Tricycle Homebuilt Aircraft? No Number of Seats: 56 Engine Type: Turbo Fan - Aircraft Inspection Information Type of Last Inspection Continuous Airworthiness - Emergency Locator Transmitter (ELT) Information Certified Max Gross Wt. Engine Manufacturer: Cfm Date of Last Inspection 5/996 67 LBS Number of Engines: 2 Model/Series: Rated Power: CFM-56 25 LBS Time Since Last Inspection Airframe Total Time 2972 Hours 29 Hours ELT Installed? Owner/Operator Information ELT Operated? ELT Aided in Locating Accident Site? Registered Aircraft Owner FIRST NATIONAL BANK OF BOSTON Operator of Aircraft NORTHWEST AIRLINES Operator Does Business As: - Type of U.S. Certificate(s) Held: Air Carrier Operating Certificate(s): Flag Carrier/Domestic Street Address 2 INTERNATIONAL PLACE City BOSTON MA Street Address 5 NORTHWEST DRIVE City ST. PAUL NM Operator Designator Code: NWAA Zip Code 2 Zip Code 55 Operating Certificate: Regulation Flight Conducted Under: Part 2: Air Carrier Operator Certificate: Type of Flight Operation Conducted: Scheduled; Domestic; Passenger Only - Page 2

First Pilot Information Name NTSB ID: CHI97IA34 City Date of Birth Age 45 Sex: M Seat Occupied: Left Principal Profession: Civilian Pilot Certificate Number: Certificate(s): Airline Transport; Flight Engineer Rating(s): Multi-engine Land; Single-engine Land Rotorcraft/Glider/LTA: None Instrument Rating(s): Instructor Rating(s): None Type Rating/Endorsement for Accident/Incident Aircraft? Yes Current Biennial Flight Review? Medical Cert.: Class Medical Cert. Status: Valid Medical--no waivers/lim. Date of Last Medical Exam: 8/996 - Flight Time Matrix All A/C This Make and Model Single Engine Mult-Engine Night Actual Instrument Simulated Rotorcraft Glider Lighter Than Air Total Time 5242 2883 Pilot In Command(PIC) Instructor Last 9 Days Last 3 Days Last 24 Hours 22 22 22 8 8 8 Seatbelt Used? Yes Shoulder Harness Used? Yes Toxicology Performed? No Second Pilot? Yes Flight Plan/Itinerary Type of Flight Plan Filed: IFR Departure Point Airport Identifier Departure Time Time Zone FORT LAUDERDALE FL FLL 3 EST Destination Airport Identifier Same as Accident/Incident Location DTW Type of Clearance: Type of Airspace: IFR Class B Weather Information Source of Briefing: Company Method of Briefing: - Page 3

NTSB ID: CHI97IA34 Weather Information WOF ID Observation Time Time Zone WOF Elevation WOF Distance From Accident Site Direction From Accident Site DTW 455 EST 64 Ft. MSL NM 25 Deg. Mag. Sky/Lowest Cloud Condition: Unknown Ft. AGL Condition of Light: Day Lowest Ceiling: Overcast 4 Ft. AGL Visibility: 3 SM Altimeter: 3. "Hg Temperature: C Dew Point: - C Wind Direction: 4 Density Altitude: 75 Ft. Wind Speed: 7 Gusts: Weather Condtions at Accident Site: Instrument Conditions Visibility (RVR): Ft. Visibility (RVV) SM Intensity of Precipitation: Unknown Restrictions to Visibility: None Type of Precipitation: Freezing Rain Accident Information Aircraft Damage: None Aircraft Fire: None Aircraft Explosion None Classification: U.S. Registered/U.S. Soil - Injury Summary Matrix First Pilot Second Pilot Student Pilot Flight Instructor Check Pilot Flight Engineer Cabin Attendants Other Crew Fatal Serious Minor None TOTAL 4 4 Passengers 4 4 - TOTAL ABOARD - Other Ground - GRAND TOTAL - - Page 4

NTSB ID: CHI97IA34 Administrative Information Investigator-In-Charge (IIC) DAVID C. BOWLING Additional Persons Participating in This Accident/Incident Investigation: MARK LUND FAA CMO-62 28TH AVE. SOUTH MINNEAPOLIS, MN 5545 TIMOTHY J LOGAN NORTHWEST-5 NORTHWEST DR. MINNEAPOLIS, MN 55 ROBERT F ARRON, JR. ALPA-5 NORTHWEST DR. MINNEAPOLIS, MN 55 ALAIN DERON AIRBUS-75 AIRLINE DR MINNEAPOLIS, MN 5545 - Page 5