Pitch control problems, Boeing , March 27, 2001

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National Transportation Safety Board Aviation Accident Final Report

Transcription:

Pitch control problems, Boeing 767-300, March 27, 200 Micro-summary: This Boeing 767-300 encountered pitch control difficulties when on approach. Event Date: 200-03-27 at 32 UTC 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 2006 by Flight Simulation Systems, LLC All rights reserved. www.fss.aero

NTSB ID: DCA0WA032 Aircraft Registration Number: N379AA Occurrence Date: Occurrence Type: 03/27/200 Incident Most Critical Injury: None Investigated By: NTSB Location/Time Nearest City/Place Paris Zip Code Local Time Time Zone 32 UTC Airport Proximity: Distance From Landing Facility: Direction From Airport: Aircraft Information Summary Aircraft Manufacturer Boeing Model/Series 767-300ER Type of Aircraft Airplane Sightseeing Flight: No Narrative Brief narrative statement of facts, conditions and circumstances pertinent to the accident/incident: Air Medical Transport Flight: American Airlines flight 48, a Boeing 767-300, experienced pitch control difficulties while on approach for landing at Charles de Gaulle International Airport (CDG), Paris, France. None of the 3 flight crew, 0 cabin crew, and 24 passengers on board the airplane were injured. The flight landed about 32 local time. The flight crew indicated that the elevators appeared to be jammed and were not responsive to control column inputs and that stabilizer trim was used to maintain proper pitch control. Both flight recorders were removed and initially read out by the French Bureau Enquetes Accidents (BEA). The flight data recorder (FDR) data were transferred electronically to the Safety Board's lab by the BEA. The BEA's readout of the CVR indicated that the event had been written over. The BEA delegated the investigation of the incident to the Safety Board. Examination and testing of the airplane disclosed no anomalies in the pitch control system. However, subsequent examinations and testing indicated that water may have entered the empennage area and froze on elements of the elevator control system. A similar event on another Boeing 767 operated by another carrier occurred on approach to Zurich, Switzerland on April 23, 200. On examination, found water/ice in empennage on elevator control system (ref DCA0WA038). No - Page

NTSB ID: DCA0WA032 Occurrence Date: 03/27/200 Landing Facility/Approach Information Airport Name Airport ID: Airport Elevation Runway Used Runway Length Runway Width Ft. MSL Runway Surface Type: Runway Surface Condition: Type Instrument Approach: VFR Approach/Landing: Aircraft Information Aircraft Manufacturer Model/Series Serial Number Boeing 767-300ER Airworthiness Certificate(s): Landing Gear Type: Homebuilt Aircraft? No Number of Seats: Certified Max Gross Wt. LBS Number of Engines: Engine Type: Engine Manufacturer: Model/Series: Rated Power: - Aircraft Inspection Information Type of Last Inspection Date of Last Inspection Time Since Last Inspection Airframe Total Time Hours Hours - Emergency Locator Transmitter (ELT) Information ELT Installed? Owner/Operator Information ELT Operated? ELT Aided in Locating Accident Site? Registered Aircraft Owner Street Address City Zip Code Operator of Aircraft Street Address AMERICAN AIRLINES COMMERCIAL FLIGHT OPERATIONS City Zip Code Operator Does Business As: American Airlines - Type of U.S. Certificate(s) Held: Air Carrier Operating Certificate(s): Flag Carrier/Domestic Operator Designator Code: AALX Operating Certificate: Operator Certificate: Regulation Flight Conducted Under: Part 2: Air Carrier Type of Flight Operation Conducted: Scheduled; International; Passenger Only - Page 2

First Pilot Information Name NTSB ID: DCA0WA032 Occurrence Date: 03/27/200 City Date of Birth Age Sex: Seat Occupied: Principal Profession: Certificate Number: Certificate(s): Airplane Rating(s): Rotorcraft/Glider/LTA: Instrument Rating(s): Instructor Rating(s): Type Rating/Endorsement for Accident/Incident Aircraft? Current Biennial Flight Review? Medical Cert.: Medical Cert. Status: Date of Last Medical Exam: - Flight Time Matrix All A/C This Make and Model Airplane Single Engine Airplane Mult-Engine Night Actual Instrument Simulated Rotorcraft Glider Lighter Than Air Total Time Pilot In Command(PIC) Instructor Last 90 Days Last 30 Days Last 24 Hours Seatbelt Used? Shoulder Harness Used? Toxicology Performed? Second Pilot? Flight Plan/Itinerary Type of Flight Plan Filed: IFR Departure Point Airport Identifier Departure Time Time Zone DFW Airport TX KDFW UTC Destination Airport Identifier Same as Accident/Incident Location CDG Type of Clearance: Type of Airspace: Weather Information Source of Briefing: Method of Briefing: - Page 3

NTSB ID: DCA0WA032 Occurrence Date: 03/27/200 Weather Information WOF ID Observation Time Time Zone WOF Elevation WOF Distance From Accident Site Direction From Accident Site Ft. MSL NM Deg. Mag. Sky/Lowest Cloud Condition: Ft. AGL Condition of Light: Lowest Ceiling: Ft. AGL Visibility: SM Altimeter: "Hg Temperature: C Dew Point: C Wind Direction: Density Altitude: Ft. Wind Speed: Gusts: Weather Condtions at Accident Site: Visibility (RVR): Ft. Visibility (RVV) SM Intensity of Precipitation: Restrictions to Visibility: Type of Precipitation: Accident Information Aircraft Damage: None Classification: - Injury Summary Matrix Aircraft Fire: Fatal Serious Minor None TOTAL Aircraft Explosion First Pilot Second Pilot Student Pilot Flight Instructor Check Pilot Flight Engineer Cabin Attendants Other Crew Passengers - TOTAL ABOARD - Other Ground - GRAND TOTAL - 0 24 37 37 0 24 37 37 - Page 4

NTSB ID: DCA0WA032 Occurrence Date: 03/27/200 Administrative Information Investigator-In-Charge (IIC) Greg Phillips Additional Persons Participating in This Accident/Incident Investigation: - Page 5