Aircraft Accident/Incident Report

Billings, Montana 59101
Wednesday, May 29, 1996 16:45 MDT

NTSB Narrative Summary Released at Completion of Accident

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.

NTSB Probable Cause Narrative

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.

Event Information

Type of Event Incident
Event Date 5/29/1996
Event Day of the Week Wednesday
Time of Event 1645
Event Time Zone Mountain Daylight Time
Event City BILLINGS
Event State MONTANA
Event Country --
Zipcode of the event site 59101
Event Date Year 1996
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Unknown
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) -50
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 23
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 5019
NTSB Notification Source --
NTSB Notification Date May 29 1996 12:00AM
NTSB Notification Time 1623
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 10:01AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N336PH
NTSB Number SEA96IA104
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Dornier
Aircraft Model 328
Aircraft Series Identifier 328
Aircraft Serial Number 3014
Certified Max Gross Weight 30071
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 34
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Apr 25 1996 12:00AM
Airframe hours since last inspection 219
Airframe Hours 3846
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name FIRST SECURITY BANK OF UTAH
Aircraft Owner Street Address 79 S. MAIN ST.
Aircraft Owner City SALT LAKE CITY
Aircraft Owner State UT
Aircraft Owner Country
Aircraft Owner Zipcode 84111
Operator is an individual? --
Operator Name HORIZON AIR
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 19521 PACIFIC HIGHWAY S.
Operator City SEATTLE
Operator State WA
Operator Country
Operator Zip code 98188
Operator Code QXEA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger/Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code BIL
Departure City
Departure State MT
Departure Country
Departure Time 1525
Departure Time Zone MDT
Destination Same as Local Flt --
Destination Airport Code GEG
Destination City SPOKANE
Destination State WA
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --