Baltimore-Washington Int Airport
Aircraft Accident/Incident Report

Baltimore, Maryland 21063
Sunday, March 12, 2000 18:54 EST

NTSB Narrative Summary Released at Completion of Accident

During the flight, the airplane required full nose-down trim and forward pressure on the yoke to maintain level flight. As a result, a logbook entry was made, and inspection of the airplane revealed damage due to contact between the elevator and rudder. Examination of the elevator gust lock mechanism revealed that only three of four elevator stop bumpers were installed. The upper right bumper was missing, but the mount bolt was still in place. The upper left bumper was cracked, chipped, crazed, and displayed a longitudinal crack that ran its entire length. FDR data showed that when the airplane taxied onto the departure runway for the previous flight, the gust lock was released, and rapid deflection of the elevator control surfaces and the control yoke was noted. At the point where the control yoke returned to its nominal position, the LH and RH elevator graph lines were approximately 4 degrees apart. These lines remained separated by approximately 4 degrees throughout the remainder of the flight. Examination of prior flights revealed the elevator control surface graph lines were superimposed in all modes of flight. Winds at the departure airport were from 300 degrees at 22 knots, gusting to 27 knots. A product safety representative for the airplane manufacturer 'guaranteed' the airplane would have been undamaged during the rapid elevator deflection, had the elevator stop bumpers been installed.

NTSB Probable Cause Narrative

the missing elevator stop bumper that resulted in elevator over-travel and damage to the elevator. A factor in the incident was the abrupt release of the elevator control lock in windy conditions.

Event Information

Type of Event Incident
Event Date 3/12/2000
Event Day of the Week Sunday
Time of Event 1854
Event Time Zone Eastern Standard Time
Event City BALTIMORE
Event State MARYLAND
Event Country --
Zipcode of the event site 21063
Event Date Year 2000
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport BALTIMORE-WASHINGTON INT
Event Location Nearest Airport ID BWI
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 146
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1854 Eastern Standard Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID BWI
Elevation of weather observation facility 146
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 4900
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 4
Dew Point at event time (in degress fahrenheit) -4
Wind Direction (degrees magnetic) 310
Variable Wind Indicator Unknown
Wind Speed (knots) 14
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 22
Altimeter Setting at event time (in. Hg) 30
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 32
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 11193
NTSB Notification Source --
NTSB Notification Date Mar 12 2000 12:00AM
NTSB Notification Time 1900
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 18 2001 1:05PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N838EX
NTSB Number IAD00IA026
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 121: Air Carrier
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Boeing - Canada (de Havilland)
Aircraft Model DHC-8-102
Aircraft Series Identifier DHC-8-102
Aircraft Serial Number 220
Certified Max Gross Weight 34700
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 40
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Feb 8 2000 12:00AM
Airframe hours since last inspection 241
Airframe Hours 25347
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name ALLEGHENY AIRLINES, INC
Aircraft Owner Street Address 2345 CRYSTAL DRIVE
Aircraft Owner City ARLINGTON
Aircraft Owner State VA
Aircraft Owner Country
Aircraft Owner Zipcode 22227
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code
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 Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code LGA
Departure City NEW YORK
Departure State NY
Departure Country
Departure Time 1630
Departure Time Zone EST
Destination Same as Local Flt crash at destination city
Destination Airport Code BWI
Destination City
Destination State
Destination Country
Specific Phase of Flight Standing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record May 20 2001 4:06AM
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 --