19960713025819A

Accident

FAA accident report · Doug MD11 · Westerly, RI · July 13, 1996

Date
July 13, 1996 · 20:40 local
Place
Westerly, RI
Phase of flight
Fcd/Prec Ldg From Cruise
Operating rules
Air carrier (Part 121)
Operator
AALA
Aircraft
N1768D
NTSB investigation
NTSBNYC96LA148
Reported as
Doug MD11
Reported engine
GE CF680C2D1F
People aboard
176
Fatal injuries
0
Pilot’s flight hours
19,980 total1,818 in this make and model

From the FAA’s Accident/Incident Data System (AIDS), through its Aviation Safety Information Portal, as reported. The NTSB investigates accidents separately, and its record of an accident is the fuller one. The aircraft is matched to the registry by N-number and event date, checked against the reported make and model; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

What happened

The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.

(.4)The first officer (f/o) was making a descent from FL350 to FL240 in smooth air in VMC conditions with the autopilot (a/p) engaged. As the flight (flt) neared FL250, the captain became concerned that the airplane would not level off at FL240. He instructed the f/o to slow the rate of descent. The f/o attempted this by using the pitch thumbwheel on the a/p control panel. The captain then took control, attempted to overpower the a/p, and pulled back on the control yoke. With back pressure on the control yoke, he disengaged the a/p. with the reduced control column resistance after the a/p was disengaged, there was further excursion of the elevators to the up position. According to the flt data recorder, the airplane was subjected to a +2.28 g-load. A passenger in the aft lavatory suffered a fractured ankle. A 2nd passenger and 2 flt attendants received minor injuries. The MD-11 flight crew operating manual (fcom) advised against attempting to overpower the a/p; however, this was contained under the title, 'severe turbulence and/or heavy rain ingestion.' Each use of pitch thumbwheel interrupted the automatic level off, and the system would wait for 2 seconds after release of the thumbwheel before interrupted the automatic level off sequence again. Continued use of thumbwheel precluded the a/p from performing the level off at FL240. The manufacturer has issued fcom changes to warn pilots about the hazards of applying force to the control whell or column while the a/p is engaged and adjusting the pitch thumbwheel during a level off.

As the FAA filed it

(.4)THE FIRST OFFICER (F/O) WAS MAKING A DESCENT FROM FL350 TO FL240 IN SMOOTH AIR IN VMC CONDITIONS WITH THE AUTOPILOT (A/P) ENGAGED. AS THE FLIGHT (FLT) NEARED FL250, THE CAPTAIN BECAME CONCERNED THAT THE AIRPLANE WOULD NOT LEVEL OFF AT FL240. HE INSTRUCTED THE F/O TO SLOW THE RATE OF DESCENT. THE F/O ATTEMPTED THIS BY USING THE PITCH THUMBWHEEL ON THE A/P CONTROL PANEL. THE CAPTAIN THEN TOOK CONTROL, ATTEMPTED TO OVERPOWER THE A/P, AND PULLED BACK ON THE CONTROL YOKE. WITH BACK PRESSURE ON THE CONTROL YOKE, HE DISENGAGED THE A/P. WITH THE REDUCED CONTROL COLUMN RESISTANCE AFTER THE A/P WAS DISENGAGED, THERE WAS FURTHER EXCURSION OF THE ELEVATORS TO THE UP POSITION. ACCORDING TO THE FLT DATA RECORDER, THE AIRPLANE WAS SUBJECTED TO A +2.28 G-LOAD. A PASSENGER IN THE AFT LAVATORY SUFFERED A FRACTURED ANKLE. A 2ND PASSENGER AND 2 FLT ATTENDANTS RECEIVED MINOR INJURIES. THE MD-11 FLIGHT CREW OPERATING MANUAL (FCOM) ADVISED AGAINST ATTEMPTING TO OVERPOWER THE A/P; HOWEVER, THIS WAS CONTAINED UNDER THE TITLE, 'SEVERE TURBULENCE AND/OR HEAVY RAIN INGESTION.' EACH USE OF PITCH THUMBWHEEL INTERRUPTED THE AUTOMATIC LEVEL OFF, AND THE SYSTEM WOULD WAIT FOR 2 SECONDS AFTER RELEASE OF THE THUMBWHEEL BEFORE INTERRUPTED THE AUTOMATIC LEVEL OFF SEQUENCE AGAIN. CONTINUED USE OF THUMBWHEEL PRECLUDED THE A/P FROM PERFORMING THE LEVEL OFF AT FL240. THE MANUFACTURER HAS ISSUED FCOM CHANGES TO WARN PILOTS ABOUT THE HAZARDS OF APPLYING FORCE TO THE CONTROL WHELL OR COLUMN WHILE THE A/P IS ENGAGED AND ADJUSTING THE PITCH THUMBWHEEL DURING A LEVEL OFF.

NTSB investigation

The NTSB’s investigation of this event, with its probable cause and findings. Matched to this report by N-number and date.