- Date
- April 25, 2001, 18:15 local (22:15 UTC)
- Place
- Norfolk, VA
- Injuries
- 53 uninjured
- Damage
- No damage
- Phase of flight
- Enroute
- Aircraft
- N29917Embraer EMB-145
- Weather
- Visual (VMC) · Day
- Status
- Completed · report February 20, 2002
- Report
- Approved by Office Director
- Parties
- FAA FSDO-21, Parker Aerospace, Embraer, Continental Express
- FAA report
- 20010425013839I
- Case key
- 53371
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.
On this page
Probable cause
The manufacturer's inadequate quality control, which resulted in a jammed elevator trim actuator.
Sequence of events
NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.
Analysis
During cruise flight, the horizontal stabilizer jammed in the (-1)-degree trim position. After an uneventful landing, the elevator trim actuator was forwarded to the manufacturer for examination under the supervision of a Safety Board investigator. The elevator trim actuator contained a primary and back-up clutch gear, and each gear had a respective torque nut and lock washer. The examination revealed that that the tabs on the lock washers were not bent over into the locked position. Additionally, there was no evidence that the tabs had ever been bent into the locked position. The back-up clutch torque nut had backed off and down the shaft, coming to rest against the clutch gear cluster bearing outer race. The backed-off nut exhibited a scratch around the outer edge of the face, consistent with fouling against the clutch gear cluster bearing outer race, subsequently jamming the unit. The manufacturer identified the isolated error in the production process.
Factual narrative
On April 25, 2001, about 1815 eastern daylight time, an Embraer EMB-145, N29917, was not damaged during an elevator trim malfunction, while in cruise flight near Norfolk International Airport (ORF), Norfolk, Virginia. The airplane was operated by Continental Express Airlines Inc. as flight 3365. There were no injuries to the 3 crewmembers and 50 passengers. Visual meteorological conditions prevailed for the flight that originated from Newark International Airport (EWR), Newark, New Jersey; destined for ORF. An instrument flight rules flight plan was filed for the air carrier flight conducted under 14 CFR part 121.
The flight crew reported that they departed EWR about 1700. About 1815, at 5,000 feet, the horizontal stabilizer jammed in the (-1)-degree trim position. The flight crew completed the emergency checklist items, but the primary and secondary trim actuation systems did not respond. The flight crew then declared an emergency and landed uneventfully at ORF, at 1833.
Examination of the airplane by a Federal Aviation Administration inspector revealed that the elevator trim actuator had failed. The unit was forwarded to the manufacturer's facility in Irvine, California, and examined under the supervision of a Safety Board investigator.
The unit contained a primary and back-up clutch gear, and each gear had a respective torque nut and lock washer. The examination revealed that that the tabs on the lock washers were not bent over into the locked position. Additionally, there was no evidence that the tabs had ever been bent into the locked position. The back-up clutch torque nut had backed off and down the shaft, coming to rest against the clutch gear cluster bearing outer race. The backed-off nut exhibited a scratch around the outer edge of the face, consistent with fouling against the clutch gear cluster bearing outer race, subsequently jamming the unit. The manufacturer identified the error in the production process.
After the examination, the manufacturer inspected all new production units in-house, and reviewed repair records on over 200 units. No discrepancies were detected during the in-house inspection or record review. The manufacturer also issued service bulletins and added quality control information and steps to the production process.
Aircraft
- Registration
- N29917
- Reported as
- Embraer EMB-145
- Category
- Airplane
- Serial number
- 145-414
- Airframe hours
- 31
- Engines
- Allison AE3100A1/3, 7,450 lbs thrust, turbo fanAllison AE3100A1/3, 7,450 lbs thrust, turbo fan
- Damage
- No damage
- Flight
- Part 121
- Operator
- Continental Express Inc
- Registered owner
- Wells Fargo Bank Northwest NA Trustee
- Airworthiness certificate
- Standard, Transport
- Last inspection
- Continuous airworthiness · April 9, 2001 · 31 hours before
- Departed
- EWR · Newark, NJ
- Destination
- ORF · Norfolk, VA
- Flight plan
- IFR
- Airport
- ORF · Norfolk International Airport, runway 5, 9,001 × 150 ft, asphalt
Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.
Flight crew · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 31
- Injuries
- None
- Certificate
- Airline transport
- Airplane ratings
- Multi-engine sea, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Last flight review
- February 4, 2001
- Seat
- Left
- Flight hours
- 4,800 total
- Role
- Co-pilot
- Age
- 23
- Injuries
- None
- Certificate
- Commercial
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--w/ waivers/lim
- Last flight review
- April 12, 2001
- Seat
- Right
- Flight hours
- 1,400 total
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 60° at 16 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- 2,400 ft broken
- Temperature
- 48 °F, dew point 43 °F
- Altimeter
- 30.18 inHg
- Observed at
- ORF, 50 nm away
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.