NYC02IA097

NTSB incident investigation · Bombardier CL600-2B19 · Covington, KY · May 8, 2002

Incident · No injuriesIncident investigationFinal report
Date
May 8, 2002, 11:00 local (15:00 UTC)
Place
Covington, KY
Injuries
18 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N709CABombardier CL600-2B19
Weather
Instrument (IMC) · Day
Status
Completed · report July 7, 2005
Report
Approved by Office Director
Parties
COMAIR, Bombardier Aerospace, Transportation Safety Board of Canada, FAA ACO, Transport Canada, ALPA
Case key
54691

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 failure to provide inspection criteria for the BPSU compartment aileron control pulleys, which resulted in eventual pulley corrosion, and subsequent control stiffness when seized pulleys and water-soaked aileron cables froze together at altitude. Factors included leaking BPSU bay access panel seals, precipitation, and freezing temperatures.

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.

Airframe/component/system failure/malfunctionCruise
Flt control syst,aileron control bearing - seized
Maintenance,inspection - not requiredManufacturerCause
Flt control syst,aileron control cable/rod - frozen
Weather condition - precipitation static conditionsFactor
Weather condition - temperature,lowFactor
Miscellaneous,seal/boot/gasket - leakFactor

Analysis

The Bombardier CL600-2B19 regional jet experienced aileron control stiffness during cruise flight. The airplane was pushed back during a period of moderate to heavy rain. After pushback, the airplane was held on the taxiway for about 30 minutes while the rain continued. Takeoff also occurred during a period of heavy rain. After leveling off at flight level 280, while in cruise flight, the "AP TRIM IS LWD" caution annunciator illuminated. The first officer disconnected the autopilot, and found the aileron controls to be "stiff and binding." The captain then took control of the airplane, and also found the aileron controls to be stiff and binding. The captain applied "light to moderate" roll input and felt a snap. Aileron control then operated normally. The captain executed left and right turns with no additional problems or binding noted. The crew re-engaged the autopilot, and the flight continued to an uneventful landing. On the same date, two other CL600 regional jets from the same airline also experienced aileron stiffness after taking off at the same airport and in similar weather conditions. Both airplanes landed uneventfully. One of the airplanes diverted to an alternate airport. The investigation revealed that approximately 40 Bombardier CRJ CL-600-2B19 regional jets experienced in-flight aileron control stiffness after standing/taxiing in, or taking off during rainy conditions, then climbing to freezing temperatures. When the jets descended to above-freezing temperatures, the aileron control stiffness ceased. Testing revealed that aileron circuit binding occurred in the area of the Brake and Position Sensor Unit (BPSU) bay. Typically, within the bay, horizontally-oriented pulleys in the aileron control circuit would seize, and the aileron cable, after being subjected to water soaking, would freeze to the pulley. Water ingress to the bay most likely occurred via an aging self-contouring sealing pad on an access panel directly above the pulleys. The horizontal orientation of the pulleys, which had been used without difficulty in transport category aircraft for over 20 years, and the dished cross section of the pulley face allowed the retention of water when the airplane was parked. In addition, the drying of pulley grease over time, combined with water migration from rain, could temporarily allow the bearing to seize when the airplane reached altitude. A test on a dry-bearing pulley revealed that when water was applied to the pulley face, it remained pooled until the pulley was moved, when it flowed into the bearing. Prior to the incidents, the manufacturer had not issued specific instructions to inspect pulleys in the BPSU bay. Subsequent service letters and airworthiness directives to inspect the pulleys, grease the aileron cables and replace aging and seized pulleys, resulted in over 60 seized and deteriorating pulleys being found fleet wide. There have been no further aileron control stiffness events on aircraft which had undergone the new inspection/maintenance procedures.

Factual narrative

On May 8, 2002, about 1100 eastern daylight time, a Bombardier CL600-2B19 regional jet (CRJ), N709CA, hull number 7238, operating as Comair flight 5883, experienced aileron control stiffness during cruise flight, after departing Cincinnati/Northern Kentucky International Airport (CVG), Covington, Kentucky. The captain, first officer, flight attendant and 15 passengers were not injured. The flight was operating on an instrument flight rules flight plan to Eppley Airfield (OMA), Omaha, Nebraska. The scheduled passenger flight was conducted under 14 CFR Part 121.

According to the company's irregular operations report, the airplane was pushed back during a period of moderate to heavy rain. After pushback, the airplane was held on the taxiway for about 30 minutes while the rain continued. Takeoff, about 1030, also occurred during a period of heavy rain.

After leveling off at flight level 280, while in cruise flight, the "AP TRIM IS LWD" caution annunciator illuminated. The first officer disconnected the autopilot, and found the aileron controls to be "stiff and binding." The captain then took control of the airplane, and also found the aileron controls to be stiff and binding. The captain applied "light to moderate" roll input and felt a snap. Aileron control then operated normally.

The captain executed left and right turns with no additional problems or binding noted. The crew re-engaged the autopilot, and the flight continued to an uneventful landing.

On the same date, about the same time, a second CRJ, N937CA, hull number 7044, operating as Comair flight 5296, also experienced aileron control stiffness after departing Cincinnati/Northern Kentucky International Airport. The captain, first officer, flight attendant and 38 passengers were not injured. The flight was operating on an instrument flight rules flight plan to Will Rogers World Airport (OKC), Oklahoma City, Oklahoma. The scheduled passenger flight was conducted under 14 CFR Part 121.

According to the company's director of corporate safety, the flight had also departed about the same time as flight 5883. As reported in the company's irregular operations report, the airplane was climbing from flight level 290 to flight level 310, when the "autopilot RWD trim" caution annunciator illuminated. The crew completed the appropriate quick reference handbook (QRH) procedures, but 1 to 2 minutes later, the autopilot RWD trim caution annunciator again illuminated. The first officer disconnected the autopilot and felt he had jammed aileron controls. The captain then attempted fly from his side and also found the ailerons jammed. The crew completed the QRH jammed-aileron procedures, and diverted to Lambert-St. Louis International Airport (STL), St. Louis, Missouri.

About 1330, a third CRJ, N977CA, operating as Comair flight 5261, hull number 7157, also experienced aileron control stiffness while in cruise flight, after departing Cincinnati/Northern Kentucky International Airport about 1245. The captain, first officer, flight attendant and 17 passengers were not injured. The flight was operating on an instrument flight rules flight plan to Lehigh Valley International Airport (ABE), Allentown, Pennsylvania. The scheduled passenger flight was conducted under 14 CFR Part 121.

According to the company's irregular operations report, the LWD caution annunciator illuminated while the airplane was in cruise at flight level 290. The captain, who was the non-flying pilot, went through the pertinent QRH procedures and disconnected the autopilot. The autopilot was re-engaged, and the LWD caution annunciator again illuminated. The autopilot was again disconnected, "and the crew attempted to move the ailerons to no avail." The controls were not split. The captain contacted the company's maintenance control personnel, and was advised that his was the third similar event of the day and to descend to a lower altitude. The crew descended the airplane to 15,000 feet and felt the ailerons slowly loosen. The crew declared an emergency and landed without further incident at Lehigh Valley.

Weather, recorded at Cincinnati/Northern Kentucky International Airport at 1038, included heavy rain and mist. The weather, recorded at 1251, did not include rain; however, according to Comair's director of corporate safety, the airplane taxied through standing water prior to takeoff.

On June 6, 2000, a CRJ, N952C, hull number 7017, also experienced aileron control stiffness, which was documented as Safety Board occurrence number NYC00SA153. At the time, older CRJs, including hull number 7017, did not have main landing gear wheel bay splash shields installed. As a result of the investigation, Transport Canada and the Federal Aviation Administration (FAA) issued airworthiness directives (ADs) to require CRJ hull numbers 7003 through 7323 have the splash shields installed.

The incident airplanes were in compliance with the existing ADs.

On May 29, 2002, a meeting, facilitated by the Safety Board, was held at Comair facilities in Cincinnati, Ohio. Attendees included representatives from Bombardier Aerospace (BA), Transport Canada (TC), the Canadian Transportation Safety Board (TSB), the Federal Aviation Administration (FAA), the Airline Pilots Association (ALPA), and CRJ operators.

Discussions at the meeting included history, benchmarking, and preliminary recommendations. BA reported that approximately 600 CRJs had been delivered, with 68 per cent in North America. To that date, BA had been notified of 29 control stiffness cases, with 27 occurring while airborne. Four cases in Europe involved anti-icing residue.

The earlier ADs to install splash shields in the main wheel bays of older airplanes had been effective "until recently." Shields had been designed to allow a 0.040 inch gap between it and a composite wheel bin ("bathtub") in each wheel well. Incident airplanes were found to have much larger gaps, up to 0.20 inch.

Immediately behind the wheel bin, about 3 feet inboard the ice guard, was the aileron quadrant assembly. There were four bearings within the assembly, one of which, BA personnel determined to be more susceptible to freezing when saturated with water. As an interim measure, BA recommended lubricating the bearings, which the operators felt was beyond their maintenance capability since it would require maintenance personnel to disassemble, then reassemble and re-rig the assembly.

One of the operators recommended, and had produced a new splash guard model that also added a pliable seal on the side of the wheel bin, which BA agreed to evaluate.

BA also recommended interim flight procedures to exercise the bearings via the flight controls (the bearing moved less than 1/2 degree, 75 percent of the time) every 5,000 feet during climbs that involved precipitation, which was agreed to by the operators and ALPA; however, they wanted flight testing to determine how much pilot action was required for passenger comfort and concerns.

BA also announced a long-term fix to redesign the quadrant assembly.

After the meeting, the operators examined and corrected splash guard-wheel bin gaps, and Comair conducted misting and freezing experiments which resulted in a vertical and horizontal pulley freezing to each other, and determined that water splashed onto the ceiling of the wheel well would likely drip onto the pulleys.

On June 12, 2002, the ALPA representative suggested that a CRJ be equipped with wheel well cameras to taxi through and take off from water-contaminated runways to validate water flow. That recommendation was passed to BA by the Safety Board; however, BA was not able to flight test until August 29, 2002, and September 12, 2002.

On August 9, 2002, BA issued CRJ Temporary Revision (TR) RJ/109-2, effective for airplanes that had accumulated in excess of 5,000 hours of operation. The TR required that after an airplane departed a

Aircraft

Registration
N709CA
Reported as
Bombardier CL600-2B19
Category
Airplane
Serial number
7044
Engines
General Electric CF-34, 8,729 lbs thrust, turbo fanGeneral Electric CF-34, 8,729 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
Comair Inc
Airworthiness certificate
Standard, Transport
Departed
CVG · Covington, KY
Destination
OMA · Omaha, NE
Flight plan
IFR

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
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Role
Co-pilot
Injuries
None

Weather

Conditions
Instrument (IMC) · Day
Wind
100° at 11 knots
Visibility
0.75 statute miles
Lowest ceiling
1,000 ft broken
Temperature
63 °F, dew point 63 °F
Altimeter
29.98 inHg
Observed at
CVG

Docket · 11

The files NTSB released with the investigation on April 14, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.9 MB in all.