NTSB Identifies Potential Safety Issue In Fatal DHC-3 Crash

​​Recovered wreckage highlighted in green. Recovered flight controls highlighted in orange. Image: NTSB
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Key Takeaways:

  • The NTSB identified a possible safety issue with the horizontal stabilizer actuator of a crashed DHC-3 Turbine Otter, finding it separated due to unthreading and the crucial lock ring missing.
  • Investigators suggest the components separated because they unthreaded, not due to tension, and the circular wire lock ring designed to prevent this was not found.
  • The NTSB has requested the manufacturer to draft inspection instructions for the actuator, to be released as a Service Letter to DHC-3 operators worldwide, ensuring the lock ring is in place.
  • The crash on September 4, 2022, killed the pilot and all nine passengers, and the investigation is ongoing, including an evaluation of lock ring failure modes.
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The National Transportation Safety Board (NTSB) announced on Monday that it has identified a possible safety issue with the flight controls of a De Havilland Canada DHC-3 Turbine Otter that crashed into Mutiny Bay, Washington, last month. According to investigators, the horizontal stabilizer actuator was “found separated where the clamp nut threads into the barrel section” with further examination suggesting that the “components separated by unthreading as opposed to being pulled apart in tension.” The circular wire lock ring used to prevent the pieces from unthreading has not been found in the wreckage.

“At this time, the NTSB does not know whether the lock ring was installed before the airplane impacted the water or why the lock ring was not present during the airplane examination,” the Board said in its investigative update. “The NTSB, in coordination with the Transportation Safety Board of Canada, has asked that the manufacturer draft instructions for an inspection of the actuator to ensure that the lock ring is in place and properly engaged to prevent unthreading of the clamp nut. Those instructions will be released and provided to all operators of the DHC-3 airplane worldwide in a Service Letter.”

The aircraft went down on Sept. 4, 2022, killing the pilot and all nine passengers onboard. The NTSB noted that approximately 85 percent of the airplane was recovered from the sea floor. The investigation is expected to continue with examinations of both elevators, interviews of the FAA principal operations and maintenance inspectors assigned to the operator, a review of maintenance records and interviews with maintenance personnel. The Board is also planning to conduct an evaluation of lock ring failure modes and lock ring installation instructions along with an aircraft performance study. As previously reported by AVweb, the FAA issued an emergency AD requiring immediate inspection of the left-hand elevator auxiliary spar on DHC-3 Otters on Oct. 4 due to the crash.

Kate O'Connor

Kate is a private pilot, certificated aircraft dispatcher, and graduate of Embry-Riddle Aeronautical University.
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