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Atlas / NTSB / DCA22MA193

NTSB CAROL · Event

Event DCA22MA193

2022-09-04 Freeland, Washington, United States Fatal 1 aircraft Status: Completed

Aircraft involved

Probable cause & findings

The in-flight unthreading of the clamp nut from the horizontal stabilizer trim actuator barrel due to a missing lock ring, which resulted in the horizontal stabilizer moving to an extreme trailing-edge-down position rendering the airplane’s pitch uncontrollable.

Factual narrative

HISTORY OF FLIGHTOn September 4, 2022, about 1509 Pacific daylight time, a float-equipped de Havilland DHC-3 (Otter), N725TH, was destroyed when it impacted the water in Mutiny Bay, near Freeland, Washington, and sank. The pilot and nine passengers were fatally injured. The airplane was owned by Northwest Seaplanes, Inc., and operated as a Title 14 Code of Federal Regulations (CFR) Part 135 scheduled passenger flight by West Isle Air dba Friday Harbor Seaplanes. The flight originated at Friday Harbor Seaplane Base (W33), Friday Harbor, Washington, with an intended destination of Will Rogers Wiley Post Memorial Seaplane Base (W36), Renton, Washington. Visual meteorological conditions prevailed at the time of the accident. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12

NTSB Findings

Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).

  • Aircraft-Aircraft systems-Flight control system-Stabilizer control system-Malfunction
  • Personnel issues-Experience/knowledge-Knowledge-Knowledge of equipment-Maintenance personnel
  • Organizational issues-Development-Manufacture/production-Document/info production-Manufacturer
  • Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel
  • Organizational issues-Management-Policy/procedure-Adequacy of policy/proc-Maintenance provider
  • Organizational issues-Support/oversight/monitoring-Documentation/record keeping-Maintenance records-Maintenance provider

Verbatim from NTSB's published report. Source file NTSB_2022_DCA22MA193.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.