DCA91MA023
1991-03-03 · COLORADO SPGS, Colorado, United States · Fatal · 1 aircraft · Status: Completed
Aircraft involved
Probable cause & findings
A loss of control of the airplane resulting from the movement of the rudder surface to its blowdown limit. The rudder surface most likely deflected in a direction opposite to that commanded by the pilots as a result of a jam of the main rudder power control unit servo valve secondary slide to the servo valve housing offset from its neutral position and overtravel of the primary slide.
Factual narrative
Executive Summary On March 3, 1991, a United Airlines (UAL) Boeing 737, registration number N999UA, operating as flight 585, was on a scheduled passenger flight from Denver, Colorado, to Colorado Springs, Colorado. Visual meteorological conditions (VMC) prevailed at the time, and the flight was on an instrument flight rules (IFR) flight plan. Numerous witnesses reported that shortly after completing its turn onto the final approach course to runway 35 at Colorado Springs Municipal Airport (COS), about 0944 Mountain Standard Time, the airplane rolled steadily to the right and pitched nose down until it reached a nearly vertical attitude before hitting the ground in an area known as Widefield Park. The airplane was destroyed, and the 2 flight crewmembers, 3 flight attendants, and 20 passengers aboard were fatally injured. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1991_DCA91MA023.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (loss of control). All research papers
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- SKYbrary (Eurocontrol) 2024 · SKYbrary article Loss of Control In-Flight (LOC-I) — SKYbrary Knowledge Base
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- Semantic Scholar 2024 · Article (International Conference on Networking and Services) Risk Assessment of Loss of Control In-Flight Trajectories for Urban Air Mobility Safety
In Urban Air Mobility (UAM), maintaining a minimum separation between aircraft is a safety requirement, which becomes challenging amidst congested air traffic and off-nominal conditions, such as Loss …
- NTSB Aircraft Accident Reports 2022 · Accident report Loss of Control on Takeoff in Icing Conditions — Citation 560XL
Cessna Citation 560XL fatal takeoff icing accident, March 2018. Investigation of a Citation 560XL loss-of-control takeoff accident in icing conditions.
- Semantic Scholar 2021 · Article (Aviation) ANALYSIS OF GENERAL AVIATION FIXED-WING AIRCRAFT ACCIDENTS INVOLVING INFLIGHT LOSS OF CONTROL USING A STATE-BASED APPROACH
Inflight loss of control (LOC-I) is a significant cause of General Aviation (GA) fixed-wing aircraft accidents. The United States National Transportation Safety Board’s database provides a rich source…
- NASA NTRS 2021 · Presentation Use of Design of Experiments in Determining Neural Network Architectures for Loss of Control Detection
Abstract—We describe empirical methods for selecting a neural network architecture to implement belief state inference on generic commercial transport aircraft.