DCA91MA033
1991-04-05 · BRUNSWICK, Georgia, United States · Fatal · 1 aircraft · Status: Completed
N270AS has since been reassigned. It is now registered to a different aircraft (SCHLEICHER ASW-27), which was not involved in this event.
Aircraft involved
Probable cause & findings
THE LOSS OF CONTROL IN FLIGHT AS A RESULT OF A MALFUNCTION OF THE LEFT ENGINE PROPELLER CONTROL UNIT WHICH ALLOWED THE PROPELLER BLADE ANGLES TO GO BELOW THE FLIGHT IDLE POSITION. CONTRIBUTING TO THE ACCIDENT WAS THE DEFICIENT DESIGN OF THE PROPELLER CONTROL UNIT BY HAMILTON STANDARD AND THE APPROVAL OF THE DESIGN BY THE FEDERAL AVIATION ADMINISTRATION. THE DESIGN DID NOT CORRECTLY EVALUATE THE FAILURE MODE THAT OCCURRED DURING THIS FLIGHT, WHICH RESULTED IN AN UNCOMMANDED AND UNCORRECTABLE MOVEMENT OF THE BLADES OF THE AIRPLANE'S LEFT PROPELLER BELOW THE FLIGHT IDLE POSITION. (NTSB REPORT AAR-92/03)
Factual narrative
WITNESSES REPORTED THAT THE AIRPLANE SUDDENLY TURNED OR ROLLED LEFT UNTIL THE WINGS WERE PERPENDICULAR TO THE GROUND. THE AIRPLANE THEN FELL IN A NOSE-DOWN ATTITUDE. EXAM OF THE LEFT PROP COMPONENTS INDICATED A BLADE ANGLE OF ABOUT 3 DEG, WHILE THE LEFT PROP CONTROL UNIT (PCU) BALLSCREW POSITION WAS CONSISTENT WITH A COMMANDED BLADE ANGLE OF 79.2 DEG. EXTREME WEAR ON THE PCU QUILL SPLINE TEETH, WHICH NORMALLY ENGAGED THE TITANIUM-NITRIDED SPLINES OF THE PROP TRANSFER TUBE, WAS FOUND. THE TITANIUM-NITRIDED SURFACE WAS MUCH HARDER AND ROUGHER THAN THE NITRIDED SURFACE OF THE QUILL. THEREFORE, THE TRANSFER TUBE SPLINES ACTED LIKE A FILE AND CAUSED ABNORMAL WEAR OF THE GEAR TEETH ON THE QUILL. WEAR OF THE QUILL WAS NOT CONSIDERED DURING THE CERTIFICATION OF THE PROPELLER SYSTEM. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1991_DCA91MA033.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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- 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 …
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- 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.