NTSB CAROL · Event
Event DEN04IA060
Aircraft involved
Probable cause & findings
The total failure of the airplane's number 1 system hydraulic pump.
Factual narrative
On April 11, 2004, at 1435 mountain daylight time, a Canadair (Bombardier) CL-600-2C10, N609QX, operated by Horizon Air as Horizon Flight 4339, experienced a complete failure of the airplane's number 1 system hydraulics, while on approach into the Denver International Airport (DEN), Denver, Colorado. The flight crew shut off the system and made an uneventful landing. The captain, first officer, 2 flight attendants and 56 passengers on board were not injured. The scheduled domestic passenger flight from Ontario, California, to DEN was being conducted on an instrument flight rules flight plan under the provisions of Title 14 CFR Part 121. Visual meteorological conditions prevailed at the time of the incident. The captain reported that while in cruise flight at flight level 330, the crew received a master caution light and a hydraulic system 1 low pressure along with warning lights for the outboard ground spoilers, outboard spoilerons, and the outboard spoilers. The hydraulic fluid quantity and fluid temperature readings were good, but the system pressure was dropping. The crew ran the emergency checklist and continued their flight to Denver, using the backup (1B) system. On final approach and landing, the captain reported that they lost number 1 system pressure and quantity. The crew shut off the 1B system and continued to land. After landing, the crew shut down the number one engine and taxied to the gate. A post-incident examination of the airplane's number 1 hydraulic system showed that the hydraulic pump had come apart internally and seized. Metal fragments were found in the hydraulic filters and lines. Company maintenance replaced the pump and filters and flushed out the lines several times to remove all debris. The number 1 system hydraulic pump, the filters, metal fragments, cockpit voice recorder, and flight data recorder were retained for further examination. An examination of the data obtained from the flight data recorder showed that the first loss of system 1 occurred approximately 29 minutes after takeoff. The data shows that the second loss of system 1 occurs 1.5 hours after the first loss event. The data then shows the airplane touching down approximately 10 seconds after the second loss event. The hydraulic pump was examined at Parker Hannifin Corporation's Abex Division, Kalamazoo, Michigan, on May 11, 2004. The examination showed that several piston shoes in the pump's hanger and piston subassembly had come apart. The resulting metal fragments subsequently caused damage to the hold-down plate, the hanger, and other internal components of the pump, resulting in its seizure. An Abex Division representative reported that over the past two years, 29 other hydraulic pumps had been returned to the factory with seal leaks and piston shoes damage. The representative said that because of this, several pump improvements were developed including a return to a previously qualified design of the pump's piston shoes. At the time of the incident pump's examination, Abex was in the process of issuing retrofit engineering orders that incorporated the improvements. The captain reported that while in cruise flight at flight level 330, the crew received a master caution light and a hydraulic system 1 low pressure along with warning lights for the outboard ground spoilers, outboard spoilerons, and the outboard spoilers. The hydraulic fluid quantity and fluid temperature readings were good, but the system pressure was dropping. The crew ran the emergency checklist and continued their flight to Denver, using the backup (1B) system. On final approach and landing, the captain reported that they lost number 1 system pressure and quantity. The crew shut off the 1B system and continued to land. After landing, the crew shut down the number one engine and taxied to the gate. A post-incident examination of the airplane's number 1 hydraulic system showed that the hydraulic pump had come apart internally and seized. Metal fragments were found in the hydraulic filters and lines. Further examination of the hydraulic pump showed that several piston shoes in the pump's hanger and piston subassembly had come apart. The resulting metal fragments subsequently caused damage to the hold-down plate, the hanger, and other internal components of the pump, resulting in its seizure. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2004_DEN04IA060.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
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