SEA95IA082
1995-04-16 · PASCO, Washington, United States · None · 1 aircraft · Status: Completed
N385PH has since been reassigned. It is now registered to a different aircraft (EUROCOPTER DEUTSCHLAND GMBH EC 135 P2+, built 2008), which was not involved in this event.
Aircraft involved
Probable cause & findings
IMPROPER INSTALLATION OF THE RUDDER TRIM ACTUATOR ROD BY COMPANY MAINTENANCE PERSONNEL WHICH RESULTED IN BINDING AND FRACTURE OF THE ROD.
Factual narrative
On April 16, 1995, approximately 0805 Pacific daylight time (PDT), a Fairchild SA-227, N385PH, experienced a failure of a rudder trim rod while climbing out from Tri-Cities Airport, Pasco, Washington. There were no injuries to the two crew members and their five passengers, and the aircraft sustained only minor damage. The FAR Part 135 revenue flight, which was en route to Portland International Airport, Portland, Oregon, was in visual meteorological conditions at the time of the incident. The scheduled passenger flight was on an IFR flight plan, and there was no ELT activation involved in this incident. According to a representative of Horizon Airlines, the crew noticed an unusual airframe vibration after the departure from Pasco. They therefore elected to return to the Tri-Cities Airport, where they discovered that the rudder trim rod had failed. FAA inspectors determined that the actuator rod had been improperly installed by company maintenance personnel, and it had been binding before it fractured and failed. DURING CLIMB OUT, THE CREW NOTICED AN UNUSUAL AIRFRAME VIBRATION, AND RETURNED TO THE DEPARTURE AIRPORT. FAA INSPECTORS DETERMINED THAT THE RUDDER TRIM ACTUATOR ROD HAD BEEN IMPROPERLY INSTALLED, ALLOWING IT TO BIND AND EVENTUALLY FRACTURE. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1995_SEA95IA082.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 (stall, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2023 · Conference paper The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- 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…
- NASA NTRS 2026 · Conference Paper Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- 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.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.