Casualties unknown

Investigation into Pitch Trim Control System Failure Reveals Missing Lubrication and Sheared Fuse Pin (N814DE)

Dayton, OH, US

On November 8, 1996, a Mcdonnell Douglas MD-11 (registration N814DE) was involved in an aviation accident near Dayton, OH. Investigators recorded the probable cause as: Failure of the output drive unit shear pin due to lack of lubrication to the screw actuator assemblies. Contributing to the cause was the aircraft manufacturer's production and inspection personnel failing to lubricate the screw assemblies after initial… This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 2026-06-10Data APIEditorial standards
Aircraft registered N814DE
Aircraft registered N814DE. Photo: Ken Fielding / CC BY-SA 3.0, via Wikimedia Commons

During flight, the crew encountered a pitch trim control system failure. Examination found no lubrication on screw actuator assemblies and a sheared fuse pin. Assembly orders had been stamped as complete despite missing lubrication.

Incident Description

While en route, the flight crew experienced a failure of the pitch trim control system. The crew attempted to change the pitch trim using the yoke-mounted trim switches and the center console-mounted horizontal stabilizer control handles, but neither method was effective. The crew stated that when the slats were extended during descent, they were unable to change the stabilizer trim.

Investigation Findings

A thorough examination of the horizontal stabilizer pitch trim system was performed. The examination revealed that no lubrication was present on the screw actuator assemblies. Additionally, the fuse pin in the output drive unit of the horizontal stabilizer drive gearbox had sheared. As designed, the sheared fuse pin locked the horizontal stabilizer in its last set position.

Assembly Order Discrepancy

The investigation included a review of Assembly Orders at Douglas Aircraft (DAC). It was discovered that both DAC production personnel and DAC Inspection personnel had stamped the assembly orders, confirming that lubrication had been completed and accepted. However, the investigation found that no lubrication had actually been applied to the screw actuator nuts.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001208X07045. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.