Pilot Debrief

AIRBUS A330-243 near Los Angeles, CA — 2022-09-22

Final reportDCA22LA212
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Date
2022-09-22
Location
Los Angeles, CA, USA
Aircraft
AIRBUS A330-243
Registration
N393HA
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Climb

Probable cause

Uncommanded movement of the trimmable horizontal stabilizer control wheel for reasons that could not be determined based on the available evidence.

NTSB narrative

The flight crew reported that, when the airplane climbed through flight level 360, the trimmable horizontal stabilizer (THS) trim wheel began to move “very quickly” forward and aft, creating small pitching oscillations. No message appeared on the airplane’s electronic centralized aircraft monitor, and no flight deck alerts annunciated. The crew decided to turn off the autopilot to isolate the malfunction. However, when the autopilot was off, the trim wheel continued to move erratically. The crew then reengaged the autopilot, and small pitch oscillations resumed. These oscillations, which were below the threshold to trigger a fault, were partially countered by flight control system inputs, but the trim wheel continued its uncommanded movement. The first officer (the pilot flying) then turned off the autopilot and manually flew the airplane for the rest of the flight while the captain (the pilot monitoring) managed the situation. The flight crew contacted air traffic control to declare an emergency and advise that fuel would need to be jettisoned before the airplane returned to the airport. Afterward, fuel was jettisoned until the airplane reached its maximum landing weight. The airplane landed uneventfully, and the emergency was terminated after landing. The airplane’s Post Flight Report information showed the “PITCH TRIM ACTR [actuator] OVERRIDE SWITCH” fault message. The maintenance crew at the airport replaced the pitch trim actuator (a subcomponent of the THS actuator), and an operational test of the THS actuator was successful. One possible scenario for the uncommanded pitch trim wheel movement involved a failure or malfunction of a subcomponent of the THS actuator (the No. 1 digital electronic module, which digitizes the analog signals from THS position sensors. Extensive testing of the THS actuator and its subcomponents, including the incident pitch trim actuator and the No. 1 digital electronic module, was conducted at the manufacturers’ facilities. However, the testing did not identify the specific reason for the uncommanded pitch trim wheel movements during the incident flight. As a result, the investigation was unable to determine the cause of the anomaly based on the available evidence. It is important to note that this investigation found that the anomaly appeared to be isolated to components that were either removed and repaired or replaced on the incident airplane. Further, the incident airplane had no pitch or pitch trim flight control faults related to the circumstances of this incident since the THS actuator was removed and replaced in November 2022.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Crew could have performed a primary computer reset to address the trim anomaly.

NTSB coding

Evidence available

  • Video
  • 4 docket documents
View NTSB final reportView NTSB docket

Docket documents4

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