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Tailwinds Airlines Boeing 737 4Q8 incident

14 Jun 2009 · Diyarbakir, Turkey

Boeing 737 4Q8 · Incident: flight control system malfunction/failure during landing

From İstanbul Airport (IST) to Diyarbakır Airport (DIY)

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Event

NTSB case
ENG09IA011
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Incident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
Airline
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Boeing 737 4Q8

Aircraft type
Boeing 737
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
TC-TLA
Onboard fatalities
Unknown
Route
From İstanbul Airport (IST), IstanbulTo Diyarbakır Airport (DIY), Diyarbakir
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Non-U.S., Commercial
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Landing · flare/touchdown
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Flight control system malfunction/failure
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
None

Cause areas

  • Aircraft › Aircraft systems
  • Environmental issues › Physical environment

Approximate · Coordinates from the NTSB case API, which marks them as estimated or does not say; no uncertainty radius is established.

NTSB narrative

The Boeing 737-400 airplane experienced an uncommanded pitch up event at 20 feet radio altitude during landing. The flight crew reacted to the uncommanded pitch-up event by adjusting the stabilizer trim position, attempting to move the elevator control columns forward, disengaging the autothrottle, and executing a go-around. The airplane subsequently landed without incident and both crewmembers sustained minor injuries that were incurred during the go around.

Post-incident inspection of the elevator Power Control Units (PCUs) revealed that the left elevator PCU input control arm assembly was jammed by a piece of Foreign Object Debris (FOD) in a position that offset the control arm in a downward direction. With the control arm deflected in this direction and with hydraulic pressure on, the left PCU moved the elevators to a position that pitched the airplane nose up independent of pilot input. An assessment of information obtained from the FDR regarding the functional characteristics of the airplane’s pitch control system indicates that the elevator control system was fully functional and operated as designed during previous flights and up until the uncommanded pitch event occurred. According to Boeing, a jam in either the left or right PCU input control arm assembly could result in the loss of manual control of both elevator PCUs under hydraulic-powered operation. The flight crew’s immediate actions of exerting constant and excessive force on the control columns and executing a go-around at low altitude following the jam resulted in recovery of airplane pitch control despite high control forces.

Metallurgical analysis revealed that the FOD had the same dimensions and material composition as the metal rollers that are contained in a DAS10-26B1-502 bearing, which is installed in only two locations in the aft elevator control system; the right and left ends of the elevator upper output torque tube crank assembly. Post-incident inspections of the airplane’s elevator system components located within the area of the tail cone also revealed that the left hand elevator upper torque tube output crank bearing/sleeve was completely intact with all rollers present. Examination of the maintenance records revealed that the left elevator upper torque tube output crank bearing/sleeve assembly had been replaced in January 2009 to correct an elevator freeplay discrepancy on the incident airplane. However, based on the available information, it could not be determined whether the metal rollers were left behind following the maintenance work performed in January 2009 or were present before the work was performed.

Probable cause

An uncommanded elevator surface deflection as a result of a left elevator PCU input arm assembly jam due to FOD lodged between the input arm assembly and the PCU housing. The FOD was a roller element from an elevator upper torque tube output crank bearing, but how or when the roller element liberated from its bearing assembly could not be determined.

Contributing to the survivability of this incident was the flight crew’s immediate actions in response to the elevator control system jam.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ENG09IA011
Event ID
20090826X84257
Case number
ENG09IA011
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status, coordinates, damage. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: f48b48a25400672de07dfe0256d030482fb03fdbcba3ee9625d44767623d90ac; retrieved 2026-09-15T12:51:01.815Z.