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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

September 11, 1991 · Embraer 120 · N33701

Eagle Lake, TX

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
September 11, 1991
Injury Outcomes
14 injuries (14 fatalities)
Location
Eagle Lake, TX
Aircraft
Embraer 120
Tail Number
N33701
Operator
Continental Express
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
DCA91MA052

THE AIRPLANE BROKE UP IN FLIGHT WHILE DESCENDING FROM FL240. THE HORIZONTAL STABILIZER, OR TOP OF THE T-TYPE TAIL, HAD SEPARATED FROM THE FUSELAGE BEFORE GROUND IMPACT. EXAMINATION REVEALED THAT THE 47 SCREW FASTENERS THAT WOULD HAVE ATTACHED THE UPPER SURFACE OF THE LEADING EDGE ASSEMBLY FOR THE LEFT SIDE OF THE HORIZONTAL STABILIZER WERE MISSING. THEY HAD BEEN REMOVED THE NIGHT BEFORE DURING SCHEDULED MAINTENANCE. INVESTIGATION REVEALED THAT THERE WAS A LACK OF COMPLIANCE WITH THE FAA-APPROVED GENERAL MAINTENANCE MANUAL PROCEDURES BY THE MECHANICS, INSPECTORS, AND SUPERVISORS RESPONSIBLE FOR ASSURING THE AIRWORTHINESS OF THE AIRPLANE THE NIGHT BEFORE THE ACCIDENT. IN ADDITION, ROUTINE SURVEILLANCE OF THE CONTINENTAL EXPRESS MAINTENANCE DEPARTMENT BY THE FAA WAS INADEQUATE AND DID NOT DETECT DEFICIENCIES, SUCH AS THOSE THAT LED TO THIS ACCIDENT.

NTSB Probable Cause

THE FAILURE OF CONTINENTAL EXPRESS MAINTENANCE AND INSPECTION PERSONNEL TO ADHERE TO PROPER MAINTENANCE AND QUALITY ASSURANCE PROCEDURES FOR THE AIRPLANE'S HORIZONTAL STABILIZER DEICE BOOTS THAT LED TO THE SUDDEN IN-FLIGHT LOSS OF THE PARTIALLY SECURED LEFT HORIZONTAL STABILIZER LEADING EDGE AND THE IMMEDIATE SEVERE NOSE-DOWN PITCHOVER AND BREAKUP OF THE AIRPLANE. CONTRIBUTING TO THE CAUSE OF THE ACCIDENT WAS THE FAILURE OF CONTINENTAL EXPRESS MANAGEMENT TO ENSURE COMPLIANCE WITH THE APPROVED MAINTENANCE PROCEDURES, AND THE FAILURE OF THE FAA SURVEILLANCE TO DETECT AND VERIFY COMPLIANCE WITH APPROVED PROCEDURES. (NTSB REPORT AAR-92/04)

Full Narrative

SEE NATIONAL TRANSPORTATION SAFETY BOARD BLUE COVER REPORT AAR- 92/004.

Flight

Event TypeAccident
Event Time10:03 CDT
Nearest Airport0nm
Runway0
Flight Plan FiledIFR
Aircraft FireBoth
Aircraft ExplosionNo

Aircraft

AircraftEmbraer 120
Tail NumberN33701
Aircraft CategoryAir
DamageDestroyed
OperatorContinental Express
Operating RulePart 135
Engines2
Engine TypeTurboprop
Engine DetailsP&W · Turboprop
Seats30

People & Injuries

Injury Summary14 injuries (14 fatalities)
Fatal14
Serious0
Minor0
Uninjured0
Total14
Crew 1Age 29 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind70° @ 7 kt
Visibility6 sm
CeilingBroken clouds 3000 ft
Altimeter30.00 inHg
Observation Time14:50

Appendix: Source Data