Incident Overview

Date: Friday 19 May 1967
Aircraft Type: Douglas DC-8-54F
Owner/operator: Air Canada
Registration Number: CF-TJM
Location: 0,6 km SE of Ottawa International Airport, ON (YOW) – ÿ Canada
Phase of Flight: Approach
Status: Destroyed, written off
Casualties: Fatalities: 3 / Occupants: 3
Component Affected: Rudder Hydraulic System Tee-PieceRudder Hydraulic System Tee-Piece
Category: Accident
During a training flight from Montreal to Ottawa, a DC-8 aircraft experienced a sudden and uncontrolled roll to the right, resulting in a catastrophic impact with the ground. The aircraft’s hydraulic failure simulation triggered a touch-and-go landing, and subsequent engine malfunction led to a complex sequence of events culminating in the inverted landing. The pilot-in-command’s actions, including a delayed power reduction and rudder application, contributed to the severity of the incident. The investigation revealed a design deficiency in the rudder hydraulic system tee-piece, allowing for a fluid flow in the reverse direction, ultimately leading to the locked rudder and a catastrophic impact.During a training flight from Montreal to Ottawa, a DC-8 aircraft experienced a sudden and uncontrolled roll to the right, resulting in a catastrophic impact with the ground. The aircraft’s hydraulic failure simulation triggered a touch-and-go landing, and subsequent engine malfunction led to a complex sequence of events culminating in the inverted landing. The pilot-in-command’s actions, including a delayed power reduction and rudder application, contributed to the severity of the incident. The investigation revealed a design deficiency in the rudder hydraulic system tee-piece, allowing for a fluid flow in the reverse direction, ultimately leading to the locked rudder and a catastrophic impact.

Description

The DC-8 suddenly rolled to the right and struck the ground inverted while on approach to Ottawa International Airport, ON (YOW) during a training flight. The aircraft was on a conversion training flight from Montreal to Ottawa with three pilots on board. The aircraft departed Montreal at 18:02 hours local time. A hydraulic failure simulation was then carried out following which a touch-and-go landing on runway 32 was accomplished at 18:25 hours. According to the recorded data the touch-and-go was accomplished with the ailerons in the manual mode, the flaps were raised to the 25ø position during the landing roll and the ailerons were restored to the power mode during the turn following take-off while on a heading of about 260ø. After about two minutes of flight on the downwind leg, No. 4 engine was retarded to flight idle and was kept at that setting for about two and a quarter minutes. During this period an average of about 3 degrees wing down bank was maintained, except at a point about halfway through that period the left wing bank slowly 18 degrees to the left, followed by a sharp reversal to 10 degrees bank to the right. The length of the downwind leg was consistent with a planned two-engine asymmetric landing. Power was restored to No. 4 engine just before a left turn on to the base leg was started. During that turn No. 4 engine was again retarded to flight idle, then restored to normal power, No. 1 engine was then retarded to flight idle for about 20 seconds, then restored to normal power. The flaps remained at 25ø setting. While turning on to final approach, the pilot-in-command advised the tower that he was at yet undecided whether a landing would be carried out. When the aircraft had passed the UP beacon, about 8« miles from the runway threshold and approximately 200 sec from impact, undercarriage was selected to the manual mode and power was reduced on all four engines. No. 4 engine was then retarded to the flight idle position and the other three engines advanced to approach power. About 171 sec before impact, the pilot-in-command advised the control tower that the aircraft would be making a full stop landing. The landing gear was extended 155 sec before impact and 120 sec before impact No. 3 engine was retarded to flight idle: at the same time power was increased on Nos. 1 and 2 engines. At that time the aircraft was at a height of 150 ft above the ground and its indicated airspeed was fairly steady around 165 kt. From 109 to 92 sec before impact, the aircraft turned to the right through 340ø on to a heading of 337 degrees. Power was reduced, bank applied and the aircraft returned to approximately the runway heading. The flaps were extended to 35 degrees, 69 sec before impact. At 54 sec before impact, the rudder was restored to the power mode for less than 6 sec and then returned to the manual mode. Through the period from 69 to 25 sec the rate of descent was relatively constant at about 700 ft/min with the aircraft tending to undershoot, and the airspeed decreasing from 163 to 152 kt. Power on Nos. 1 and 2 engines was progressively increased from 25 sec before impact until near maximum power was reached 8 sec before impact, following which they were retarded to flight idle. A yaw to the right had started 19 sec before impact and 12 sec before impact the throttles were advanced on engines 3 and 4 and they began to spool up. At 9 sec before impact and when some 200 ft above the ground, the left wing down condition could no longer be maintained and the aircraft entered a roll to the right. The roll rate to the right increased rapidly as did the yaw rate. The roll continued until the aircraft struck the ground in an inverted nose low attitude, 1995 ft short of the threshold of runway 32 and 575 ft NE of its extended centre line. During examination of the rudder hydraulic system tee-piece, the check valve poppet was found in the closed position. It was found that the check valve had an internal wear pattern, resulting from a basic design deficiency, which allowed the valve poppet to stick open in its reverse position permitting a fluid flow in the no flow direction. In the power mode, a change of position of the valve from open to close would result in a locked rudder, and the rudder pedal travel would be restricted to 5/8ths of an inch, instead of the normal 3 inches. The valve would have remained closed under fluid pressure and there would have been no cockpit warning or indication of the defect. The investigation concluded that this occurred during the flight at least 54 seconds prior to impact. The crew were likely aware of a rudder control malfunction, therefore the practice two engined approach should have been abandoned. There are, however, a number of related factors which may have prompted a decision to continue the practice approach including the experience of both pilots 20000+ and about 19000 hours flight time), the limited availability of aircraft for training purposes and the lack of an instrument indication of the malfunction.

Primary Cause

Design deficiency in the rudder hydraulic system tee-piece, allowing for a fluid flow in the reverse direction.Design deficiency in the rudder hydraulic system tee-piece, allowing for a fluid flow in the reverse direction.

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