The NTSB has published an exhaustive final report
on its investigation into the fatal crash of Alaska Air 261 on
January 31, 2000. The accident occured about 2.7 Miles North of
Anacapa Island, California and involved a McDonnell Douglas MD-83,
N963AS.
The NTSB's executive summary states that, "On January 31, 2000,
about 1621 Pacific standard time, Alaska Airlines, Inc., flight
261, a McDonnell Douglas MD-83, N963AS, crashed into the Pacific
Ocean about 2.7 miles north of Anacapa Island, California. The 2
pilots, 3 cabin crewmembers, and 83 passengers on board were
killed, and the airplane was destroyed by impact forces. Flight 261
was operating as a scheduled international passenger flight under
the provisions of 14 Code of Federal Regulations Part 121 from Lic
Gustavo Diaz Ordaz International Airport, Puerto Vallarta, Mexico,
to Seattle-Tacoma International Airport, Seattle, Washington, with
an intermediate stop planned at San Francisco International
Airport, San Francisco, California. Visual meteorological
conditions prevailed for the flight, which operated on an
instrument flight rules flight plan.
The National Transportation Safety Board determines that the
probable cause of this accident was a loss of airplane pitch
control resulting from the in-flight failure of the horizontal
stabilizer trim system jackscrew assembly’s acme nut threads.
The thread failure was caused by excessive wear resulting from
Alaska Airlines’ insufficient lubrication of the jackscrew
assembly.
Contributing to the accident were Alaska Airlines’
extended lubrication interval and the Federal Aviation
Administration’s (FAA) approval of that extension, which
increased the likelihood that a missed or inadequate lubrication
would result in excessive wear of the acme nut threads, and Alaska
Airlines’ extended end play check interval and the
FAA’s approval of that extension, which allowed the excessive
wear of the acme nut threads to progress to failure without the
opportunity for detection. Also contributing to the accident was
the absence on the McDonnell Douglas MD-80 of a fail-safe mechanism
to prevent the catastrophic effects of total acme nut thread
loss.
The safety issues discussed in this report include lubrication
and inspection of the jackscrew assembly, extension of lubrication
and end play check intervals, jackscrew assembly overhaul
procedures, the design and certification of the MD-80 horizontal
stabilizer trim control system, Alaska Airlines’ maintenance
program, and FAA oversight of Alaska Airlines. Safety
recommendations are addressed to the FAA."