20180430024069A

Accident · Substantial damage

FAA accident report · Cessna 172M · St. George'S · April 30, 2018

Date
April 30, 2018 · 13:00 local
Place
St. George'S
Airport
L F Wade Int'L Airport
Phase of flight
Landing: Touchdown
Operating rules
General operating rules (Part 91)
Operator
L64F
Damage
Substantial damage
Aircraft
N9085H
NTSB investigation
NTSBCEN18WA399
Reported as
Cessna 172M
Reported engine
Lycoming 0-320 series
People aboard
1
Fatal injuries
0
Other injuries
1

From the FAA’s Accident/Incident Data System (AIDS), through its Aviation Safety Information Portal, as reported. The NTSB investigates accidents separately, and its record of an accident is the fuller one. The aircraft is matched to the registry by N-number and event date, checked against the reported make and model; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

What happened

The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.

April 30th 2018, l f Wade international airport, bermuda.

Narrative provided to the miami ifo by inspector mark jarvis, aaib (uk) accident investigator:

A brief summary of the accident and results of the investigation is given below:

The accident flight was the aircraft?s first flight after a prolonged maintenance input which included the removal of the horizontal stabiliser, elevator and rudder. The flight was intended to consist of a number of circuits and landings to refamiliarize the pilot with the aircraft. During the pre-flight inspection the pilot paid particular attention to ?full and free? Check of the flying controls. Take off was normal but the aircraft did not climb at the expected rate. During the downwind leg the aircraft showed a continued tendency to pitch nose down which the pilot was unable to correct with elevator trim. The pilot used increased engine power to counteract the pitch down tendency. During final approach the ?nose down? Forces increased and the pilot was unable to prevent the aircraft landing heavily in the grass before reaching the runway. The pilot received a broken wrist in the accident and the aircraft was severely damaged.

Photographs taken immediately after the accident showed that the elevator trim tab was in a ?nose down? Trim position. Subsequent examination showed that the elevator trim tab moved in the opposite since to the movement of the trim wheel, I.e. nose up trim wheel movement produced nose down trim tab movement. Detailed examination by the maintenance organisation confirmed that the trim tab cables had been ?crossed? As they passed through the horizontal stabiliser which resulted in the tab moving in the opposite sense.

The maintenance organisation has conducted an investigation into the event and I received their final report this morning. As a result of their investigation the maintenance organisation has introduced changes to its procedures to minimise the possibility of reoccurrence.

As the FAA filed it

APRIL 30TH 2018, L F WADE INTERNATIONAL AIRPORT, BERMUDA.

NARRATIVE PROVIDED TO THE MIAMI IFO BY INSPECTOR MARK JARVIS, AAIB (UK) ACCIDENT INVESTIGATOR:

A BRIEF SUMMARY OF THE ACCIDENT AND RESULTS OF THE INVESTIGATION IS GIVEN BELOW:

THE ACCIDENT FLIGHT WAS THE AIRCRAFT?S FIRST FLIGHT AFTER A PROLONGED MAINTENANCE INPUT WHICH INCLUDED THE REMOVAL OF THE HORIZONTAL STABILISER, ELEVATOR AND RUDDER. THE FLIGHT WAS INTENDED TO CONSIST OF A NUMBER OF CIRCUITS AND LANDINGS TO REFAMILIARIZE THE PILOT WITH THE AIRCRAFT. DURING THE PRE-FLIGHT INSPECTION THE PILOT PAID PARTICULAR ATTENTION TO ?FULL AND FREE? CHECK OF THE FLYING CONTROLS. TAKE OFF WAS NORMAL BUT THE AIRCRAFT DID NOT CLIMB AT THE EXPECTED RATE. DURING THE DOWNWIND LEG THE AIRCRAFT SHOWED A CONTINUED TENDENCY TO PITCH NOSE DOWN WHICH THE PILOT WAS UNABLE TO CORRECT WITH ELEVATOR TRIM. THE PILOT USED INCREASED ENGINE POWER TO COUNTERACT THE PITCH DOWN TENDENCY. DURING FINAL APPROACH THE ?NOSE DOWN? FORCES INCREASED AND THE PILOT WAS UNABLE TO PREVENT THE AIRCRAFT LANDING HEAVILY IN THE GRASS BEFORE REACHING THE RUNWAY. THE PILOT RECEIVED A BROKEN WRIST IN THE ACCIDENT AND THE AIRCRAFT WAS SEVERELY DAMAGED.

PHOTOGRAPHS TAKEN IMMEDIATELY AFTER THE ACCIDENT SHOWED THAT THE ELEVATOR TRIM TAB WAS IN A ?NOSE DOWN? TRIM POSITION. SUBSEQUENT EXAMINATION SHOWED THAT THE ELEVATOR TRIM TAB MOVED IN THE OPPOSITE SINCE TO THE MOVEMENT OF THE TRIM WHEEL, I.E. NOSE UP TRIM WHEEL MOVEMENT PRODUCED NOSE DOWN TRIM TAB MOVEMENT. DETAILED EXAMINATION BY THE MAINTENANCE ORGANISATION CONFIRMED THAT THE TRIM TAB CABLES HAD BEEN ?CROSSED? AS THEY PASSED THROUGH THE HORIZONTAL STABILISER WHICH RESULTED IN THE TAB MOVING IN THE OPPOSITE SENSE.

THE MAINTENANCE ORGANISATION HAS CONDUCTED AN INVESTIGATION INTO THE EVENT AND I RECEIVED THEIR FINAL REPORT THIS MORNING. AS A RESULT OF THEIR INVESTIGATION THE MAINTENANCE ORGANISATION HAS INTRODUCED CHANGES TO ITS PROCEDURES TO MINIMISE THE POSSIBILITY OF REOCCURRENCE.

NTSB investigation

The NTSB’s investigation of this event, with its probable cause and findings. Matched to this report by N-number and date.

Other reports on N9085H · 2

Matched to the same aircraft by N-number and date.