ANC03LA021

NTSB accident investigation · de Havilland DHC-3 · Nikolai, AK · December 28, 2002

Accident · No injuriesLimited investigationFinal report
Date
December 28, 2002, 12:30 local (16:30 UTC)
Place
Nikolai, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3904de Havilland DHC-3
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 2004
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
FAA report
20021228035099A
Case key
56267

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

An improper and undocumented major repair of the elevator torque tube support assembly by an unknown person, which resulted in an in-flight disconnection of the airplane's right elevator, and a jammed rudder. A factor associated with the accident is the inadequate inspection of the airplane by company maintenance personnel.

Analysis

The commercial certificated pilot reported that just after takeoff in a wheel/ski equipped airplane, he heard a very loud bang, followed by a loud rattling noise. As he turned towards the departure airstrip, he had difficulty using the airplane's rudder pedals. Using a combination of aileron input and the remaining amount of rudder control, he was able to maneuver the airplane for a landing on the airstrip. He said that as the airplane passed over the approach end of the airstrip, it drifted to the right, and he initiated a go-around. The airplane subsequently collided with a stand of trees bordering the airstrip, and sustained structural damage to the wings, fuselage, and empennage. In a written statement to the NTSB, the pilot stated that he suspected that the right elevator's outboard and center hinges or hinge pins failed, allowing the right elevator to swing rearward and jam the airplane's rudder. An FAA airworthiness inspector traveled to the accident scene to examine the airplane. He reported that the right elevator was discovered about 150 feet behind the airplane, within the wreckage debris path through a stand of trees. He said that the right elevator sustained a significant amount of damage along the leading edge, which would normally be protected by the horizontal stabilizer. The FAA inspector examined the airplane's horizontal stabilizer in the area where the right and left elevators connect, and noted signs of new paint on the rivets that held the torque tube support assembly, indicating recent reinstallation or replacement of the torque tube support assembly. He indicated that the torque tube support assembly was installed at a slight angle to the right, which allowed the right elevator to eventually slip off of the center and outboard hinge pins. The inspector said that witness marks on the center and outboard hinge pins showed signs of excessive wear towards the outboard portion of each pin. The inspector noted that a review of the airplane's maintenance records failed to disclose any entries of repair/replacement of the elevator torque tube support assembly.

Factual narrative

The factual narrative886 words

On December 28, 2002, about 1230 Alaska standard time, a wheel/ski-equipped de Havilland DHC-3 (Otter) airplane, N3904, sustained substantial damage when it collided with trees during an attempted emergency landing and subsequent go-around, at a private airstrip, located about 35 miles east of Nikolai, Alaska. The pilot reported a partial flight control malfunction just after takeoff, and was attempting to return to the departure airstrip. The airplane was being operated as a visual flight rules (VFR) cross-country positioning flight under Title 14, CFR Part 91, when the accident occurred. The airplane was owned by Chinook Air, LLC, and operated by Grasshopper Aviation, Wasilla, Alaska. The commercial certificated pilot, and the one passenger aboard, were not injured. Visual meteorological conditions prevailed, and VFR company flight following procedures were in effect. The flight originated at the accident airstrip, about 1225, and was en route to the Wasilla Airport, Wasilla, Alaska.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge on December 28, the pilot said that the purpose of the flight was to deliver a load of fuel oil to a remote lodge located about 35 miles east of Nikolai. He said that the outbound flight and arrival at the lodge's private airstrip were uneventful, with no mechanical anomalies noted. He added that the airplane remained on the ground for about 45 minutes while the fuel oil was unloaded, and that the airplane was empty for the return flight to Wasilla.

The pilot reported that just after a normal westerly takeoff from the 1,000 by 30 foot snow-covered airstrip, as the airplane climbed to about 800 feet above the ground, and the airspeed increased to about 55 knots, he heard a very loud bang, followed by a loud rattling noise. The pilot said that as he was attempting to turn the airplane around and return to the departure airstrip, he experienced considerable difficulty in maintaining directional control using the airplane's rudder pedals. Using a combination of aileron control, and the remaining amount of rudder control, he was able to maneuver the airplane for an easterly landing on the airstrip. The pilot said that as the airplane passed over the approach end of the airstrip, the airplane drifted to the right, and he initiated a go-around. The airplane subsequently collided with a stand of trees on the south side of the airstrip, and sustained substantial damage to the wings, fuselage, and empennage.

In a written statement to the NTSB, the pilot wrote, in part: "It is my conclusion the outboard hinge or pin failed causing the elevator to produce the noise that was initially heard. While attempting to return to the airstrip, the elevator continued to fail until upon short final, the elevator was only held on by the inboard attach point. The elevator then swung rearward and jammed into the rudder. The elevator was hanging below the stabilizer and impacted the first spruce tree. The damage to the stabilizer was subsequent to the elevator being torn off."

A Federal Aviation Administration (FAA) airworthiness inspector, Anchorage Flight Standards District Office, traveled to the accident scene to examine the airplane before recovery efforts were started. The inspector reported that the right hand elevator was discovered about 150 feet behind the airplane, within the wreckage debris path through the stand of trees. He said that the right hand elevator sustained a significant amount of damage along the leading edge, which would normally be protected by the aft portion of the right horizontal stabilizer. He added that the right horizontal stabilizer sustained structural damage during the collision with the stand of trees.

On May 2, the airplane was retrieved from the accident airstrip and transported by insurance personnel to a wreckage storage facility located in Wasilla, Alaska.

On May 29, the FAA airworthiness inspector, along with an FAA metallurgy/composites technical specialist from the Anchorage Aircraft Certification Office (ACO), inspected the airplane wreckage in Wasilla. The FAA inspector related that the elevators on the DHC-3 airplane are attached to the horizontal stabilizer by means of a center hinge bracket and an outboard hinge bracket. The center hinge bracket has a 1/4-inch by 2-inch long pin assembly, and the outboard hinge bracket has a 5/16-inch by 2-inch long pin assembly. The left and right hand elevators are connected to each other by means of a torque tube assembly located mid span within the tail of the airplane. The torque tube assembly is held in place by a torque tube support assembly.

The inspector reported that during a detailed inspection of the accident airplane's horizontal stabilizer, specifically in the area where the right and left elevators connect together, he noted signs of new paint on the rivets that held the torque tube support assembly in place, indicating recent reinstallation or replacement of the torque tube support assembly. He added that the torque tube support assembly was installed at a slight angle to the right, which allowed the right elevator to eventually slip off of the center and outboard hinge pins. The inspector said that witness marks on the center and outboard pins showed signs of excessive wear towards the outboard portion of each pin.

The inspector added that a review of the accident airplane's maintenance records failed to disclose any maintenance log entries concerning repairs/replacement of the elevator torque tube support assembly.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionClimb
Flight control,elevator attachment - asymmetricalCause
Maintenance,major repair - improperUnknownCause
Maintenance,inspection - inadequateCompany maintenance personnelFactor
Flight control,elevator - disconnectedCause
Flight control,rudder - jammedFactor
Loss of control - in flightEmergency descent/landing
Rudder - restricted
In flight collision with objectGo-around (vfr)
Object - tree(s)

Aircraft

Registration
N3904
Reported as
de Havilland DHC-3
Category
Airplane
Serial number
54
Airframe hours
16,437
Engine
Pratt & Whitney R-1340-59, 600 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Glenn, David Hamilton, doing business as Grasshopper Avaition
Registered owner
Chinook Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 12, 2002 · 85 hours before
Departed
5NI · Nikolai, AK
Destination
5NI · Nikolai, AK
Airport
Mystic Lake Airstrip

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
58
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
August 23, 2002
Seat
Left
Flight hours
4,000 total · 400 in this make and model · 4,000 as pilot in command · 21 in the last 90 days · 7 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
30 statute miles
Temperature
-17 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N3904 · 1

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