# NTSB ANC05LA046: de Havilland DHC-2, N3307S, Talkeetna, AK, March 7, 2005 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: March 7, 2005, 11:00 local (15:00 UTC) - Place: Talkeetna, AK - Coordinates: 63.291667, -150.091659 - Nearby events: https://openairdocs.org/map.md?lat=63.2917&lon=-150.0917&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 4 uninjured - Status: Completed, report June 28, 2006 - Report: Approved by Office Director - NTSB office: Alaska Regional Office - Parties: Anchorage, FSDO-03 - ADs cited in the narratives: [AD 80-24-02](https://openairdocs.org/ad/80-24-02) (OpenAirDocs) - NTSB case key (mKey): 61113 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ANC05LA046 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/61113/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=61113 - Page: https://openairdocs.org/ntsb/ANC05LA046 ## Probable cause Aerodynamic flutter of the ailerons during normal cruise flight due to their improper maintenance/balancing, which resulted in structural damage to the airplane's wings. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Airframe/component/system failure/malfunction, cruise - normal - maintenance,balancing - improper, other maintenance personnel (cause) - flight control,aileron - flutter (cause) - flight control,rudder - dynamic imbalance - weather condition - turbulence - Loss of control - in flight, cruise - normal - wing,spar - bent ## Analysis The airline transport pilot was conducting a mountain sightseeing flight with three passengers under Title 14, CFR Part 135. The pilot said the flight was at 11,000 feet msl and encountering some turbulence, when the airplane started to shake violently. He said he could not control the airplane, and stopped the engine in case it was creating the problem. The shaking continued until he slowed the airplane to 80 mph. He restarted the engine, and landed safely. An examination of the airplane revealed that both wings were structurally damaged. Prior to the event, the pilot had been taking a digital video with audio through the window of the airplane. The recording shows the airplane in a wings level attitude in VFR conditions. When dropped to the floor after the initiation of the event, the camera continued to record. The audio recording revealed a vibration for about 3 to 7 seconds in the 8.2 to 8.4 Hz range, which is in the appropriate range for the wing bending/torsional first mode of vibration. Nothing on the visual or audio recording indicated the airplane was being flown outside its normal operating envelope. The airplane was examined by aerospace engineers from the Anchorage FAA Aircraft Certification Office. Damage signatures indicated that the rear spars of both wings oscillated up and down with significant amplitude at span station 92.5. The bushing holes in the rear spar attachment fittings were elongated, and the right aileron and rudder were severely under-balanced. The engineers were not able to ascertain if the aileron cable tension was adjusted properly prior to the event. In 1980, prompted by flutter events, the manufacturer produced Service Bulletin 2/29, relating aileron/wing flutter to more than one of the following four conditions: ailerons not balanced; aileron cables in the wing slack; deterioration in the stiffness of the aileron mounting structure in the fuselage; and/or the airplane being flown outside the limits of the flight manual. On February 20, 1980, in response to the manufacturer's service bulletin, the FAA issued Airworthiness Directive AD 80-24-02, which required inspections of the airplane's wings, spars, and aileron cable tension and balance, based on service time and part numbers. ## Factual narrative On March 7, 2005, about 1100 Alaska standard time, a de Havilland Beaver DHC-2 airplane, N3307S, sustained substantial damage during an in-flight occurrence of aerodynamic flutter, about 43 miles northeast of Talkeetna, Alaska. The airplane was being operated by Fly Denali, Inc. of Talkeetna, as a visual flight rules (VFR) sightseeing flight under Title 14, CFR Part 135, at the time of the accident. The airline transport pilot and the three passengers were not injured. Visual meteorological conditions prevailed, and company flight following procedures were in effect. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on March 7, the pilot said the flight was approaching Mt. McKinley from the northeast at 11,000 msl when the airplane started to shake violently. He said he could not control the airplane, and elected to shut down the engine in the event the engine was the cause of the problem. He said when the shaking did not stop, he slowed the airplane to about 80 mph, and the shaking subsided. He said he restarted the engine, and flew to Talkeetna at a slow airspeed, with flaps extended. A postlanding inspection revealed that both wings were structurally damaged. The pilot said that prior to the mishap, there were no known problems with the airplane. Prior to the initiation of the flutter event, the pilot said he had been taking a digital video with audio through the window of the airplane. At the outset of the event, the pilot said he dropped the camera, which continued to record. A copy of the recording was sent to the NTSB recorder laboratory in Washington, D.C. for review. The portion of the recording prior to the flutter event shows the airplane in a wings level attitude in VFR conditions with clouds in the vicinity. When the camera was dropped to the floor, it continued to record the sounds of the event. The audio portion of the recording revealed a vibration for about 3 to 7 seconds in the 8.2 to 8.4 Hz range, which according to the recorder specialist, is within the 5-10 Hz range for the normal wing bending/torsional first mode of vibration. There was nothing on the recording to indicate the airplane was being flown outside the normal operating envelope prescribed by the airplane's manufacturer. The airplane was examined by aerospace engineers from the Anchorage, Alaska, FAA Aircraft Certification Office (ACO), who noted that the damage to the airplane indicated that the rear spars of both wings oscillated up and down with significant amplitude at span station 92.5. They noted that the bushing holes in the rear spar attachment fittings were elongated, which, according to the engineers, if preexisting, would have been a major contributing precipitator of the flutter. Additionally they found that both the right aileron and rudder were severely under-balanced. They were not able to ascertain if the aileron cable tension was adequate prior to the event. Both the pilot and passengers alluded to turbulence in the area prior to the flutter event. An image from a polar orbiting satellite showed cloud banding in the area at the time of the accident, indicative of mountain wave generated turbulence. On February 1, 1980, de Havilland Aircraft of Canada, Limited, issued Service Bulletin 2/29 for the DHC-2 airplane. The service bulletin indicated that instances of aileron/wing flutter had been reported, and that at least two or more conditions out of four must be present to facilitate a flutter condition. The four conditions were: ailerons not balanced; aileron cables in the wing slack; deterioration in the stiffness of the aileron mounting structure in the fuselage; and/or the airplane being flown outside the limits of the flight manual. On February 20, 1980, in response to de Havilland's service bulletin, the FAA issued Airworthiness Directive AD 80-24-02, which required mandatory inspections of the airplane's wings, spars, and aileron cable tension and balance, within a prescribed timeframe, based on service hours and part numbers. Copies of the airworthiness directive and service bulletin are included in the public docket of this report. ## Aircraft - Registration: [N3307S](https://openairdocs.org/deregistered/N3307S-2015-05-15), registration cancelled 2015-05-15, S/N 1092, built 1957 (OpenAirDocs) - Reported make and model: de Havilland DHC-2 - Registry model: [Dehavilland DHC-2 MK. I(L20A)](https://openairdocs.org/model/dehavilland-dhc-2-mk-i-l20a) (registry code 2808002) (OpenAirDocs) - Registry engine: [Pratt & Whitney R-985 series](https://openairdocs.org/engine/pratt-whitney-r-985-series) (registry code 52008, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 1092 - Airframe hours: 9768 - Engines: Pratt & Whitney Canada R-985 400 horsepower reciprocating - Damage: Substantial damage - Flight: Part 135 - Operator: Fly Denali, Inc., doing business as Fly Denali - Registered owner: James J. Trumbull - Airworthiness certificate: Standard, Normal; Standard, Utility - Departed: TKA, Talkeetna, AK - Flight plan: Company VFR ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 48; injuries: none; airline transport, flight instructor; airplane ratings: multi-engine land, single-engine land, single-engine sea; instrument ratings: airplane; medical: class 2, without waivers/limitations; last flight review April 1, 2004; seat: left; flight hours: 12,880 total, 200 in this make and model, 12,600 as pilot in command, 40 in the last 90 days, 20 in the last 30 days, 7 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 19 °F ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20050307002619A](https://openairdocs.org/incident/20050307002619A), Mar 7, 2005: Dhav DHC2MKI, Talkeetna, AK, Substantial damage. (-23) The airline transport rated pilot reported he was flying a dhc ii beaver N3307S in cruise condition at an altitude of 11000 ft. the flight was for the… ## Docket (4 files) The files NTSB released with the investigation on March 26, 2006, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=61113. 1.8 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 497 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40258281&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Service Bulletin (item 2, .PDF, 198 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40258282&FileExtension=.PDF&FileName=Service%20Bulletin-Redacted.PDF - Airworthiness Directive (item 3, .PDF, 68 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40258283&FileExtension=.PDF&FileName=Airworthiness%20Directive-Master.PDF - Satellite View (item 4, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40258284&FileExtension=.PDF&FileName=Satellite%20View-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.