ANC89IA059

NTSB incident investigation · De Havilland DHC-6-100 · Barrow, AK · April 14, 1989

Incident · No injuriesIncident investigationFinal report
Date
April 13, 1989, 17:05 local (Apr 14, 1989, 01:05 UTC)
Place
Barrow, AK
Injuries
7 uninjured
Damage
No damage
Phase of flight
Initial climb
Aircraft
N100APDe Havilland DHC-6-100
Weather
Visual (VMC) · Day
Status
Completed · report August 26, 1992
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19890413010119I
Case key
5128

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

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Probable cause

The propagation of a fatigue crack from multiple origins due to manufacturing defects in the elevator bellcrank mounting quadrant.

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/malfunctionTakeoff - initial climb
Flt control syst,elevator control - fatigueCause
Flt control syst,elevator control - failure,totalCause
Inadequate quality controlManufacturerCause

Analysis

The airplane had just departed Barrow, AK, on a scheduled commuter flight with five passengers and two crew members on board. Upon reaching an altitude of 150 AGL, the control yoke was pulled forward out of the captain's hands and pinned against the control panel. Simultaneously, the nose of the airplane suddenly pitched up 60 degrees above the horizon. The captain reduced power and the nose pitched 30 degrees below the horizon. The flight crew was eventually able to maintain a level attitude by power adjustments alone, and returned for a safe landing. Inspection revealed a fatigue fractured elevator bellcrank mounting quadrant, p/n C6CFM1142-1, resulting in a complete loss of elevator control. The elevator bellcrank mounting quadrant had been in service since 1966 and had been operating 17,826 hrs. The fracture occurred between the vertical stabilizer stub fin attachment bulkhead and the bellcrank. Metallurgical exam revealed multiple fatigue origins in the vicinity of superficial machining abrasions.

Aircraft

Registration
N100AP
Reported as
De Havilland DHC-6-100
Category
Airplane
Serial number
22
Airframe hours
17,780
Engine
P&W PT6A-20, 550 horsepower, turbo prop
Damage
No damage
Flight
Part 135
Registered owner
Cape Smythe Air Service
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 14, 1989 · 57 hours before
Destination
ATK · Atqasuk, AK
Flight plan
VFR
Airport
BRW · Wiley Post, runway 24, 6,500 × 150 ft, asphalt

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
31
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
5,666 total · 2,014 in this make and model · 5,261 as pilot in command · 213 in the last 90 days · 133 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 18 knots
Visibility
7 statute miles
Lowest ceiling
6,000 ft overcast
Temperature
36 °F, dew point 30 °F
Altimeter
29.00 inHg
Observed at
BRW

FAA reports on this event · 1

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