ANC98IA004

NTSB incident investigation · Cessna 208B · Kasigluk, AK · October 20, 1997

Incident · No injuriesIncident investigationFinal report
Date
October 20, 1997, 10:00 local (18:00 UTC)
Place
Kasigluk, AK
Injuries
1 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N9304FCessna 208B
Weather
Visual (VMC) · Day
Status
Completed · report November 10, 1998
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19971020033509I
Case key
3098

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

inadequate inspection of the aileron by company maintenance personnel, and the pilot's inadequate preflight inspection of the aileron, which led to the jamming of the left aileron due to loose balance weight retaining screws.

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/malfunctionApproach - vfr pattern - downwind
Flight control,aileron - jammedCause
Maintenance,100-hour inspection - inadequateCompany maintenance personnelCause
Aircraft preflight - inadequatePilot in commandCause

Analysis

The pilot was entering a left downwind for landing at a remote airport. The wind conditions were 25 knots with gusts to 35 knots. During the turn, the pilot utilized full aileron deflection, and noticed the aileron momentarily jammed. He was able to force the control wheel to the right, unjamming the aileron. After landing, the pilot began to taxi to the ramp. Due to a strong crosswind, the pilot deflected the ailerons fully to the left. The aileron once again jammed, and the pilot was unable to force the control wheel to the right. The airplane's ailerons utilize balance weights that are attached to the interior surface of the leading edge of the aileron. Five screws are inserted through the leading edge skin of the aileron, through the balance weight, and into self-locking nuts attached to a nut strip assembly. Company maintenance personnel reported 1 screw was missing. Three of the remaining 4 screws were loose, and backed out sufficient distance to contact the trailing edge of the wing, forward of the aileron. The left aileron was jammed in a full, leading edge down, position. The Cessna 208B pilot information manual details a preflight inspection that includes an examination of the ailerons as part of a walk-around inspection of the airplane. In addition, the balance weights should be inspected during every 100-hour inspection. A review of the manufacturer's service condition report data base, and the Federal Aviation Administration malfunction and defect report system did not reveal any other reported incidents of aileron jamming.

Factual narrative

On October 20, 1997, about 1000 Alaska daylight time, a Cessna 208B airplane, N9304F, had a left aileron jam during the landing approach to the Kasigluk Airport, Kasigluk, Alaska. The airplane was being operated as a visual flight rules (VFR) nonscheduled cargo flight under Title 14 CFR Part 135 when the incident occurred. The airplane, operated by Peninsula Airways Inc., Anchorage, Alaska, was not damaged. The certificated airline transport pilot, the sole occupant, was not injured. Visual meteorological conditions prevailed. VFR company flight following procedures were in effect. The flight originated at the Bethel Airport, Bethel, Alaska, at 0930.

The pilot reported he was maneuvering to land on runway 35 at the Kasigluk Airport, and began a left turn to enter the downwind portion of the landing approach. During the turn, the pilot utilized full aileron deflection, and noticed the aileron momentarily jammed. He was able to force the control wheel to the right, unjamming the aileron. The pilot continued the landing approach, and landed without encountering further control problems.

The pilot indicated that following the landing, he began to taxi to the ramp. Due to a strong crosswind, the pilot deflected the ailerons fully to the left. The aileron once again jammed, and the pilot was unable to force the control wheel to the right. The operator reported the incident flight was the first flight of the day for the airplane.

The airplane ailerons utilize balance weights that are attached to the interior surface of the leading edge of the aileron at the inboard, and outboard ends of the aileron. Five screws are inserted through the leading edge skin of the aileron, through the balance weight, and into self-locking nuts attached to a nut strip assembly.

Company maintenance personnel conducted an inspection of the aileron, and reported 1 screw was missing. Three of the remaining 4 screws were loose, and backed out sufficient distance to contact the trailing edge of the wing, forward of the aileron. The left aileron was jammed in a full, leading edge down, position.

The operator's maintenance personnel replaced the screws, and did not report any obvious failure or damage to the attaching screws. The operator found slightly loose balance weight screws in other Cessna 208B airplanes. In each case, the self-locking nutplates still had proper grip. The operator indicated their maintenance department personnel have since applied loctite to each screw.

The Cessna 208B information manual provides a description of a preflight inspection that includes an examination of the ailerons as part of a walk-around inspection of the airplane. In addition, the balance weights should be inspected during every 100 hour inspection.

A review of the manufacturer's service condition report data base, and the Federal Aviation Administration malfunction and defect report system did not reveal any other reported incidents of aileron jamming.

Aircraft

Registration
N9304F
Reported as
Cessna 208B
Category
Airplane
Serial number
20800008
Airframe hours
8,638
Engine
P&W PT6A-114, 600 horsepower, turbo prop
Damage
No damage
Flight
Part 135
Operator
Peninsula Airways Inc.
Registered owner
Avion Capital Corp.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · September 25, 1997 · 34 hours before
Departed
BET · Bethel, AK
Destination
Z09
Flight plan
Company VFR
Airport
Z09 · Kasigluk, runway 35, 1,950 × 50 ft, gravel

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
35
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Flight hours
5,800 total · 150 in this make and model · 5,500 as pilot in command · 180 in the last 90 days · 60 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
315° at 25 knots, gusting 35
Visibility
20 statute miles
Lowest ceiling
None
Temperature
10 °F

FAA reports on this event · 1

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