ATL93MA055

NTSB accident investigation · Lockheed L382E-44K-20 · Marietta, GA · February 3, 1993

Accident · FatalMajor investigationFinal report
Date
February 3, 1993, 13:27 local (18:27 UTC)
Place
Marietta, GA
Injuries
7 fatal
Damage
Destroyed
Phase of flight
Other
Aircraft
N130XLockheed L382E-44K-20
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 1994
Report
Approved by Office Director
FAA report
19930203001389A
Case key
8743

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

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Probable cause

Disengagement of the rudder fly-by-wire flight control system resulting in a total loss of rudder control capability while conducting ground minimum control speed tests. The disengagement was a result of the inadequate design of the rudder's integrated actuator package by its manufacturer; the operator's insufficient system safety review failed to consider the consequences of the inadequate design to all operating regimes. A factor which contributed to the accident was the flight crew's lack of engineering flight test training.

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.

Loss of control - on ground/waterOther
Flt control syst,rudder control - inadequateCause
Acft/equip,inadequate designManufacturerFactor
Inadequate substantiation process,insuff reviewCompany/operator mgmtCause
Flt control syst,rudder - disengagedCause
Directional control - not possiblePilot in commandCause
Procedures/directives - not followedPilot in command
Inadequate trainingCompany/operator managementFactor
Loss of control - in flightTakeoff - initial climb
Lift-off - performedPilot in command
Aircraft control - not possiblePilot in commandCause
Stall/spin - inadvertentPilot in command
In flight collision with terrain/waterTakeoff - initial climb

Analysis

The acft was designed & used as the company's engineering test bed. An evaluation of the fly-by-wire rudder actuator & ground minimum control speed (vmcg) was being conducted. During the final hi-speed ground test run, the acft abruptly veered left & became airborne. It entered a left turn, climbed to about 250 ft, departed controlled flt & impacted the grnd. Investigation revealed a design feature in the rudder actuator that removes hyd pressure within the actuator if the rudder position commanded by the pilot exceeded the actual rudder actuator position for a specified time, and the rudder aerodynamically trails. The actuator previously disengaged in flt. The company did not conduct a system safety review of the rudder bypass feature & its consequences to all flt regimes, nor of the vmcg test. The flt test plan specified that engine power be retarded if the rudder became ineffective. Neither plt had received training as an experimental test plt. The company allowed experimental flt tests at a confined, metropolitan arpt.

Aircraft

Registration
N130X
Reported as
Lockheed L382E-44K-20 (L382E-44K-)
Category
Airplane
Serial number
4412
Airframe hours
6,708
Engine
Allison 501-M71K, 5,250 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Part 91
Operator
Lockheed Aero. Systems Co.
Registered owner
Lockheed Aero. Systems Co.
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Continuous airworthiness · March 5, 1991 · 29 hours before
Departed
MGE
Destination
MGE
Flight plan
Company VFR
Airport
MGE · Dobbins Afb, runway 11, 10,000 × 300 ft, concrete

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
42
Certificates
Airline transport, Flight instructor, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
7,658 total · 1,260 in this make and model · 5,276 as pilot in command · 74 in the last 90 days · 16 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 3 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
50 °F, dew point 10 °F
Altimeter
30.00 inHg
Observed at
MGE, 1 nm away

FAA reports on this event · 1

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