ATL97LA027

NTSB accident investigation · Beech 35 · Lafayette, GA · November 27, 1996

Accident · No injuriesLimited investigationFinal report
Date
November 27, 1996, 16:00 local (21:00 UTC)
Place
Lafayette, GA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4523VBeech 35
Weather
Visual (VMC) · Day
Status
Completed · report August 21, 1997
Report
Approved by Office Director
FAA report
19961127047099A
Case key
3813

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

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

failure of maintenance personnel to balance the ruddervator assemblies after they had been reskinned and painted, which resulted in flutter and subsequent damage to the empennage.

Analysis

Flutter of the empennage occurred during cruise flight. The pilot immediately reduced engine power, and the flutter subsided. Duration of the flutter was about three seconds. An examination of the empennage disclosed that the bulkhead at fuselage station (FS) 256.9 exhibited cracks at the four corners of the assembly. Also, buckling of the fuselage skin was noted adjacent to the damaged bulkhead. The ruddervators were removed from the airframe and balance checked in accordance with the Bonanza 35 Series Shop Manual. The left and right ruddervators exhibited static underbalance moments (trailing edge heavy) of 23.73 and 22.95 inch-pounds, respectively. According to the service manual, the required static underbalance range is 16.80 to 19.80 inch pounds. Both ruddervators had been reskinned (or replaced) and repainted. An unbroken paint seal around the screws (that attached the counterweights to the ruddervators) indicated that the counterweights had not been removed subsequent to repainting.

Factual narrative

On November 27, 1996, at 1600 eastern standard time, a Beech 35, N4523V, experienced the failure of the aft bulkhead in the empennage section of the airframe while at cruise flight near Lafayette, Georgia. The personal flight operated under the provisions of Title 14 CFR Part 91 with no flight plan filed. Visual weather conditions prevailed at the time of the accident. The airplane sustained substantial damage. The pilot-in -command ,the pilot/passengers, and the passenger were not injured. The flight departed Lafayette, Georgia, at 1550.

The two pilots reported that ten minutes into the flight they experienced flutter in the aft section of the airframe. The flutter episode last about three seconds. The pilot immediately reduced engine power, and the flutter episode stopped. The pilot elected to return to the airport in Lafayette and landed without incident. The visual examination of the empennage section disclosed that the airframe had sustained structural damage that wrinkled the skin in the vicinity of both ruddervator and stabilizer assemblies.

An examination of the internal structural components of the empennage disclosed that the bulkhead at fuselage station (FS) 256.9 exhibited cracks at the four corners of the assembly. In the immediate vicinity of the damaged bulkhead, there was buckling to the aft fuselage skin. The remainder of the aft portion of the empennage was not damaged, including the ruddervator assemblies.

The ruddervators were removed from the airframe and balance checked in accordance with the Bonanza 35 series Shop Manual. The left and right ruddervators exhibited static underbalance moments of 23.73 and 22.95 inch-pounds respectively. The required static balance range is 16.80 to 19.80 inch pounds. When the screws that attached the counterbalance assemblies to the ruddervator were removed, there was a top coat paint seal that covered the screw heads.

A review of the airframe maintenance logs disclosed that the last ruddervator painting and balancing were accomplished on January 24, 1987. The maintenance log review also failed to disclose the completion of Airworthiness Directive (AD) 94-20-04, that required a balance check of the ruddervator assemblies within the next one hundred hours time-in-service after the effective date of this AD (see attached AD-94-20-04).

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/malfunctionCruise - normal
Flight control,ruddervator - out of balanceCause
Maintenance,balancing - not performedOther maintenance personnelCause
Empennage - flutterCause
Fuselage,bulkhead - cracked
Fuselage,skin - buckled

Aircraft

Registration
N4523V
Reported as
Beech 35
Category
Airplane
Serial number
D-1346
Airframe hours
6,306
Engine
Continental E-225, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Jeffery S. Banks
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 4, 1996 · 1 hours before
Departed
9W5
Airport
9A5 · Barwick Lafayette, runway 2, 5,400 × 50 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
39
Certificate
Private
Airplane ratings
Single-engine land
Medical
Unknown, Unknown
Seat
Left
Flight hours
750 total · 35 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 12 °F
Altimeter
30.00 inHg
Observed at
CHA, 35 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.

Other investigations on N4523V · 1

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