CEN11IA108

NTSB incident investigation · Piaggio P180 · Columbus, OH · December 13, 2010

Incident · No injuriesIncident investigationFinal report
Date
December 13, 2010, 08:30 local (13:30 UTC)
Place
Columbus, OH
Injuries
4 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N140SLPiaggio P180
Defining event
Approach: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report March 20, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, ANSV, Avantair Inc.
Case key
78002

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 failure of water to properly drain through the fuselage drain holes, thus becoming trapped and freezing around the flight control cables, which resulted in the loss of control authority to the airplane's ailerons, elevator, and rudder.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Fuselage: fuselage main structureAircraft › Aircraft structures · MalfunctionAll aircraft: 24 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAll aircraft: 1,269 cases
Temp/humidity/pressure: low temperatureEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentAll aircraft: 8 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

During the airplane's descent, the yaw damper disengaged while the autopilot remained on. When the flightcrew checked the flight controls for freedom of control, the ailerons, elevator, and rudder were found to be frozen in place. The flightcrew exerted enough pressure until the controls broke free with a “snap.” The flight controls remained stiff for the remainder of the flight. The temperature was -9 degrees C at the destination. Following a normal approach and landing, the flight controls and nosewheel steering became inoperative. The flightcrew used differential power and braking to taxi to the ramp. A postflight examination by maintenance personnel revealed ice in the area of frame 36 and around the primary flight control cables and pulleys in that area. An examination of the fuselage drain holes showed no obstructions and the airplane was returned to service. An emergency airworthiness directive was subsequently issued that advised of three incidents and that required inspection of the fuselage belly and testing of the fuselage drain holes.

Factual narrative

On December 13, 2010, about 0830 eastern standard time, a Piaggio P180, N140SL, operated by Avantair Inc., sustained no damage when the airplane’s flight controls bound during approach to the Port Columbus International Airport (CMH), near Columbus, Ohio. The two pilots and two passengers were not injured. Marginal visual meteorological conditions prevailed. The flight was operating on an activated instrument flight rules flight plan. The business flight was conducted under 14 Code of Federal Regulations Part 91K. The flight departed from the Westchester County Airport (HPN), near White Plains, New York, about 0700, and was destined for CMH. According to the operator, the flight departed HPN and initially leveled off at a pressure altitude of 26,000 feet. An indicated airspeed caution light illuminated. The flighcrew performed the abnormal checklist for the number two air data computer failure and selected the number one computer to continue with for the remainder of the flight. During the descent in to CMH at about 15,000 feet the yaw damper disengaged while the autopilot remained on. The captain instructed the first officer who was the pilot flying to check the freedom of the flight controls. The first officer found the ailerons, elevator, and rudder to be "frozen" in place. The flightcrew exerted enough pressure until the controls broke free with a “snap.” The flight controls remained "stiff and sticky" for the remainder of the flight. The flightcrew performed a normal approach and landing on runway 28L. Once on the ground the flight controls and nose wheel steering became inoperative. The flightcrew used differential power and braking to taxi to the ramp. A post flight inspection by maintenance personnel revealed ice in the fuselage belly area of frame 36 and around the primary flight control cables and pulleys in that area. The ice was warmed by heaters and removed from the fuselage belly. The fuselage drain holes were inspected for obstructions and general condition. No anomalies were detected. The fuselage belly was towel dried and the airplane was returned to service. At 0851, the recorded weather at CMH was: Wind 310 degrees at 8 knots; visibility 4 statute miles; present weather light snow and mist; sky condition overcast 2,200 feet; temperature -9 degrees C; dew point -12; altimeter 29.73 inches of mercury. On December 20, 2010, the Federal Aviation Administration issued emergency airworthiness directive (AD) 2011-01-53 to all known U.S. owners/operators of Piaggio P180s. The AD, in part, stated: Unsafe Condition ... (e) This emergency AD was prompted by three incidents of the flight controls jamming on Piaggio Model P-180 airplanes. Water or fluid accumulating and freezing when the aircraft reaches and holds altitudes where the temperature is below the freezing point may cause the flight controls to jam with consequent loss of control. ... Inspection and Corrective Actions (g) Unless already done in compliance with emergency AD2011-01-51, before further flight, do the following actions using the instructions in Appendix 1 of this AD. (1) Remove the central floor panels in the cabin and inspect the fuselage belly; and (2) Functional test the fuselage drain holes.

Aircraft

Registration
N140SL
Reported as
Piaggio P180
Category
Airplane
Serial number
1107
Airframe hours
5,006
Engines
P&W Canada PT6A-66, 850 horsepower, turbo propP&W Canada PT6A-66, 850 horsepower, turbo prop
Damage
No damage
Flight
Part 91 subpart K
Operator
Avantair, Inc.
Registered owner
Aviation Services LLC
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · November 5, 2010
Departed
HPN · White Plains, NY
Destination
CMH · Columbus, OH
Flight plan
IFR
Airport
CMH · Port Columbus IAP, runway 28L, 10,125 × 150 ft, concrete

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
34
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
December 7, 2010
Seat
Left
Flight hours
7,000 total · 2,700 in this make and model · 6,500 as pilot in command · 120 in the last 90 days · 50 in the last 30 days · 7 in the last 24 hours
Role
Co-pilot
Age
33
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
July 3, 2010
Seat
Right
Flight hours
5,500 total · 500 in this make and model · 4,400 as pilot in command · 120 in the last 90 days · 50 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 8 knots
Visibility
4 statute miles
Lowest ceiling
2,200 ft overcast
Temperature
16 °F, dew point 10 °F
Altimeter
29.72 inHg
Observed at
CMH

Docket · 7

The files NTSB released with the investigation on February 3, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.4 MB in all.