CEN11LA209

NTSB accident investigation · Great Lakes 2T-1A-2 · Kingsville, TX · February 26, 2011

Accident · No injuriesLimited investigationFinal report
Date
February 26, 2011, 16:35 local (22:35 UTC)
Place
Kingsville, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N6196LGreat Lakes 2T-1A-2
Defining event
Maneuvering-aerobatics: Aircraft structural failure
Weather
Visual (VMC) · Day
Status
Completed · report November 29, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
Case key
78459

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

On this page

Probable cause

A pre-existing crack in the front spar of the right horizontal stabilizer near a riveted fitting, causing it to fail and separate from the airplane in flight. Contributing to the accident was the failure of maintenance personnel comply with existing service bulletins and to detect and repair the damaged spar.

Findings · 4

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.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelGreat Lakes 2T-1A-2: 2 casesAll aircraft: 320 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleGreat Lakes 2T-1A-2: 4 casesAll aircraft: 3,958 casesProbable cause
Personnel issuesPersonnel issues › Task performance · Maintenance personnelGreat Lakes 2T-1A-2: 1 caseAll aircraft: 137 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

The pilot took off to practice aerobatic maneuvers for an upcoming air show. After completing a hammerhead turn, he felt a slight vibration and the pitch control felt unusual. Returning to the airport, the vibration increased. The pilot landed but was unable to maintain directional control and the airplane ground-looped. The right horizontal stabilizer and elevator had separated from the airplane, striking the rudder and causing substantial damage. A postaccident examination revealed evidence of a pre-existing crack in the front spar near a riveted fitting. The spar moved outward and disengaged from the fitting. The inboard section rotated downward and separated from the airplane. The remaining portion of the stabilizer pivoted aft, separated from the airplane, and struck and damaged the rudder. A service alert from the airplane’s manufacturer outlined a similar previous occurrence. Another emphasized the importance of properly rigged tail wires, noting that if the tail wires were improperly rigged excessive torque loads could be applied to the horizontal stabilizer front spar, causing the attach fitting to fail. Examination of the last annual inspection entry disclosed no reference to the horizontal stabilizer spar being inspected, nor did it indicate that either service bulletin had been complied with.

Factual narrative

On March 2, 2011, approximately 1635 central standard time, a Great Lakes 2T-1A-2, N6196L, registered to and operated by the pilot, was substantially damaged when the right horizontal stabilizer failed as the airplane completed some aerobatic maneuvers and separated from the airplane while it was on final approach for landing at Kleberg County Airport (IKG), Kingsville, Texas. Visual meteorological conditions (VMC) prevailed at the time of the accident. The personal flight was being conducted under the provisions of 14 Code of Federal Regulations (CFR) Part 91 without a flight plan. The pilot, the sole occupant on board, was not injured. The local flight had originated at IKG approximately 1630. According to the pilot's written statement, he took off at 1630 to practice aerobatic maneuvers for an upcoming air show. After completing a hammerhead turn, he felt a slight vibration and the pitch control felt "unusual." Returning to the airport, the vibration increased for a few seconds and then dissipated. A lineman at the FBO (fixed base operator) called the pilot on the radio and advised him something had fallen off the airplane. The pilot landed on runway 31 but was unable to maintain directional control, and the airplane ground looped to the right. Examination of the airplane revealed the right horizontal stabilizer and elevator had separated from the airplane, striking the rudder and causing extensive damage. The pilot sent the right horizontal stabilizer and elevator to Phoenix Aircraft Company in El Dorado, Kansas, for examination. According to the company's report, there was evidence of a pre-existing crack in the front spar of the right stabilizer near a riveted fitting. The spar moved outward and disengaged from the fitting. The inboard section rotated downward and separated from the airplane. The remaining portion of the stabilizer separated from the airplane in a pivotal aft motion and struck and damaged the rudder. The company also enclosed Great Lakes Service Alert 12-24-88, that outlined a similar previous occurrence, and Service Bulletin #15, that emphasized the importance of properly rigged tail wires. The bulletin noted that if the tail wires were improperly rigged, excessive torque loads could be applied to the horizontal stabilizer front spar, causing the attach fitting to fail. Examination of the last annual inspection entry disclosed no reference to the horizontal stabilizer spar being inspected, nor did it indicate that Service Alert 12-24-88 or Service Bulletin #15 had been complied with.

Aircraft

Registration
N6196L
Reported as
Great Lakes 2T-1A-2
Category
Airplane
Serial number
0723
Airframe hours
1,601
Engine
Lycoming IO-360-B1F6, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Frederick P. Fiala
Registered owner
Frederick P. Fiala
Airworthiness certificate
Standard, Aerobatic
Last inspection
Annual · February 6, 2010 · 13 hours before
Departed
IKG · Kingsville, TX
Destination
IKG · Kingsville, TX
Airport
IKG · Kleberg County, runway 31, 6,000 × 75 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
64
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Rear
Flight hours
22,345 total · 150 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 52 °F
Altimeter
30.04 inHg
Observed at
IKG

Docket · 6

The files NTSB released with the investigation on October 21, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 629 KB in all.

Other investigations on N6196L · 1

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