CEN13LA168

NTSB accident investigation · Air Tractor AT-502 · Forrest City, AR · February 7, 2013

Accident · Minor injuriesLimited investigationFinal report
Date
February 7, 2013, 16:00 local (22:00 UTC)
Place
Forrest City, AR
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N198LAAir Tractor AT-502
Defining event
Maneuvering: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report January 30, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20130207002059A
Case key
86264

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

The in-flight separation of the left aileron's push-pull rod and hardware. Contributing to the accident was the failure of maintenance personnel to apply proper torque to the self-locking nuts.

Findings · 2

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.

Flight control system: aileron control systemAircraft › Aircraft systems · Incorrect service/maintenanceAir Tractor AT-502: 1 caseAll aircraft: 45 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelAir Tractor AT-502: 3 casesAll aircraft: 371 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

After making an agricultural application, the pilot made a climbing left turn; the airplane then began vibrating and shaking. The pilot was able to return the airplane to level flight, but it rocked left and right, with the left aileron going up and down from stop to stop. The pilot chose to perform an emergency landing in a field next to an airport. A postaccident examination of the airplane revealed that the two aileron push-pull rod bolts were missing. The bolts and associated hardware were not located among the wreckage. The airplane had undergone extensive maintenance about 5 months before the accident. A review of the airplane's maintenance manual revealed that the nuts installed in the airplane control system are self-locking nuts, which can loosen if insufficient torque is applied to them. It is likely that maintenance personnel applied improper torque to the aileron's push-pull rod self-locking nuts, which resulted in the eventual loosening of the nuts and the separation of the left aileron's push-pull rod and hardware.

Factual narrative

On February 7, 2013, about 1600 central standard time, an Air Tractor AT-502 airplane, N198LA, collided with terrain during a landing near Forrest City, Arkansas. The commercial rated pilot was injured and the airplane was substantially damaged. The airplane was registered to and operated by South Delta Aviation, LLC, West Helena, Arkansas, under the provisions of 14 Code of Federal Regulations Part 91 as a maintenance test flight. Visual meteorological conditions prevailed for the flight that operated without a flight plan. The pilot reported that he departed with 150 gallons of water to calibrate the spray system on the airplane. After making a spray pass, he started a climbing turn to the left; the airplane then began vibrating and shaking. The pilot added that he managed to get the airplane straight and level, but still rocked left and right. He further added that the left aileron was going up and down; stop to stop. The pilot found that as he slowed the airplane to 90 mph, he would lose aileron control and the airplane would start a slow left turn while rocking back and forth. The pilot then performed a long circle and selected a hay field, next to the airport for the emergency off-field landing. According to the responding Federal Aviation Administration (FAA) inspector, the airplane was substantially damaged during the accident. Additionally, inspection of the airplane revealed that the two bolts in the aileron push-pull rod were missing. The bolts and associated hardware were not located among the wreckage. The inspector also noted that the airplane had undergone extensive maintenance, about five months before the accident. A review of the airplane's maintenance manual revealed that the nuts installed in the airplane control system are self-locking nuts.

Aircraft

Registration
N198LA
Reported as
Air Tractor AT-502
Category
Airplane
Serial number
502-0198
Engine
P&W PT6A SER, 750 horsepower, turbo prop
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
South Delta Aviation Inc
Registered owner
South Delta Aviation Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · September 1, 2013
Departed
Forrest CIty, AR
Destination
Forrest CIty, AR

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
62
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Seat
Single
Flight hours
22,300 total · 22,300 as pilot in command · 15 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 3 knots
Visibility
10 statute miles
Lowest ceiling
4,200 ft broken
Temperature
64 °F, dew point 54 °F
Altimeter
29.92 inHg
Observed at
KAWM

Docket · 4

The files NTSB released with the investigation on November 26, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.6 MB in all.

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 N198LA · 1

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