CEN17LA057

NTSB accident investigation · Stinson 108-3 · Ionia, MI · December 16, 2016

Accident · No injuriesLimited investigationFinal report
Date
December 16, 2016, 10:45 local (15:45 UTC)
Place
Ionia, MI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N812CStinson 108-3
Defining event
Takeoff: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report March 6, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Grand Rapids FSDO
FAA report
20161216022149A
Case key
94514

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 failure of the aft support cable on the left main landing ski due to an inadequately formed nicopress sleeve, which allowed the ski to rotate into a vertical position shortly after liftoff, and its unavoidable separation during the subsequent landing.

Findings · 5

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: fabricationPersonnel issues › Task performance · Maintenance personnelStinson 108-3: 1 caseAll aircraft: 30 casesProbable cause
Landing gear system: wheel/ski/floatAircraft › Aircraft systems · Incorrect service/maintenanceStinson 108-3: 2 casesAll aircraft: 48 casesProbable cause
Misc hardware: fastenersAircraft › Fluids/misc hardware · Incorrect service/maintenanceStinson 108-3: 1 caseAll aircraft: 58 casesProbable cause
Landing gear system: wheel/ski/floatAircraft › Aircraft systems · FailureStinson 108-3: 2 casesAll aircraft: 48 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleStinson 108-3: 11 casesAll aircraft: 3,958 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 private pilot reported that, shortly after takeoff from a snow-covered runway, he heard a "thump" and saw that the left main landing ski tip had rotated up, past vertical, and was in contact with the left wing strut. He was unable to reposition the left ski into a normal position. Upon landing, the ski separated from the axle, the left gear leg dug into the snow, and the airplane rapidly decelerated before it nosed over. As designed, the main landing skis are supported by two 5/32-in braided steel cables and bungee/shock cords. Both ends of the steel cables terminate with a thimble-eye and a compressed/swaged nicopress sleeve. On the accident airplane, the forward and aft support cables had pulled through their respective nicopress sleeves where the cables attached to the left ski's tip and tail. The nicopress sleeves for the left ski tip and tail attachments were not located during the investigation. However, a postaccident examination of the remaining nicopress sleeves established that they were likely improperly formed with a 3/16-in swage tool instead of a properly-sized 5/32-in tool. As a result, the steel support cables were able to pull through the inadequately-formed nicopress sleeves during the accident flight. It is likely that the aft support cable pulled through its nicopress sleeve during takeoff, which allowed the ski to rotate into a vertical position. The forward support cable likely pulled through its nicopress sleeve when the left ski separated from the axle during the subsequent landing. The pilot reported that the airplane was typically equipped with snow skis during the winter. He purchased the main landing skis in used condition, with an undocumented service history, from an individual about 8 years before the accident. The forward and aft support cables were already fabricated and installed on the skis when they were purchased. Additionally, the pilot reported that the support cables had not been repaired or replaced since he owned the skis. The pilot, who was also an aviation mechanic, installed the main landing skis for the winter snow season 2 days before the accident. The accident occurred during the first flight since the skis were installed for the season.

Factual narrative

On December 16, 2016, about 1045 eastern standard time, a Stinson model 108-3 single-engine airplane, N812C, equipped with snow skis, was substantially damaged while landing at Ionia County Airport (Y70), Ionia, Michigan. The private pilot, the sole occupant, was not injured. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Day visual meteorological conditions prevailed for the flight that departed Lowell City Airport (24C), Lowell, Michigan, about 1030.The pilot reported that shortly after takeoff from a snow covered runway he heard a thump and saw that the left main landing ski tip had rotated up, past vertical, and was in contact with the left wing strut. He decided to land at nearby Y70 because he anticipated requiring assistance upon landing and the departure airport was unmanned. Additionally, Y70 had a snow covered turf runway, south of the paved runway 9/27, that was typically used for glider operations. The pilot reported that he was unable to reposition the left ski into a normal position and upon landing the ski separated from the axle, the left gear leg dug into the snow, and the airplane rapidly decelerated before it nosed over. The right wing, left wing strut, and vertical stabilizer were substantially damaged during the accident. As designed, the main landing skis are supported by two 5/32 inch braided steel cables and bungee/shock cords. Both ends of the 5/32 inch steel cables terminate with a thimble-eye and a compressed/swaged plain copper oval nicopress sleeve (No. 18-4-P). On the accident airplane, the forward and aft support cables had pulled through their respective nicopress sleeves where the cables attached to the left ski's tip and tail. The nicopress sleeves for the left ski tip and tail attachments were not located during the investigation. However, a visual examination of the remaining nicopress sleeves, located where the support cables attached to the left landing gear leg, appeared to be inadequately compressed. Additionally, a visual inspection of the right main landing ski cables also revealed inadequately compressed nicopress sleeves. The width of the remaining nicopress sleeves, as measured with a dial-caliper, were between 0.440 and 0.446 inch. According to manufacturer specifications, when properly formed, the width of a 5/32 inch nicopress sleeve should be less than 0.395 inch. A test cable eye was fabricated using 5/32 inch braided steel cable and two plain copper oval nicopress sleeves (No. 18-4-P). The first nicopress sleeve was compressed using a proper 5/32 inch swage tool. The other test sleeve was compressed using a larger 3/16 inch swage tool. The width of the properly formed test sleeve, using a 5/32 swage tool, measured 0.383-0.386 inch. The width of the other test sleeve, using a 3/16 swage tool, measured 0.442-0.452 inch. The pilot reported that the airplane was typically equipped with snow skis during thewinter snow seasons. In February 2009, he purchased the main landing skis, Federal Aircraft Works model A-2500A, from a private individual. The skis were purchased used, with an undocumented service history. The skis were acquired as complete assemblies, which included all cables, bungees, brackets, and hardware appropriate for a Stinson model 108-3 installation. The forward and aft support cables were already fabricated and installed on the skis when they were purchased. Additionally, the pilot reported that the support cables had not been repaired or replaced since he owned the skis. On December 14, 2016, the pilot, who was also an aviation mechanic, installed the main landing skis for the 2016/17 winter snow season. According to an airframe logbook entry, the main landing skis were installed per manufacturer's drawing No. 11R955/AB. The accident occurred during the first flight since the skis were installed for the season.

Aircraft

Registration
N812C
Reported as
Stinson 108-3
Category
Airplane
Serial number
108-3812
Built
1947
Airframe hours
4,125.51
Engine
Franklin 6A-335-B1A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 11, 2016 · 6 hours before
Departed
24C · Lowell, MI
Destination
Y70 · Ionia, MI
Airport
Y70 · Ionia County Airport, runway 27, 4,298 × 75 ft, snow
Equipment
Handheld GPS

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
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
May 23, 2015
Seat
Left
Restraint
Lap only
Flight hours
2,718 total · 1,884 in this make and model · 25 in the last 90 days · 11 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots
Visibility
10 statute miles
Lowest ceiling
10,000 ft overcast
Temperature
14 °F, dew point 9 °F
Altimeter
30.26 inHg
Observed at
Y70

Docket · 6

The files NTSB released with the investigation on December 28, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.0 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.