CEN17LA344

NTSB accident investigation · Aviat A 1B · Prairie du Chien, WI · September 9, 2017

Accident · No injuriesLimited investigationFinal report
Date
September 9, 2017, 15:45 local (20:45 UTC)
Place
Prairie du Chien, WI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N299CAAviat A 1B
Defining event
Enroute: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Aviat Aircraft Inc.
FAA report
20170909017729A
Case key
95982

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 fatigue failure of the aileron hinge bracket tubing for reasons that could not be determined based on the available evidence.

Findings · 1

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 · Fatigue/wear/corrosionAviat A-1B: 1 caseAll aircraft: 45 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

Following the aerial photography portion of the flight, the commercial pilot climbed the airplane to 3,500 ft mean sea level and proceeded toward the destination. About 5 minutes later, he felt "light buffeting" as the airplane rolled left. He attempted to counteract the left roll by applying right control stick pressure, but the airplane continued to roll left. He input right rudder to stop the left roll and decided to return to the airport of origin, 10 nautical miles away. He used the rudder to maneuver the airplane and landed uneventfully. After parking the airplane, he moved the control stick left and right several times and the outboard end of the left aileron fell to the ground. Review of airplane maintenance records revealed that, about 9 years before the accident, the left wing tip was replaced due to "hangar rash," though there was no specific mention of damage to the left aileron. There were no other logbook entries that mentioned the left wing or left aileron. Metallurgical analysis of the aileron hinge bracket revealed two fatigue fracture origins that led to two regions of final overstress fracture. The fatigue fractures occurred under low stress over an extended period of time. No anomalies were noted in the origin regions and there was no specific evidence of bending at the fracture area. Since there was no specific evidence of bending, it could not be determined if the previous damage to the wing tip resulted in unidentified stress to the fracture area. Wing tip damage as a result of hangar rash could have resulted in residual tension in the aileron tube and precipitated the low-stress fatigue fracture; however, the severity of previous damage to the wing tip and whether the aileron was affected could not be determined.

Factual narrative

On September 9, 2017, about 1545 central daylight time, an Aviat Husky A-1B airplane, N299CA, experienced a flight control failure near Prairie du Chien, Wisconsin. The commercial rated pilot was not injured and the airplane sustained substantial damage to the left aileron. The airplane was registered to and operated by Grandview Photo Inc., under the provisions of 14 Code of Federal Regulations Part 91 as an aerial photography flight. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed. The flight departed Prairie du Chien Municipal Airport (PDC), Prairie du Chien, Wisconsin, about 1300, flew over northwest Iowa for the aerial photography portion of the flight, and was destined for La Crosse Regional Airport (LSE), La Crosse, Wisconsin. The pilot reported that he concluded the aerial photography portion of the flight, climbed the airplane to 3,500 ft mean sea level and proceeded toward LSE. About 5 minutes later he felt "light buffeting" as the airplane rolled left. He attempted to counteract the left roll by inputting right control stick pressure, but the airplane continued to roll left. He input right rudder to stop the left roll and decided to return to PDC, which was about 10 nautical miles southeast of his location. He used the rudder to maneuver the airplane to PDC and landed uneventfully. After parking the airplane, he moved the control stick left and right several times and the outboard end of the left aileron fell to the ground. The pilot and his mechanic disconnected the inboard aileron connection and removed it for examination. A review of the airplane maintenance logbooks revealed that on August 8, 2008, the left wing tip was replaced due to "hangar rash" and there was no specific mention of damage to the left aileron. There were no other logbook entries that mentioned the left wing or left aileron. The most recent airframe annual inspection was completed on January 18, 2017, at and airplane total time of 5,348 hours; the airframe had accumulated 5,177 hours since the wing tip was replaced. The aileron hinge bracket was removed and sent to the NTSB Materials Laboratory for a detailed examination. The examination revealed that the main tube exhibited a complete circumferential fracture just aft of the mounting flange (figure 1). Figure 1 – Aileron Hinge Bracket The fracture surface on the flange side was examined with a scanning electron microscope, which revealed two fatigue fracture origins that led to two regions of final overstress fracture. The fatigue fractures occurred under low stress over an extended period of time. No anomalies were noted in the origin regions. The fractures did not occur at the welds and no anomalies were noted with the welds. The examination did not find any specific evidence of bending at the fracture area.

Aircraft

Registration
N299CA
Reported as
Aviat A 1B
Category
Airplane
Serial number
2294
Built
2005
Airframe hours
5,779
Engine
Lycoming O-360-A1P, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 24, 2017
Departed
PDC · Prairie Du Chien, WI
Destination
LSE · La Crosse, WI
Airport
PDC · Prairie Du Chien Muni, runway 11, 3,999 × 75 ft, asphalt
Equipment
Stall warning system

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
57
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 13, 2017
Seat
Front
Flight hours
19,430 total · 16,000 in this make and model · 19,330 as pilot in command · 353 in the last 90 days · 115 in the last 30 days · 14 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 52 °F
Altimeter
30.29 inHg
Observed at
KPDC

Docket · 7

The files NTSB released with the investigation on June 26, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.4 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 N299CA · 1

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