CEN23LA425

NTSB accident investigation · Air Tractor AT-802 · Herington, KS · September 28, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 28, 2023, 11:30 local (16:30 UTC)
Place
Herington, KS
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N445HAAir Tractor AT-802
Defining event
Landing: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Air Tractor, Federal Aviation Administration
FAA report
20230928017619A
Case key
193176

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 design of the spray valve control lever, which restricted the range of the left rear rudder and brake pedal and resulted in a loss of control during landing.

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.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAir Tractor AT-802: 1 caseAll 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 flight instructor in the rear seat reported that during the landing roll the tailwheel unlocked, and the airplane turned right. He applied full left rudder and attempted to apply left brake, but when the left rudder and left brake were both applied, the top of the pedal toe brake contacted the spray control lever pushrod, preventing full braking. The airplane continued off the right side of the runway, where the airplane impacted a ditch and sustained substantial damage to the wings. Postaccident examination revealed that the front-seat rudder/brake pedals were found to move to their full range of motion without interference. The rear-seat rudder/brake pedals were found in the forward adjustment position. With full left rudder deflection, the left brake pedal’s range was restricted by the upper spray valve control pushrod. There were no other mechanical malfunctions or failures with the airplane that would have precluded normal operation. The design of the spray valve control lever and left rear rudder pedal in the forward adjustment position restricted the left rudder and brake pedal, which resulted in a loss of control during landing.

Factual narrative

On September 28, 2023, about 1130 central daylight time, an Air Tractor AT-802 airplane, N445HA, was substantially damaged when it was involved in an accident at Herington Regional Airport (HRU), Herington, Kansas. The flight instructor and pilot receiving instruction were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor, who was in the rear seat, stated that during landing as they slowed to 35 to 40 mph, the tailwheel unlocked, and the airplane turned right. The flight instructor applied full left rudder and attempted to apply the left toe brake, but the brake pedal was restricted from moving forward. When left rudder and left brake were applied, the top of the pedal contacted the spray control lever pushrod and full brake could not be applied. The airplane continued off the right side of the runway. The airplane impacted a ditch, which resulted in substantial damage to the wings. Postaccident examination revealed that the front-seat rudder/brake pedals could move through their full range of motion without interference. The rear-seat rudder/brake pedals were found in the forward adjustment position. With the rear pedals in the forward position, the left rear brake pedal range was restricted by the upper spray valve control pushrod, preventing the application of full left brake from the rear seat. There were no other mechanical malfunctions or failures with the airplane that would have precluded normal operation. The upper spray valve push rod was installed in the airframe by Air Tractor during the original production of the airplane. Air Tractor reported that there were 94 other airplanes affected by this design installation. As result of this investigation, on December 29, 2023, Air Tractor completed service letter (SL) 405, which was applicable to certain AT-802 airplanes with a spray valve control lever installed. The SL was issued due to the spray valve control valve pushrod’s interference with the left rear rudder pedal, which reduced controllability and could lead to an accident. The interference was only possible when the left rear rudder pedal is in the forward adjustment position (Figure 1). This interference prevents simultaneous application of full left rudder and left brake when operated from the rear seat. This control restriction could lead to a loss of control causing significant injury and aircraft damage. Placement of the rear rudder pedals in the rear adjustment position is a temporary solution that will allow full, simultaneous application of left rudder and left brake. Figure 1. Air Tractor photo and labels of the rudder pedal restriction with spray valve control lever pushrod (Courtesy of Air Tractor SL 405). As result of this investigation, on April 25, 2024, the Federal Aviation Administration issued special airworthiness information bulletin (SAIB) 2024-03, “Rudder Control System,” which recommended that all affected operators modify therear cockpit rudder pedal adjustment in accordance with Air Tractor, Inc. Service Letter 405.

Aircraft

Registration
N445HA
Reported as
Air Tractor AT-802
Category
Airplane
Serial number
802-0633
Built
2016
Airframe hours
3,360.3
Engine
Pratt & Whitney PT6-65AG, 1,220 horsepower, turbo prop
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Moor Halley Ray Jr
Airworthiness certificate
Special, Restricted (Special)
Destination
Same as departure
Airport
HRU · Herington Rgnl, runway 35, 4,184 × 75 ft, concrete

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
58
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
April 13, 2023
Seat
Rear
Restraint
4-point
Flight hours
25,000 total · 4,500 in this make and model · 25,000 as pilot in command · 400 in the last 90 days · 60 in the last 30 days · 3 in the last 24 hours
Role
Pilot
Age
38
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Unknown
Seat
Front

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 59 °F
Altimeter
29.94 inHg
Observed at
KMHK, 27 nm away
METAR
KMHK 281652Z 19007KT 10SM CLR 31/15 A2994 RMK AO2 SLP127 T03060150

Docket · 8

The files NTSB released with the investigation on November 7, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.2 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.