CHI88FA091

NTSB accident investigation · Beech B90 · St. Paul, MN · April 5, 1988

Accident · No injuriesField investigationFinal report
Date
April 5, 1988, 15:15 local (20:15 UTC)
Place
St. Paul, MN
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N181LLBeech B90
Weather
Instrument (IMC) · Day
Status
Completed · report June 25, 1990
Report
Approved by Office Director
FAA report
19880405069699A
Case key
13939

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

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Probable cause

Mechanical failure and sticking of the pilots thumb operated trim switch causing nose down pitch command. The failure of the cabin heater and the low cabin temperature are contributing factors.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Altitude deviation,uncontrolledCruise
Electrical system,electric switch - failure,partialCause
Remedial action - performedPilot in command
Air cond/heating/pressurization,cabin temp control - inoperativeFactor
Design stress limits of aircraft - exceededCause

Analysis

The airplane was being operated as an air ambulance when it sustained substantial damage during an uncommanded hard pitchover. The airplane was operating in visual conditions above a solid cloud layer using instrument flight rules. The airplane recovered from the excursion and continued on to its destination. The ATP rated pilot, three medical attendants and one patient were not injured. Testing of the pilot's wheel trim switch showed the switch would stick in the closed or actuated position and not return to the 'center off' position. This occurred during temperature cycling from room temperature to below freezing and back again. The cabin heater had failed with an outside air temperature of -26 degs celsius and the cabin was cold.

Aircraft

Registration
N181LL
Reported as
Beech B90
Category
Airplane
Serial number
LJ-440
Airframe hours
5,950
Engine
P&W PT6A-135, 550 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Registered owner
Critical Care Inc.
Airworthiness certificate
Standard, Normal
Departed
MOT · Minot, ND
Destination
STP · St. Paul, MN
Flight plan
IFR

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
41
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
5,005 total · 900 in this make and model · 2,800 as pilot in command · 20 in the last 90 days

Weather

Conditions
Instrument (IMC) · Day
Temperature
18 °F, dew point -0 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.