CHI97LA266

NTSB accident investigation · Swearingen SA226TC · Des Moines, IA · August 20, 1997

Accident · Minor injuriesLimited investigationFinal report
Date
August 19, 1997, 22:21 local (Aug 20, 1997, 03:21 UTC)
Place
Des Moines, IA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N224AMSwearingen SA226TC
Weather
Instrument (IMC) · Night/dark
Status
Completed · report June 26, 1998
Report
Approved by Office Director
FAA report
19970819023019A
Case key
10678

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

the pilot's improper in-flight planning/decision and failure to perform the emergency procedure for shut-down of the right engine. Factors relating to the accident were: the power lever cable became disconnected from the fuel control unit, due to improper maintenance; and reduced directional control of the airplane, when one engine remained at a high power setting.

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.

Airframe/component/system failure/malfunctionApproach
Throttle/power lever,cable - disconnectedFactor
Maintenance,adjustment - inadequateCompany maintenance personnelFactor
OverrunLanding - aborted
In-flight planning/decision - improperPilot in commandCause
Emergency procedure - not followedPilot in commandCause
Directional control - reducedFactor
Go-around - attemptedPilot in command
On ground/water collision with objectLanding - aborted
Object - antenna

Analysis

During a landing approach, the pilot noted that the right engine remained at a high power setting, when he moved the power levers to reduce power. He executed a missed approach and had difficulty keeping the airplane straight and level. The pilot maneuvered for a second approach to land. After landing, he could not maintain directional control of the airplane and tried to go around, but the airplane went off the end of the runway and impacted the localizer antenna. The pilot did not advise ATC of the problem nor did he declare an emergency. The Pilot's Operating Handbook stated that for a power plant control malfunction, the affected engine should be shut down, and a single engine landing should be made. The power control cable was found disconnected from the anchoring point. A safety tab was broken off the housing, allowing it to unscrew. About one month before the accident, maintenance had been performed on the right engine to correct a discrepancy about the right engine power lever being stiff. The mechanic re-rigged the right engine power cable.

Factual narrative

On August 19, 1997, at 2221 central daylight time (cdt), a Swearingen SA226TC, N224AM, registered to Superior Aviation, Inc., was substantially damaged following a loss of control during the landing roll on runway 05 (6,501' x 150' asphalt), at the Des Moines International Airport, Des Moines, Iowa. The commercial pilot reported minor injuries. The 14 CFR Part 135 cargo flight was operating in instrument meteorological conditions. An IFR flight plan had been filed. The cargo flight departed from Wichita, Kansas, at 2050 cdt, with an intended destination of Des Moines, Iowa.

According to the pilot's written statement, he was on approach to land on runway 05, when it was observed that the right engine control was stuck at the maximum power position. The pilot indicated that it seemed like the right engine was disconnected from the right power lever. Upon breaking out of the clouds the pilot found himself approximately 1 1/2 miles from the runway and too high to make a safe landing so he chose to execute a missed approach. The pilot found the airplane would not maintain altitude with the gear down and one engine at zero thrust. Upon shooting a second localizer approach to runway 05, he found it hard to keep the airplane straight and level because of the power differential between the two engines. The pilot said, "Upon touchdown, within the first third of the runway, I attempted to engage Beta Mode on both engines. Only the left engine engaged while the right engine remained at full power. My intention was to keep the aircraft directionally controllable and stop the aircraft in the shortest distance possible. After touch down I realized directional control was minimal. I made a decision to go around rather than to risk running off the runway. I advanced the power on the left engine to MAX power and rotated. The aircraft then spun out of control and off the runway (end)." During a telephone interview, he stated that he had problems controlling the airplane on the runway so he advanced power on the left engine and initiated a go-around 1/2 way down the runway. The airplane became airborne, but settled back to the ground after reaching 130 knots.

According to the Federal Aviation Administration (FAA) approved Swearingen Metro SA226-TC Pilot's Operating Handbook, it states for a power plant control malfunction; "in the event there is an indication of improper operation of a fuel control or propeller control, it is recommended that the affected engine be shut down and a single engine landing accomplished."

An Air Traffic Control Tower controller who was working Local and Ground Control observed the airplane touchdown at a high rate of speed in the vicinity of Taxiway M (approximately 1/3 down the runway). The controller reported that as the airplane passed Taxiway Q (2/3 down the runway), it appeared to be having directional control problems. The controller observed the airplane to exit the end of the runway and skid sideways through the localizer antenna onto the grass area. The pilot also did not advise nor declare an emergency.

An FAA Inspector represented the NTSB during the on-scene investigation. The inspector observed tire marks which appeared to be skid marks from the end of the runway to where the airplane came to rest. During the investigation it was determined that the right engine power control cable housing was disconnected. This gives the cable no anchor point for the sheathing and it prevents the rod end from moving, but allows the sheathing to flop back and forth. This occurred due to a safety tab being broken off, allowing it to unscrew. The maintenance log books revealed maintenance was performed on the right engine on July 19, 1997. The discrepancy was on the right engine power lever being stiff. The mechanic re-rigged the engine power cable. All other flight and engine controls were inspected and were found to have continuity. Both engine propeller governors and fuel control units were removed and bench tested. The tests and inspections reveal no pre-accident anomalies with the units.

Aircraft

Registration
N224AM
Reported as
Swearingen SA226TC
Category
Airplane
Serial number
TC-227
Airframe hours
51,119
Engine
Garrett TPE-331-10UA, 840 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Registered owner
Superior Aviation
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 10, 1997 · 69 hours before
Departed
ICT · Wichita, KS
Destination
DSM
Flight plan
IFR
Airport
DSM · Des Moines International, runway 5, 6,501 × 150 ft, asphalt

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
29
Certificate
Commercial
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,436 total · 93 in this make and model · 2,209 as pilot in command · 221 in the last 90 days · 68 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
150° at 6 knots
Visibility
7 statute miles
Lowest ceiling
700 ft broken
Temperature
64 °F, dew point 63 °F
Altimeter
29.00 inHg
Observed at
DSM

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 N224AM · 1

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