CHI98LA032

NTSB accident investigation · Cessna 421A · Tomahawk, WI · November 7, 1997

Accident · No injuriesLimited investigationFinal report
Date
November 7, 1997, 17:15 local (23:15 UTC)
Place
Tomahawk, WI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N2957QCessna 421A
Weather
Visual (VMC) · Dusk
Status
Completed · report February 16, 2000
Report
Approved by Office Director
FAA report
19971107032639A
Case key
10777

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 elevator trim tab bolt backed out, allowing the trim tab to flutter, and destroy the elevator. The factors involved were improper annual inspection by the maintenance personnel, and the inadequate aircraft preflight done by the pilot.

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/malfunctionClimb - to cruise
Miscellaneous,bolt/nut/fastener/clamp/spring - separationCause
Maintenance,annual inspection - improperOther maintenance personnelFactor
Flight control,elevator tab - flutterCause
Aircraft preflight - inadequatePilot in commandFactor
Flight control,elevator - failure,partial

Analysis

On climb out at 11,000 feet at 700 feet per minute rate of climb on autopilot, the pilot heard a loud bang and felt a 'rapid vibration in the control yoke.' The pilot reported pitch trim was not available and said he checked the engines for proper operations. The flight landed without further incident. Examination of the aircraft revealed substantial damage to the right elevator and trim tab. The rear trim tab linkage bolt was missing and there was little damage to the yoke or trim tab bushing. Paint transfer marks were found on the trim tab from the elevator. An undersized cotter pin was found in the forward linkage bolt.

Factual narrative

On November 7, 1997, at 1715 central standard time (cst), a Cessna 421A, N2957Q, operated and owned by an airline transport pilot, sustained an in-flight structural failure of the right horizontal stabilizer trim tab assembly, while on climb out from Tomahawk Airport, Tomahawk, Wisconsin. The pilot reported no injuries. The flight, conducted under 14 CFR Part 91, originated at Tomahawk, Wisconsin, at 1700 cst, with an intended destination of Poplar Grove, Illinois. An IFR flight plan was filed, and visual meteorological conditions prevailed at the time.

In the pilot's written statement, he reported that climbing through 11,000 feet at 700 feet per minute rate of climb, on autopilot, he heard a "loud bang..., followed by the disconnect of the a/p [autopilot], a rapid vibration in the control yoke and a pitch down of the aircraft nose." The pilot said he slowed the aircraft down and confirmed that both engines were running properly. When he further slowed the aircraft to 130 miles per hour it "...did not stop or change the vibration." He said pitch trim was not available. The pilot reported his situation to Air Traffic Control and landed without further incident at Merrill Municipal Airport (RRL), Merrill, Wisconsin.

Examination of the aircraft by the Federal Aviation Administration revealed extensive damage confined to the right elevator and trim tab. Ribs 1, 2, and 3 of the elevator had substantial separation damage and the elevator spar was severed at the 2nd rib. The examination revealed that the rear trim tab linkage bolt was missing. There was little damage to the yoke or trim tab bushing. The trim tab bushing moved freely. The forward trim tab linkage bolt was found intact and the trim tab linkage was not binding. An undersized cotter pin was found in the forward linkage bolt.

The trim tab actuator arm was found to be bent 90 degrees. There was paint transfer to the trim tab from the elevator and transfer damage to the trim tab from the linkage. The trim tab hinge was intact and free moving.

Aircraft

Registration
N2957Q
Reported as
Cessna 421A
Category
Airplane
Serial number
421A00057
Engine
Continental GTISO 520H, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Robert Henry Lussow
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 18, 1997
Departed
WI46
Destination
C77 · Poplar Grove, IL
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
54
Certificates
Airline transport, Flight engineer, Flight instructor
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
28,000 total · 300 in this make and model · 26,000 as pilot in command · 40 in the last 90 days · 16 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Visibility
5 statute miles
Lowest ceiling
4,000 ft overcast
Temperature
41 °F
Altimeter
30.00 inHg
Observed at
AUW, 30 nm away

FAA reports on this event · 1

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