DEN90FA066

NTSB accident investigation · Piper PA-31-350 · Greeley, CO · February 21, 1990

Accident · Serious injuriesField investigationFinal report
Date
February 21, 1990, 08:15 local (15:15 UTC)
Place
Greeley, CO
Injuries
2 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N3554PPiper PA-31-350
Weather
Visual (VMC) · Day
Status
Completed · report December 14, 1992
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19900221005749A
Case key
17822

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 improper identification of parts in the Piper PA-31-350 service manual pertaining to the aileron cables. This discrepancy resulted in the improper installation of the aileron cables on the right aileron bellcrank by a mechanic during the reconstruction of the right wing. The improper connection resulted in a loss of aircraft control by the pilot immediately after takeoff. Also causal to the accident were the inadequate inspection of the flight control system by a second mechanic with inspection authorization, and the inadequate preflight inspection of the flight control system by the pilot prior to takeoff.

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.

Loss of control - in flightTakeoff - initial climb
Flt control syst,aileron control cable/rodCause
Maintenance,installation - improperOther maintenance personnelCause
Acft/equip,inadequate aircraft manualsManufacturerCause
Maintenance,inspection - inadequateOther maintenance personnelCause
Aircraft preflight - inadequatePilot in commandCause
Aircraft control - not possiblePilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled

Analysis

N3554P was on a maintenance test flight after the right wing was repaired. The pilot lost control of the airplane shortly after liftoff and was unable to regain control prior to the ground impact. The A&P mechanic who performed the repairs, re assembled the right wing aileron control cables per the Piper service manual. Post accident examination of the aileron control system revealed the right wing control cables were reversed on the aileron bellcrank, resulting in both ailerons moving the same direction (either up or down) when the control wheel was turned left or right.

Aircraft

Registration
N3554P
Reported as
Piper PA-31-350
Category
Airplane
Serial number
318052052
Airframe hours
22,598
Engine
Lycoming TIO-540-J28D, 350 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 91
Operator
Beegles Aircraft Services, Inc
Registered owner
Aviation Services West, Inc
Departed
GXY
Destination
GXY
Airport
CXY · Greeley/Weld Cty, runway 27, 6,210 × 100 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
53
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
2,455 total · 139 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 15 knots
Visibility
15 statute miles
Lowest ceiling
5,000 ft overcast
Temperature
32 °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.

Other investigations on N3554P · 1

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