DEN99IA033

NTSB incident investigation · Beech E90 · Clovis, NM · January 18, 1999

Incident · No injuriesIncident investigationFinal report
Date
January 18, 1999, 12:10 local (19:10 UTC)
Place
Clovis, NM
Injuries
3 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N16NMBeech E90
Weather
Visual (VMC) · Day
Status
Completed · report August 13, 2001
Report
Approved by Office Director
FAA report
19990118010449I
Case key
45619

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

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Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

Total failure of the elevator control cable due to a short circuit from chafing against an adjoining electrical cable, and failure of maintenance personnel to detect the problem during an AAIP phase inspection.

Analysis

The air ambulance flight was transporting a male infant in an incubator to Clovis, New Mexico. During the descent into Clovis, the control yoke moved to the full forward position. The pilot eased back on the yoke and the nose pitched up. The pilot was able to maintain control by the use of power and elevator trim, and elected to return to Albuquerque, where an uneventful landing was made. Postincident examination disclosed a drooping wire bundle beneath the pilot's seat, at F.S. 122. The insulation around the H16A10 wire (copilot's windshield heat) had chafed against the elevator down cable (part number 50-524439-31), causing a short circuit. Although the pilot did not detect the odor of smoke, the elevator cable was burnt through and had separated. No circuit breakers were opened nor were any fuses blown.

Factual narrative

On January 18, 1999, approximately 1210 mountain standard time, a Beech E90, N16NM, being operated by Seven Bar Flying Service of Albuquerque, New Mexico, was not damaged when the elevator control cable failed during initial descent into Clovis, New Mexico. The airline transport rated pilot, flight nurse, and patient were not injured. Visual meteorological conditions prevailed, and an IFR flight plan had been filed for the nonscheduled domestic passenger air taxi flight being conducted under Title 14 CFR Part 135. The flight originated in Albuquerque, New Mexico, at 1112.

The air ambulance flight was transporting a male infant in an incubator to Clovis, New Mexico. During the descent into Clovis, the control yoke moved to the full forward position. The pilot eased back on the yoke and the nose pitched up. The pilot was able to maintain control by the use of power and elevator trim, and elected to return to Albuquerque, where an uneventful landing was made.

Postincident examination disclosed a drooping wire bundle beneath the pilot's seat, at F.S. 122. The insulation around the H16A10 wire (copilot's windshield heat) had chafed against the elevator down cable (part number 50-524439-31), causing a short circuit. Although the pilot did not detect the odor of smoke, the elevator cable was burnt through and had separated. No circuit breakers were opened nor were any fuses blown.

Seven Bar Flying Service then grounded its remaining fleet of four E90s for an inspection. No discrepancies were found in three of the airplanes (serial numbers were above LW-156), but some chafing of the electrical cables wqere noted on a fourth airplane, N14NM (s.n. LW-35).

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/malfunctionDescent - normal
Flt control syst,elevator control - failure,totalCause
Electrical system,electric wiring - chafedCause
Electrical system,electric wiring - shortedCause
Maintenance,aaip/progressive program - inadequateCompany maintenance personnelCause

Aircraft

Registration
N16NM
Reported as
Beech E90
Category
Airplane
Serial number
LW-62
Airframe hours
10,468
Engine
P&W PT6A-28, 550 horsepower, turbo prop
Damage
No damage
Flight
Part 135
Registered owner
Seven Bar Flying Service
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · October 9, 1998 · 69 hours before
Departed
ABQ · Albuquerque, NM
Destination
CVN · NM
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
32
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
5,300 total · 65 in this make and model · 4,010 as pilot in command · 40 in the last 90 days · 15 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 21 knots, gusting 25
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 23 °F
Altimeter
30.00 inHg
Observed at
CVN, 50 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.

Other investigations on N16NM · 2

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