ERA12IA097

NTSB incident investigation · Cessna 560XL · Ocoee, FL · December 2, 2011

Incident · No injuriesIncident investigationFinal report
Date
December 2, 2011, 12:28 local (17:28 UTC)
Place
Ocoee, FL
Injuries
3 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N576CSCessna 560XL
Defining event
Enroute-climb to cruise: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
Case key
82454

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

Water contamination in the pitch trim actuators.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Flight control system: elevator tab control systemAircraft › Aircraft systems · MalfunctionAll aircraft: 37 casesProbable cause
Fluids: greaseAircraft › Fluids/misc hardware · Fluid conditionAll aircraft: 6 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Flight control sys malf/failEnroute-climb to cruiseAll aircraft: 410 casesDefining event

Analysis

The flight crew reported that a "pitch trim miscompare" message illuminated in the cockpit just before they were to level off at 41,000 feet mean sea level (msl). After accomplishing the checklist items and disconnecting the autopilot, the flight crew had to exert considerable forward yoke pressure to maintain level flight. The flight crew found the manual pitch trim control wheel to be "frozen" in the forward position and were unable to move it. They declared an emergency and initiated a descent. Upon reaching 8,000 feet msl, the trim wheel released and the system returned to normal. The airplane landed uneventfully. Maintenance personnel inspected the left and right pitch trim actuators and found that the grease was contaminated with water. The actuators had been inspected and lubricated within the required 1,200-hour interval.

Factual narrative

On December 2, 2011, about 1228 eastern daylight time, a Cessna 560XL, N576CS, landed at Orlando International Airport (MCO), Orlando, Florida, following an in-flight pitch trim malfunction that occurred near Ocoee, Florida. The airline transport-rated pilot and co-pilot were not injured. The airplane was not damaged. The airplane was registered to CitationShares Sales, Inc. and operated by CitationShares Management LLC under the provisions of 14 Code of Federal Regulations Part 135 as an on-demand air taxi flight. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed. The flight originated at Naples Municipal Airport, Naples, Florida, at 1150 and was destined for Washington Dulles International Airport, Dulles, Virginia. The flight crew reported the following. While approaching their level off altitude of flight level 410, a "Pitch Trim Miscompare" message illuminated in the cockpit. After accomplishing the checklist items and disconnecting the autopilot, considerable forward yoke pressure was required to maintain level flight. The crewmembers found the manual pitch trim control wheel to be "frozen" in the forward position and were unable to move it. The crew declared an emergency and diverted to MCO. During the descent for landing, upon reaching 8,000 feet mean sea level, the trim wheel released and the system returned to normal. The crew cancelled the emergency and landed at MCO uneventfully. After the aircraft was secured, maintenance personnel inspected the flight control system. The grease in the left and right elevator trim actuators was found to be contaminated with water. The trim actuators were replaced and the airplane was returned to service. According to the operator, the elevator trim actuators were last inspected and lubricated 562 hours prior to the incident. The inspection requirement for the actuators was at 2,400 hours initially and at 1,200-hour intervals thereafter.

Aircraft

Registration
N576CS
Reported as
Cessna 560XL
Category
Airplane
Serial number
560-5794
Airframe hours
2,623
Engines
P&W Canada PW545B, 4,119 lbs thrust, turbo fanP&W Canada PW545B, 4,119 lbs thrust, turbo fan
Damage
No damage
Flight
Part 135
Operator
CitationShares Management LLC
Registered owner
Citationshares Sales Inc
Airworthiness certificate
Standard, Transport
Last inspection
AAIP · August 13, 2011
Departed
APF · Naples, FL
Destination
IAD · Dulles, VA
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
62
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
October 14, 2011
Seat
Left
Flight hours
10,623 total · 678 in this make and model · 8,568 as pilot in command · 83 in the last 90 days · 17 in the last 30 days
Role
Co-pilot
Age
62
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
October 19, 2011
Seat
Right
Flight hours
5,108 total · 1,093 in this make and model · 3,617 as pilot in command · 118 in the last 90 days · 35 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 10 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Temperature
73 °F, dew point 54 °F
Altimeter
30.30 inHg
Observed at
MCO, 20 nm away

Docket · 2

The files NTSB released with the investigation on March 14, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 725 KB in all.