- Date
- June 3, 2013, 15:20 local (19:20 UTC)
- Place
- Tallahassee, FL
- Injuries
- 2 uninjured
- Damage
- No damage
- Phase of flight
- Initial climb
- Aircraft
- N633TCPiper PA-34-200T
- Defining event
- Initial climb: Flight control sys malf/fail
- Weather
- Visual (VMC) · Day
- Status
- Completed · report April 27, 2015
- Report
- Approved by Office Director
- NTSB office
- Eastern Region Aviation
- Parties
- FAA/FSDO
- Case key
- 87084
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.
On this page
Probable cause
The failure of the elevator trim cable due to fatigue cracking, which resulted from maintenance personnel’s repeated inadequate inspection of the cable.
Findings · 3
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.
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.
Analysis
According to the flight instructor, during the initial climb, the student pilot noticed a problem with the elevator trim wheel. The flight instructor moved the trim wheel and noted no resistance. He then looked down at the wheel and observed the trim cable protruding from its side. The flight instructor assumed control of the airplane, advised the tower air traffic controller of the emergency, and landed the airplane without incident. Examination of the elevator trim cable assembly revealed that the trim cable failed due to fatigue cracking of the individual wires. The wire breaks were so numerous and over such a sizable length that they should have been detectable by a visual inspection. However, a review of the aircraft logbooks revealed that maintenance personnel did not detect the fatigue cracking of the wires during the most recent 100-hour and annual inspections nor during compliance with an airworthiness directive (AD) that required, in part, that all control cables be inspected for broken wires strands and that any broken wire strands be replaced; the inspections and AD were accomplished less than 2 months before the incident.
Factual narrative
On June 3, 2013, about 1520 eastern daylight time, a Piper PA-34-200T, N633TC, experienced a trim cable failure during climbout from Tallahassee Regional Airport (TLH), Tallahassee, Florida. The flight instructor (CFI) and student pilot were not injured, and the airplane was not damaged. Visual meteorological conditions prevailed and no flight plan was filed. The airplane was registered to and operated by Florida Flight Training Center under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight. The flight was originating at the time of the incident. The CFI stated they departed from TLH uneventfully and were climbing through 300 feet when the student pilot noticed a problem with the elevator trim wheel. The CFI moved the trim wheel and noted no resistance when the wheel was turned. Upon looking down at the wheel, he observed the trim cable protruding out from the side of the wheel. The student pilot advised that he was having difficulty controlling the airplane and the CFI subsequently assumed control of the airplane. The CFI advised the tower controller of the emergency and landed the airplane without incident. Examination of the airplane revealed that the elevator trim cable had broken and was protruding from the trim wheel housing. The elevator trim cable assembly was sent to the NTSB material laboratory for examination. An examination of the trim cable revealed that it was composed of a 1/16 inch diameter wire rope with a swaged-on ball at one end and a swaged-on turnbuckle fitting at the other end. Visual inspection revealed trim cable lubrication along the entire length with no indication of external corrosion. The wire rope section had separated about 5 feet 6 inches from the turnbuckle end and 14 feet 6 inches from the ball end of the cable. The separation was made up of individual wire breaks spread along an approximate 2-inch length of the wire rope. A magnified visual inspection of the cleaned cable established that all but a few wires were fractured directly across the wires with no apparent yielding or deformation. Further, only a few wires (broken or intact) showed either internal or external wear. A scanning electron microscope examination of several of the broken wires revealed features consistent with fatigue progression through the individual wires. A review of the aircraft logbooks revealed that the failure of the trim cable was not detected on April 25, 2013, -during the 100 hour and annual inspections. Nor was it noted on April 13, 2013, during the compliance of AD 2013-02-13; which states in section 7-149 a) "At each annual or 100 hour inspection, all control cables must be inspected for broken wires strands. Any cable assembly that has one broken wire strand located in a critical fatigue area must be replaced." The inspection was completed 3 months prior to this event.
Aircraft
- Registration
- N633TC
- Reported as
- Piper PA-34-200T
- Category
- Airplane
- Serial number
- 34-7870328
- Airframe hours
- 7,424
- Engines
- Cont Motor TSIO-360 SER, 225 horsepower, reciprocatingCont Motor TSIO-360 SER, 225 horsepower, reciprocating
- Damage
- No damage
- Flight
- Instructional · Part 91
- Operator
- Florida Flight Training Center
- Registered owner
- Hawkins Alan
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · April 25, 2013 · 117 hours before
- Departed
- TLH · Tallahassee, FL
- Destination
- VNC · Venice, FL
- Airport
- TLH · Tallahassee, runway 09, 8,003 × 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
- Flight instructor
- Age
- 27
- Injuries
- None
- Certificate
- Flight instructor
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Without waivers/limitations
- Last flight review
- April 12, 2012
- Seat
- Right
- Flight hours
- 1,500 total · 500 in this make and model · 1,200 as pilot in command · 100 in the last 90 days · 40 in the last 30 days · 4 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 160° at 10 knots, gusting 14
- Visibility
- 10 statute miles
- Lowest ceiling
- 6,000 ft broken
- Temperature
- 90 °F, dew point 70 °F
- Altimeter
- 29.88 inHg
- Observed at
- TLH
Docket · 12
The files NTSB released with the investigation on March 30, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.8 MB in all.