ERA13LA199

NTSB accident investigation · Maxfly Inc/Mckay WM Searey · Polk City, FL · April 11, 2013

Accident · Minor injuriesLimited investigationFinal report
Date
April 11, 2013, 15:30 local (19:30 UTC)
Place
Polk City, FL
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N914WMMaxfly Inc/Mckay WM Searey
Defining event
Initial climb: Aircraft structural failure
Weather
Visual (VMC) · Day
Status
Completed · report January 30, 2014
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20130411007449A
Case key
86635

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

On this page

Probable cause

The improper installation of incorrect attachment hardware by maintenance personnel during an undocumented repair, which resulted in an in-flight structural failure and subsequent loss of aircraft control. Contributing to the accident was the covering of the inspection port during the undocumented repair, which made it impossible for pilots or mechanics to inspect the attachment hardware for problems.

Findings · 4

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.

Wing structure: attach fittings (on wing)Aircraft › Aircraft structures · Fatigue/wear/corrosionMaxfly Inc/Mckay WM SEAREY: 1 caseAll aircraft: 21 casesProbable cause
Wing structure: attach fittings (on wing)Aircraft › Aircraft structures · Incorrect service/maintenanceMaxfly Inc/Mckay WM SEAREY: 1 caseAll aircraft: 21 casesProbable cause
Maintenance: replacementPersonnel issues › Task performance · Maintenance personnelMaxfly Inc/Mckay WM SEAREY: 1 caseAll aircraft: 70 casesProbable cause
Maintenance: modification/alterationPersonnel issues › Task performance · Maintenance personnelMaxfly Inc/Mckay WM SEAREY: 1 caseAll aircraft: 69 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.

Analysis

The pilot reported that the amateur-built amphibian airplane performed normally during taxi operations and takeoff from the surface of the lake. About 100 feet above the lake, the pilot heard a "loud bang or crashing sound," and the airframe then twisted. The airplane entered an uncontrolled, spiraling descent until it contacted the water. Postaccident examination of the airplane revealed that the right/forward wing strut joint was disconnected from the leading edge and that the attachment bolts were fractured. Further examination revealed that the bolts were installed after the airplane's original assembly and that they were shorter than the prescribed bolts and had been installed opposite the prescribed direction, which likely resulted in fatigue cracking and the eventual shearing of the bolts during the accident flight. Further examination of the wreckage revealed that the inspection port for the right wing strut attachment area had been covered during a previous, undocumented repair, which made it difficult for pilots or maintenance personnel to inspect the attachment hardware.

Factual narrative

On April 11, 2013, about 1530 eastern daylight time, an experimental, amateur-built Searey amphibian airplane, N914WM, was substantially damaged during collision with water after departing controlled flight after takeoff from Lake Agnes, Polk City, Florida. The private pilot/owner reported a minor injuries and the passenger was not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight, which was conducted under the provisions of 14 Code of Federal Regulations Part 91. The pilot described the performance of the airplane as "customary" and "normal" during taxi and takeoff from the surface of the lake. At an estimated 100 feet above the lake, the pilot heard a "loud bang or crashing sound." The airframe then twisted, and the airplane entered an uncontrolled, spiraling descent to water contact. The pilot held a private pilot certificate with ratings for airplane single-engine land, airplane single-engine sea, and instrument airplane. His most recent Federal Aviation Administration (FAA) second-class medical certificate was issued on October 25, 2011. The pilot reported 3,980 total hours of flight experience, of which 745 hours were in the accident airplane make and model. According to FAA records, the airplane was assembled in 2004 and was equipped with a Rotax 914 engine. The airplane's most recent conditional inspection was conducted on April 6, 2012. At the time of the accident, the airplane had accrued 880 total hours of operation. The current owner was issued an airworthiness certificate for the airplane in 2006, and a review of maintenance records and a pre-buy inspection revealed no previous damage or structural repairs. The airplane was recovered from the lake, and moved to the kit manufacturer's facility where it was examined under the supervision of an FAA aviation safety inspector. Examination of the airplane revealed that the right/forward wing strut attach bolts fractured. Examination of the bolts and their installation revealed that they were not the prescribed hardware, and had been installed at some point after the airplane's original assembly. The bolts were shorter than the prescribed bolts, had been installed opposite the prescribed direction, and had fractured in the threaded portion of the bolt. Further examination of the wreckage revealed that the inspection port for the right wing strut connection was covered during a previous, undocumented repair. The airplane builder stated he had seen photographs of the airplane damaged beneath a hurricane-collapsed hangar. The covering of the inspection port made it impossible for pilots or maintainers to inspect the connection and associated hardware. As a result of the investigation, the kit manufacturer posted four recommendations to owners on the Searey Technical website. The recommendations involved both specific technical and general maintenance practice advice for owners.

Aircraft

Registration
N914WM
Reported as
Maxfly Inc/Mckay WM Searey
Category
Airplane, amateur-built
Serial number
1DK290C
Airframe hours
880
Engine
Rotax SEE BOMBADIER, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Fly Away Inc
Registered owner
Fly Away Inc
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · April 6, 2013
Departed
FA08 · Polk City, FL
Destination
FA08 · Polk City, FL
Airport
FA08 · Orlampa Incorporated Airport

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
58
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
3,980 total · 745 in this make and model · 3,945 as pilot in command · 32 in the last 90 days · 32 in the last 30 days · 11 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 12 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 64 °F
Altimeter
29.86 inHg
Observed at
KGIF, 7 nm away

Docket · 11

The files NTSB released with the investigation on November 26, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.8 MB in all.

FAA reports on this event · 1

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