ERA16LA296

NTSB accident investigation · Mantell Allan T Kitfox 4 1200 · Canandaigua, NY · August 20, 2016

Accident · No injuriesLimited investigationFinal report
Date
August 20, 2016, 10:00 local (14:00 UTC)
Place
Canandaigua, NY
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N51TMMantell Allan T Kitfox 4 1200
Defining event
Landing: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed · report October 17, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20160820014629A
Case key
93872

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 failure of the right rudder pedal torque tube due to fatigue, which resulted in a loss of directional control during landing. Also causal to the accident was the airplane owner/builder's failure to install a rudder torque tube reinforcement or replacement in accordance with the kit manufacturer's recommendation.

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.

Flight control system: rudder control systemAircraft › Aircraft systems · Fatigue/wear/corrosionAll aircraft: 93 casesProbable cause
Flight control system: rudder control systemAircraft › Aircraft systems · FailureAll aircraft: 93 casesProbable cause
MaintenancePersonnel issues › Task performance · Owner/builderAll aircraft: 143 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · Owner/builderAll aircraft: 792 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 private pilot, who was also the owner/builder of the experimental, amateur-built, tailwheel-equipped airplane, was conducting a cross-country personal flight. He reported that, during landing, a rudder pedal torque tube separated, which resulted in a loss of directional control and the airplane departing the right side of the runway. Metallurgical examination revealed that the vertical torque tube for the right rudder pedal had fractured at a fillet welded intersection where it attached to a horizontal torque tube. The fracture surface exhibited a small thumbnail-like fatigue region followed by an overstress region. The pilot had assembled the airplane about 16 years before the accident, and it had accrued about 551 hours of operation. The actual kit model was manufactured 22 years before the accident, and 1 year later, the kit manufacturer published a service letter (SL) applicable to the accident airplane model, which advised owners that the company had recently noticed signs of fatigue in rudder pedal torque tubes. The SL instructed owners to inspect the areas for fatigue and offered a reinforcement kit. Further, 6 years later, the kit manufacturer redesigned the rudder pedal torque tubes for subsequent models to include a reinforcement similar to the reinforcement that had previously been offered in the reinforcement kit. The accident airplane was not equipped with the reinforcement kit recommended in the SL nor was it equipped with the newer rudder torque tube design.

Factual narrative

On August 20, 2016, about 1000 eastern daylight time, an experimental amateur-built Kitfox 4-1200, N51TM, was substantially damaged while landing at Canandaigua Airport (D38), Canandaigua, New York. The private pilot was not injured. The airplane was registered to and operated by the private pilot as a personal flight conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the flight that originated from Whitfords Airport (B16), Weedsport, New York, about 0920.The pilot reported that while landing on a turf airstrip adjacent to runway 31, a rudder pedal torque tube separated and the airplane departed the right side of the runway. The airplane subsequently impacted an uneven field and came to rest upright. Examination of the wreckage by a Federal Aviation Administration inspector revealed substantial damage to the wings and fuselage. The separated section of rudder pedal torque tube was retained and forwarded to the National Transportation Safety Board Materials Laboratory for further examination. Metallurgical examination revealed that the vertical torque tube for the right rudder pedal fractured at a fillet welded intersection where it attached to a horizontal torque tube. The fracture surface exhibited a small thumbnail like fatigue region followed by an overstress region. The single-seat, high-wing, tailwheel-equipped airplane, serial number C9406-0031, was assembled from a kit by the pilot in 2000 and issued an FAA experimental airworthiness certificate. Its most recent condition inspection was completed on August 8, 2016. At that time, the airframe had accumulated 547.4 total hours of operation. It had flown an additional 3.3 hours from the time of the last inspection, until the accident. The FAA inspector that examined the wreckage further stated that although assembly of the accident airplane was completed in 2000, the kit was actually a 1994 model. On August 22, 1995, the kit manufacturer released Service Letter No. 47 (SL-47), applicable to the accident airplane model, which advised owners that the company had recently noticed signs of fatigue in rudder pedal torque tubes. The SL instructed owners to inspect the areas for fatigue and offered a reinforcement kit (P/N 35015.000) for $59.95. Further, in 2000, the kit manufacturer redesigned the rudder pedal torque tubes for subsequent models, to include a reinforcement similar to what had previously been offered in the reinforcement kit. The inspector added that the accident airplane was not equipped with the newer rudder torque tube design, nor was it equipped with the reinforcement kit offered in SL-47.

Aircraft

Registration
N51TM
Reported as
Mantell Allan T Kitfox 4 1200 (IV)
Category
Airplane, amateur-built
Serial number
C9406-0031
Built
2000
Airframe hours
551
Engine
Jabiru 2200, 80 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · August 8, 2016 · 3 hours before
Departed
B16 · Weedsport, NY
Destination
D38 · Canandaigua, NY
Airport
D38 · Canandaigua, runway 31, 950 × 25 ft, grass/turf
Equipment
Handheld GPS, Electronic primary flight display, Electronic multifunction display, Stall warning system

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
75
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea
Medical
Sport pilot
Last flight review
April 22, 2015
Seat
Left
Restraint
4-point
Flight hours
1,667 total · 600 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 63 °F
Altimeter
29.90 inHg
Observed at
PEO, 15 nm away

Docket · 8

The files NTSB released with the investigation on August 21, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.9 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.