ERA20CA246

NTSB accident investigation · Piper PA22 · Cortland, NY · July 13, 2020

Accident · Minor injuriesClass 4 · Data collectionFinal report
Date
July 13, 2020, 09:45 local (13:45 UTC)
Place
Cortland, NY
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N2716PPiper PA22
Defining event
Takeoff: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20200713009089A
Case key
101582

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 mechanic’s incorrect rigging of the aileron control cables, which resulted in a reversal of aileron control inputs applied by the pilot during the takeoff. Also causal was the mechanic’s inadequate post-maintenance inspection and the pilot's inadequate preflight inspection and before takeoff check, which failed to detect the misrigging.

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: aileron control systemAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-22-150: 1 caseAll aircraft: 45 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelPiper PA-22-150: 2 casesAll aircraft: 371 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotPiper PA-22-150: 1 caseAll aircraft: 551 casesProbable cause
Inspection: post maintenance inspectionPersonnel issues › Task performance · Maintenance personnelPiper PA-22-150: 1 caseAll aircraft: 57 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 was performing a post-maintenance test flight after a "lengthy restoration" of the airplane had been completed by a mechanic, who accompanied him on the flight. After takeoff, the airplane did not respond in accordance with the pilot’s control inputs, so he elected to immediately land the airplane. The airplane impacted the ground off the departure end of the runway, which resulted in substantial damage to the wings and fuselage. Post-accident examination of the airplane revealed that the aileron control cables had been rigged opposite of the proper orientation prescribed in the airplane’s illustrated parts catalog. Both the pilot and the mechanic stated that when they conducted flight control checks prior to the flight, they confirmed deflection of the ailerons, but that they each failed to confirm that the aileron deflection corresponded correctly to the input at the control yoke.

Aircraft

Registration
N2716P
Reported as
Piper PA22 (150)
Category
Airplane
Serial number
22-5280
Built
1957
Airframe hours
4,065.8
Engine
Lycoming O-320-A2B, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 13, 2020
Departed
N03 · Cortland, NY
Destination
N03 · Cortland, NY
Airport
N03 · Cortland County-Chase Field, runway 24, 3,400 × 75 ft, asphalt
Equipment
ADS-B, Electronic primary flight display

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
59
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Last flight review
April 25, 2020
Seat
Left
Restraint
3-point
Flight hours
787 total · 188 in this make and model · 733 as pilot in command · 18 in the last 90 days · 7 in the last 30 days
Role
Pilot-rated passenger
Age
80
Injuries
None
Certificate
Private
Airplane ratings
Single-engine sea
Medical
Class 3, Unknown
Seat
Right
Restraint
3-point

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 8 knots
Visibility
10 statute miles
Temperature
72 °F, dew point 64 °F
Altimeter
29.87 inHg
Observed at
KITH, 13 nm away

Docket · 6

The files NTSB released with the investigation on February 11, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 153 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.