FTW92FA218

NTSB accident investigation · Fairchild SA 227-AC · Hot Springs, AR · August 25, 1992

Accident · FatalField investigationFinal report
Date
August 25, 1992, 05:15 local (10:15 UTC)
Place
Hot Springs, AR
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N342AEFairchild SA 227-AC
Weather
Visual (VMC) · Dawn
Status
Completed · report September 17, 1993
Report
Approved by Office Director
FAA report
19920825035669A
Case key
18372

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

Inadequate maintenance and inspection by the operator's maintenance personnel, and the failure of the pilot-in-command to assure proper travel direction of the airplane's primary flight controls after being made aware of the nature of the maintenance performed.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightTakeoff - initial climb
Flt control syst,aileron control - incorrectCause
Maintenance,inspection - inadequateCompany maintenance personnelCause
Aircraft preflight - inadequatePilot in commandCause
In flight collision with terrain/waterTakeoff - initial climb

Analysis

The maintenance test flight was being flown following completion of airworthiness directive 87-02-02 requiring the mandatory replacement of all primary flight control cables. Following lift-off, witnesses observed the airplane start a rapid roll to the right until initial impact was made with the ground by the right wing tip. Examination of the wreckage revealed the a half turn in the routing of the replaced flight control cable was inadvertently omitted on both control columns which would result in the ailerons operating in reverse of the commanded input. The passenger was the quality control inspector who had inspected and signed off the maintenance performed. According to other company personnel, he had briefed the crew prior to the flight on the purpose of the test flight and the extent of the maintenance that the airplane had undergone.

Aircraft

Registration
N342AE
Reported as
Fairchild SA 227-AC
Category
Airplane
Serial number
AC-545
Airframe hours
19,889
Engine
Garrett TPE-331-611, 1,100 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Part 91
Operator
Lone Star Airlines
Registered owner
Mcc Financial Corp
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 14, 1992 · 48 hours before
Departed
HOT
Destination
HOT
Airport
HOT · Hot Springs Memorial, runway 13, 4,099 × 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
Pilot
Age
25
Certificates
Commercial, Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
2,828 total · 667 in this make and model · 1,548 as pilot in command · 235 in the last 90 days · 85 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dawn
Wind
130° at 3 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
73 °F

FAA reports on this event · 1

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