FTW99LA244

NTSB accident investigation · Cessna A188B · Seminole, TX · August 30, 1999

Accident · Serious injuriesLimited investigationFinal report
Date
August 30, 1999, 18:45 local (23:45 UTC)
Place
Seminole, TX
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N731JYCessna A188B
Weather
Visual (VMC) · Day
Status
Completed · report November 2, 2000
Report
Approved by Office Director
FAA report
19990830047159A
Case key
47203

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 pilot seat disengaging from the seat track resulting from inadequate AD compliance during the last annual inspection. A factor was the soft terrain.

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 - on ground/waterLanding - roll
Fuselage,seat - disengagedCause
Maintenance,compliance with ad - inadequateOther maintenance personnelCause
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - softFactor
Nose overLanding - roll

Analysis

During the landing roll, the agricultural airplane departed the right side of the runway, rolled into soft terrain, and subsequently nosed over to the inverted position. The pilot reported that during the landing roll, his seat became dislodged from the seat track. He further reported that since his left leg is shorter than his right leg, when the seat slid all the way back, it caused his left foot to lose contact with the rudder pedal. Examination of the seat by an FAA inspector revealed that the forward left seat roller housing assembly had spread open to near the width of the seat rail, allowing the seat to dislodge from the locked position. According to the inspector, the airplane's maintenance records indicated that AD 87-20-03 R2 (to assure proper engagement of the seat locking mechanism and to preclude inadvertent seat slippage) had been complied with at the last annual inspection. However, the inspector stated that the AD had not been properly accomplished, since his examination of the seat revealed that it did not meet the locking pin engagement requirements of the AD. Time since the last annual inspection was 249.4 hours.

Factual narrative

On August 30, 1999, at 1845 central daylight time, a Cessna A188B agricultural airplane, N731JY, nosed over during landing at a private airstrip near Seminole, Texas. The aircraft was owned and operated by Addison Flying Service, Seminole, Texas, under 14 Code of Federal Regulations Part 137. The commercial pilot received serious injuries, and the aircraft sustained substantial damage. Visual meteorological conditions prevailed for the flight, and a flight plan was not filed. The flight originated from Kilgore, Texas, with a landing at the Seminole/Gaines County Municipal Airport. The flight then departed this municipal airport for a positioning flight to the nearby private airstrip at 1830.

During a telephone interview, conducted by the NTSB investgator-in-charge (IIC), the operator reported that the aircraft was landing to the east on his private caliche (gravel) runway (5,280 feet long and 60 feet wide). The airplane departed the right side of the runway into soft dirt and "flipped" to the inverted position. The vertical stabilizer and rudder were crushed. The cockpit was compressed and the wings were wrinkled.

On the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) the pilot stated that "after initial touchdown the pilot seat slid back all the way which made it impossible to reach the left rudder pedal." The pilot further stated that his left leg is shorter than his right leg.

The FAA inspector, who responded to the site, found that the pilot seat was dislodged from the seat track. Further examination revealed that the "part number 0700645-1 housing assembly seat roller forward left had spread open to near the width of the seat rail allowing the seat to dislodge from the locked position." The FAA inspector reported that the "airworthiness directive 87-20-03 had not been properly accomplished on the seat installation in N731JY. The seat did not meet the locking pin engagement requirements of the airworthiness directive. The airworthiness directive had been properly signed off in the maintenance records during the last inspection." The aircraft tachometer reading was 249.4 hours.

A review of the maintenance records by the NTSB investigator-in-charge revealed that the last annual inspection was performed on April 16, 1999, at a total aircraft time of 5,039 hours, and the tachometer was replaced at that time.

Aircraft

Registration
N731JY
Reported as
Cessna A188B
Category
Airplane
Serial number
18802941T
Airframe hours
5,288
Engine
Continental IO-520-D, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Graham Addison, doing business as Addison Flying Service, Inc
Registered owner
John Wesley Addison
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 16, 1999 · 249 hours before
Departed
4TX6 · TX
Destination
5TAO
Airport
5TAO · Hamilton Aircraft, Inc., runway 9, 5,280 × 60 ft, gravel

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
40
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Center
Flight hours
4,200 total · 400 in this make and model · 4,100 as pilot in command · 200 in the last 90 days · 80 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 12 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 46 °F
Altimeter
30.00 inHg
Observed at
HOB, 31 nm away

Docket · 12

The files NTSB released with the investigation on March 3, 2000, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.3 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.