LAX01IA241

NTSB incident investigation · Beech A36 · Bakersfield, CA · June 27, 2001

Incident · No injuriesIncident investigationFinal report
Date
June 27, 2001, 10:10 local (17:10 UTC)
Place
Bakersfield, CA
Injuries
4 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N808NHBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report February 25, 2003
Report
Approved by Office Director
Parties
FAA Flight Standards Dist Office
FAA report
20010627039109I
Case key
52692

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

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Probable cause

During landing approach, mechanical binding of the elevator control cable occurred due to a contract mechanic's improper maintenance.

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.

Airframe/component/system failure/malfunctionGo-around (vfr)
Flt control syst,elevator control cable/rod - binding(mechanical)Cause
Maintenance,service of aircraft/equipment - improperOther maintenance personnelCause

Analysis

During the landing approach on an instructional flight, the certified flight instructor (CFI) initiated a go-around and experienced restricted elevator control movement. The elevator control became partially jammed in a nose low and then a nose high position. Roll and yaw control was not affected. Using considerable force, the CFI maintained airplane control and landed without additional incident. Thereafter, the airplane was inspected. Evidence of mechanical binding to the elevator pitch control cables was noted. Specifically, a screwdriver was found wedged between the nose gear actuator retract rod and the elevator control cables beneath the forward spar cover, between and under the pilots' seats. When the nose gear retracted, the nose gear actuator retract rod moved the screwdriver against the elevator control cable resulting in binding. Upon removal of the screwdriver, the elevator operation was normal. Two days prior to the incident, a contract mechanic had performed maintenance on the airplane. The maintenance required taking off the forward spar cover to allow removal and installation of a flap motor gearbox assembly and flap flex drives. Since this maintenance, the airplane had been operated 5.8 flight hours.

Factual narrative

On June 27, 2001, at 1010 Pacific daylight time, a Beech A36, N808NH, experienced restricted elevator control movement while performing a go-around at Meadows Field, Bakersfield, California. International Flight Training Academy was operating the airplane under the provisions of 14 CFR Part 91. The certified flight instructor (CFI), dual student, and two passengers were not injured. The local instructional flight departed Bakersfield at 0921. Visual meteorological conditions prevailed, and no flight plan had been filed.

According to the CFI, during the incident flight the student was performing an approach to Meadows Field when air traffic control tower personnel instructed the airplane pilot to go around. Due to the student's delayed response, the CFI stated that he assumed control of the airplane and initiated the go-around. While reconfiguring the airplane, the nose came up too high, and holding forward pressure on the control wheel and pitch trim reduction seemed ineffective. The CFI indicated that he applied additional force to the elevator control, the controls freed, and the nose abruptly pitched down and became jammed in a nose low attitude. The CFI again pulled back with great force, the elevator control freed, and the nose came up to an excessively nose-up pitch attitude. The oscillation continued for about three to four cycles. Roll and yaw controls were not affected. The CFI indicated that he successfully maintained control of the airplane and landed in a flaps up configuration.

A post-incident inspection of the airplane revealed no pitch trim abnormalities. However, the elevator exhibited evidence of mechanical binding. A more detailed inspection revealed that a screwdriver had been left under the airplane's floor in proximity to control cables. Specifically, a 10-inch-long screwdriver was found wedged between the nose gear actuator retract rod and the elevator control cables beneath the forward spar cover, between and under the pilots' seats. As the nose gear retracted, the nose gear actuator retract rod moved the screwdriver against the elevator control cable resulting in binding. When the screwdriver was removed, the elevator operation was normal.

A record review revealed that on June 25, 2001, a contract mechanic had performed maintenance on the airplane. The maintenance required taking off the forward spar cover to allow removal and installation of a flap motor gearbox assembly and flap flex drives. Since this maintenance, the airplane had been operated 5.8 flight hours.

Aircraft

Registration
N808NH
Reported as
Beech A36
Category
Airplane
Serial number
E-2817
Airframe hours
3,999
Engine
Continental IO-550B-6F, 300 horsepower, reciprocating
Damage
No damage
Flight
Instructional · Part 91
Operator
International Flight Training Academy, Inc.
Registered owner
ANA Trading Corp.
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · June 25, 2001 · 6 hours before
Departed
BFL · Bakersfield, CA
Destination
BFL · Bakersfield, CA
Airport
BFL · Meadows Field, runway 30L, 3,700 × 75 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
26
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
March 16, 2001
Seat
Right
Flight hours
1,164 total · 51 in this make and model · 1,045 as pilot in command · 92 in the last 90 days · 39 in the last 30 days · 5 in the last 24 hours
Role
Student pilot
Age
26
Injuries
None
Certificate
Student
Medical
Class 3
Seat
Left
Flight hours
15 total · 15 in this make and model · 0 as pilot in command · 15 in the last 90 days · 14 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 50 °F
Altimeter
30.04 inHg
Observed at
BFL

FAA reports on this event · 1

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