LAX03TA174

NTSB accident investigation · Cessna 182Q · So Lake Tahoe, CA · May 31, 2003

Accident · Minor injuriesFinal report
Date
May 31, 2003, 06:17 local (13:17 UTC)
Place
So Lake Tahoe, CA
Injuries
1 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4892NCessna 182Q
Weather
Visual (VMC) · Day
Status
Completed · report July 31, 2006
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Federal Aviation Administration, Civil Air Patrol/US Air Force Liaison
FAA report
20030531011699A
Case key
57113

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

a loss of pitch flight control authority due to the disconnection and separation of the elevator DOWN control cable turnbuckle. The separation of the turnbuckle was due to the severance of the safety wire by unknown persons at an unknown time.

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
MiscellaneousUnknownCause
Flt control syst,elevator control cable/rod - not safetiedCause
Flt control syst,elevator control cable/rod - separationCause
Elevator - not availablePilot in commandCause
Forced landingEmergency landing after takeoff
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - high vegetation
Terrain condition - soft
Nose overLanding - roll

Analysis

Pitch control was lost during the takeoff initial climb due to a separated elevator control cable and the aircraft nosed over during an off-airport forced landing. During climb out, both pilots noted an increasing nose high pitch attitude and pushed forward on their respective yokes in an effort to regain aircraft control. The aircraft did not respond to control yoke inputs and the certified flight instructor (CFI) was only able to regain control by retracting the flaps and retarding the throttle; however, there was no runway remaining to affect a landing. The CFI used engine power to maintain aircraft pitch control and setup for an off-airport landing. The nose landing gear dug into the soft ground after the airplane touched down and the aircraft nosed over. A Federal Aviation Administration inspector examined the airplane on scene. He removed the empennage inspection panel and found the DOWN elevator cable lying on the floor of the empennage. The safety wire for the DOWN elevator cable had been cut and pulled from the center hole, which allowed the turnbuckle to rotate until it separated from the turnbuckle eye. The other end remained attached to the swaged terminal by two threads. The UP elevator cable turnbuckle safety wire had also been cut on the eye side and pulled out of the center hole of the turnbuckle. The eye remained engaged in the turnbuckle by 19 3/4 turns, and the terminal end remained engaged by 18 1/2 turns. The flight control system was inspected with no further discrepancies noted. A review of the aircraft maintenance records, and shop work orders from maintenance facilities that had worked on the airplane, revealed no instances of maintenance activity that would have involved disturbing the elevator control cable turnbuckles since November 2000. The last annual inspection was completed 8 months and 75 flight hours prior to the accident; both the mechanic and inspector who performed the annual reported that the elevator control system was secure at that point.

Factual narrative

History of flight

On May 31, 2003, at 0617 Pacific daylight time, a Cessna 182Q, N4892N, nosed over during a forced landing at the Lake Tahoe Airport (TVL), South Lake Tahoe, California. The Civil Air Patrol (CAP) operated the airplane as a public-use flight under the provisions of 14 CFR Part 91. The airplane sustained substantial damage. The certified flight instructor (CFI) received minor injuries. The private pilot and one passenger were not injured. Visual meteorological conditions prevailed for the cross-country flight to the Winnemucca Municipal Airport (WMC), Winnemucca, Nevada.

In an interview with the National Transporation Safety Board investigator-in-charge (IIC), the flying pilot stated that they were activated for a mission to search for a missing aircraft. They were repositioning to WMC, where the search was being coordinated. A safety briefing was conducted, in which the pilot and the CFI discussed flight duties. If a problem were to occur, the CFI would take the flight controls and fly the airplane.

The flying pilot conducted a normal preflight that included checking the fuel, oil, and flight control surfaces. They boarded the airplane, and he started the engine according to the airplane's approved checklist. He again checked the flight controls, with no discrepancies encountered. He taxied the airplane to runway 36, conducted a run-up (per the manufacturer's checklist), and set the mixture per the takeoff checklist.

The flying pilot applied the throttle as the airplane rolled out onto the runway. He called airspeed "alive" between 40-50 knots, and then called the airplane off the ground (60 knots). He flattened the nose to gain airspeed; the nose pitched up, and he pushed the yoke forward to lower the nose. The airplane remained in a nose high attitude. At that point the CFI called "my plane," and the flying pilot responded with "your plane." The pilot stated that the CFI flew the airplane from that point on. He indicated that the CFI pushed the yoke forward and "shook" the airplane to try and loosen the flight controls.

The nose high condition remained and the flying pilot assisted the CFI by raising the flaps and helping to keep the yoke in the forward position. He indicated that the rear passenger moved forward to see if the weight redistribution would help. The airplane was now beyond the airport environment.

According to the CFI's written statement, the flying pilot conducted the preflight utilizing the airplane checklist. They boarded the airplane and conducted the pre-taxi checklist, which included "full and visual deflection of controls; free and correct," as well as, a crew briefing. The crew briefing included an agreement that the flying pilot would perform the takeoff; however, if any abnormality should arise, the CFI would assume control of the airplane with the standard exchange of controls through repetitive verbal confirmation.

The flying pilot taxied to the active runway where the run-up checklist was performed, which included a second visual check of full deflection of the flight controls. No abnormalities were noted. She had the observer record the time, 0615. After that a 360-degree turn was conducted to check for area traffic and any oil leaks that may have occurred during the run-up. She announced their departure on the common traffic advisory frequency, and the pilot taxied into position. The flying pilot applied power, "called out instruments in the green, airspeed alive, and rotated at 60 knots indicated airspeed."

There were no discrepancies noted with the takeoff. As the flying pilot pushed the nose forward to gain airspeed, the airplane "suddenly and severely pitched up." The CFI noted that the flying pilot had the yoke in the full forward position; however, the angle of attack continued to rise. The flying pilot stated that they had a problem, and she took over the flight controls. At that point both pilot's pushed forward on the yoke, but there was no change in the nose high angle of attack. She knew that a departure stall was imminent, so she reduced the power and removed 10 degrees of flaps. The observer in the rear seat moved forward in order to shift more weight to the front of the airplane. The CFI reported that the nose lowered and she regained control of the airplane, but there was no runway left on which to land. She reapplied power to control the pitch and chose a suitable place to make a forced landing.

During the forced landing she attempted to reduce the power by retarding the throttle. There was no response from the engine. She continued her attempts to reduce the power by "firmly adjusting the throttle to idle position" with no response. She redirected the airplane's heading towards tall brush in order to slow the airplane down. The airplane plowed through the brush, which reduced the airplane's airspeed. The CFI reported that the airplane touched down on its main landing gear. Both pilots reported that after the airplane touched down the nose landing gear collapsed and dug into the soggy ground, and nosed over. They conducted the emergency procedures to evacuate the airplane.

The observer reported that after takeoff the climb out was normal, but "continued at what I felt would end in a power stall." He shifted his weight forward, and saw both pilots pushing forward on the yokes. The airplane leveled off and the CFI retracted the flaps to zero.

A deputy from El Dorado County Sheriff's Office interviewed the flying pilot. The flying pilot reported that after takeoff he and the others noticed that the airplane's tail was "extremely low and would not respond to corrections." Both he and the CFI forced the yoke forward to drop the nose of the airplane. The flying pilot stated that they felt the airplane was going to stall, at which point the CFI took over the flight controls. He tried to shut down the engine, but it "kept revving." The flying pilot stated that the CFI intentionally clipped willow bushes with the airplane on the way down as a means to reduce the airspeed, thereby slowing down the airplane to aid with the forced landing.

Personnel information

Certified Flight Instructor

A review of Federal Aviation Administration (FAA) airman records revealed the pilot held a commercial pilot certificate with an airplane single and multiengine land ratings and an instrument airplane rating. The pilot also held a certified flight instructor certificate with an airplane single engine land rating. According to Civil Air Patrol (CAP) records, the pilot's last CAP pilot flight evaluation was conducted on February 17, 2003. The evaluation included, CAP's annual standardization, instructor/check pilot, cadet orientation, and FAA biennial flight review.

The pilot held a first-class medical certificate issued on January 20, 2003. It contained the limitation that the pilot shall wear correcting lenses while exercising the privileges of her airman certificate.

According to the FAA, the pilot had an estimated total flight time of 778 hours. She logged 6 hours in the last 90 days, and had an estimated 200 hours in this make and model.

Flying Pilot

A review of FAA airman records revealed the flying pilot held a private pilot certificate with an airplane single engine land rating.

The pilot held a third-class medical certificate issued on July 29, 2001. It had the limitations that the pilot must wear lenses for distant vision, and have glasses for near vision.

According to the pilot's FAA airman medical application, the pilot reported an estimated total flight time of 170 hours, with an estimated 10 hours in the last 6 months in the accident make and model.

Aircraft information

The airplane was a 1979 single engine Cessna 182Q, serial number 18267441. A review of the airplane's logbooks revealed a total airframe time of 3,665.5 hours at the last annual inspection. An annual ins

Aircraft

Registration
N4892N
Reported as
Cessna 182Q
Category
Airplane
Serial number
18267441
Airframe hours
3,740.8
Engine
Teledyne Continental O-470-U, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Public aircraft · Part 91
Registered owner
Civil Air Patrol
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 2002 · 75 hours before
Departed
TVL · So Lake Tahoe, CA
Destination
WMC · Winnemucca, NV
Flight plan
Company VFR

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
Flight instructor
Age
51
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
February 1, 2003
Seat
Right
Flight hours
778 total · 200 in this make and model · 6 in the last 90 days
Role
Student pilot
Age
53
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3
Seat
Left
Flight hours
170 total

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
36 °F, dew point 32 °F
Altimeter
30.15 inHg
Observed at
TVL, 2 nm away

Docket · 13

The files NTSB released with the investigation on July 10, 2006, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.0 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.

Other investigations on N4892N · 1

Matched to the same aircraft by N-number and date.