MIA94GA099

NTSB incident investigation · Cessna 172N · Opa-Locka, FL · February 4, 1994

Incident · No injuriesFinal report
Date
February 4, 1994, 09:20 local (14:20 UTC)
Place
Opa-Locka, FL
Injuries
2 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N9003ECessna 172N
Weather
Visual (VMC) · Day
Status
Completed · report November 18, 1994
Report
Approved by Office Director
FAA report
19940204000899I
Case key
37436

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

Inadequate maintenance inspection and lubrication of the flap rollers which resulted in the left flap inboard roller becoming jammed in the track during flap retraction.

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/malfunctionClimb
Flt control syst,wing flap control bearing - corroded
Maintenance,inspection - inadequateCompany maintenance personnelCause
Maintenance,lubrication - inadequateCompany maintenance personnelCause
Flt control syst,wing flap control bearing - jammed
Flight control,flap - bent

Analysis

The aircraft was being rented by the FAA and operated by two aviation operations inspectors. After the pilot-in-command performed a simulated forced landing using flaps he was instructed to go around at about 400 feet. During climbout after flap retraction the left flap was observed to be bent and extended about 30 degrees at the inboard end and 10 degrees at the outboard end. The right flap was fully retracted and the flap lever was in the flaps retracted position. The flight returned to the airport for an uneventful landing. During taxi from landing it was found that the left aileron was binding on the bent left flap. During postflight examination of the left flap it was determined the inboard roller was jammed in the track. When pressure was applied to the flap the roller became free and the flap retracted rapidly. After removal of the inboard roller it was found to contain very little lubrication and to have rust on the roller surface. The Cessna Aircraft Company maintenance manual for the 172N requires inspection and lubrication of the flap rollers and tracks each 100 flight hours.

Factual narrative

On February 4, 1994, about 0920 eastern standard time, a Cessna 172N, N9003E, registered to Palmetto Sales and Leasing, Inc., sustained damage to the left flap while in flight near Opa- Locka, Florida, while on a 14 CFR Part 91 public-use flight. Visual meteorological conditions prevailed at the time and a visual flight rules flight plan was filed. The aircraft received minor damage and the airline transport-rated pilot and second pilot were not injured. The flight originated at Opa-Locka, Florida, on February 4, 1994, at 0850.

The aircraft was being rented by the FAA and operated by two aviation safety inspectors from the Federal Aviation Administration, Miami Flight Standards District Office. The pilot-in-command stated he is the supervisor of the General Aviation Geographic Unit and that he was giving indoctrination training to an inspector under his supervision. The pilot-in-command was in the right seat and the second pilot was in the left seat.

The pilot-in-command further stated that about 30 minutes into the flight the second pilot asked the pilot-in-command to demonstrate a forced landing. Flaps were used during the approach to landing. Descending through 300 to 400 feet the second pilot told the pilot-in-command to initiate a go-around. The flaps were raised. As they climbed out the left flap was observed to be bent and the inboard end extended about 30 degrees. The outboard end was extended 10 degrees. The right flap was retracted. They leveled off at 1,500 feet and maintained an airspeed of 75 knots. They returned to the Opa-Locka Airport and landed without further incident. During taxi from landing it was noted that the left aileron was binding on the left flap.

Postcrash examination of the aircraft by the two FAA inspector pilots indicated the left flap inboard roller was jammed in the track. When forces were applied to the flap during inspection the inboard roller became free and the flap retracted. Under supervision of an FAA airworthiness inspector the left flap, flap track, and flap rollers were removed from the aircraft. Photographs of the left flap inboard roller taken at this time showed the roller to have rust deposits on its surface and to have very little lubrication. The Cessna Aircraft Company maintenance manual requires inspection and lubrication of the flap rollers each 100 flight hours. The last recorded 100-hour inspection for the aircraft was on December 22, 1993.

The National Transportation Safety Board was notified of the incident shortly after it occurred. The Federal Aviation Administration did not ask NTSB to conduct an investigation into the incident until March 24, 1994. When the NTSB asked that the left flap tracks and rollers be submitted for evaluation the operator reported to FAA inspectors that they had already been destroyed.

Aircraft

Registration
N9003E
Reported as
Cessna 172N
Category
Airplane
Serial number
17272215
Airframe hours
5,332
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Minor damage
Flight
Public aircraft · Part 91
Registered owner
Palmetto Sales And Leasing Inc
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · December 23, 1993
Flight plan
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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
53
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
6,500 total · 2,000 in this make and model · 6,200 as pilot in command · 22 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 12 knots
Visibility
10 statute miles
Lowest ceiling
6,000 ft broken
Temperature
75 °F
Altimeter
30.00 inHg
Observed at
OPF, 6 nm away

FAA reports on this event · 1

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