NYC93FA044

NTSB accident investigation · Beech 18T · Cleveland, OH · December 15, 1992

Accident · FatalField investigationFinal report
Date
December 15, 1992, 09:12 local (14:12 UTC)
Place
Cleveland, OH
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N706MBeech 18T
Weather
Visual (VMC) · Day
Status
Completed · report September 14, 1993
Report
Approved by Office Director
FAA report
19921215050289A
Case key
37237

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

On this page

Probable cause

The improper installation of the elevator by company maintenance personnel and the lack of proper inspections by a company certified mechanic/inspector and the FAA certified mechanic with inspector authorization. A factor in this accident was an insufficiently defined maintenance procedures that allowed multiple maintenance tasks to be combined into a single line entry.

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
Flight control,elevator attachment - improperFactor
Maintenance,installation - improperCompany maintenance personnelCause
Maintenance,inspection - not performedCompany maintenance personnelCause
Condition(s)/step(s) insufficiently definedCompany maintenance personnelFactor
Flight control,elevator - jammed
In flight collision with terrain/waterDescent - uncontrolled

Analysis

After rotation, during the initial climb, the nose of the airplane pitched up to approximately 60 degrees above the horizon. The airplane continued to climb until about 250 feet above the ground, then rolled right, pitched down and descended. The airplane impacted the ground, approximately 45 degrees nose down, 650 feet to the right of the runway. Post accident investigation of the wreckage revealed the elevator jammed in the full up deflection. The upper end of the elevator control rod was found not connected to the elevator, but was found laying aft, wedged between the tail cone and the elevator faring, holding the elevator in the full up position. The control rod connecting bolt was found laying in the bottom of the tail cone undamaged. The washer, nut and cotter pin related to the control rod connecting bolt were not found. The elevator had been removed, recovered and then installed by company maintenance personnel 166 flight hours prior to the accident.

Aircraft

Registration
N706M
Reported as
Beech 18T
Category
Airplane
Serial number
12360
Airframe hours
16,115
Engine
Garrett TPE-331-1, 665 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Positioning · Part 91
Operator
Mohican Air Service Inc
Registered owner
Mohican Air Service Inc
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
AAIP · December 7, 1992 · 9 hours before
Departed
CLE
Destination
SYR · Syracuse, NY
Flight plan
IFR
Airport
CLE · Cleveland-Hopkins, runway 23, 7,096 × 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
34
Certificates
Airline transport, Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
4,768 total · 91 in this make and model · 3,832 as pilot in command · 123 in the last 90 days · 53 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 9 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
39 °F, dew point 30 °F
Altimeter
30.00 inHg
Observed at
CLE, 1 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.

Other investigations on N706M · 1

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