NYC94LA088

NTSB accident investigation · Aeronca 11AC · Berwick, ME · May 21, 1994

Accident · FatalLimited investigationFinal report
Date
May 21, 1994, 17:38 local (21:38 UTC)
Place
Berwick, ME
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N3167EAeronca 11AC
Weather
Visual (VMC) · Day
Status
Completed · report December 7, 1994
Report
Approved by Office Director
FAA report
19940521011909A
Case key
38758

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's inadequate preflight which fail to detect proper operation of the elevator which resulted in the loss of control inflight. A factor is inadequate maintenance which consisted of misrigging of the elevator flight controls.

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 flightApproach - vfr pattern - final approach
Flt control syst,elevator controlFactor
Maintenance,installation - improperUnknownFactor
Aircraft preflight - inadequatePilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - grass

Analysis

Shortly after takeoff, the airplane descended steeply to the ground. The airplane crashed at the midpoint of the runway. The examination of the airplane revealed the elevator flight controls were misrigged and the elevator operated in reverse to normal control inputs. The inspection of the elevator turnbuckle revealed the safety wire was tied in an unsatisfactory manner. Also, an elevator control bolt was installed with inadequate clearance from the airframe. This was the first flight after an annual inspection. The inspection was done by a licensed mechanic. On the day of the accident, the pilot worked on the airplane for several hours. Safety wire was found inside the airplane; screws and fasteners were found in the pilot's personal effects.

Factual narrative

On May 21, 1994, at 1738 eastern daylight time, an Aeronca 11AC, N3167E, owned and piloted by Gerard J. Curran, of Somersworth, New Hampshire, struck the ground after takeoff from a private airstrip in Berwick, Maine. The pilot was fatally injured and the airplane was destroyed by the impact. Visual meteorological conditions prevailed and no flight plan had been filed for the flight operating under 14 CFR Part 91.

According to a witness at the airport:

I heard...taxiing N3167E back and forth on the runway. I was opening the hangar door when I heard him apply takeoff power at the east end of the strip. I went to a window to watch takeoff which would normally be visible from window. The aircraft was not visible at first, but suddenly dropped into view in a vertical dive with no rotation or spin. Heard the engine running at full power. The aircraft immediately impacted approximately half way down the runway....

The FAA reported this was the first flight following an annual inspection. According to the mechanic who accomplished the inspection:

...I did a check of the elevator control system by moving the elevators to the full limits of their travels, at the elevators, to insure that they were going from stop to stop, they were and the control yoke responded properly.....

According to FAA Aviation Safety Inspector (Airworthiness) of the Portland Flight Standards District Office,

...the elevator control cables had been incorrectly routed to their perspective attachment point, I.E. the cables attached to the top attachment point at the elevator control was routed directly to the top attachment point at the elevator horn located at the rear most point of the fuselage. The bottom cable was attached to the bottom of the attachment point at the control yoke and routed directly to the lower attachment point of the elevator horn. This arrangement allowed the elevators to deflect downward when the control yoke was moved in the aft direction.

Additionally, it was noted that the turnbuckles attached to the control yoke attachment points had been safety wired by a non experienced person, and that there was a difference in the size of the wire. The upper turnbuckle was saftied with .032 wire while the lower turnbuckle was saftied with .041 wire. At the aft section of the fuselage, two (2) discrepancies were noted. The first was the top elevator cable (attached to the top attachment point of the elevator horn) had been routed between the two elevator trim cables. Under operating conditions, this would have caused the larger elevator cable to "saw" through the smaller diameter cable over a period of time. The second discrepancy was the incorrect installation of the bolt securing the elevator cable shackle (p/n AN 115) to the elevator horn. The nut and cotter pin barely missed striking the frame. The opposite side provided a cut out in the frame to allow for clearance of the nut/cotter pin. It was also noted that the top bolt and nut were original, but had a new cotter pin stalled. The lower bolt, nut and cotter pin were new.

According to Mr. Paul Hubbard, Aviation Safety Inspector (Airworthiness), Portland Flight Standards District Office, the airplane was involved in an incident in 1992, after which the wings and tail surfaces were removed and the airplane was taken to the pilots residence. The airplane was then transported to Furnas airport. Mr. Hubbard was unable to determined when or where the pilot installed the elevators.

In a telephone interview, Mr. Hubbard said the safety wire on the elevator cable turnbuckles had to be cut and the turnbuckles loosed to remove the cables. After installation, the turnbuckles would be tightened to tension the cables, and then safety wired to hold their positions.

An autopsy was conducted by Henry F. Ryan, M.D. Chief Medical Examiner, Augusta, Maine, on May 23, 1994. According to Dr. Ryan, a screwdriver, and various screws and fasteners were part of the pilot's personal effects. Toxicological examination conducted by the FAA Civil Aeromedical Institute in Oklahoma City, Oklahoma, was negative for drugs and alcohol.

According to the pilot's last medical application dated November 23, 1992, he had a total time of 758 hours. The last entry in the pilot's log book was dated September 24, 1993. It showed a total time of 630 hours. The pilot's recency of experience was not determined. The log book did show 60 hours of flight time in the accident airplane between August 5, 1990 and September 1993.

Aircraft

Registration
N3167E
Reported as
Aeronca 11AC
Category
Airplane
Serial number
11AC-1507
Airframe hours
1,125
Engine
Continental A-65, 65 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Gerard J. Curran
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 19, 1994 · 0 hours before
Airport
NONE · Berwick, runway 27, 2,000 × 100 ft, grass/turf

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
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
630 total · 60 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 39 °F
Altimeter
29.00 inHg
Observed at
SFM, 12 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 N3167E · 1

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