SEA07LA055

NTSB accident investigation · Cessna 421 · Pocatello, ID · January 30, 2007

Accident · No injuriesLimited investigationFinal report
Date
January 30, 2007, 13:50 local (20:50 UTC)
Place
Pocatello, ID
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4584LCessna 421
Weather
Visual (VMC) · Day
Status
Completed · report May 29, 2007
Report
Approved by Office Director
Parties
Salt Lake FSDO
FAA report
20070130000909A
Case key
65218

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 separation of the bolt that attaches the elevator trim tab actuator rod to the elevator trim tab horn, resulting in violent flutter of the elevator, and eventually to the separation of the inboard half of the right elevator.

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 - to cruise
Flight control,elevator tab - disconnectedCause
Flight control,elevator - flutterCause
Flight control,elevator - separationCause

Analysis

During the climb to cruise altitude, the bolt that holds the elevator trim tab actuator rod to the trim tab horn came loose from its retaining nut and separated from the aircraft. This led to severe airframe vibration, and eventually to violent elevator flutter. As a result of the flutter, the inboard half of the right elevator separated from the airframe. By reducing power on the right engine, and adding power on the left engine, the pilot was able to crab the aircraft, reduce the airflow over the right stabilizer/elevator, and ultimately execute an emergency full-stop landing.

Factual narrative

On January 30, 2007, approximately 1350 mountain standard time, a Cessna 421, N4584L, experienced the in-flight separation of the inboard half of the right elevator while en route from Idaho Falls, Idaho, to American Falls, Idaho. The commercial pilot, who was the sole occupant, was not injured. The 14 CFR Part 91 aircraft repositioning ferry flight, which had been airborne for about 10 minutes, was being operated in visual meteorological conditions. The aircraft is owned and operated by Bully Dog Technologies of Aberdeen, Idaho. No flight plan had been filed.

According to the pilot, while he was climbing through 9,400 feet for 10,500 feet, he heard a very large thud that he could feel through the control yoke. The event moved the control yoke back and forth, and although the pilot was not sure what had happened, he later said that it felt as if something had "...struck the elevator very hard." At that point, the pilot reduced power and headed toward the Blackfoot Airport. Although there initially seemed to be no significant aerodynamic effect, after about 60 seconds a very strong shudder/vibration began to occur, and the aircraft began a dive to the left. The pilot then reduced power further to maintain control. He then looked over his right shoulder, and was able to see the right stabilizer/elevator "fluttering violently." He then further reduced the power on the right engine, and added power to the left engine, which effectively crabbed the aircraft to the right and reduced the airflow over the right stabilizer/elevator. After taking the aforementioned remedial action, the aircraft stopped shaking/vibrating, and the pilot turned toward Pocatello Regional Airport in order to make use of its longer/wider runway. The pilot was eventually able to execute an emergency landing at Pocatello. After exiting the aircraft, the pilot discovered that the inboard one-half of the right elevator had departed the airframe while in flight.

A post-accident inspection by an FAA Airworthiness Inspector found that the bolt that connects the elevator trim tab actuator rod to the elevator trim tab horn was missing, and neither the actuator rod end nor the tab horn had failed. There was no evidence of a bird impact, and the pilot had not seen a bird at the time the event was initiated. In both his written statement, and during a post-accident telephone interview, the pilot stated that he had manually adjusted the elevator trim a number of times prior to the initiation of the sequence of events, and that not only did the system work correctly, but that he had felt no looseness, roughness, or vibration in the system. He further stated that because this was an FAA -approved ferry flight, he had performed an extensive preflight prior to departure, to include the flight controls and their actuation systems. He said that during this inspection he confirmed that there were no nuts or bolts missing from the flight control actuation system.

Aircraft

Registration
N4584L
Reported as
Cessna 421
Category
Airplane
Serial number
421-0184
Airframe hours
4,381
Engine
Continental GTSIO-520-H, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Ferry · Part 91
Registered owner
Bully Dog Technologies
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2006
Departed
KIDA · Idaho Falls, ID
Destination
KU01 · American Falls, ID

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
67
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
February 1, 2006
Seat
Left
Flight hours
6,058 total · 2 in this make and model · 5,624 as pilot in command · 84 in the last 90 days · 28 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
25 statute miles
Lowest ceiling
None
Temperature
30 °F

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 N4584L · 1

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