SEA95LA159

NTSB accident investigation · Cessna 402B · Wenatchee, WA · July 29, 1995

Accident · No injuriesLimited investigationFinal report
Date
July 28, 1995, 21:00 local (Jul 29, 1995, 04:00 UTC)
Place
Wenatchee, WA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N51816Cessna 402B
Weather
Visual (VMC) · Day
Status
Completed · report February 14, 1996
Report
Approved by Office Director
FAA report
19950728046929A
Case key
42201

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

Improper installation (failure to install cotter key) by company maintenance personnel.

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/malfunctionTakeoff - initial climb
Flt control syst,elevator trim/tab control - jammedCause
Maintenance,installation - improperCompany maintenance personnelCause
In flight collision with terrain/waterEmergency landing after takeoff
Proper touchdown point - not possiblePilot in command

Analysis

The elevator trim jammed shortly after takeoff. The pilot returned to the departure airport, while holding about 150 pounds of back pressure on the control wheel. When he moved one hand to the throttles to reduce the power, he was unable to hold the nose up, and the aircraft impacted terrain about 300 feet short of the approach end of the runway. Investigation revealed that company maintenance personnel had failed to install a cotter key, and the trim tab push rod attachment bolt, nut, and cotter key were missing.

Factual narrative

On July 28, 1995, approximately 2100 Pacific daylight time, a Cessna 402B, N51816, impacted the terrain while attempting an emergency landing at Pangborn Memorial Airport, Wenatchee, Washington. The commercial pilot, who was the sole occupant, was not injured, but the aircraft sustained substantial damage. The Part 135 cargo flight, which had just departed Pangborn Airport for Boeing Field, Seattle, Washington, was being operated in visual meteorological conditions at the time of the accident. The pilot had filed an IFR flight plan, and there was no report of an ELT activation.

According to the operator, the elevator trim actuator rod failed during the takeoff sequence when the aircraft was about 100 feet above ground level. The rod then became jammed in a manner that resulted in a nose-down trim greater than the normal full nose-down position. The pilot therefore immediately attempted an emergency landing on the runway from which he had just departed. During this attempted landing, the aircraft impacted the terrain about 300 feet short of the runway threshold.

The pilot stated that he estimated about 150 pounds down force on the yoke. He let go of the yoke with one hand to retard the throttles, and was unable to keep the aircraft from impacting short of the runway threshold.

FAA investigators found that the elevator trim tab was in the extreme nose-down trim position, while the cockpit trim wheel was found in the extreme nose-up trim position. The trim was tested with no effect. Inspectors then noted that the attaching bolt, nut, and cotter key for the trim-tab push rod to the trim-tab actuator-assembly was missing. The disconnected end of the trim- tab push rod was wedged behind the elevator spar, forcing the trim tab into its extreme nose-down trim position. Maintenance logs showed that the right elevator had been replaced on July 15, 1995, 24.9 flight hours prior to the accident. The mechanic performing the repair stated that he had used the old hardware to perform the installation, but he was certain he had installed the cotter key.

The operator provided an incomplete portion of the NTSB form 6120.1/2, which is attached.

Aircraft

Registration
N51816
Reported as
Cessna 402B
Category
Airplane
Serial number
402B0816
Airframe hours
7,162
Engine
Continental IO-520-E, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
Aeroflight Executive Ser.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 5, 1995 · 110 hours before
Departed
EAT
Destination
BFI · Seattle, WA
Flight plan
IFR
Airport
EAT · Pangborn Memorial, runway 30, 5,500 × 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
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
4,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 46 °F
Altimeter
29.00 inHg
Observed at
EAT

FAA reports on this event · 1

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