WPR17LA078

NTSB accident investigation · Swearingen SA226 · Boise, ID · March 20, 2017

Accident · No injuriesLimited investigationFinal report
Date
March 20, 2017, 04:05 local (10:05 UTC)
Place
Boise, ID
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N158WASwearingen SA226
Defining event
Initial climb: Part(s) separation from AC
Weather
Visual (VMC) · Night/dark
Status
Completed · report November 6, 2018
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20170320002139A
Case key
94891

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

Company maintenance personnel's failure to remove a screwdriver that was left lodged in the windshield wiper area of the forward fuselage during maintenance and subsequently became dislodged on takeoff/initial climb and collided with a left propeller blade.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelSwearingen SA226TC: 1 caseAll aircraft: 320 casesProbable cause
Inspection: post maintenance inspectionPersonnel issues › Task performance · Maintenance personnelSwearingen SA226TC: 1 caseAll aircraft: 57 casesProbable cause
Oversight: oversight of maintenanceOrganizational issues › Support/oversight/monitoring · OperatorSwearingen SA226TC: 1 caseAll aircraft: 28 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The airline transport pilot reported that he performed a preflight inspection of the airplane before departing on the repositioning flight. The takeoff roll was normal; however, just after the airplane lifted off, he heard a "pop" and felt a vibration. The pilot initially thought that one of the tires had blown, but as the vibration continued, he determined that he might have a problem with one of the propellers. The pilot subsequently returned to the airport and landed without further incident. When the pilot shut down the left engine after landing, he noticed that the tip of one of the propeller blades was missing. Further examination of the blade revealed that about 4 inches of the blade tip had separated and penetrated the side of the fuselage. Airport personnel later found additional pieces of propeller blade material on the runway, as well as what appeared to be the blade of a screwdriver and pieces of the handle. Maintenance personnel reported that a mechanic had been working on the airplane just before the flight and had been called away from the task he was performing before it was completed; the airplane was subsequently returned to service. The mechanic left a screwdriver on the nose of the airplane in the windshield wiper area, in a position that the pilot could not see. It is likely that, during the takeoff roll, the screwdriver became dislodged from the area of the windshield wiper and impacted the left propeller.

Factual narrative

On March 20, 2017, about 0405 mountain daylight time, a Swearingen SA226TC, N158WA, was substantially damaged due to foreign object damage to the airplane's fuselage during initial takeoff/climb from Boise Air Terminal/Gowen Field (BOI), Boise, Idaho. The airline transport pilot was not injured. The airplane was registered to and operated by Western Airlines LC of Boise as a 14 Code of Federal Regulations Part 91 positioning flight. Visual meteorological conditions prevailed at the time, and an instrument flight rules flight plan was filed and active. The flight was originating at the time and destined for Salt Lake International Airport (SLC), Salt Lake City, Utah. In a written statement submitted to the National Transportation Safety Board investigator-in-charge, the pilot reported that prior to departing on the repositioning flight, he reviewed the maintenance data for the airplane (the Can) and found everything to be up to date. The subsequent preflight inspections, inclusive of the interior and exterior of the airplane revealed no anomalies. The pilot stated that at 0400 he called BOI ground control, obtained taxi clearance, and taxied to runway 10L where he began the takeoff roll. The pilot reported that everything was normal, rotated at 105 knots; shortly thereafter he heard a "pop", followed by a vibration. Thinking that he had a blown tire, he waited a few seconds to see if the frequency of the vibration would change as the tire rotation slowed. However, the vibration remained the same, which led him to think that there might be an issue with the propeller. The pilot radioed the BOI tower controller, advised him of his intension to return to the airport, and was instructed to turn right for Runway 10L. The pilot stated that on the downwind leg he thought there might be a problem with a propeller. However, after he inspected both propeller spinners to determine which propeller might be damaged, he determined that both were running smooth. The pilot further stated that as he had no indication as to which propeller was damaged and the vibration was light and not changing, he elected not to shut the engine down. The pilot then landed uneventfully, taxied to parking, and shut the right engine down first. The pilot then shut the left engine down. During the last few rotations of the propeller he observed the spinner wobble slightly; he then noticed that the tip of one of the blades was missing. The pilot stated that after having exited the airplane he observed that about four inches of one of the propeller blade tips was missing, as well as having observed two holes in the fuselage, [both caused by pieces of the propeller blade tip]. About 10 minutes later airport operations personnel delivered another piece of the propeller [blade], and what appeared to be the blade of a screwdriver and two pieces of a screwdriver handle. A further examination of the airplane revealed a third hole in the fuselage further back [of the left] wing root justbelow the window. During a postaccident inspection of the airplane, a Federal Aviation Administration aviation safety inspector reported that maintenance had been performed on the airplane prior to the flight, and that the mechanic was called away from the task he was performing prior to it being completed. The inspector stated that a screwdriver was left on the nose of the airplane under the windshield wiper and out of sight of the pilot. Subsequently, on takeoff roll the screwdriver became dislodged and impacted the left propeller; remnants of two pieces of a propeller blade were found to have penetrated the left side fuselage and came to rest inside the cabin of the airplane. The screwdriver was subsequently located lying on the surface of the departure runway.

Aircraft

Registration
N158WA
Reported as
Swearingen SA226 (TC)
Category
Airplane
Serial number
TC411
Built
1981
Airframe hours
28,602.9
Engines
Honeywell TPE-331-10UA, 940 horsepower, turbo propHoneywell TPE-331-10UA, 940 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · March 4, 2017 · 182 hours before
Departed
BOI · Boise, ID
Destination
KAPA · Denver, CO
Flight plan
IFR
Airport
BOI · Boise Air Terminal/Gowen Field, runway 10L, 10,000 × 150 ft, asphalt
Equipment
Stall warning system, Angle of attack indicator

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
62
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Unknown
Last flight review
January 31, 2017
Seat
Left
Restraint
4-point
Flight hours
10,700 total · 3,161 in this make and model · 7,919 as pilot in command · 37 in the last 90 days · 31 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
170° at 7 knots
Visibility
10 statute miles
Lowest ceiling
12,000 ft overcast
Temperature
48 °F, dew point 45 °F
Altimeter
30.05 inHg
Observed at
BOI

Docket · 3

The files NTSB released with the investigation on July 17, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 MB in all.

FAA reports on this event · 1

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