WPR19LA117

NTSB accident investigation · Nanchang CJ 6 · Grass Valley, CA · April 19, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
April 19, 2019, 13:40 local (20:40 UTC)
Place
Grass Valley, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N621JMNanchang CJ 6
Defining event
Landing-landing roll: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
Case key
99293

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

A loss of brake control due to fatigue fracture of the brake control cable, which resulted in the separation of the cable from the brake handle.

Findings · 2

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.

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

During the landing roll, the pilot applied left rudder and lightly depressed the brake handle to exit the runway. About 30° into the left turn, the brakes failed, and the airplane exited the asphalt taxiway surface. Due to obstructions ahead and the downsloping terrain, the pilot applied right rudder and engine power to realign the airplane with the runway. Shortly thereafter, the airplane overran the departure end of the runway and traveled downslope while airborne. The airplane then touched down and impacted a dirt berm before it collided with a fence, nosed over, and came to rest inverted, sustaining substantial damage to the fuselage and both wings. Examination of the airplane revealed that the brake control cable was fractured near the cable thimble and was separated from the brake control handle. The fracture surfaces of the separated cable were consistent with a fatigue fracture. Six of the seven strands of wires exhibited relatively flat fracture surfaces normally oriented to the wire axis, consistent with a progressive fracture mechanism, such as a fatigue fracture. Only one strand and a few of the remaining individual wires showed evidence of minor elongation at the fracture location. It is likely that the cable completely failed during the landing roll when the pilot depressed the brake handle.

Factual narrative

On April 19, 2019, about 1340 Pacific daylight time, a Nanchang CJ-6 airplane, N621JM, was substantially damaged when it was involved in an accident near Grass Valley, California. The pilot and passenger sustained minor injuries. The airplane was operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, following an uneventful landing on runway 25, a 4,657 ft long and 75 ft wide asphalt runway, he extended his landing roll due to traffic on one of the taxiways. As the airplane neared the pilot's intended taxiway, he applied left rudder and lightly depressed the brake handle. About 30° into the left turn, the brakes failed, and the airplane exited the asphalt taxiway surface. Due to obstructions ahead and the down sloping terrain, the pilot applied right rudder and engine power to realign the airplane with the runway. Shortly after, the airplane overran the departure end of the runway and traveled downslope while airborne. The airplane then touched down and struck a dirt berm before it collided with a fence, nosed over, and came to rest inverted, resulting in substantial damage to the fuselage and both wings. The wreckage was recovered to a secure location for further examination. Postaccident examination revealed that the brake cable was separated from the brake handle. The cable thimble, clevis pin, and cotter pin remained attached to the brake control handle. The separated portions of the cable were removed and sent to the NTSB Materials Laboratory for further examination. Examination of the brake cable revealed that it was constructed of seven strands of seven metal wires (7x7). When comparing the thimble with the cable contour between two fracture locations, the fit was consistent with a thimble-eye termination created by a hand-tucked splice joint, as seen in figure 1. Figure 1: View of the brake cable components submitted to the NTSB Materials Laboratory. The fracture surface of the cleaned cable was examined using a scanning electron microscope. Six of the seven strands of wires exhibited relatively flat fracture surfaces normally oriented to the wire axis, consistent with a progressive fracture mechanism, such as a fatigue fracture. Only one strand and a few of the remaining individual wires showed evidence of minor elongation at the fracture location. For further information, see the Materials Laboratory Factual Report within the public docket for this accident. No specific entries pertaining to the brake cable were found within the airframe logbook.

Aircraft

Registration
N621JM
Reported as
Nanchang CJ 6 (A)
Category
Airplane
Serial number
4632023
Built
1989
Airframe hours
2,760.2
Engine
Huosai 6JIA, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · April 5, 2018 · 36.2 hours before
Departed
AUN · Auburn, CA
Destination
GOO · Grass Valley, CA
Airport
GOO · Nevada County, runway 25, 4,657 × 75 ft, asphalt
Equipment
Handheld GPS

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
72
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Front
Restraint
5-point
Flight hours
1,594 total · 368 in this make and model · 1,509 as pilot in command · 5 in the last 90 days · 4 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 43 °F
Altimeter
29.98 inHg
Observed at
KGOO

Docket · 4

The files NTSB released with the investigation on March 8, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.6 MB in all.