WPR20LA026

NTSB accident investigation · Piper PA 18 · Livermore, CA · November 16, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 16, 2019, 15:10 local (23:10 UTC)
Place
Livermore, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N8589DPiper PA 18
Defining event
Maneuvering-low-alt flying: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Piper Aircraft Company, FAA-FSDO
FAA report
20191116011229I
Case key
100579

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 improper installation of the flight control stick, which resulted in separation of the flight control stick from the stick stub assembly and an uncontrolled descent and impact with terrain.

Findings · 1

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.

Flight control system: control column sectionAircraft › Aircraft systems · Incorrect service/maintenancePiper PA-18: 3 casesAll aircraft: 21 casesProbable cause

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 a banner tow flight, the pilot successfully picked up the banner then pulled the flight control stick back to gain altitude. The flight control stick separated from the stick hub assembly at the floor and the airplane made an uncontrolled descent to the ground. Examination of the airplane revealed that the hardware that secured the flight control stick to the stick hub assembly was connected to the flight control stick but was not attached through the mounting holes on the stick hub assembly. Given the wear marks on the stick stub assembly, it is likely that the control stick was in this position for some time and was not properly installed during prior maintenance; however, the airplane’s maintenance logbook did not specify when the control stick was last removed.

Factual narrative

On November 16, 2019, about 1510 Pacific standard time, a Piper PA-18 airplane, N8589D, sustained substantial damage when it was involved in an accident near Livermore Municipal Airport (LVK), Livermore, California. The pilot was the sole occupant on board and was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 banner tow flight. The pilot reported that he completed a preflight of the airplane, including the movement and "stability" of the flight controls, to set up a banner for pickup on the approach end of runway 07. The pilot departed runway 07 and completed one circuit in the left traffic pattern to return for the banner pickup. The tower controller then cleared the pilot for the banner pickup. The pilot approached the runway and made successful contact with the banner. As the pilot pulled the flight control stick back to gain altitude, the control stick separated from the stick stub assembly at the floor. The airplane made an uncontrolled descent and impacted the ground shortly thereafter. The airplane came to rest in a grass field about 150 ft from its first impact with the ground. Examination of the airplane by a Federal Aviation Administration inspector revealed that the hardware that secured the control stick to the stick hub assembly was secured on the control stick but was not attached through the mounting holes on the stick hub assembly. The stick hub showed signatures of rubbing and wear at the area near the bolt holes. Flight control stick and stick hub assembly The airplane’s maintenance logbooks revealed that the last inspection was performed on March 17, 2019, after which the airplane was returned to service. There were no maintenance entries that indicated the removal and installation of the control stick.

Aircraft

Registration
N8589D
Reported as
Piper PA 18 (150)
Category
Airplane
Serial number
18-6249
Built
1957
Airframe hours
14,976
Engine
Lycoming O-320, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Banner tow · Part 91
Operator
Aerial Advertising Services
Registered owner
TeamBuilders, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 17, 2019
Departed
LVK · Livermore, CA
Destination
LVK · Livermore, CA
Airport
LVK · Livermore Muni, runway 07R, 2,699 × 75 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
46
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
December 13, 2018
Seat
Front
Restraint
Lap only
Flight hours
1,175 total · 24 in this make and model · 1,072 as pilot in command · 27 in the last 90 days · 10 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 52 °F
Observed at
KLVK

Docket · 6

The files NTSB released with the investigation on June 7, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.1 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.