# NTSB WPR22FA361: Grumman American Avn. AA-5B, N74349, Sahuarita, AZ, September 28, 2022 - Type: NTSB accident investigation - Classification: Accident · Fatal · Class 3 · Field · Final report - Date: September 28, 2022, 09:00 local (16:00 UTC) - Place: Sahuarita, AZ - Coordinates: 31.937408, -111.12437 - Nearby events: https://openairdocs.org/map.md?lat=31.9374&lon=-111.1244&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing: Loss of control in flight](https://openairdocs.org/ntsb-events/240) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed - Report: Approved by Office Director - Investigation class: Class 3 - NTSB office: Western Pacific Region - Parties: Federal Aviation Administration, Lycoming Engines - NTSB case key (mKey): 106017 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR22FA361 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/106017/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=106017 - Page: https://openairdocs.org/ntsb/WPR22FA361 ## Probable cause The pilot's loss of control following a separation of the aileron carry-through cable. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Flight control system: aileron control system](https://openairdocs.org/ntsb-findings/01022710): Aircraft › Aircraft systems · Fatigue/wear/corrosion (probable cause); cases with it: [Grumman American Avn. AA-5B, 1 case](https://openairdocs.org/ntsb-findings/01022710/cases.md?model=3960105), [All aircraft, 45 cases](https://openairdocs.org/ntsb-findings/01022710/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Grumman American Avn. AA-5B, 8 cases](https://openairdocs.org/ntsb-events/240/sequence.md?model=3960105), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md) ## Analysis The pilot departed to a nearby airport, where he completed three takeoffs and landings before returning to his home airport. Flight track data indicated that the airplane slowed to about 60 knots (kts) on the downwind leg of the traffic pattern, much slower than its speed on the downwind leg during the previous two traffic patterns. Just before turning to the base leg, the airplane diverged away from the runway, then began a 180°, accelerating, descending turn. The airplane overshot the runway centerline but corrected before crossing the approach end of the runway. The airplane then continued past the runway, where it impacted a fence and terrain about 557 ft from the departure end of the runway. The pilot was fatally injured, and the airplane was destroyed by a postimpact fire. Postaccident examination of the wreckage revealed that the aileron carry-through cable had fractured due to between-strand wear and overstress of the remaining wires. The loss of the carry-through cable degraded the aileron control system by only commanding movement of one aileron or the other, depending on which direction the pilot was turning. It is possible that the cable separated on the downwind leg of the last traffic pattern, as this was the first indication of a deviation of normal traffic pattern flight. A review of maintenance records revealed the last annual inspection, occurred on October 1, 2021, and called for inspection of control cables, specifically at the pulleys. ## Factual narrative On September 28, 2022, about 0900 mountain standard time, a Grumman American Aviation AA5B airplane, N74349, was destroyed when it was involved in an accident near Sahuarita, Arizona. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot’s partner, the pilot planned to fly from Flying Diamond Airport (6AZ8), Sahuarita, Arizona, to Ryan Field Airport (RYN), Tucson, Arizona, to practice touch-and-go landings and then return to 6AZ8. Automatic dependent surveillance-broadcast (ADS-B) data provided by the Federal Aviation Administration (FAA) recorded the airplane depart from 6AZ8 about 0830 and continue to RYN. The airplane crossed the runway three times and completed two traffic patterns. The airplane’s ground speed as it crossed over the runway threshold was 63 kts on the first approach, 62 kts on the second, and 62 kts on the third. The airplane’s groundspeed at midfield downwind was about 124 kts during the first traffic pattern and 110 kts during the second. The airplane then returned to 6AZ8. The airplane’s enroute altitude varied from about 1,000 ft above ground level (agl) to about 500 ft agl, and the airspeed varied from about 80 to 90 kts ground speed. The airplane entered the traffic pattern from the north, on an extended crosswind leg for runway 25, while about 500 ft agl, and about 75 kts. The airplane turned 90° to enter the downwind leg. While on the downwind leg, the airplane decelerated from about 83 knots groundspeed to about 57 kts. Just before turning base, the airplane diverged away from the runway slightly, as it entered a 180° base-to-final descending turn. During the 180° turn, the airplane accelerated to 96 kts and overshot the runway centerline. The airplane continued back toward the runway centerline and slowed to 88 kts when it crossed the runway threshold. The airplane’s speed was about 65 kts at the runway midpoint. The last ADS-B data point recorded the airplane about 70 kts near the departure end of the runway. A witness who was near the approach end of runway 25, described the approach as “pretty fast and a little high.” The airplane came to rest about 557 ft west of the departure end of runway 25, in vegetation-covered terrain, at an elevation of about 3905 ft mean sea level (msl) (figure 1). A post-impact fire consumed most of the fuselage and wings. The top three strands of a barbed wire fence, located at the end of the runway, were fractured. Several bushes and trees between the runway and the wreckage exhibited breaks in the branches. Figure 1. Google Earth image with ADSB data showing the traffic pattern upon returning to 6AX8. The flight route is indicated with blue arrows. Postaccident examination of the airframe revealed a section of the right aileron carry-through cable had fractured. The fractured end exhibited two strands fractured about 5 inches from the remaining fractured cable strands, as depicted in Figures2 and 3. The fractured end of the cable was shipped to the National Transportation Safety Board’s Materials Laboratory for further examination. Examination of the aileron control cable revealed areas of flat, elongated, angular fracture surfaces on the ends of many of the wires. The angular fracture surfaces displayed rub marks and the cross sections of the wires adjacent to separations had thinned wires still grouped together into strands. The orientation and characteristics of the fractured wire ends were consistent with between-strand wear and subsequent overstress separation. The remaining wires had cup-and-cone-like fracture surfaces accompanied by adjacent necking of the wire cross-section, consistent with overstress separation. Figure 2. Image showing the components of the right aileron control system. Figure 3. Fractured section of the aileron carry-through cable, showing the two distinctive break areas. According to the maintenance manual for the AA-5 series airplane, “A carry-through cable, attached to the control horns, extends aft to the carry-through pulley in the aft fuselage. The cable provides completion of the aileron control loop such that as one aileron moves up, the other aileron moves down.” Figure 4 is an illustration of the aileron control system. Figure 4. Illustration of the aileron control system. The control cables are highlighted in green, the carry-through cable is highlighted in blue, and the estimated location of the break is identified in red. Illustration courtesy of the AA-5 Series Maintenance Manual. A review of the airplane’s maintenance records revealed the last annual inspection occurred on October 1, 2021. The annual or 100-hour inspection procedure checklist, for the accident airplane, stated in part, “Cabin Group, Item 7. Check chains, cables, pulleys, turnbuckles, and cable ends for condition, secure attachments, and safeties. Specifically check cables at pulleys for fraying while actuating controls through full travel. (max four broken wires acceptable).” ## Aircraft - Registration: [N74349](https://openairdocs.org/aircraft/N74349), registered now, S/N AA5B-0203, built 1975 (OpenAirDocs) - Reported make and model: GRUMMAN AMERICAN AVN. CORP. AA-5B - Registry model: [Grumman American Avn. AA-5B](https://openairdocs.org/model/grumman-american-avn-aa-5b) (registry code 3960105) (OpenAirDocs) - Registry engine: [Lycoming O&VO-360 series](https://openairdocs.org/engine/lycoming-o-vo-360-series) (registry code 41514, reciprocating) (OpenAirDocs) - Category: Airplane, amateur-built - Serial number: AA5B-0203 - Year built: 1975 - Airframe hours: 2316 - Engines: LYCOMING O-360 A4K 180 horsepower reciprocating - Damage: Destroyed - Fire: On-Ground - Flight: Personal, Part 91 - Airworthiness certificate: Special, Experimental (Special) - Last inspection: Annual, October 1, 2021 - Destination: Same as departure - Airport: 6AZ8, Flying Diamond Airport, runway 25, 2,650 × 35 ft, asphalt - Equipment: Unknown ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 76; injuries: fatal; private; airplane ratings: single-engine land; instrument ratings: airplane; medical: basicmed, with waivers/limitations; seat: left; toxicology performed; flight hours: 1,126 total, 59.8 in this make and model, 47 as pilot in command ## Weather - Conditions: Visual (VMC), Day - Wind: calm - Visibility: 10 statute miles - Temperature: 88 °F, dew point 54 °F - Altimeter: 30.10 inHg - Observed at: KRYN, 13 nm away - METAR: METAR KRYN 281645Z 10012KT 10SM CLR 31/12 A3010 ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20220928017289A](https://openairdocs.org/incident/20220928017289A), Sep 28, 2022: Grumman American Avn. Corp. AA-5B, Sahuarita, AZ, Destroyed, 1 fatal. On September 28, 2022, a 1975 Grumman American AA5, crashed shortly during climb out after an apparent touch and go. Visual meteorological conditions prevailed… ## Docket (14 files) The files NTSB released with the investigation on May 14, 2024, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=106017. 17.3 MB in all. - ADS-B data (item 1, KMZ, 92 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17023448&FileExtension=kmz&FileName=45965_20220928152000_Once-Rel.kmz - ADS-B excell file (item 2, CSV, 750 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024327&FileExtension=csv&FileName=45965_20220928152000_Once-Rel.csv - Witness statement (item 3, PDF, 1 page, 81 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024057&FileExtension=pdf&FileName=Fwd_%20Aircraft%20accident%20at%206AZ8_Redacted-Rel.pdf - Interview (item 4, PDF, 1 page, 110 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024661&FileExtension=pdf&FileName=Record%20of%20Conversation%20Sharon%20Withrow%20WPR22FA361-Rel.pdf - Accident site survey (item 5, PDF, 8 pages, 1.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17026400&FileExtension=pdf&FileName=Site%20Survey%20WPR22FA361-Rel.pdf - Airframe and engine examination (item 6, PDF, 34 pages, 6.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024134&FileExtension=pdf&FileName=Airframe%20and%20Engine%20Examination%20WPR22FA361-Rel.pdf - Materials laboratory factual report aileron carry-through cable (item 7, PDF, 10 pages, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024448&FileExtension=pdf&FileName=23-054%20Materials%20Laboratory%20Factual%20Report%20(WPR22FA361)-Rel.pdf - Maintenance manual excerpts for carry-through cable (item 8, PDF, 6 pages, 641 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17027522&FileExtension=pdf&FileName=AA5-MANITENANCE-MANUAL%20Excerpt%20for%20Carry-Through%20Cable-Rel.pdf - Maintenance records (item 9, PDF, 1 page, 180 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17023466&FileExtension=pdf&FileName=Annual%20logs%20Oct%202021_Redacted-Rel.pdf - Photos (item 10, PDF, 5 pages, 4.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024520&FileExtension=pdf&FileName=Photos%20for%20%20WPR22FA361-Rel.pdf - Pilot's logbook (item 11, PDF, 8 pages, 163 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024176&FileExtension=pdf&FileName=Pilot%27s%20Logbook-Rel.pdf - Release of aircraft wreckage, NTSB form 6120.15 (item 12, PDF, 2 pages, 794 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17026629&FileExtension=pdf&FileName=NTSB%20Release%20Forms_Redacted-Rel.pdf - Autopsy statement (item 13, PDF, 1 page, 107 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024530&FileExtension=pdf&FileName=Memo%20for%20Record%20Autopsy-Rel.pdf - Toxicological report (item 14, PDF, 1 page, 155 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17024337&FileExtension=pdf&FileName=2022_198_001_Redacted-Rel.pdf From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.