Pilot Debrief

BEECH 90B near Chickasha, OK — 2011-04-11

Final reportCEN11IA280
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Date
2011-04-11
Location
Chickasha, OK, USA
Airport
CHK
Aircraft
BEECH 90B
Registration
N37OU
Category
Airplane
Highest injury
None
Fatalities
0

Probable cause

The mechanic's improper installation of the aileron.

NTSB narrative

The certified flight instructor (CFI) reported that the airplane was on a downwind leg for landing when a pilot-rated passenger who was sitting in the cabin told him that the right aileron was partially separated from the airplane. The CFI took control of the airplane and landed it uneventfully. The post incident inspection of the airplane revealed that the two inboard aileron hinges were separated from the airframe. The screws (8 screws, 4 upper, 4 lower) which attached the aileron to the aileron hinge points were seated in the aileron skin, but did not screw into the corresponding nut plates on the aileron hinge points. The aileron was not damaged so a mechanic attached the aileron properly to the aileron hinge points and the airplane was returned to service. Maintenance records indicated that the airplane had undergone a phase inspection 10 days prior to the incident. During the phase inspection, the right aileron was removed to repair some light surface corrosion and was reinstalled on the airplane. The incident occurred 5.3 hours after the phase inspection was performed. Eight years prior to the accident, the aircraft manufacturer issued a communique which stated that their technical support department had received reports that during aileron installation, screws missed the nut plates on the aileron hinge points. It stated that this condition can go unnoticed.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Proper installation of aileron hinges during maintenance could have prevented the failure.

NTSB coding

  • Aircraft structural failure · Approach-VFR pattern downwind

Evidence available

  • Photos
  • 9 docket documents
View NTSB final reportView NTSB docket

Docket documents9