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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

December 28, 1995 · Fairchild SA227-AC · N159MC

Bemidji, MN

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
December 28, 1995
Injury Outcomes
No injuries (16 uninjured)
Location
Bemidji, MN
Aircraft
Fairchild SA227-AC
Tail Number
N159MC
Operator
Mesaba Airlines
Injuries
None
NTSB Number
CHI96IA066

On short final, the crew noticed that the airplane had restricted up-elevator movement. They initiated a go-around and used power to control pitch for landing. Excessive descent rate and airspeed resulted in a hard landing. Postincident examination revealed a loose upper elevator stop bolt that had contacted a stringer, preventing further movement of the control column. Sixteen flights earlier, maintenance records show extensive work done to the elevator quadrant. During this work, hardware was 'loosely installed' on the quadrant so as to not be lost. The position of a nut run down on the bolt is close to the appearance of a nut properly torqued.

NTSB Probable Cause

inadequate maintenance installation and inspection of the elevator flight control system which led to restricted flight control elevator movement due to a loose bolt.

Full Narrative

On December 28, 1995, at 1748 central standard time (CST), a Fairchild SA227-AC, N159MC, operated by Mesaba Airlines, of Minneapolis, Minnesota, received no damage after the captain reported that the airplane had restricted elevator travel on landing at Bemidji County Airport, Bemidji, Minnesota. There were no injuries to the two crew members, or 14 passengers aboard the airplane. There was no emergency evacuation. The flight was a domestic passenger flight, operating under 14 CFR Part 135, from Minneapolis to Bemidji, Minnesota. Visual meteorological conditions prevailed at the time, and an IFR flight plan was filed. According to the pilot's written statement, during a normal descent on short final (100 to 200 feet above ground) in landing configuration, the crew reported that the airplane pitched down excessively and the elevator could not be moved to the full up position. The crew initiated a go-around and used power to control pitch for landing. The landing was hard and flat. Sixteen flights before this incident, the tail section had maintenance conducted on it according to Mesaba's maintenance records. The Federal Aviation Administration Principal Maintenance Inspector (PMI) stated that Mesaba records show maintenance performed on N159MC in the area of the elevator quadrant. During the maintenance, a mechanic following maintenance manual procedures, removed the upper elevator bolt and related hardware. A mechanic who performed maintenance on the airplane stated that with the quadrant removed and on a bench, another mechanic loosely installed the hardware back on to the quadrant, so the hardware would not be lost. "Loosely installed" as stated by the mechanic refers to the bolt and related hardware installed, with the self locking nut tightened manually and not properly torqued. The self locking feature of the nut was deteriorated. The nut that was removed from N159MC could be run down on the bolt to a point where one thread extended beyond the nut. This position on the nut is close to the appearance of a nut installed with the proper torque. The FAA Inspector stated that in comparison to a new nut it could only be run down a few turns on the bolt. Mesaba's inspector did not notice the improper installation. The post-maintenance investigation found a worked out upper elevator stop bolt in the elevator quadrant prevented elevator movement from about neutral to full up position. The bolt worked out about two inches. Upon movement of the control column to the full up position, the worked out bolt, moving upward with the elevator control quadrant, contacted the underside of a stringer (the first stringer just above the related access panel on the right side of the vertical stabilizer). This contact prevented further movement of the elevator in the up direction. The bolt appeared to be bent from this contact and force exerted by the crew when pulling the control column back.

Flight

Event TypeIncident
Event Time17:48 CST
Nearest AirportBemidji County (0nm)
Runway13
Runway Length6598 ft
Runway Width150 ft
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftFairchild SA227-AC
Tail NumberN159MC
Aircraft CategoryAir
OperatorMesaba Airlines
Operating RulePart 135
Engines2
Engine TypeTurboprop
Engine DetailsGarrett · 331 · Turboprop · 1100
Seats21

People & Injuries

Injury SummaryNo injuries (16 uninjured)
Fatal0
Serious0
Minor0
Uninjured16
Total16
Crew 1Age 36 · First Class

Conditions

ConditionsVMC
LightDusk
Wind210° @ 9 kt
Visibility10 sm
CeilingBroken clouds 12000 ft
Temperature / Dew Point19 C / 14 C
Altimeter0
Observation Time23:34
Weather SourceWFAC

Appendix: Source Data