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July 9, 1996 · Short Brothers SD3-60-200 · N384MQ

San Juan, PR

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
July 9, 1996
Injury Outcomes
No injuries (12 uninjured)
Location
San Juan, PR
Aircraft
Short Brothers SD3-60-200
Tail Number
N384MQ
Operator
Executive Airlines
Injuries
None
NTSB Number
MIA96IA179

The first officer was flying the airplane and after takeoff and flap retraction while manually retrimming the airplane, the elevator control system failed. The flight returned and landed uneventfully. Examination of the elevator control system revealed a failed cable segment between fuselage station 74 in the cockpit to fuselage station 310 in the cabin. The cable failed about midpoint between a 45-degree change in direction. Metallurgical examination of the failed cable revealed it failed due to fatigue and wear. The airplane manufacturer requires the cables to be inspected every 4,800 hours but the airplane operator reduced the time interval to 2,400 hours. The cables were last inspected 2,247.5 hours earlier. The airplane manufacturer requires cable replacement only on condition.

NTSB Probable Cause

Fatigue failure of a segment of the elevator trim control cable. Contributing to the accident was the failure of the airplane manufacturer to require a replacement interval of the cables.

Full Narrative

On July 9, 1996, about 1605 Atlantic Standard Time, a Short Brothers SD3-60-200, N384MQ, operated by Executive Airlines, Inc., dba American Eagle as flight No. 5514, experienced failure of a segment of the elevator trim cable system during the initial climb after takeoff at the Luis Munoz Marin International Airport, San Juan, Puerto Rico. Visual meteorological conditions prevailed at the time and an IFR flight plan was filed for the scheduled, domestic, passenger flight operated in accordance with 14 CFR Part 121. The airplane was not damaged and the airline transport-rated pilot and first officer, 1 flight attendant, and 9 passengers were not injured. The flight originated about 5 minutes earlier. The first officer who was flying the airplane stated that after flap retraction while retrimming the airplane to a nose-up attitude, he felt no resistance from the manual elevator trim wheel. The flight then returned and landed uneventfully. Examination of the elevator trim control system revealed a failed cable segment between fuselage station 74 in the cockpit and fuselage station 310 in the cabin area. The cable failed about midpoint between a 45-degree change in direction and was for nose-up trim. The failed cable was removed for further examination. Metallurgical examination of the failed cable revealed that 36 of the 49 individual wire strands failed due to fatigue. Additionally, wear was noted adjacent to the fatigue failed strands. The remaining strands failed due to overload. The airplane manufacturer requires the elevator trim control system to be inspected every 4,800 hours of 4 years, but replacement is on condition. The airplane operator introduced an engineering change order to the fleet which required inspection every 2,400 hours. Review of the airplane maintenance records revealed that the trim control system was last inspected 2,247.5 hours and 3,969 cycles earlier at the time of the failure. The airplane was released to Mr. Ramon Ruiz, Director of Quality Assurance on July 11, 1996. The retained cable was released to Mr. Luiz Ruiz, Stores Regional Manager, on May 12, 1997.

Flight

Event TypeIncident
Event Time16:05 AST
Nearest AirportLuis Munoz Marin Int'L (0nm)
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftShort Brothers SD3-60-200
Tail NumberN384MQ
Aircraft CategoryAir
OperatorExecutive Airlines
Operating RulePart 121
Engines2
Engine TypeTurboprop
Engine DetailsP&W · PT6A-65AR · Turboprop · 1424
Seats35

People & Injuries

Injury SummaryNo injuries (12 uninjured)
Fatal0
Serious0
Minor0
Uninjured12
Total12
Crew 1Age 31 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind150° @ 14 kt, gusting 18 kt
Visibility10 sm
CeilingNone
Altimeter29.00 inHg
Observation Time19:56
Weather SourceWFAC

Appendix: Source Data