Aircraft Accident/Incident Report

Eagle Mountain, California 92241
Thursday, March 11, 1993 20:20 PST

NTSB Narrative Summary Released at Completion of Accident

A CESSNA 421 CRASHED AFTER AN INFLIGHT BREAKUP. INVESTIGATION DISCLOSED THAT THE LEFT OUTBOARD PORTION OF THE ELEVATOR ASSEMBLY (INCLUDING THE BALANCE WEIGHT) SEPARATED FIRST, RESULTING IN EMPENNAGE FLUTTER & SUBSEQUENT IN-FLIGHT BREAKUP OF THE EMPENNAGE. THE LEFT ELEVATOR OUTBOARD HINGE & SUPPORT STRUCTURE EXHIBITED EVIDENCE OF HINGE OVERTRAVEL. THE LEFT HORIZONTAL STABILIZER FRONT SPAR HAD FAILED DOWNWARD; RIVETS THAT ATTACHED THE LEFT OUTBOARD HINGE TO THE REAR SPAR OF THE LEFT STABILIZER HAD SHEARED; AND THE LEFT ELEVATOR CENTER HINGE HAD BEEN PULLED OFF THE REAR SPAR. ABOUT 100 FLIGHT HOURS BEFORE THE ACCIDENT, MAINTENANCE WAS PERFORMED TO REPAIR THE LEFT ELEVATOR BALANCE WEIGHT (WHICH WAS LOOSE) & TO REPAIR A DAMAGED STIFFENER IN THE CENTER STRUCTURE OF THE HORIZONTAL STABILIZER. HOWEVER, WHEN EXAMINED AFTER THE ACCIDENT, THE BALANCE WEIGHT WAS TIGHT & THE REPAIR TO THE STIFFENER WAS INTACT.

NTSB Probable Cause Narrative

FAILURE OF THE LEFT ELEVATOR FOR UNDETERMINED REASON(S), WHICH RESULTED IN FLUTTER AND FAILURE OF THE EMPENNAGE, AND SUBSEQUENT UNCONTROLLED COLLISION WITH THE TERRAIN.

Event Information

Type of Event Accident
Event Date 3/11/1993
Event Day of the Week Thursday
Time of Event 2020
Event Time Zone Pacific Standard Time
Event City EAGLE MOUNTAIN
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92241
Event Date Year 1993
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 2052 Pacific Standard Time
Direction of event from weather observation facility (degrees) 232
Weather Observation Facility ID TRM
Elevation of weather observation facility 117
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation PST
Lighting Conditions Night/Dark
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 20000
Sky/Lowest/Cloud Conditions Thin Broken
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 20
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 3
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Unknown
Wind Speed (knots) 5
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 968
NTSB Notification Source --
NTSB Notification Date Mar 12 1993 12:00AM
NTSB Notification Time 1405
Fiche Number and/or location -used to find docket information 51233
Date of most recent change to record Dec 11 2000 1:11PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N2656N
NTSB Number LAX93FA149
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 421C
Aircraft Series Identifier 421C
Aircraft Serial Number 714
Certified Max Gross Weight 7450
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Mar 3 1993 12:00AM
Airframe hours since last inspection 11
Airframe Hours 4869
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name CRITICAL AIR MEDICINE
Aircraft Owner Street Address 4141 KEARNY VILLA ROAD
Aircraft Owner City SAN DIEGO
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 92123
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code IBUA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board Unknown
Departure Point Same as Event No
Departure Airport Code UDD
Departure City BERMUDA DUNES
Departure State CA
Departure Country
Departure Time 2000
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code P20
Destination City PARKER
Destination State AZ
Destination Country
Specific Phase of Flight Descent
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 11 2000 1:11PM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --