Hot Springs Memorial Airport
Aircraft Accident/Incident Report

Hot Springs, Arkansas 71913
Tuesady, August 25, 1992 5:15 CDT

NTSB Narrative Summary Released at Completion of Accident

THE MAINTENANCE TEST FLIGHT WAS BEING FLOWN FOLLOWING COMPLETION OF AIRWORTHINESS DIRECTIVE 87-02-02 REQUIRING THE MANDATORY REPLACEMENT OF ALL PRIMARY FLIGHT CONTROL CABLES. FOLLOWING LIFT-OFF, WITNESSES OBSERVED THE AIRPLANE START A RAPID ROLL TO THE RIGHT UNTIL INITIAL IMPACT WAS MADE WITH THE GROUND BY THE RIGHT WING TIP. EXAMINATION OF THE WRECKAGE REVEALED THE A HALF TURN IN THE ROUTING OF THE REPLACED FLIGHT CONTROL CABLE WAS INADVERTENTLY OMITTED ON BOTH CONTROL COLUMNS WHICH WOULD RESULT IN THE AILERONS OPERATING IN REVERSE OF THE COMMANDED INPUT. THE PASSENGER WAS THE QUALITY CONTROL INSPECTOR WHO HAD INSPECTED AND SIGNED OFF THE MAINTENANCE PERFORMED. ACCORDING TO OTHER COMPANY PERSONNEL, HE HAD BRIEFED THE CREW PRIOR TO THE FLIGHT ON THE PURPOSE OF THE TEST FLIGHT AND THE EXTENT OF THE MAINTENANCE THAT THE AIRPLANE HAD UNDERGONE.

NTSB Probable Cause Narrative

INADEQUATE MAINTENANCE AND INSPECTION BY THE OPERATOR'S MAINTENANCE PERSONNEL, AND THE FAILURE OF THE PILOT-IN-COMMAND TO ASSURE PROPER TRAVEL DIRECTION OF THE AIRPLANE'S PRIMARY FLIGHT CONTROLS AFTER BEING MADE AWARE OF THE NATURE OF THE MAINTENANCE PERFORMED.

Event Information

Type of Event Accident
Event Date 8/25/1992
Event Day of the Week Tuesday
Time of Event 515
Event Time Zone Central Daylight Time
Event City HOT SPRINGS
Event State ARKANSAS
Event Country --
Zipcode of the event site 71913
Event Date Year 1992
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport HOT SPRINGS MEMORIAL
Event Location Nearest Airport ID HOT
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 1
Degrees magnetic from airport 152
Airport Elevation 540
Weather Briefing Completeness Not pertinent
Investigator's weather source Witness
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Dawn
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 15
Air Temperature at event time (in degrees celsius) 23
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 130
Variable Wind Indicator Unknown
Wind Speed (knots) 3
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
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) 2579
NTSB Notification Source --
NTSB Notification Date Aug 25 1992 12:00AM
NTSB Notification Time 555
Fiche Number and/or location -used to find docket information 47277
Date of most recent change to record Dec 11 2000 3:12PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N342AE
NTSB Number FTW92FA218
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name FAIRCHILD
Aircraft Model SA 227-AC
Aircraft Series Identifier SA 227-AC
Aircraft Serial Number AC-545
Certified Max Gross Weight 14500
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 21
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Aug 14 1992 12:00AM
Airframe hours since last inspection 48
Airframe Hours 19889
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name MCC FINANCIAL CORP
Aircraft Owner Street Address 8180 GREENSBORO DR. SUITE 920
Aircraft Owner City MCCLAIN
Aircraft Owner State VA
Aircraft Owner Country
Aircraft Owner Zipcode 22102
Operator is an individual? --
Operator Name LONE STAR AIRLINES
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 131 E EXCHANGE AVE ST 222
Operator City FORT WORTH
Operator State TX
Operator Country
Operator Zip code 76106
Operator Code
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) Unknown
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code HOT
Departure City
Departure State
Departure Country
Departure Time 515
Departure Time Zone CST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code HOT
Destination City
Destination State
Destination Country
Specific Phase of Flight Takeoff
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 13
Runway Length 4099
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --