Individually Owned: 151,845
Corporate Owned: 143,699
Aircraft Accident/Incident Report
Phoenix, Arizona 85027
Monday, July 7, 2003 12:56 MST
NTSB Narrative Summary Released at Completion of Accident
The airplane lost aileron control while practicing commercial pilot maneuvers, resulting in a collision with a tree during the subsequent emergency landing. The pilot stated that he moved the control wheel to the right, but the airplane did not respond. He looked at the wing as he continued moving the control wheel and realized that the ailerons were not operating. He landed the airplane on a dirt road using rudder and throttle to control movement. During the landing, the right wing impacted a tree. The design of the control wheel to control column interface utilizes a nut plate installed inside the column. A screw and collar are then inserted through the bottom of the control wheel and into the nut plate inside the column to secure it to the column. Various Federal Aviation Administration (FAA) and Society Automotive Engineers (SAE) publications note that for proper clamping action at least three threads should show above the nut. FAA publication AC 43.12 notes that screws and bolts should ideally be put in from the top down when at all possible to prevent the effects of gravity and vibration from loosening the fasteners. During an on scene examination of the airplane, the FAA inspector found the attaching screw and collar from the left control wheel on the floor. The inspector moved the left control wheel and found that the column would not move. He moved the column and verified aileron continuity. Post accident examination of the control wheel attachment screw, and several others from the same make and model airplane, revealed that there was a slight difference in length between them all. It was also noted that some had different letter markings on the screw head. On average, when the screws were fully torqued, between 1 and 1 1/2 threads were exposed beyond the top of the nut plate. The torque of the fastenings was checked on all 35 Pipers in the operators fleet, which consists of 19 PA-28-181's and 11 PA-44-180's. Ten control wheel screws were found to be loose. The screws turned 1/8 to 1/4 revolution before coming up to torque. A number of other flight schools were contacted, and all found loose screws that required a 1/8 to 1/4 revolution turn before coming up to torque.
NTSB Probable Cause Narrative
The disengagement of the left control wheel from the control column, which was due to the attaching screw backing out of the nut plate. Also causal was the manufacturer's inadequate design of the installation and the improper length of the screw.
Event Information
| Type of Event | Accident |
| Event Date | 7/7/2003 |
| Event Day of the Week | Monday |
| Time of Event | 1256 |
| Event Time Zone | Mountain Standard Time |
| Event City | Phoenix |
| Event State | ARIZONA |
| Event Country | -- |
| Zipcode of the event site | 85027 |
| Event Date Year | 2003 |
| Event Date Month | 7 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 334117N |
| Event Location Longitude | 1120457W |
| 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 | 18 |
| Degrees magnetic from airport | 45 |
| Airport Elevation | -- |
| Weather Briefing Completeness | Not pertinent |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1253 Mountain Standard Time |
| Direction of event from weather observation facility (degrees) | 225 |
| Weather Observation Facility ID | DVT |
| Elevation of weather observation facility | 1478 |
| Distance of event from weather observation facility (units?) | 18 |
| Time Zone of the weather observation | MST |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | -- |
| Sky/Lowest/Cloud Conditions | Clear |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 10 |
| Air Temperature at event time (in degrees celsius) | 38 |
| Dew Point at event time (in degress fahrenheit) | 10 |
| Wind Direction (degrees magnetic) | -- |
| Variable Wind Indicator | Variable |
| Wind Speed (knots) | 5 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 29.79 |
| Density Altitude (feet) | 4677 |
| Intensity of Precipitation | -- |
| METAR weather report | -- |
| Event Highest Injury | None |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | -- |
| Injury Total Minor | -- |
| Injury Total None | 1 |
| Injury Total Serious | -- |
| Injury Total All | -- |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 16373 |
| NTSB Notification Source | FAA |
| NTSB Notification Date | Jul 7 2003 12:00AM |
| NTSB Notification Time | 1325 |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Sep 29 2004 1:02PM |
| User who most recently changed record | NTSB\MONR |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | WP-SDL-FSDO |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N288PA |
| NTSB Number | LAX03LA228 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | No |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Piper |
| Aircraft Model | PA-28-181 |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 2843502 |
| Certified Max Gross Weight | 2550 |
| 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 | 1 |
| Fixed gear or retractable gear | Fixed |
| Aircraft, Type of Last Inspection | AAIP |
| Date of Last Inspection | Jul 5 2003 12:00AM |
| Airframe hours since last inspection | 1.9 |
| Airframe Hours | 1802.02 |
| ELT Installed | Yes |
| ELT Activated | Yes |
| ELT Aided Location of Event Site | Yes |
| ELT Type | -- |
| Aircraft Owner Name | Merrill Lynch Business Financial Services Inc. |
| Aircraft Owner Street Address | 222 N. La Salle St. Fl. 17 |
| Aircraft Owner City | Chicago |
| Aircraft Owner State | IL |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 60601 |
| Operator is an individual? | No |
| Operator Name | PAN AM INTERNATIONAL FLIGHT ACADEMY |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | 530 West Deer Valley Road Suite 100 |
| Operator City | Phoenix |
| Operator State | AZ |
| Operator Country | USA |
| Operator Zip code | 85027 |
| Operator Code | FQAS |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | -- |
| Certified for Part 133 or 137 Operation | -- |
| 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) | Instructional |
| Second Pilot on Board | No |
| Departure Point Same as Event | Yes |
| Departure Airport Code | DVT |
| Departure City | Phoenix |
| Departure State | AZ |
| Departure Country | USA |
| Departure Time | 1215 |
| Departure Time Zone | MST |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | DVT |
| Destination City | Phoenix |
| Destination State | AZ |
| Destination Country | USA |
| Specific Phase of Flight | Cruise |
| Report sent to ICAO? | No |
| Evacuation occurred | No |
| Date of most recent change to record | Aug 12 2004 5:20PM |
| User who most recently changed record | COOS |
| Since inspection or accident | Last Inspection |
| Event Location Runway Number and Location | NA |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |