Fort Lauderdale Executive Airport
Aircraft Accident/Incident Report

Fort Lauderdale, Florida 33309
Wednesday, March 2, 2005 18:33 EST

NTSB Narrative Summary Released at Completion of Accident

The pilot stated the airplane was about 5 miles north of Fort Lauderdale Executive Airport (FXE) and at approximately 4,000 feet mean sea level, when the airplane pitched sharply nose down, with an uncontrollable back and forth oscillation of the control yoke, lasting about 5 seconds. A loud shearing noise was heard from the right rear of the aircraft before pitch control was regained. He looked toward the right rear of the airplane to see sheet metal flapping in the wind near the elevator section. He declared an emergency and he was cleared for immediate landing at FXE; the landing was uneventful. An examination by NTSB revealed a section of about 16 inches was missing from the right elevator's outboard area; which was later recovered about 5 miles north of FXE in a residential area. The remaining outboard of the elevator up to the inboard attaching hinge was peeled up and aft. The attaching hardware connecting the elevator trim tab horn to the elevator trim actuator push-rod was missing. No abnormality was observed to the areas and surfaces of the trim tab horn and the push-rod attaching area. The pilot was asked to demonstrate all the steps accomplished during the preflight prior to the accident flight and what type of nut was securing the trim tab horn to the trim tab push rod, a self locking nut or one that has a cotter pin? He did recall a nut however could not recall observing a cotter pin. The accident airplane had undergone inspections and maintenance on February 21, 2005, which included the overhaul of the elevator trim tab actuator. The mechanic, whom performed the tasks, stated that after the installation of the elevator trim tab actuator, he attached the elevator trim tab actuator push- rod to the elevator trim horn using a new bolt, washer, nut and cotter pin from the shop stock in accordance with the maintenance manual. Another mechanic stated that he was present and actually handed the cotter pin to the mechanic who performed the installation. An FAA inspector examined the maintenance facility and interviewed the mechanics that were involved in the tasks and stated that he did not observe any discrepancy with the bins of cotter pins. During the interview with the mechanic, the one mechanic stated that he remembers installing the cotter pin however he could not remember the exact cotter pin he installed and added the cotter pin was given to him by another mechanic. The FAA inspector instructed the other mechanic, who retrieved the cotter pin, to demonstrate where he got the cotter pin from. The mechanic went to the bin area and opened two bins. One of the bins had the proper cotter pin. The mechanic said he believed that he took the proper cotter pin. The pilot who test flew the accident airplane after maintenance stated that a preflight was accomplished and no irregularities were noted. The pilot added that he personally completed two test flights. The airplane owner's pilot completed a preflight of the accident airplane in the facility's hanger prior to signing the delivery receipt and a least two more times, prior to and during his en route flight to Florida.

NTSB Probable Cause Narrative

The improper installation and securing of the elevator trim tab push-rod attaching hardware by maintenance personal resulting in the rod disconnecting and a partial separation of the right elevator in flight.

Event Information

Type of Event Accident
Event Date 3/2/2005
Event Day of the Week Wednesday
Time of Event 1833
Event Time Zone Eastern Standard Time
Event City Fort Lauderdale
Event State FLORIDA
Event Country --
Zipcode of the event site 33309
Event Date Year 2005
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 261150N
Event Location Longitude 0801014W
Event Location Airport Fort Lauderdale Executive
Event Location Nearest Airport ID FXE
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport --
Airport Elevation 13
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1853 Eastern Standard Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID FXE
Elevation of weather observation facility 13
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation EST
Lighting Conditions Night
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) 17
Dew Point at event time (in degress fahrenheit) -12
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 16
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.08
Density Altitude (feet) --
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) 19576
NTSB Notification Source Pilot of accident airplane
NTSB Notification Date Mar 2 2005 12:00AM
NTSB Notification Time 1952
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 25 2006 11:00AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Fort Lauderdale FSDO-17

Aircraft Involved

Aircraft #1

Aircraft Registration Number N88TN
NTSB Number MIA05LA066
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 402C
Aircraft Series Identifier --
Aircraft Serial Number 402C-0621
Certified Max Gross Weight 7210
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Feb 1 2005 12:00AM
Airframe hours since last inspection 8
Airframe Hours 8753
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Karl W. Doane III
Aircraft Owner Street Address 13 Clark Rd.
Aircraft Owner City Spencer
Aircraft Owner State MA
Aircraft Owner Country USA
Aircraft Owner Zipcode 01562
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code --
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) Ferry
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code KSFQ
Departure City Suffolk
Departure State VA
Departure Country USA
Departure Time 1430
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code FLL
Destination City Fort Lauderdale
Destination State FL
Destination Country USA
Specific Phase of Flight Descent - normal
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record Jan 31 2006 9:32AM
User who most recently changed record KENJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --