Aircraft Accident/Incident Report

Emporia, Kansas 66801
Saturday, September 22, 2007 CDT

NTSB Narrative Summary Released at Completion of Accident

While in cruise flight at 12,000 feet mean sea level, the airplane suddenly began "shuddering with a severe high frequency vibration." The pilot stated that the "vibration was in the entire airframe, not specifically the flight controls, so I had no clue where it was coming from." The pilot reduced the power on the left engine; however, the vibration continued. The pilot reduced the power on the right engine, and the vibration stopped. The pilot then shutdown and secured the right engine. Within a couple minutes of securing the right engine, the vibration "returned just as bad as before." The pilot then elected to divert to a nearby airport. The pilot lowered the landing gear during the approach, and the vibration stopped again. The airplane landed uneventfully. During a post flight inspection, the pilot observed the right elevator trim tab push rod was broken. The clevis which connected to the trim tab surface was "pinched due to an overtorqued bolt and nut." Metallurgical examination of the broken rod revealed a fatigue crack that propagated through at least 95 percent of the thread cross section. Maintenance records revealed the right elevator trim tab push-pull tube bolts and bushings were removed and replaced. At the time of the incident, the airframe had accumulated 101.5 flight hours since the inspection, and no additional maintenance to the right elevator trim system was noted in the maintenance records.

NTSB Probable Cause Narrative

The improper installation of the right elevator trim tab attachment hardware by maintenance personnel which resulted in excessive wear, fatigue, and the failure of the push-pull tube.

Event Information

Type of Event Incident
Event Date 9/22/2007
Event Day of the Week Saturday
Time of Event 15
Event Time Zone Central Daylight Time
Event City Emporia
Event State KANSAS
Event Country --
Zipcode of the event site 66801
Event Date Year 2007
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 381955N
Event Location Longitude 0961128W
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Pilot
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Night
Lowest Ceiling Height 8000
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) --
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator --
Wind Gust Indicator Unknown
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) --
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 8
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 23477
NTSB Notification Source Kansas State University
NTSB Notification Date Oct 2 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 30 2008 1:28PM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Wichita, Kansas

Aircraft Involved

Aircraft #1

Aircraft Registration Number N871KS
NTSB Number DEN08IA030
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage None
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model C90A
Aircraft Series Identifier --
Aircraft Serial Number LJ-1277
Certified Max Gross Weight 10100
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 8
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Feb 1 2007 12:00AM
Airframe hours since last inspection 101.5
Airframe Hours 3688
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Kansas State University
Aircraft Owner Street Address 2310 Centennial Rd.
Aircraft Owner City Salina
Aircraft Owner State KS
Aircraft Owner Country USA
Aircraft Owner Zipcode 67401
Operator is an individual? No
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 --
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) Business
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code TUL
Departure City TULSA
Departure State OK
Departure Country USA
Departure Time 2245
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code MHK
Destination City MANHATTAN
Destination State KS
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 15 2008 5:40PM
User who most recently changed record BOWL
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 --