Truckee-Tahoe Airport
Aircraft Accident/Incident Report

Truckee, California 96161
Monday, May 2, 2011 14:40 PDT

NTSB Narrative Summary Released at Completion of Accident

The airplane entered the downwind leg of the traffic pattern high, and, in an effort to descend, the pilot extended the landing gear and deployed full flaps. About the time the flaps reached their maximum extension, the right flap experienced an instantaneous retraction, and the airplane simultaneously rolled about 80 degrees to the right. The pilot countered with almost full left aileron control input for the remainder of the flight. He began troubleshooting steps, but was unable to extend the right flap or retract the left flap. He diverted to another airport and, for the remaining 35 minutes of flight, employed the assistance of a passenger to help with maintaining left aileron control deflection. The landing was made without further incident. Postincident examination of the flap control system revealed that the right wing flap extend cable had failed in the area where it made contact with the inboard flap pulley, an area where the cable had experienced multiple bending cycles throughout its life. The failed cable strands exhibited fatigue signatures, and similar frays and failures were observed in the area of the outboard pulley. The corresponding left flap cable also exhibited similar strand failure features in the inboard and outboard pulley contact areas. The cables were installed when the airplane was manufactured, 36 years prior to the incident. Over this period, the airplane had accumulated 4,832.1 total flight hours. The flap cable was not life limited, and the airplane manufacturer's maintenance manual did not require the removal of flight control cables during inspection. The mechanic who performed the most recent inspection reported that he examined the cables utilizing the methods prescribed in the manufacturer's service manual but did not detect any damage. He further stated that the damage was only obvious once the cables had been removed and subsequently flexed and looped by hand. A review of Federal Aviation Administration Service Difficulty Reports for the airplane series revealed 33 instances of similar flap cable wear or failure on 25 separate airplanes. About half of the reports indicated flap cable failures occurring during flight; all were during the critical landing approach phase. The failures resulted in asymmetric flap deployment, and some resulted in a violent departure from controlled flight. In a few instances, the damage caused by the cable separation prevented the retraction of the remaining extended flap, and, therefore, the pilot had to maintain very high opposing aileron control inputs in order to control and land the airplane. A common finding noted in the reports was that the cable damage could not be readily observed unless the cables were removed. A service bulletin is in development by the airplane manufacturer concerning the inspection procedures and replacement criteria for the flap cables in the airplane series.

NTSB Probable Cause Narrative

Fatigue failure of the right flap extend cable during the landing approach.

Event Information

Type of Event Incident
Event Date 5/2/2011
Event Day of the Week Monday
Time of Event 1440
Event Time Zone Pacific Daylight Time
Event City Truckee
Event State CALIFORNIA
Event Country --
Zipcode of the event site 96161
Event Date Year 2011
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 391907n
Event Location Longitude 1200813w
Event Location Airport Truckee-Tahoe
Event Location Nearest Airport ID TRK
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1
Degrees magnetic from airport --
Airport Elevation 5900
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1445 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID TRK
Elevation of weather observation facility 5900
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 6000
Sky/Lowest/Cloud Conditions Few
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) 15
Dew Point at event time (in degress fahrenheit) -4
Wind Direction (degrees magnetic) 230
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 10
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 18
Altimeter Setting at event time (in. Hg) 30.33
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 3
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 29930
NTSB Notification Source FAA ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record May 16 2012 6:07PM
User who most recently changed record coos
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N270CS
NTSB Number WPR11IA213
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 CESSNA
Aircraft Model 421B
Aircraft Series Identifier --
Aircraft Serial Number 421B0869
Certified Max Gross Weight 7579
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 4
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Mar 19 2011 12:00AM
Airframe hours since last inspection 10
Airframe Hours 4832
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type C126
Aircraft Owner Name CALIFORNIA SHOCK TRAUMA AIR RESCUE
Aircraft Owner Street Address 4933 BAILEY LOOP
Aircraft Owner City MCCLELLAN
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 95652-2516
Operator is an individual? No
Operator Name CALIFORNIA SHOCK TRAUMA AIR RESCUE
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 4933 BAILEY LOOP
Operator City MCCLELLAN
Operator State CA
Operator Country USA
Operator Zip code 95652-2516
Operator Code STRA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number STRA290I
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 No
Departure Point Same as Event No
Departure Airport Code MCC
Departure City Sacramento
Departure State CA
Departure Country USA
Departure Time 1412
Departure Time Zone PDT
Destination Same as Local Flt crash at destination city
Destination Airport Code TRK
Destination City Truckee
Destination State CA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record May 16 2012 6:07PM
User who most recently changed record coos
Since inspection or accident Last Inspection
Event Location Runway Number and Location 28
Runway Length 7000
Runway Width 100
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency