Lenawee County Airport
Aircraft Accident/Incident Report

Adrian, Michigan 49221
Friday, July 27, 2012 8:46 EDT

NTSB Narrative Summary Released at Completion of Accident

The pilot reported that the airplane, with its autopilot engaged, experienced a “violent pitch-up” without warning while it was climbing through about flight level 180. Extreme forward yoke pressure (the pilot estimated between 100 and 150 pounds force) was required to keep the airplane from pitching up and stalling, so the pilot kept both hands on the yoke. The Airplane Flight Manual contains emergency procedures for use in the event of an autopilot out-of-trim event; the third item on the checklist directs pilots to re-trim the pitch, if necessary, using the trim wheel. The pilot noted that he did not attempt to use the manual trim wheel to change the airplane’s pitch attitude because that would have required him to release hand pressure on the control yoke. He was uncertain when or how the autopilot was disengaged. He declared an emergency and made a spiraling descent to lose altitude. He reported that he encountered multiple violent pitch up and down oscillations near the bottom of the descent; the pilot’s seat was broken during one of the oscillations, which allowed the pilot to use his knees to apply forward yoke pressure. He stated that by using his knees to control the yoke, the airplane was “quasi-stable,” pitch oscillations still occurred due to the lack of precise pitch control. While still having difficulty controlling the airplane’s pitch with the electric nose pitch trim in the full up position, he prepared for an emergency landing. The pilot used his knees to provide forward yoke pressure as he landed the airplane about 450 feet short of the runway. The airplane’s nose gear collapsed, the main landing gear were sheared off, and the airplane skidded about 900 feet before coming to rest to the left of the runway. The duration of the flight from the initial pitch up event to landing was about 27 minutes. Three separate examinations of the airplane’s flight controls and autopilot system found no anomalies with the autopilot system or an explanation for the violent nose-pitch-up event. The Emergency Section of the Airplane Flight Manual (AFM) supplement for the autopilot stated that for an Autopilot Out of Trim emergency the pilot should: 1) disengage the autopilot 2) maintain/regain aircraft control, and 3) pitch trim...re-trim if necessary using the trim wheel.    

NTSB Probable Cause Narrative

An initial nose-pitch-up event and out-of-trim condition, the reason for which could not be determined because the examinations of the airplane did not reveal any anomalies that would have precluded normal operation. Contributing to the accident was the pilot’s failure to use the manual trim wheel to reset the pitch trim. 

Event Information

Type of Event Accident
Event Date 7/27/2012
Event Day of the Week Friday
Time of Event 846
Event Time Zone Eastern Daylight Time
Event City Adrian
Event State MICHIGAN
Event Country --
Zipcode of the event site 49221
Event Date Year 2012
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 415210N
Event Location Longitude 0840429W
Event Location Airport Lenawee County Airport
Event Location Nearest Airport ID ADG
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation 798
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 853 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID ADG
Elevation of weather observation facility 798
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation EDT
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) 24
Dew Point at event time (in degress fahrenheit) 19
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) --
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.85
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) 33116
NTSB Notification Source FAA - Detroit FSDO
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Aug 4 2014 2:51PM
User who most recently changed record silj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N411JL
NTSB Number CEN12FA487
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name MOONEY AIRPLANE COMPANY, INC.
Aircraft Model M20TN
Aircraft Series Identifier --
Aircraft Serial Number 31-0096
Certified Max Gross Weight 3368
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 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Dec 2 2011 12:00AM
Airframe hours since last inspection --
Airframe Hours 594
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name 4TH WAVE INC
Aircraft Owner Street Address On File
Aircraft Owner City ALEXANDRIA
Aircraft Owner State VA
Aircraft Owner Country USA
Aircraft Owner Zipcode 22308-2448
Operator is an individual? No
Operator Name 4TH WAVE INC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address On File
Operator City ALEXANDRIA
Operator State VA
Operator Country USA
Operator Zip code 22308-2448
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code OSH
Departure City Oshkosh
Departure State WI
Departure Country USA
Departure Time 632
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code HEF
Destination City Manassas
Destination State VA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 4 2014 2:51PM
User who most recently changed record silj
Since inspection or accident Time of Accident
Event Location Runway Number and Location 23
Runway Length 5001
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --