Loss of Control and Water Impact During Flight Test

Casualties unknown • Lake Tahoe, CA, US

An aircraft experienced an abrupt nose-over and impact with water during a flight test following recent maintenance work on the wings and autopilot system.

What happened

While approaching the airport, the pilot was in receipt of landing instructions when radio transmissions were abruptly terminated. Witnesses on the ground observed the aircraft perform an abrupt nose-over and descend into the water at a high rate of speed. The impact caused the aircraft to fragment, and it sank immediately.

The investigation

The aircraft had recently undergone maintenance that included the removal and installation of its wings, as well as the installation of an autopilot and electric trim system. Following this maintenance, the aircraft was undergoing flight testing. During this test, the pilot experienced a loss of control characterized by a pitch-down motion consistent with witness accounts of the accident.

An examination of the upper stabilator pulley assembly revealed that the control cable had been rubbing against the side of the pulley. This friction caused the pulley to fracture. The cable subsequently became wedged within the pulley, which then became wedged against the side of its support bracket. This mechanical failure resulted in restricted movement of the stabilator.

Probable cause

The restriction of stabilator movement caused by a fractured pulley and a wedged control cable.

Frequently asked questions

What happened in the 1989-08-14 Piper PA-23-250 accident near Lake Tahoe, CA?

An aircraft experienced an abrupt nose-over and impact with water during a flight test following recent maintenance work on the wings and autopilot system.

What aircraft was involved and where did it happen?

The accident on 1989-08-14 involved a Piper PA-23-250, registration N4838P, at Lake Tahoe, CA.

What was the probable cause of the accident?

The restriction of stabilator movement caused by a fractured pulley and a wedged control cable.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001213X29139. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

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