ASN Wikibase Occurrence # 368419
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Date: | Tuesday 11 July 1989 |
Time: | 19:42 LT |
Type: | Cessna 150L |
Owner/operator: | Pegasus Flight Center, Inc. |
Registration: | N17250 |
MSN: | 15073686 |
Total airframe hrs: | 3007 hours |
Engine model: | CONTINENTAL O-200-A |
Fatalities: | Fatalities: 0 / Occupants: 2 |
Aircraft damage: | Substantial |
Category: | Accident |
Location: | Fort Worth, TX -
United States of America
|
Phase: | Standing |
Nature: | Private |
Departure airport: | (KFTW) |
Destination airport: | (KFTW) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:IMMEDIATELY AFTER LIFTOFF THE NEWLY-CERTIFICATED PILOT BECAME AWARE THAT THE FLAPS WERE FULL DOWN. HE WAS UNABLE TO RAISE THEM AND THE AIRCRAFT STALLED WHILE IN A CLOSED TRAFFIC PATTERN. AN AGS-15 NON-SLOBLO FUSE WAS FOUND TO BE BLOWN. THE FLAP DOWN LIMIT SWITCH WAS OUT OF ADJUSTMENT RESULTING IN THE JACKSCREW TRAVELING TO THE MECHANICAL LIMIT & EVENTUALLY CAUSING AN ELECTRICAL OVERLOAD. THE FUSE WAS REPLACED TWICE WITHIN THE PREVIOUS 45 DAYS. FOUR OTHER AIRCRAFT OF THE OPERATOR'S FLEET ALSO HAD INCORRECT FUSES INSTALLED. THE PILOT HAD LOWERED THE FLAPS FOR HIS WALK-AROUND. THE OPERATOR (SCHOOL) HAD DEVELOPED THEIR OWN CHECKLIST DIFFERENT FROM THAT CONTAINED IN THE APPROVED OWNER'S MANUAL. THIS CHECKLIST CALLED FOR LOWERING OF FLAPS DURING PRE-START INSPECTION AND RAISING OF FLAPS DURING AFTER-START. THE CHECKLIST DID NOT CONTAIN A SPECIFIC ENTRY TO CHECK THAT THE FLAPS WERE UP PRIOR TO TAKEOFF.
Probable Cause: A LOSS OF CONTROL OF THE AIRPLANE DUE TO THE PILOT'S INABILITY TO RAISE THE FLAPS WHICH RESULTED IN A STALL. THE FLAP FAILURE AND SUBSEQUENT FULL FLAP TAKEOFF WERE THE RESULT OF THE OPERATOR'S IMPROPER MAINTENANCE OF THE AIRPLANE AND THE OPERATOR'S USE OF A CUSTOM CHECKLIST THAT DEVIATED SIGNIFICANTLY FROM THE MANUFACTURER'S APPROVED CHECKLIST. CONTRIBUTING TO THE ACCIDENT WERE THE PILOT'S FAILURE TO ENSURE THAT THE FLAPS WERE FULLY RETRACTED PRIOR TO TAKEOFF, AND THE OPERATOR'S INADEQUATE INITIAL TRAINING OF THE PILOT.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | FTW89FA134 |
Status: | Investigation completed |
Duration: | 2 years and 11 months |
Download report: | Final report |
|
Sources:
NTSB FTW89FA134
Location
Revision history:
Date/time | Contributor | Updates |
23-Mar-2024 18:12 |
ASN Update Bot |
Added |
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