CEN11LA192
2011-02-15 · Des Moines, Iowa, United States · None · 1 aircraft · Status: Completed
Current FAA registration · N51DN
- Make / Model
- BEECH E-90
- Year of manufacture
- 1972 · 39 years old at event
- Engine
- U/A CANADA PT6A-27-28 (680 hp)
- Seats / Engines
- 10 seats · 2 engines
- Last airworthiness date
- 19720609
- ADS-B equipped
- Yes — Mode-S A65F6E
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The improper installation of the right aileron by maintenance personnel.
Factual narrative
On February 15, 2011, at 0930 central standard time, a Beech E-90 airplane, N51DN, sustained substantial damage when the right aileron departed in-flight near Des Moines, Iowa. The airline transport pilot and pilot-rated maintenance crew member were not injured. The airplane was registered to and operated by D-W Corporation, Des Moines, Iowa. Visual meteorological conditions prevailed, and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 test flight. The local flight departed the Des Moines International Airport (DSM), Des Moines, Iowa, at 0900. The airplane had recently underwent maintenance, which included a 800-hour inspection of the ailerons requiring removal, reinstallation, and a functional check. Prior to the test flight, the pilot performed a pre-flight inspection of the airplane, and a flight control free and correct check with no anomalies noted. The airplane departed runway 13L, and the pilot made a right turn to 160 degrees. Shortly thereafter, the pilot made a right turn to 270 degrees and was cleared to flight level (FL) 180. While level at FL180 with the autopilot engaged, the pilot and maintenance crew member performed various checks with the engines and flight instruments. After completing the checks, the pilot requested a left 180-degree turn back to DSM. Air traffic control approved the turn and the pilot selected the autopilot heading switch for a left turn to DSM. Approximately 140 degrees into the turn, the autopilot jerked, stabilized, and jerked again during the turn to level off. The pilot then noticed the right aileron had departed the airplane. The airplane landed at DSM without further incident. Examination of the airplane revealed the inboard and middle airframe aileron hinge brackets were attached to the aft spar, intact, and showed no visible damage. The outboard airframe aileron hinge bracket was pulled and separated from the aft spar. The aileron was not located. The aileron is attached to each of the three hinge brackets with two upper and two lower bolts (4 total) that engage into nut plates that are mounted on the aileron. The King Air 90 Series Maintenance Manual aileron installation procedure states, in part, "Carefully align the three hinges with the aileron and install the bolts in each hinge bracket and the aileron. Pull on the aileron straight away from the wing. If any movement is detected, carefully check the bolt installation." The airplane had recently undergone maintenance, which included an inspection of the ailerons requiring removal, reinstallation, and a functional check. Prior to the test flight, the pilot performed a pre-flight inspection of the airplane and a flight control free and correct check with no anomalies noted. While executing a turn at flight level 180, the right aileron departed the airplane. The airplane landed without further incident. Examination of the airplane revealed the inboard and middle airframe aileron hinge brackets were attached to the aft spar, intact, and showed no visible damage. The outboard airframe aileron hinge bracket was pulled and separated from the aft spar. The aileron was not located. Based on the condition of the hinge brackets, the evidence indicated the aileron bolts were not properly engaged in the aileron nut plates which caused the bolts to fall out and the aileron to depart the airplane. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel - C
- C Aircraft-Aircraft structures-Wing structure-Ailerons-Incorrect service/maintenance - C
Verbatim from NTSB's published report. Source file
NTSB_2011_CEN11LA192.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
- TallyAero Live Wire Aviation press
- NTSB CAROL Agency ↗
- NTSB Docket Agency ↗
- Aviation Safety Network Aviation press ↗
- Kathryn's Report Aviation press ↗
- Aviation Herald Aviation press ↗
- AVweb Aviation press ↗
- Pilots of America Community ↗
- Reddit /r/flying Community ↗
- FlightAware Aviation press ↗
- AOPA accident database Aviation press ↗
- Google News News ↗
- DuckDuckGo News ↗
Related research
Matched on aircraft type or causal vocabulary (stall, maintenance, autopilot). All research papers
- Embry-Riddle Scholarly Commons 2023 · Conference paper The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- arXiv 2025 · arXiv preprint ROSflight 2.0: Lean ROS 2-Based Autopilot for Unmanned Aerial Vehicles
ROSflight is a lean, open-source autopilot ecosystem for unmanned aerial vehicles (UAVs). Designed by researchers for researchers, it is built to lower the barrier to entry to UAV research and acceler…
- arXiv 2025 · arXiv preprint ROSplane 2.0: A Fixed-Wing Autopilot for Research
Unmanned aerial vehicle (UAV) research requires the integration of cutting-edge technology into existing autopilot frameworks.