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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 ↗.

Related research

Matched on aircraft type or causal vocabulary (stall, maintenance, autopilot). All research papers