NTSB CAROL · Event
Event CEN19LA176
Aircraft involved
Probable cause & findings
The pilot’s operation of the airplane outside of the center of gravity limits, which resulted in an adverse aerodynamic condition and subsequent hard landing. Contributing to the accident was the pilot’s incorrect calculations of the airplane’s CG limits.
Factual narrative
On June 13, 2019, about 0950 central daylight time, a Kolb Twinstar TSP-1 light sport airplane, N217JM, was substantially damaged when it was involved in an accident at Hector Municipal Airport (1D6), Hector, Minnesota. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 post maintenance test flight. After takeoff, the pilot climbed the airplane to 500 ft above ground level (agl) and had been in the air about 15 minutes when the airplane began to oscillate up and down. He had difficulty maintaining control, so he made a rapid descent toward the airport. During the rapid descent, the oscillation and shaking decreased, but as he reduced the descent rate, the airplane oscillated violently. The airplane landed hard on the grass runway. After the accident, the pilot stated that he thought the tail boom had fractured inflight and was the source of the oscillation. The responding Federal Aviation Administration (FAA) inspector reported that the pilot had recently completed maintenance on the airplane on June 2, 2019, and was conducting a maintenance test flight. The inspector reviewed a hand-drawn center of gravity (CG) diagram from the pilot. The CG envelope as calculated by the pilot was incorrect and the diagram contained several errors. The pilot told the FAA in an additional statement that he was adjusting his CG while airborne, and he placed a bag of bird seed in the passenger seat to assist during the inflight test. The bag was aft of the datum per the manufacturers specifications and would have moved the CG further aft. A postaccident examination of the airframe revealed that the tubular empennage structure had separated at the “H section.” The fractured section was retained for metallurgical examination to identify the mode of fracture. Both halves of the fracture surfaces on the aluminum tube were examined by the NTSB’s Materials Laboratory in Washington, DC. All fractographic features were consistent with cantilever-bending overstress-fracture due to the application of a monotonically increasing load until fracture. There were no marks on the fracture surface indicating recontact of the fracture surfaces. The inside surface of the aluminum tail boom tube, where it contacted the steel H-section via pop rivets, exhibited intergranular network cracks consistent with stress corrosion cracking. The examination determined that the location of the network cracks did not contribute to the overstress fracture of the tube section. The pilot was conducting a maintenance test flight and had been in the air about 15 minutes when airplane began to oscillate up and down. He had difficulty maintaining control, so he made a rapid descent toward the airport. During the rapid descent the oscillation and shaking reduced, but as he decreased the descent rate, the airplane oscillated violently. The airplane landed hard on the grass runway. The airplane sustained substantial damage to the wings, fuselage, and empennage. After the accident, the pilot stated that he thought the tail boom had fractured inflight. A postaccident examination of the airframe revealed that the tubular empennage structure had fractured and was separated. An examination of the fractured section determined that the fractures were due to overstress as a result of the hard landing. A review of the pilot’s calculated weight and balance information revealed that the pilot had incorrectly calculated the weight and balance and that the airplane’s center of gravity (CG) was aft of manufacturer limitations. After the accident, the pilot reported that he was adjusting his CG while airborne, and he placed a bag of bird seed in the passenger seat to assist during the inflight test. The bag was aft of the datum per the manufacturers specifications and would have moved the CG further aft. This likely resulted in an adverse aerodynamic condition and an uncontrollable pitch oscillation. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- — Aircraft-Aircraft oper/perf/capability-Aircraft capability-CG/weight distribution-Capability exceeded
Verbatim from NTSB's published report. Source file
NTSB_2019_CEN19LA176.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- 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…
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
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