ERA13IA267
2013-06-03 · Tallahassee, Florida, United States · None · 1 aircraft · Status: Completed
Airport TLH
Current FAA registration · N633TC
- Make / Model
- PIPER PA-34-200T
- Year of manufacture
- 1978 · 35 years old at event
- Engine
- CONT MOTOR TSIO-360 SER (225 hp)
- Seats / Engines
- 7 seats · 2 engines
- Last airworthiness date
- 19780613
- ADS-B equipped
- Yes — Mode-S A84A8D
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The failure of the elevator trim cable due to fatigue cracking, which resulted from maintenance personnel’s repeated inadequate inspection of the cable.
Factual narrative
On June 3, 2013, about 1520 eastern daylight time, a Piper PA-34-200T, N633TC, experienced a trim cable failure during climbout from Tallahassee Regional Airport (TLH), Tallahassee, Florida. The flight instructor (CFI) and student pilot were not injured, and the airplane was not damaged. Visual meteorological conditions prevailed and no flight plan was filed. The airplane was registered to and operated by Florida Flight Training Center under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight. The flight was originating at the time of the incident. The CFI stated they departed from TLH uneventfully and were climbing through 300 feet when the student pilot noticed a problem with the elevator trim wheel. The CFI moved the trim wheel and noted no resistance when the wheel was turned. Upon looking down at the wheel, he observed the trim cable protruding out from the side of the wheel. The student pilot advised that he was having difficulty controlling the airplane and the CFI subsequently assumed control of the airplane. The CFI advised the tower controller of the emergency and landed the airplane without incident. Examination of the airplane revealed that the elevator trim cable had broken and was protruding from the trim wheel housing. The elevator trim cable assembly was sent to the NTSB material laboratory for examination. An examination of the trim cable revealed that it was composed of a 1/16 inch diameter wire rope with a swaged-on ball at one end and a swaged-on turnbuckle fitting at the other end. Visual inspection revealed trim cable lubrication along the entire length with no indication of external corrosion. The wire rope section had separated about 5 feet 6 inches from the turnbuckle end and 14 feet 6 inches from the ball end of the cable. The separation was made up of individual wire breaks spread along an approximate 2-inch length of the wire rope. A magnified visual inspection of the cleaned cable established that all but a few wires were fractured directly across the wires with no apparent yielding or deformation. Further, only a few wires (broken or intact) showed either internal or external wear. A scanning electron microscope examination of several of the broken wires revealed features consistent with fatigue progression through the individual wires. A review of the aircraft logbooks revealed that the failure of the trim cable was not detected on April 25, 2013, -during the 100 hour and annual inspections. Nor was it noted on April 13, 2013, during the compliance of AD 2013-02-13; which states in section 7-149 a) "At each annual or 100 hour inspection, all control cables must be inspected for broken wires strands. Any cable assembly that has one broken wire strand located in a critical fatigue area must be replaced." The inspection was completed 3 months prior to this event. According to the flight instructor, during the initial climb, the student pilot noticed a problem with the elevator trim wheel. The flight instructor moved the trim wheel and noted no resistance. He then looked down at the wheel and observed the trim cable protruding from its side. The flight instructor assumed control of the airplane, advised the tower air traffic controller of the emergency, and landed the airplane without incident. Examination of the elevator trim cable assembly revealed that the trim cable failed due to fatigue cracking of the individual wires. The wire breaks were so numerous and over such a sizable length that they should have been detectable by a visual inspection. However, a review of the aircraft logbooks revealed that maintenance personnel did not detect the fatigue cracking of the wires during the most recent 100-hour and annual inspections nor during compliance with an airworthiness directive (AD) that required, in part, that all control cables be inspected for broken wires strands and that any broken wire strands be replaced; the inspections and AD were accomplished less than 2 months before the incident. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Aircraft-Aircraft systems-Flight control system-Elevator tab control system-Failure - C
- C Personnel issues-Task performance-Inspection-Scheduled/routine inspection-Maintenance personnel - C
- C Aircraft-Aircraft handling/service-Maintenance/inspections-Scheduled maint checks-Inadequate inspection - C
Verbatim from NTSB's published report. Source file
NTSB_2013_ERA13IA267.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- 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 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- 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.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
- 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 (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…