NTSB CAROL · Event
Event ERA13LA229
Aircraft involved
Probable cause & findings
The pilot’s loss of glider control due to improper rigging of the rudder control cables, the mechanic’s inadequate flight control checks following the glider’s most recent annual inspection, and the pilot’s failure to perform a thorough preflight inspection.
Factual narrative
On May 4, 2013, about 1050 eastern daylight time, a Schweizer SGS 2-33A glider, N2045T, registered to and operated by the Civil Air Patrol (CAP), was substantially damaged when it impacted trees and terrain, near Erwinna, Pennsylvania. The commercial pilot was seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed. The maintenance test flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. The flight originated from Vansant Airport (9N1), Erwinna, Pennsylvania about 1045. The pilot was critically injured and was unable to provide any information about the accident. According to the tow plane pilot, the glider pilot intended to practice stalls after being towed to an altitude of 3,000 feet mean sea level. After takeoff from runway 07, the tow plane pilot observed the glider yaw to the left, then right, and left again. For most of the flight, the glider appeared to be above the normal tow position with its nose pointed 45 degrees to the right. Approximately 400 feet above ground level, the glider pilot released the tow line and made a left turn. The tow plane pilot observed the glider turn about 180 degrees, where it impacted trees with its right wing, pitched down, and impacted terrain. Postaccident examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed that the rudder controls were rigged backwards. According to FAA records, the pilot held a commercial pilot and flight instructor certificates, with ratings for airplane single-engine land, instrument airplane, and glider. His most recent FAA second class medical certificate was issued on August 30, 2011. As of April 15, 2013, the pilot reported 13,290 total hours of flight experience; of which, 8,960 of those hours were in gliders. The two-seat glider was manufactured in 1977. Review of the glider's logbooks revealed that its most recent annual inspection was completed on May 1, 2013. At the time of inspection, the glider had accumulated 13,626 total hours. According to the mechanic, who performed the annual inspection, the glider was scheduled for a total restoration in the fall of 2012. Due to lack of funding the restoration never took place and the disassembled glider sat on a trailer through the winter. During the spring of 2013, the glider was reassembled and an annual inspection was performed. The rudder had been removed at an earlier date due to previous damage, repaired, and re-installed prior to the annual inspection. The flight was the first flight following the most recent annual inspection. A mechanic performed a flight control check after the annual inspection. According to the mechanic, he stood at the rear of the glider and held the rudder while another pilot sat in the cockpit and moved the pedals. The mechanic could not see which pedal the pilot was pushing and did not verbally confirm the position of the pedals. The 2-33 Sailplane Flight-Erection-Maintenance manual preflight inspection checklist included inspecting the condition, operation, security of attachment and/or other signs of failure of the rudder and other components. The glider pilot intended to practice stalls after being towed to an altitude of 3,000 feet mean sea level. Shortly after takeoff, the tow pilot observed the glider yaw left, then right, and then left again. He added that, for most of the tow, the glider appeared to be above the normal tow position with its nose pointed 45 degrees right. About 400 feet above ground level, the glider pilot released the tow line, and the glider turned about 180 degrees left; its right wing then impacted trees, and the glider pitched down and impacted terrain. Postaccident examination of the wreckage revealed that the rudder control cables were rigged backward. The accident flight was the first flight following the glider's most recent annual inspection. Before the annual inspection, the rudder had been removed for repair then re-installed. The mechanic who conducted a flight control check after the annual inspection with assistance from another pilot seated in the cockpit stated that he confirmed movement of the rudder while at the rear of the glider; however, he did not see which pedal the pilot was pushing and did not verbally confirm the corresponding position of the rudder pedals. If the pilot had conducted a thorough preflight inspection, he should have been able to detect that the rudder control cables were rigged backward. 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-Maintenance-Installation-Maintenance personnel - C
- C Aircraft-Aircraft systems-Flight control system-Rudder control system-Incorrect service/maintenance - C
- C Personnel issues-Task performance-Inspection-Preflight inspection-Pilot - C
- C Personnel issues-Task performance-Inspection-Scheduled/routine inspection-Maintenance personnel - C
- C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-(general)-Attain/maintain not possible - C
Verbatim from NTSB's published report. Source file
NTSB_2013_ERA13LA229.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 (stall, 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 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 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.
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