MIA93LA185
1993-08-27 · COCOA, Florida, United States · Serious · 1 aircraft · Status: Completed
Airport COI
Aircraft involved
Probable cause & findings
FAILURE OF MAINTENANCE PERSONNEL TO PROPERLY REINSTALL A BOLT AND NUT IN THE ELEVATOR CONTROL LINKAGE, WHICH RESULTED IN A DISCONNECT OF THE LINKAGE AND LOSS OF ELEVATOR CONTROL.
Factual narrative
THE AIRCRAFT HAD JUST BEEN REPAIRED AFTER RECEIVING TORNADO DAMAGE. THIS REPAIR INCLUDED REMOVAL AND REPLACEMENT OF THE ELEVATOR CONTROL TUBE. THE PILOT TAXIED TO THE RUNWAY FOR THE PURPOSE OF A TEST FLIGHT. ALL FLIGHT CONTROL CHECKS APPEARED NORMAL. AFTER LIFT-OFF, THE PILOT INTENDED TO LEVEL OFF AT 5 TO 10 FEET, THEN TOUCH DOWN AGAIN. HOWEVER, AFTER THE AIRPLANE BECAME AIRBORNE, HE LOST ELEVATOR CONTROL, AND THE AIRCRAFT CLIMBED STEEPLY TO 50 TO 75 FEET. THE PILOT THEN REDUCED POWER, THE AIRCRAFT'S NOSE DROPPED, AND THE AIRCRAFT DESCENDED. WITH NO ELEVATOR CONTROL, THE PILOT WAS UNABLE TO ARREST THE DESCENT, AND THE AIRCRAFT IMPACTED THE GROUND. A POST-CRASH EXAMINATION REVEALED THAT A BOLT AND NUT WERE MISSING FROM THE ELEVATOR CONTROL LINKAGE, WHICH ALLOWED THE LINKAGE TO BECOME DISCONNECTED. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1993_MIA93LA185.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 (stall, maintenance). All research papers
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- 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
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- 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.