NTSB CAROL · Event
Event MIA96IA179
Aircraft involved
Probable cause & findings
Fatigue failure of a segment of the elevator trim control cable. Contributing to the accident was the failure of the airplane manufacturer to require a replacement interval of the cables.
Factual narrative
On July 9, 1996, about 1605 Atlantic Standard Time, a Short Brothers SD3-60-200, N384MQ, operated by Executive Airlines, Inc., dba American Eagle as flight No. 5514, experienced failure of a segment of the elevator trim cable system during the initial climb after takeoff at the Luis Munoz Marin International Airport, San Juan, Puerto Rico. Visual meteorological conditions prevailed at the time and an IFR flight plan was filed for the scheduled, domestic, passenger flight operated in accordance with 14 CFR Part 121. The airplane was not damaged and the airline transport-rated pilot and first officer, 1 flight attendant, and 9 passengers were not injured. The flight originated about 5 minutes earlier. The first officer who was flying the airplane stated that after flap retraction while retrimming the airplane to a nose-up attitude, he felt no resistance from the manual elevator trim wheel. The flight then returned and landed uneventfully. Examination of the elevator trim control system revealed a failed cable segment between fuselage station 74 in the cockpit and fuselage station 310 in the cabin area. The cable failed about midpoint between a 45-degree change in direction and was for nose-up trim. The failed cable was removed for further examination. Metallurgical examination of the failed cable revealed that 36 of the 49 individual wire strands failed due to fatigue. Additionally, wear was noted adjacent to the fatigue failed strands. The remaining strands failed due to overload. The airplane manufacturer requires the elevator trim control system to be inspected every 4,800 hours of 4 years, but replacement is on condition. The airplane operator introduced an engineering change order to the fleet which required inspection every 2,400 hours. Review of the airplane maintenance records revealed that the trim control system was last inspected 2,247.5 hours and 3,969 cycles earlier at the time of the failure. The airplane was released to Mr. Ramon Ruiz, Director of Quality Assurance on July 11, 1996. The retained cable was released to Mr. Luiz Ruiz, Stores Regional Manager, on May 12, 1997. The first officer was flying the airplane and after takeoff and flap retraction while manually retrimming the airplane, the elevator control system failed. The flight returned and landed uneventfully. Examination of the elevator control system revealed a failed cable segment between fuselage station 74 in the cockpit to fuselage station 310 in the cabin. The cable failed about midpoint between a 45-degree change in direction. Metallurgical examination of the failed cable revealed it failed due to fatigue and wear. The airplane manufacturer requires the cables to be inspected every 4,800 hours but the airplane operator reduced the time interval to 2,400 hours. The cables were last inspected 2,247.5 hours earlier. The airplane manufacturer requires cable replacement only on condition. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1996_MIA96IA179.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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