NTSB CAROL · Event
Event WPR13LA262
Aircraft involved
Probable cause & findings
The failure of the rudder bar assembly during landing due to a fatigue crack. Contributing to the accident was the failure of maintenance personnel to perform an adequate inspection of the rudder bar assembly.
Factual narrative
On June 4, 2013, at about 0930 Pacific daylight time, a Piper PA-28-140, N5808U, was substantially damaged when it struck an airport sign following a loss of directional control during landing roll at Skagit Regional Airport, Burlington, Washington. The private pilot, the sole occupant, was not injured. The pilot/owner was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the personal cross-country flight, which had originated from Friday Harbor, Washington, approximately 20 minutes before the accident. A flight plan had not been filed. The pilot said that while on landing roll, he applied left rudder to straighten the airplane, with no response. He said he attempted to correct the right veering tendency with left braking action, and that was ineffective as well. The airplane departed the right side of the runway and impacted an airport sign and a ditch, which damaged the right wing. Postexamination of the left rudder control bar found that it had failed. Examination of the rudder control bar at the NTSB Materials Laboratory found a fatigue crack, which originated from the edge of a weld. There was a rusted brown oxidized area near the middle of the crack, and the surface of this area had topography and crack patterns consistent with slow growth fatigue progressing from the exterior surface radially through the tube wall. The airplane was manufactured in 1970, and according to the owner, it had an airframe total time of 3,479 hours when the accident occurred. The most recent annual inspection was completed on May 25, 2013. A review of the Piper Aircraft's periodic inspection checklist, maintenance manual, and Service Letter No. 671 dated October 5, 1973, indicated that the rudder bar assembly should be inspected every 100 hours specifically for cracks in the area where the airplane's rudder bar failed. Further, the Service Letter stated that these periodic inspections could be discontinued if two reinforcement doublers were fabricated and welded to the rudder bar in the affected area. There were no reinforcement doublers on the airplane's rudder bar. During the landing roll, the airplane began to veer right, and the pilot applied left rudder and left braking action to align the airplane with the runway; however, both actions were ineffective. The airplane departed the right side of the runway and impacted an airport sign and a ditch. Postaccident examination of the left rudder bar assembly found that it had failed due to a fatigue crack. A rusted brown oxidized area near the center of the crack and surface features consistent with slow-growth fatigue indicated that the crack had been growing incrementally over a period of years. A review of the manufacturer's periodic inspection checklist, maintenance manual, and Service Letter No. 671 indicated that the rudder bar assembly should be inspected every 100 hours specifically for cracks in the area where the airplane's rudder bar failed. If maintenance personnel had inspected the airplane in accordance with these documents, the crack likely would have been found and the accident prevented. 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 Aircraft-Aircraft systems-Flight control system-Rudder control system-Failure - C
- F Personnel issues-Task performance-Maintenance-Scheduled/routine maintenance-Maintenance personnel - F
- — Environmental issues-Physical environment-Object/animal/substance-Sign/marker-Contributed to outcome
Verbatim from NTSB's published report. Source file
NTSB_2013_WPR13LA262.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.
Browse the full corpus — academia portal ↗