NTSB CAROL · Event
Event WPR23LA317
Registry · N503JA
FAA Aircraft Registry record.
Make / Model
PIPER PA-24-260
Year of manufacture
1965 · 58 years old at event
Engine
LYCOMING TI0-540 SER (310 hp)
Seats / Engines
4 seats · 1 engine
Last airworthiness date
19650203
ADS-B equipped
Yes — Mode-S A645DE
Registrant of record
LIEM DAVID H
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The separation of the stabilator actuator from the stabilator tab, which resulted in pitch control surface flutter and structural damage.
Factual narrative
On August 8, 2023, about 1500 Pacific daylight time, a Piper PA-24-260, N503JA, was substantially damaged when it was involved in an accident near Fullerton, California. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that, shortly after takeoff, the airplane began to shake violently with the control yoke moving rapidly forward and aft from stop to stop. The vibrations were so extreme that he assumed the engine had suffered a catastrophic failure, such as a detached engine cylinder. He shut down the engine and turned the airplane back to the airport for landing. The pilot stated he was able to land, but sustained hand injuries due to the extreme control forces and oscillations. The airplane sustained substantial damage to the stabilator structure and postaccident examination revealed that the stabilator tab actuator was disconnected from the control tab, and the bolt, nut, and washer that connected them were missing (figure 1). Figure 1 - Stabilator tab disconnected from the actuator. The tabs sustained extensive scratch and peening damage to both their inner and forward surfaces consistent with high frequency oscillations. The paint around the end of the tab actuator arm had chipped away, revealing similar peening damage to its steel surface. Neither the bolt nor the nut that connected the tabs to the actuator were located, and there was circumferential scoring to the tabs around the bolt hole bore. Neither bolt hole appeared to be elongated. Likewise, the bushing within the actuator did not appear to be out of round. According to the airplane’s illustrated parts catalog, the actuator retaining nut was supposed to be a self-locking type, with no provisions for a cotter pin. The mechanic who had performed an annual inspection 5.5 flight hours before the accident stated that he did not remove or replace either the bolt or the nut, and that he performed a functional check of the pitch trim system with no anomalies noted. Examination of the maintenance logbooks did not reveal any evidence that the nut had been replaced since the airplane was manufactured in 1965. Shortly after takeoff the airplane began to shake violently with the control yoke moving rapidly forward and aft from stop to stop. The pilot was able to perform an on-airport emergency landing after shutting down the engine, but sustained hand injuries due to the extreme control forces and oscillations. The airplane sustained substantial damage to the stabilator structure in a manner consistent with it exhibiting aerodynamic flutter. Postaccident examination revealed that the stabilator tab actuator was disconnected from the control tab, and the bolt, nut, and washer that connected them were missing. The disconnection of the actuator allowed the tab surface to uncouple, which resulted in flutter and structural damage to the stabilator. Circumferential scoring around the bolt hole within the tabs indicated that the bolt was likely loose for an undetermined period before failure. The nut had likely not been replaced since the airplane was manufactured almost 60 years before the accident, so its locking properties would have been significantly diminished. 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).
- — Aircraft-Aircraft systems-Flight control system-Elevator tab control system-Fatigue/wear/corrosion
- — Aircraft-Aircraft systems-Flight control system-Elevator tab control system-Damaged/degraded
- — Aircraft-Aircraft systems-Flight control system-Elevator tab control system-Failure
Verbatim from NTSB's published report. Source file
NTSB_2023_WPR23LA317.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 ↗