NTSB CAROL · Event
Event WPR24LA268
Registry · N4145B
FAA Aircraft Registry record.
Make / Model
PIPER PA-34-220T
Year of manufacture
1999 · 25 years old at event
Engine
CONT MOTOR TSIO-360 SER (225 hp)
Seats / Engines
7 seats · 2 engines
Last airworthiness date
19991106
ADS-B equipped
Yes — Mode-S A4E605
Registrant of record
BAS PART SALES LLC
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot’s improper preflight inspection of the stabilator trim position, which resulted in a porpoised landing. Contributing to the accident was the maintenance personnel’s improper maintenance of the stabilator trim shaft.
Factual narrative
On August 5, 2024, about 0900 Pacific daylight time, a Piper PA-34-220T, N4145B, was substantially damaged when it was involved in an accident near Minden, Nevada. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that the purpose of the flight was to conduct a maintenance check flight following an annual inspection. During the preflight inspection, he conducted a functional check of the stabilator trim with the electric trim control. He heard the trim motor working; however, he did not visually verify the stabilator trim position. During the takeoff roll, he pulled back on the yoke at the rotation speed of 80 knots, but there was no change in pitch, so he pulled harder. He used the electric trim and had minimal elevation gain. He aborted the takeoff by closing both throttles. The airplane pitched forward, porpoised about four times, and the landing gear collapsed. The airplane’s pilot operating handbook preflight checklist states: “Stabilator & Rudder trim…. Neutral.” Postaccident examination of the airplane revealed buckling and bending on the forward fuselage near left and right wing. Buckling and bending was also observed above the windscreen on the fuselage. The stabilator trim wheel indicator was found in the full nose-down position. A visual examination of the flight control cables was conducted, and no damage was observed. Flight control continuity was established from the cockpit flight controls to the respective flight control surfaces. Subsequent examination of the stabilator trim wheel revealed binding. Force was needed to rotate the stabilator trim control wheel to the neutral position when rotated by hand. Using the airplane’s battery, power was applied to the electric trim controls. When the stabilator trim was placed in the full nose-down position, the electric trim servo was heard operating but would not move the stabilator trim cable. A visual examination of the stabilator trim control cable was conducted; no damage was observed. The empennage flight control cover was removed, and a visual inspection of the trim screw assembly was conducted. Corrosion was observed on the trim screw assembly. The exposed shaft of the trim screw was free of lubrication; the ends exhibited minimal lubrication. The trim screw assembly had radial and axial play when moved by hand, consistent with excessive wear on the upper-and lower-barrel mount bearings. The trim screw assembly was dissembled, and circular grooves were observed on the outer sections of the upper-and lower-barrel mount bearings. According to the mechanic who conducted the annual inspection, no anomalies were noted with the flight controls or the stabilator trim controls. The mechanic’s normal process to check and lubricate the stabilator trim controls was to run the stabilator trim to the full nose-up position, lubricate the stabilator trim shaft, and then run the stabilator trim to the full nose-down position. During the exam of the stabilator trim shaft, he operated the stabilator trim controls, and his apprentice lubricated the stabilator trim shaft. The apprentice who assisted in the annual inspection reported that he did not recall lubricating the stabilator trim controls. Additionally, he did not conduct a functional check of the stabilator trim controls. According to the manufacturer’s maintenance manual check list, the scheduled maintenance of the fuselage and empennage group stated, “Inspect aileron, rudder, stabilator, and stabilator trim cables and pulleys for routing, safety, condition, and operation. Inspect cable terminals, turnbuckles, guides, and fittings for safety and condition.” The lubrication chart in the maintenance manual also identified that the rudder, stabilator, and trim control wheels be lubricated every 100 hours. The pilot reported that the accident flight was the first flight since the airplane had undergone a recent annual inspection. During the preflight inspection, the pilot conducted a functional check of the stabilator trim with the electric trim control but did not visually verify the stabilator trim position. During the takeoff roll, the pilot noted an anomaly with the stabilator and aborted the takeoff shortly after rotation. During the landing, the airplane porpoised several times and the nose landing gear collapsed. Postaccident examination of the airplane revealed that the stabilator trim wheel indicator was found in the full nose-down position. Flight control continuity was established from the cockpit flight controls to the respective flight control surfaces. Binding was noted when using the stabilator trim wheel and force was needed to rotate the stabilator trim control wheel to the natural position. The examination of the stabilator trim shaft revealed a lack of lubrication and excessive wear on the upper- and lower-barrel mount bearings. The mechanic who conducted the annual inspection reported that no anomalies were noted with the flight controls or the stabilator trim controls. The mechanic reported that he moved the stabilator trim controls to the full nose up position, lubricated the stabilator trim shaft, and then ran the stabilator trim to the full nose down position. During the lubrication of the stabilator trim controls, the mechanic operated the controls while the apprentice lubricated the stabilator trim shaft. However, the apprentice who assisted in the annual inspection reported that he did not recall lubricating the stabilator trim controls. The binding and lack of lubrication on the stabilator trim shaft indicated that the inspection and the lubrication was not conducted in accordance with the manufacturer’s maintenance manual. The anomaly noted in the stabilator by the pilot was likely the trim position being in the full nose-down position and not in the neutral position as per the pilot’s operating handbook. 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 oper/perf/capability-Performance/control parameters-Landing flare-Not attained/maintained
- — Personnel issues-Task performance-Inspection-Preflight inspection-Pilot
- — Personnel issues-Task performance-Maintenance-Scheduled/routine maintenance-Maintenance personnel
Verbatim from NTSB's published report. Source file
NTSB_2024_WPR24LA268.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 ↗