ATL95LA169

NTSB accident investigation · Air Tractor AT-301 · Plains, GA · September 16, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
September 16, 1995, 11:30 local (15:30 UTC)
Place
Plains, GA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N2362DAir Tractor AT-301
Weather
Visual (VMC) · Day
Status
Completed · report April 29, 1996
Report
Approved by Office Director
FAA report
19950916029799A
Case key
3625

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Failure of the number four cylinder rocker arm housing and pin, which resulted in a closed exhaust valve and loss of engine power.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfManeuvering - aerial application
Engine assembly,rocker arm/tappet - failureCause
Forced landingEmergency descent/landing
Nose overEmergency landing

Analysis

During the first spray run of an aerial application flight, the engine lost power. Subsequently, the aircraft nosed over during a forced landing and was damaged. An examination of the engine revealed that the number four cylinder rocker arm housing had fractured. The fracture surface had a rough, granular, and irregular appearance, typical of overload failure. There was evidence that when the rocker arm housing became separated from the cylinder, the rocker arm pin failed, allowing the rocker arm to separate from the cylinder and resulting in a loss of continuity to the exhaust valve. The exhaust valve then remained closed, and the engine lost power.

Factual narrative

On September 16, 1995, about 1130 eastern daylight time, an Air Tractor AT-301, N2362D, nosed over during a forced landing near Plains, Georgia. The airplane was operated by Gosa's Aerial Ag under the provisions of 14 CFR Part 137, and visual flight rules. Visual meteorological conditions prevailed. A flight plan was not filed for the aerial application flight. The commercial pilot had minor injuries, and the airplane was substantially damaged. Origination of the flight was a local private field, about 15 minutes prior to the accident.

According to the pilot, he was conducting the first spray run when the engine lost power. The pilot maneuvered the airplane to execute a forced landing into an empty pasture. The airplane landed hard, then nosed over during the landing roll, and was substantially damaged.

The engine, a P & W R1340, had been overhauled about 25.6 flight hours prior to the accident. The functional engine exam revealed that the number four cylinder rocker arm housing had fractured. In the detailed photos provided by United States Aviation Underwriters, Inc. the fracture surface had a rough, granular, and irregular appearance. The engine's total hours and number of overhauls could not be determined from the aircraft records that were provided. The operator's report of the accident did list the total hours.

Aircraft

Registration
N2362D
Reported as
Air Tractor AT-301
Category
Airplane
Serial number
0404
Airframe hours
5,731
Engine
P&W R1340-AN1, 600 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Gosa'S Aerial Ag
Registered owner
Johnny & Trudy Gosa
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · March 22, 1995 · 299 hours before
Departed
NONE

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Flight hours
10,000 total · 2,500 in this make and model · 10,000 as pilot in command · 300 in the last 90 days · 100 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
5,000 ft broken
Temperature
82 °F, dew point 77 °F
Altimeter
30.00 inHg
Observed at
AJC, 15 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N2362D · 1

Matched to the same aircraft by N-number and date.