BFO94LA010

NTSB accident investigation · Gulfstream American AA-5B · Sterling, MA · November 14, 1993

Accident · Minor injuriesLimited investigationFinal report
Date
November 14, 1993, 10:30 local (15:30 UTC)
Place
Sterling, MA
Injuries
4 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N28215Gulfstream American AA-5B
Weather
Visual (VMC) · Day
Status
Completed · report October 20, 1994
Report
Approved by Office Director
FAA report
19931114042649A
Case key
8868

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

Separation of the number one exhaust valve due to fatigue cracking which resulted in loss of engine power. Other related factors were misjudgment of altitude and airspeed by the pilot resulting in on ground collision with the terrain and subsequent nose over.

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(partial) - mech failure/malfCruise
Engine assembly,valve,exhaust - fatigueCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Altitude - misjudgedPilot in commandFactor
Airspeed - misjudgedPilot in commandFactor
Nose overLanding - roll

Analysis

The pilot reported that the airplane was at 2000 feet MSL when a severe vibration developed on the airplane. He stated that the airplane was descending at 200 feet per minute with the throttle full forward, and 1700 RPM on his gage. He stated that the nearest airport was about 6 miles away, so he radioed the airport of his situation and entered the traffic pattern on the base leg. He stated that he was high on the approach, but he recalled from his training that it was better to be high and fast than low and slow. The airplane touched down about half way down the 3100 foot long runway and exited into a six foot culvert where it nosed over. An examination of the engine by the FAA revealed a leak when a compression test was completed. The cylinder was removed and sent to the NTSB lab in Washington, DC. A metallurgical examination revealed the exhaust valve separated as a result of fatigue cracking that initiated in the radius between the stem and the head of the valve.

Factual narrative

On Sunday, November 14, 1993, about 1030 eastern standard time, N28215, a Gulfstream American Corp. AA-5B, owned and operated by James Connelly of Maynard, Massachusetts, collided with the ground and nosed over on landing following a power-off forced landing at Sterling Airport, Sterling, Massachusetts. Visual meteorological conditions prevailed and a flight plan was not filed. The certificated private pilot, and his three passengers received minor injuries. The airplane was substantially damaged. The personal flight originated in Fitchburg, Massachusetts, and was conducted under 14 CFR 91.

According to the pilot, the airplane was at an altitude of 2000 feet MSL when he experienced a "severe vibration." He stated that the nearest airport was about 6 miles away, so he radioed the airport and reported that he was going to make a landing at that airport. He stated that he entered the traffic pattern on the base leg, and that the airplane was high on the approach. The pilot stated that during his training he was taught that "it is better to be high and fast than low and slow." The airplane touched down about half way down the 3100 foot long runway then exited into a six foot culvert and nosed over.

The engine was removed to a hangar at Sterling Airport for further examination under the supervision of the FAA. The examination involved removing the lower spark plugs, and conducting a compression test. The examination revealed a leakage from both number one and two cylinders. The two cylinders were removed and sent to the NTSB Lab in Washington, DC for further examination. The examination involved the removal of the intake and exhaust valves from the number one cylinder assembly. The number two cylinder assembly and piston were submitted for comparison purposes. Examination of the number one exhaust valve revealed a fracture. Visual examination of the fracture with the aid of a bench binocular microscope revealed the presence of a crack that initiated in the radius between the stem and the head of the valve.

Aircraft

Registration
N28215
Reported as
Gulfstream American AA-5B
Category
Airplane
Serial number
AA5B-0941
Airframe hours
1,300
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
James Connelly
Registered owner
James Connely
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 4, 1993 · 13 hours before
Departed
6B6 · Stow, MA
Airport
3B3 · Sterling, runway 16, 3,010 × 40 ft, asphalt

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
44
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
348 total · 348 in this make and model · 302 as pilot in command · 19 in the last 90 days · 8 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 11 knots, gusting 19
Visibility
20 statute miles
Lowest ceiling
25,000 ft broken
Temperature
61 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
ORH, 10 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.