CEN09LA132

NTSB accident investigation · Grumman American Avn. AA-5B · Milford, IN · January 5, 2009

Accident · No injuriesLimited investigationFinal report
Date
January 5, 2009, 11:15 local (16:15 UTC)
Place
Milford, IN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N28862Grumman American Avn. AA-5B
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report July 14, 2009
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-South Bend FSDO, Sensenich Propeller Company, Inc.
FAA report
20090105012609A
Case key
73229

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

On this page

Probable cause

A loss of engine thrust due to the separation of a section of one of the propeller blades as a result of fatigue failure of the propeller because of corrosion. Contributing to the accident was the failure of the mechanic to detect and address the propeller corrosion during the annual inspection.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelGrumman American Avn. AA-5B: 1 caseAll aircraft: 167 casesProbable cause
Propeller system: propeller blade sectionAircraft › Aircraft propeller/rotor · Fatigue/wear/corrosionGrumman American Avn. AA-5B: 2 casesAll aircraft: 51 casesProbable cause
Propeller system: propeller blade sectionAircraft › Aircraft propeller/rotor · Inadequate inspectionGrumman American Avn. AA-5B: 2 casesAll aircraft: 51 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The airplane was in cruise flight when the pilot heard a "loud bang followed by a violent vibration." He secured the engine and executed a forced landing to an open field. A postaccident examination revealed that a 20-inch length of one of the propeller blades had separated. Metallurgical examination revealed a fatigue failure of the propeller blade initiating from an area of corrosion. Corrosion pitting was observed over the entire cambered surface of the blade. The propeller had accumulated 2,326 hours total time in service. The most recent annual inspection was completed approximately 2 months prior to the accident. Federal Aviation Administration publications and the manufacturer's documentation recommended a detailed visual inspection of the propeller for corrosion during an aircraft annual inspection.

Factual narrative

On January 5, 2009, about 1115 eastern standard time, a Grumman AA-5B Tiger, N28862, was substantially damaged following an in-flight separation of a propeller blade and a forced landing near Milford, Indiana. The instructional flight was being operated under 14 Code of Federal Regulations Part 91 without a flight plan. Visual meteorological conditions prevailed. The private pilot and flight instructor were not injured. The local flight departed about 1045. The private pilot stated that the airplane was in cruise flight at 3,500 feet mean sea level (msl) when he heard a "loud bang followed by a violent vibration." He secured the engine and "pulled the nose of the airplane up to stop the rotation of the propeller." He subsequently executed a forced landing to an open field. A post accident examination revealed that a 20-inch length of one of the blades had separated from the 2-bladed, fixed pitch propeller. The separated section was not recovered. Secondary damage to the engine assembly, engine mounts and firewall was also observed. Metallurgical examination of the remaining portion of the blade revealed a chordwise fracture approximately 18 inches from the hub centerline (20 inches from the tip). The fracture surface exhibited features consistent with fatigue failure that covered about 70-percent of the area. The remaining surface area appeared consistent with an overload failure. Fatigue striations emanated from an area of corrosion on the cambered side of the blade. Visual inspection using low-powered magnification revealed corrosion pitting distributed over the entire cambered surface of the blade. Maintenance records revealed the propeller was installed new on the accident airplane in September 1983. It was subsequently reconditioned in May 1987. The most recent annual inspection was completed on October 31, 2008. At the time of the accident, the propeller had accumulated 2,326 hours total time in service, with 8 hours since the annual inspection. Airworthiness Directive (AD) 69-09-03 R3, effective May 15, 1996, required factory inspection and reconditioning for propellers with 500 hours or more of flight time. Propellers inspected and/or reworked in accordance with that AD were to be identified with the suffix letter "K" after the serial number. The accident propeller included a "K" suffix after the serial number consistent with compliance to the AD. No subsequent AD's had been issued related to the accident propeller. The manufacturer issued Service Bulletin R-15A on October 4, 1989, recommending inspection and repair procedures to address corrosion issues. Specifically, the service bulletin stated that propeller blades should be inspected for corrosion during annual or 100-hour inspection procedures. Any corrosion should be repaired or the propeller reconditioned depending upon the extent and severity of the corrosion. Service Bulletin R-17 was issued March 16, 1999, which noted the Federal Aviation Administration's (FAA) prior approvalfor an increase in the time between propeller overhaul/reconditioning cycles (TBO). The TBO was increased from 1,000 hours total flight time to 2,000 hours for normal and utility operations provided that the specific propeller had not sustained damage that required immediate attention. Aerobatic operations remained at 1,000 hours TBO. However, regulations do not require compliance with TBO limits for non-commercial operations. In these cases, continued airworthiness is based on the condition of the propeller. FAA Advisory Circular (AC) 20-37E, Aircraft Propeller Maintenance, states that a detailed inspection is completed at each annual inspection or as required by the aircraft maintenance procedures. The detailed inspection should include visual examination of the propeller blades using ten-power (10X) magnification for questionable areas. The visual examination is to look for excessive wear and erosion, damage, nicks, cracks, corrosion, lightning strike, or ground strike.

Aircraft

Registration
N28862
Reported as
Grumman American Avn. AA-5B
Category
Airplane
Serial number
AA5B0869
Airframe hours
3,377
Engine
Lycoming O&VO-360 SER, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · October 31, 2008 · 8 hours before
Departed
25IN · Howe, IN
Destination
GSH · Goshen, IN
Airport
GSH · Goshen Muni

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
34
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
January 5, 2009
Seat
Left
Flight hours
282 total · 138 in this make and model · 211 as pilot in command · 3 in the last 90 days · 2 in the last 30 days · 1 in the last 24 hours
Role
Flight instructor
Age
79
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
June 1, 2007
Seat
Right
Flight hours
4,000 total · 50 in this make and model · 3,000 as pilot in command · 10 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
21 °F, dew point 16 °F
Altimeter
30.00 inHg
Observed at
GSH, 7 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 N28862 · 1

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