CEN11LA544

NTSB accident investigation · Air Tractor AT802 · Ullin, IL · July 22, 2011

Accident · Minor injuriesLimited investigationFinal report
Date
July 22, 2011, 14:00 local (19:00 UTC)
Place
Ullin, IL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N396LAAir Tractor AT802
Defining event
Enroute: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report January 15, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
Pratt & Whitney Canada Corp., Woodward Governor Company, Transporation Safety Board of Canada, Federal Aviation Administration
FAA report
20110722017199A
Case key
81389

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

The loss of engine power for reasons that could not be determined because postaccident examination of the engine did not reveal any anomalies that would have precluded normal operation.

Findings · 2

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.

Not determinedNot determined › Not determined · Unknown/Not determinedAir Tractor AT-802A: 7 casesAll aircraft: 2,247 casesProbable cause
Aircraft capability: climb capabilityAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAir Tractor AT-802A: 2 casesAll aircraft: 183 cases

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 pilot reported that the airplane’s engine surged and lost power during cruise flight. The pilot stated that he was unable to attain a climb rate and that the emergency procedures he used did not affect the surging or loss of engine power. The pilot landed the airplane on a field immersed in water. An examination of the engine and overspeed governor did not identify any anomalies that would account for surging or a loss of engine power. The internal corrosion found on examination of the overspeed governor was most likely due to its water immersion after the accident.

Factual narrative

On July 22, 2011, about 1400 central daylight time, an Air Tractor Inc, AT802/A, N396LA, experienced engine surging and a loss of engine power following the completion of an aerial application of a field near Ullin, Illinois. The pilot subsequently made a forced landing to a field. The certificated commercial pilot sustained minor injuries. The airplane sustained substantial damage. The airplane was registered to and operated by Thompson Flying Service LLC under the provisions of 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed at the time of the accident. The flight originated from Flora Municipal Airport, Flora, Illinois. The pilot stated that while returning from an aerial application near Flora, Illinois, the engine started to surge and “slip.” He said it felt like a “clutch was going out in a truck.” The engine power would fade away and come back. He did not hear any “popping” or “unusual” noises. The torque and propeller speed gauge indications did not fluctuate. The engine gauges displayed: torque pressure – 30 psi, propeller speed – 1,400 to 1,500 rpm, gas generator speed - 95 percent, and inter-turbine temperature – 740 to 750 degrees Celsius. The airspeed was about 150 mph during “normal” cruise. The oil temperature was hotter than normal, but it was below the upper limit of the oil temperature range. The first loss of engine power occurred about 1,500 feet above ground level at a terrain elevation about 340 feet mean sea level. The pilot tried to climb the airplane three times, but each successive climb resulted in altitude loss. He said that he performed emergency procedures by selecting the auxiliary fuel [pump] on and selecting the igniters to continuous operation. He said that the emergency procedures had no effect on engine power or the surging. The pilot said that the propeller had been rotating and that it was feathered before landing on a field covered with about 4 inches of water. The airplane was powered by a Pratt & Whitney PT6A-65AG, serial number 32254. The last maintenance logbook entry dated July 13, 2011, indicated that the engine accumulated: time since new - 5,020.8 hours; cycles since new - 5,020, time since overhaul - 2,527.7 hours; cycles since overhaul - 2,527. The last maintenance logbook entry also showed that the gas generator was partially disassembled for a suspected bearing failure and overhauled number 1 and 2 bearings were installed. Overhauled accessory gear box bearings were installed. The accessory gears, fuel pump, pressure pump gear, and associated hardware were demagnetized. The gas generator section was reassembled and one serviceable thermocouple was installed. The engine was removed from the airplane and shipped to Pratt & Whitney Canada for disassembly examination under the supervision of the Transportation Safety Board of Canada. The examination did not reveal any anomalies associated with the reported power surge. Theexamination also revealed that a fracture of the reduction gearbox front case at the A-flange and a fracture of the second stage carrier housing at the web were characteristic of engine power at the time of impact. The Woodward overspeed governor, part number 210960 B, serial number 16517050, underwent testing and disassembly at Woodward Governor Company under the supervision of the National Transportation Safety Board. Visual inspection of the governor revealed the presence non-Woodward safety wire and torque seal on the governor. The governor exhibited external contamination consistent with sand and/or dirt. Discoloration consistent with corrosion/rust was present on the drive gear. Testing showed that the minimum and maximum speeds were set about 0.5 percent high at both points. Disassembly showed that the governor interior exhibited corrosion/rust. The reset piston was sticking, which was attributed to internal corrosion/rust.

Aircraft

Registration
N396LA
Reported as
Air Tractor AT802 (A)
Category
Airplane
Serial number
802A-0331
Airframe hours
1,049
Engine
Pratt & Whitney of Canada PT6A-65AG, 1,300 horsepower, turbo prop
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Thompson Flying Service LLC
Registered owner
Thompson Flying Service LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · June 23, 2011
Departed
FOA · Flora, IL
Destination
Ullin, IL

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
37
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
December 13, 2010
Seat
Center
Flight hours
3,371 total · 1,198 in this make and model · 3,371 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
95 °F, dew point 73 °F
Altimeter
29.94 inHg
Observed at
FOA, 24 nm away

Docket · 7

The files NTSB released with the investigation on November 14, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.1 MB in all.

FAA reports on this event · 1

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