CEN11LA566

NTSB accident investigation · Air Tractor AT-400 · Nelson, NE · August 11, 2011

Accident · No injuriesLimited investigationFinal report
Date
August 10, 2011, 19:00 local (Aug 11, 2011, 00:00 UTC)
Place
Nelson, NE
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N3659NAir Tractor AT-400
Defining event
Maneuvering: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 10, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
Honeywell, FAA/FSDO, Transportation Safety Board of Canada
FAA report
20110810020579A
Case key
81468

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

Failure of the fuel control unit's spool cap bearing for reasons that could not be determined during extensive postaccident examination, and the pilot’s decision to shut the engine down without sufficient altitude and distance to reach the runway.

Findings · 3

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-400: 2 casesAll aircraft: 2,247 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

When the pilot was unable to reduce power normally for landing, he used the fuel cut-off lever to shut down the agricultural airplane's turbine engine. However, the pilot stated that he misjudged the airplane’s altitude and distance to the runway when he shut off fuel to the engine, and the airplane landed short of the runway. During postaccident examination, the fuel control unit failed the manufacturer's functional check. The unit was then disassembled, and the spool cap bearing and its associated hardware, including the cap containing the bearing outer race and the post with the bearing inner race, were found damaged. Metallurgical examination of the bearing races found embedded alumina particles. A historical review of the manufacturer's fuel control unit revealed a history of premature spool cap bearing failures in fuel control units installed on other turboprop engines, but not on the accident airplane’s make and model engine. These failures were attributed to high diamond content and other hard particle contamination and could result in fuel flow and power/torque fluctuations. However, no direct link could be established between the accident-related failure and previous failures in other turboprop engines. Although hard alumina particles were found, there was insufficient historical data to support that these particles had attributed to previous bearing failures in this engine. The cause of the spool cap bearing failure could not be determined.

Factual narrative

On August 10, 2011, about 1900 central daylight time, N3659N, an Air Tractor AT-400, N3659N, sustained substantial damage when it landed short of a private airstrip near Nelson, Nebraska. The commercial rated pilot was not injured. The airplane was registered to and operated by the pilot. Visual meteorological conditions prevailed and no flight plan was filed for the local aerial application flight conducted under 14 Code of Federal Regulations Part 137. The flight originated at the private airstrip approximately 1830. The pilot stated that when he reduced power to land, the power would not decrease. So he shut the engine down by pulling the fuel cut-off lever. The pilot misjudged the altitude he needed to glide to the runway and landed short resulting in substantial damage to the airframe. The fuel pump, fuel control unit, and the propeller governor were removed from the Pratt &Whitney Canada (PWC) PT-6 engine for further examination. The governor was examined at Woodward, Incorporated, Rockford, Illinois, under the supervision of the National Transportation Safety Board (NTSB) and no anomalies were noted that would have precluded normal operation of the unit. The fuel pump and the fuel control unit were sent to PWC and examined under the supervision of the Transportation Safety Board of Canada. No anomalies were noted with the fuel pump when tested; however, the fuel control unit did not meet test specifications during the functional check. The unit was disassembled and it was noted that the spool cap bearing and its associated hardware were damaged. The damaged parts, which included the cap containing the bearing outer race, the post with the bearing inner race, a retainer, a shield, a second retainer and six ball bearings, and six of seven ball bearings, were sent to the NTSB Materials Laboratory, Washington DC, for metallurgical examination. Examination of the ball bearings revealed they were smaller than their original dimensions and exhibited wavy lines or a frosted appearance. The #5 ball bearing was metallurgically encapsulated, ground down to its diameter, and polished for micro-hardness testing. The bearing’s hardness was within tolerances. The two retainers were thin circular ribbons made of metal. Both retainers were mechanically damaged. One retainer exhibited fractured ends with visible bulges, consistent with the original location of a ball bearing. There was also a folded area that displayed a smooth bulge, consistent with it being the location of the seventh ball. The second retainer was also fractured at each end and exhibited defined bulges, consistent with the original location of each ball bearing. The shield was intact and undamaged. A wire clip used to retain the shield was not present with the cap. Examination of the inner surface of the bearing's cap (outer race) revealed circular impressions and a rectangle-shaped smear of material. The smeared material was consistent with a rolling contact path produced by the fuelcontrol arm bearing during governor operation. The inner and outer edges of the cap’s annulus were not well defined; however, measurements of each diameter were consistent with each other. Examination of the post, with the inner race of the bearing still installed revealed two parallel impressions on the surface consistent with normal contact of the counterweights. The depth of the impressions was found to gradually taper becoming deeper at the opposing ends. Sections of the bearing's inner and outer races were examined using a scanning electron microscope (SEM). Colonies of aluminus particles were found embedded in both sections. Other sections of the races were metallurgically encapsulated and polished for hardness testing. Both sections tested within specifications. Honeywell, who manufactured the fuel control unit, had a history of premature spool cap bearing failures in fuel control units installed on their LT-101 engines. These failures were attributed to high diamond content and other hard particle contamination. Honeywell took immediate corrective action to determine the root cause of these failures and implemented new manufacturing procedures with the spool cap bearing supplier. A Federal Aviation Administration (FAA) Airworthiness Directive was also issued. The NTSB’s metallurgical findings on the spool cap bearing from the PT-6 engine were compared to examination data of the failed spool cap bearings on the LT-101 engines, and a direct link between the failures could not be established. Though hard aluminus particles were found embedded in the inner and outer race of the bearing on the PT-6 engine, there was insufficient historical data to support that these particles had attributed to any previous bearings failures. The fuel control unit was overhauled and re-installed on the airplane in November, 2010. It had accrued a total of 197.4 hours at the time the spool cap bearing failed. Failure of the spool cap bearing will result in power/torque fluctuations, either higher or lower than the set metered fuel flow conditions.

Aircraft

Registration
N3659N
Reported as
Air Tractor AT-400
Category
Airplane
Serial number
400-0294
Airframe hours
3,900
Engine
Pratt &Whitney Canada PT6-15-AG, 680 horsepower, turbo prop
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Wehrman Jim
Registered owner
Wehrman Jim
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · December 5, 2010 · 197 hours before
Departed
None · Private, NE
Destination
None · Private, NE
Airport
None · Private

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
57
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Seat
Single
Flight hours
8,000 total · 400 in this make and model · 100 in the last 90 days · 7 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 61 °F
Altimeter
29.96 inHg
Observed at
HJH, 23 nm away

Docket · 4

The files NTSB released with the investigation on February 27, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 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.