CEN14LA439

NTSB accident investigation · Air Tractor AT-401 · Wray, CO · August 19, 2014

Accident · Minor injuriesLimited investigationFinal report
Date
August 19, 2014, 07:40 local (13:40 UTC)
Place
Wray, CO
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4542WAir Tractor AT-401
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report February 11, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20140819015309A
Case key
89906

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 the No. 1 cylinder’s compression due to a stuck exhaust valve caused by a lack of sufficient valve clearance, which resulted in a loss of engine power and a forced landing. Contributing to the loss of engine power were the worn intake and exhaust valves in cylinders No. 3 and 4.

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.

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

During initial climb, the pilot felt a subtle vibration from the engine and noticed the manifold pressure dropping rapidly. When he attempted to increase manifold pressure by opening the throttle, the engine began to vibrate violently and lost all power. The pilot made a downwind forced landing, and the airplane nosed over. The engine was later partially disassembled and examined. A small amount of aluminum and steel filings were recovered from oil drained from the rocker arm sump. A cylinder compression check revealed that the Nos. 1 and 3 cylinders were non-functioning and that the No. 4 cylinder exhibited weak compression. The intake valve in the No. 3 cylinder was found to have a ridge worn on its face, and the valve seat was worn excessively. The No. 1 cylinder's exhaust valve was stuck open and was binding in the valve guide. The exhaust valve clearances for the cylinders were then checked and found to be less than the Pratt and Whitney overhaul limits of 0.003" to 0.0055", with a maximum wear limit of 0.010". Most likely, the engine lost power due to the stuck exhaust valve.

Factual narrative

On August 19, 2014, about 0740 mountain daylight time, the pilot of an Air Tractor AT-401, N4542W, made a forced landing in a field near Wray, Colorado. The pilot, the sole occupant on board, sustained a minor injury. The airplane was substantially damaged. The airplane was being operated by Tri-County Ag of Wray, Colorado, 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, and no flight plan had been filed. The local flight originated from Wray Municipal Airport (2V5), Wray, Colorado, approximately 0700.According to the pilot's accident report, he had just finished spraying a field and was climbing out to return to his home base when he felt a subtle vibration from the engine and noticed manifold pressure dropping rapidly. When he attempted to increase manifold pressure by opening the throttle, the engine began to vibrate violently and lost all power. The pilot made a downwind forced landing. To avoid a drainage ditch and power lines ahead, the pilot applied heavy braking and the airplane nosed over. The vertical stabilizer and rudder, cockpit, and left wing sustained crushing damage. On October 14 and 15, the engine was partially disassembled and examined. Engine oil was drained from the rocker arm sump. In addition to carbon, a small amount of aluminum and steel filings were recovered. A compression check of all the cylinders was made with the following results: Cylinder 1 0/80 Cylinder 2 50/80 Cylinder 3 0/80 Cylinder 4 20/80 Cylinder 5 25/80 Cylinder 6 75/80 Cylinder 7 65/80 Cylinder 8 55/80 Cylinder 9 55/80 Cylinders 1, 3, and 4 were removed and examined. The intake valve in the number 3 cylinder had a ridge worn of its face, and the valve seat was worn excessively. The exhaust valve in the number 1 cylinder was stuck open and was found to be binding in the valve guide. It was removed with extreme difficulty. The exhaust valve clearances were then checked and found to be less than the Pratt and Whitney overhaul limits of .003" - .0055", with a maximum wear limit of .010", to wit: Cylinder 1 Clearance .002" Stem size .610" Guide size .613" Cylinder 3 Clearance .0022" Stem size .611" Guide size .6132" Cylinder 4 Clearance .0022" Stem size .611" Guide size .6132"

Aircraft

Registration
N4542W
Reported as
Air Tractor AT-401
Category
Airplane
Serial number
401-0767
Built
1989
Airframe hours
7,969
Engine
Pratt & Whitney R-1340-S3H1G, 600 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Aurora Cooperative, doing business as Tri-County Ag
Registered owner
Wilmington Trust Company, Trustee
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · August 8, 2014 · 30 hours before
Departed
2V5 · Wray, CO
Destination
2V5 · Wray, CO
Equipment
Stall warning system

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
22
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Seat
Single
Restraint
4-point
Flight hours
750 total · 400 in this make and model · 625 as pilot in command · 250 in the last 90 days · 170 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 55 °F
Altimeter
29.95 inHg
Observed at
2V5

Docket · 11

The files NTSB released with the investigation on October 30, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.4 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.