CEN15LA330

NTSB accident investigation · Grumman G-164A · Emmett, KS · July 31, 2015

Accident · Minor injuriesLimited investigationFinal report
Date
July 31, 2015, 11:30 local (16:30 UTC)
Place
Emmett, KS
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N963XGrumman G-164A
Defining event
Maneuvering-low-alt flying: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 16, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20150731013779A
Case key
91683

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

The engine failure due to several loose, damaged cylinder stud nuts and hold-down bolts. Contributing to the accident was maintenance personnel’s failure to detect that the cylinder nuts and hold-down bolts were not properly secured during the engine’s most recent inspection.

Findings · 5

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.

InspectionPersonnel issues › Task performance · Maintenance personnelGrumman G-164A: 1 caseAll aircraft: 29 casesProbable cause
Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Inadequate inspectionGrumman G-164A: 4 casesAll aircraft: 373 casesProbable cause
Maintenance/inspectionsAircraft › Aircraft handling/service · Inadequate inspectionGrumman G-164A: 2 casesAll aircraft: 103 casesProbable cause
Object/animal/substanceEnvironmental issues › Physical environment · Contributed to outcomeGrumman G-164A: 2 casesAll aircraft: 224 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 commercial pilot was conducting an agricultural application flight. The pilot reported that, while making a spray run, he heard a loud "bang" and saw a puff of smoke emanate from the upper right side of the engine, followed by the propeller seizing. He made a forced landing in a field, and the airplane collided with some bushes and then nosed over. Examination of the engine revealed several loose cylinder stud nuts and hold-down bolts that appeared to have been pushed up on the cylinder skirt. Several of the studs, particularly the No. 4 cylinder stud, were stretched and looked to be nearly pushed out of the engine crankcase. One cylinder was almost separated from the crankcase. Examination of the airplane's maintenance logbooks revealed that the engine had received a major overhaul more than 8 years before the accident. The records indicated that, since that time, inspections of the cylinder heads and the cylinder hold-down studs had been conducted in compliance with two Federal Aviation Administration airworthiness directives. The engine was last inspected about 3 months before the accident. During this inspection, maintenance personnel checked the cylinder bases and heads for cracks and loose studs; however, they did not detect that the cylinder nuts and hold-down bolts were not properly secured.

Factual narrative

On June 31, 2015, about 1130 central daylight time, a Grumman G-164A, N963X, impacted terrain after the engine lost power near Emmett, Kansas. The pilot, the sole occupant on board, received minor injuries. The airplane was substantially damaged. The airplane was registered to and operated by Precision Aerial Ag LLC of Seneca, Kansas, 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 Wamego, Kansas approximately 1100.According to the pilot's accident report, he was making a spray run when he heard a loud "bang," saw a puff of smoke emit from the upper right-hand side of the engine, and then the propeller seized. He made a forced landing in a brome field, collided with some bushes, and nosed over. Examination of the engine on-site by inspectors from the Federal Aviation Administration revealed several loose cylinder stud nuts and hold-down bolts that appeared to have been pushed up on the cylinder skirt. Several of the studs – number 4 cylinder in particular -- were stretched and looked to be nearly pushed out of the engine crankcase. One cylinder was about to separate from crankcase. Examination of the engine maintenance logbook revealed the engine had received a major overhaul on February 13, 2007. On March 10, 2010, Airworthiness Directive (A.D.) 99-11-02 was complied with by inspecting the cylinder heads. On March 2, 2011, February 22, 2012, May 30, 2013, and May 13, 2014, A.D. 56-06-02 was complied with by inspecting the cylinder hold-down studs. On July 15, 2014, the engine and propeller were removed due to a blower bearing failure. On August 10, 2014, after the engine and propeller were reinstalled, and again on March 18, 2015, the cylinder bases and heads were checked for cracks and loose studs. At the time of the last inspection, the tachometer read 6,730 hours, and the engine had accrued 506.68 hours since major overhaul. The accident site was located at 14624 A4 Road, Emmett, Kansas.

Aircraft

Registration
N963X
Reported as
Grumman G-164A
Category
Airplane
Serial number
477
Built
1968
Airframe hours
6,730
Engine
Pratt and Whitney R-1340, 600 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Precision Aerial Ag, LLC
Registered owner
Precision Aerial Ag, LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · March 18, 2015
Departed
69K · Wamego, KS
Destination
69K · Wamego, KS
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
27
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
November 30, 2013
Seat
Single
Restraint
4-point
Flight hours
650 total · 275 in this make and model · 600 as pilot in command · 100 in the last 90 days · 75 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 70 °F
Altimeter
30.15 inHg
Observed at
KMHK, 28 nm away

Docket · 7

The files NTSB released with the investigation on March 16, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.3 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.

Other investigations on N963X · 1

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