CHI05CA032

NTSB accident investigation · Olson Sonex · Oconomowoc, WI · November 21, 2004

Accident · Serious injuriesData collectionFinal report
Date
November 21, 2004, 14:30 local (20:30 UTC)
Place
Oconomowoc, WI
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N478SXOlson Sonex
Weather
Visual (VMC) · Day
Status
Completed · report February 24, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration - Milwaukee FSDO
FAA report
20041121032159A
Case key
60728

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 due to a fatigue fracture of the crankshaft. An additional cause to the accident was the pilot/builder's failure to verify the dimensions of the shrink-fit crankshaft components prior reassembling the engine. A factor to the accident was the ditch encountered during the forced landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise - normal
Engine assembly,crankshaft - fracturedCause
Engine assembly,crankshaft - fatigueCause
Maintenance,inspection - not performedOwner/builderCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - ditchFactor
Nose overLanding - roll
Unsuitable terrain or takeoff/landing/taxi area - encounteredPilot in command

Analysis

The amateur-built airplane was damaged during a forced landing following a loss of engine power during cruise flight. The propeller and hub separated in-flight as result of a crankshaft failure. The airplane impacted a small ditch during the forced landing that resulted in the airplane nosing-over. The experimental airplane was powered by a non-certified Volkswagen 2180cc engine that was modified for aircraft use. The engine crankshaft was fractured between the oil-slinger and the retaining snap-ring groves. The fracture initiated at the aft edge of the forward keyway. The fracture features were consistent with a fatigue-type failure. The propeller and hub were not recovered during the investigation. The pilot/builder reported that he had mistakenly installed the number four (aft-most) bearing at the number two position during initial assembly of the engine. He had to remove the shrink-fit propeller hub, drive gears and spacer in order to reinstall the bearings in the correct order. The pilot/builder reported that he did not check the dimensions of the shrink-fit components prior to reassembling the engine, nor did he consult with the engine kit manufacturer on how to disassemble, inspect, and reassemble the engine components. The engine kit manufacturer did not provide the builder with engine disassembly or overhaul instructions with delivery of the engine kit. The engine kit manufacturer did not instruct builders to verify the dimensions of the shrink-fit components prior to their installation. The experimental airframe and engine did not have to comply with federal regulations required for a standard category airplane. The engine and airframe had accumulated 45.3 hours since new.

Factual narrative

On November 21, 2004, at 1430 central standard time, an amateur-built Olson Sonex, N478SX, built and piloted by a private pilot, was substantially damaged when it nosed-over during a forced landing following an in-flight separation of the propeller near Oconomowoc, Wisconsin. Visual meteorological conditions prevailed at the time of the accident. The personal flight was operating under the provisions of 14 CFR Part 91 without a fight plan. The pilot sustained serious injuries. The local flight departed Watertown Municipal Airport (RYV), Watertown, Wisconsin, at 1400.

The pilot reported that during cruise flight the engine developed a sustained vibration and he elected to return to RYN. The pilot reported that the "engine stopped abruptly" and he decided to perform a forced landing on a road being constructed near Oconomowoc. He stated that the airplane was "Too low to clear bridge ... and [he] diverted to open cornfield." The pilot reported that the airplane's main landing gear impacted a "small ditch" during landing and the airplane subsequently nosed-over. Additionally, the pilot stated that the engine had a vibration during the previous flight and he re-torqued the propeller to the hub after the flight.

A Federal Aviation Administration (FAA) inspector performed an on-scene investigation. The inspector reported the airplane was located in a cornfield in an inverted orientation. The propeller and hub assembly were not located at the accident site and were not recovered during the investigation. The aircraft was transferred to a local law enforcement impound lot for further inspection. The FAA inspector successfully started and ran the engine at various power settings. The engine was then removed from the airframe and transported to the engine kit manufacturer in Oshkosh, Wisconsin, for further examination.

The engine was a modified Volkswagen 2180cc series engine that produces 80 horsepower. According to the engine kit manufacturer, Aero-Conversions, the engine components provided are all factory-new and have been modified for aircraft use. The "Aero Vee 2002" engine incorporates a counterweighted forged crankshaft and a shrink-fit propeller hub. The engine kit is shipped unassembled to the purchaser.

The forward portion of the crankshaft contains the number two bearing, camshaft gear (p/n 1925), racer spacer (p/n 1919), distributor drive gear (p/n 1927), retaining snap-ring (p/n 1928), number one bearing, oil-slinger (p/n 1929), and propeller hub (p/n ACV-H01-10). The camshaft gear, racer spacer and distributor drive gear are indexed by a Woodruff key (p/n 1937) and held in place by the retaining snap-ring. The propeller hub is indexed by a rounded Woodruff key (p/n 1938) and is retained by a bolt (p/n 38458).

The camshaft gear, racer spacer, distributor drive gear and propeller hub are designed as shrink-fit components. Prior to assembly, the shrink-fit components are heated in an oven to 400-degrees for 30 minutes. After the components are installed and fully cooled, engine torque is transferred to the components through friction forces and the two Woodruff keys. The designed interference for the propeller hub is between 0.0010 and 0.0015 inches, according to the engine kit manufacturer.

The heated propeller hub is positioned on the crankshaft by striking a block of wood with a mallet against the forward face of the hub. Once the hub is properly positioned against the oil-slinger a pneumatic wrench is used to temporally install the hub bolt. After the hub has completely cooled, the hub bolt is removed and reinstalled with Loc-Tight and torqued to 80 ft/lbs.

FAA inspectors supervised a teardown inspection of the engine on November 24, 2004. The engine crankshaft was fractured between the oil-slinger and the retaining snap-ring groves. The fracture initiated at the aft edge of the forward keyway. The fracture features were consistent with a fatigue-type failure. The camshaft gear, racer spacer and distributor drive gears were found loose on the crankshaft and the assembly had a 0.032 inch gap between the retaining snap-ring. The design gap tolerance for the assembly is between 0.002 and 0.005 inch. The Woodruff key (p/n 1937) exhibited damage consistent with excessive loading, according to engine kit manufacturer.

The pilot reported that he originally had difficulty shimming the aft-mounted flywheel after assembly of the engine. He stated he had mistakenly installed the number four (aft-most) flanged bearing at the number two position during initial assembly of the engine. The pilot had to remove the shrink-fit propeller hub, spacer and gears in order to reinstall the bearings in the correct order. The pilot reported he heated the shrink-fit components with a propane torch and removed the propeller hub using a homebuilt puller. The puller consisted of a six-inch diameter machined aluminum disk and a jackscrew. The pilot/builder stated that he did not check the dimensions of the shrink-fit components prior to reassembling the engine, nor did he consult with the engine kit manufacturer on how to disassemble, inspect, and reassemble the engine components.

The FAA issued an experimental airworthiness certificate for the amateur-built airplane on July 7, 2004. The airframe and engine do not have to comply with federal regulations required for a standard category airplane. The airplane and engine had accumulated 45.3 hours since new.

The engine kit manufacturer did not provide the builder with engine disassembly or overhaul instructions for the "Aero Vee 2002" engine. The manufacturer also did not instruct builders to verify the dimensions of the shrink-fit components prior to their installation. However, as result of the accident investigation, the manufacturer stated that it planned to provide documentation for the disassembly of the engine and how to verify the dimensions of the shrink-fit components prior to assembly.

Aircraft

Registration
N478SX
Reported as
Olson Sonex
Category
Airplane, amateur-built
Serial number
478SX
Airframe hours
45.3
Engine
Volkswagen 2180, 80 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · May 12, 2004 · 45.3 hours before
Departed
RYV · Watertown, WI
Destination
RYV

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
64
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
July 28, 2003
Seat
Left
Flight hours
582 total · 45 in this make and model · 35 in the last 90 days · 14 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
43 °F, dew point 27 °F
Altimeter
30.29 inHg
Observed at
RYV, 11 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.