CHI05LA104

NTSB accident investigation · Weatherly 620B · Downs, KS · April 20, 2005

Accident · Minor injuriesLimited investigationFinal report
Date
April 20, 2005, 18:15 local (23:15 UTC)
Place
Downs, KS
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N9026FWeatherly 620B
Weather
Visual (VMC)
Status
Completed · report March 28, 2006
Report
Approved by Office Director
Parties
FAA-Wichita FSDO
FAA report
20050420007549A
Case key
61379

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 the failure of the number two cylinder which was the result of the maintenance facility's failure to detect the fatigue crack in the number two cylinder during the engine overhaul. A factor to the accident was the soft field.

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 powerManeuvering - aerial application
Maintenance,inspection - not detectedOther maintenance personnelCause
Engine assembly,cylinder - fatigueCause
Engine assembly,cylinder - failureCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - softFactor
Gear collapsedEmergency landing

Analysis

The agricultural spray airplane sustained substantial damage during a forced landing to a farm field after a loss of engine power. The pilot reported that he was "pulling the airplane up into a right hand turn" at the end of a spray run when he heard a loud "bang" and the engine started to run "really rough." He executed a forced landing to a field. The landing gear broke off due to the soft field conditions. The engine was a 450 horsepower Pratt & Whitney R-985-14B engine. The engine was overhauled 43 hours prior to the accident. At overhaul, the engine had accumulated a total time of 7,027.1 hours. The engine logbook noted that AD 78-0807 was complied with. AD 78-0807 was effective May 2, 1978 for ultrasonic and visual inspections every 150 hours time in service to detect cracking and "to prevent cylinder head separation from the barrel." The logbook did not contain specific information on the previous histories of the installed cylinders. The inspection of the airplane revealed that the number 2 cylinder was broken at the third large cooling vent up from the bottom. The upper portion on the head assembly had separated from the sleeve. The National Transportation Safety Board's (NTSB) Materials Laboratory report noted that the fracture faces were covered by extensive and heavy combustion products and required extensive cleanings to reveal fracture details. Examinations of the fracture faces revealed features and topography indicative of a large area of fatigue progression. The fatigue area was on the aft side of the cylinder, biased toward the exhaust valve. Fracture face markings indicative of multiple fatigue initiation at the inner diameter threads along a wide arc of approximately 140 degrees. Progression was radial through the head with complete penetration over and arc of about 60 degrees centered in the fatigue region. The cylinder head was permanently marked with UT05, UT97, UT91, UT89, and UT89 stamped in the head near the intake port. The "UT" markings on the head are consistent with the markings required by AD 78-0807 and they denote five different ultrasonic inspections since 1989.

Factual narrative

On April 20, 2005, at 1815 central daylight time, a Weatherly 620B, N9026F, sustained substantial damage during a forced landing to a farm field about seven miles north of Downs, Kansas, after a loss of engine power. The commercial pilot received minor injuries. The 14 CFR Part 137 aerial application flight departed from a local field and was applying chemicals when the loss of engine power occurred. Visual meteorological conditions prevailed at the time of the accident. No flight plan was filed.

The pilot reported that he was "pulling the airplane up into a right hand turn" at the end of a spray run when he heard a loud "bang" and the engine started to run "really rough." He executed a forced landing to a field. The pilot reported that the landing gear broke off due to the soft field conditions.

The airplane was a Weatherly 620B, serial number 1639. The engine was a 450 horsepower Pratt & Whitney R-985-14B engine, serial number 20590. The engine was overhauled 43 hours prior to the accident on March 4, 2005. At overhaul, the engine had accumulated a total time of 7,027.1 hours. The engine logbook noted that AD 78-0807 was complied with. (AD 78-0807 was effective May 2, 1978 for ultrasonic and visual inspections every 150 hours time in service to detect cracking and "to prevent cylinder head separation from the barrel") The logbook did not contain specific information on the previous histories of the installed cylinders.

The inspection of the airplane revealed that the number 2 cylinder was broken at the third large cooling vent up from the bottom. The upper portion on the head assembly had separated from the sleeve. The cylinder was sent to the National Transportation Safety Board's (NTSB) Material Laboratory for further examination.

The NTSB Materials Laboratory report noted that the fracture faces were covered by extensive and heavy combustion products and required extensive cleanings to reveal fracture details. Examinations of the fracture faces revealed features and topography indicative of a large area of fatigue progression. The fatigue area was on the aft side of the cylinder, biased toward the exhaust valve. Fracture face markings indicative of multiple fatigue initiation at the inner diameter threads along a wide arc of approximately 140 degrees. Progression was radial through the head with complete penetration over and arc of about 60 degrees centered in the fatigue region.

The cylinder head was permanently marked in various locations. They markings UT05, UT97, UT91, UT89, and UT89 were stamped in the head near the intake port. The "UT" markings on the head are consistent with the markings required by AD 78-0807 and they denote five different ultrasonic inspections since 1989.

Aircraft

Registration
N9026F
Reported as
Weatherly 620B
Category
Airplane
Serial number
1639
Airframe hours
2,319
Engine
Pratt & Whitney R-985-14B, 450 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Registered owner
AG Care By Air Inc.
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · March 1, 2005 · 43 hours before
Departed
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
40
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
March 1, 2004
Seat
Center
Flight hours
5,540 total · 3,201 in this make and model · 5,465 as pilot in command · 53 in the last 90 days · 53 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC)
Wind
160° at 4 knots
Visibility
10 statute miles
Temperature
81 °F, dew point 63 °F
Altimeter
29.73 inHg
Observed at
RSL, 40 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.