DEN00IA133

NTSB incident investigation · Diamond Aircraft Industries 20C-1 · Spanish Fork, UT · July 1, 2000

Incident · No injuriesIncident investigationFinal report
Date
July 1, 2000, 13:00 local (19:00 UTC)
Place
Spanish Fork, UT
Injuries
2 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N991CTDiamond Aircraft Industries 20C-1
Weather
Visual (VMC) · Day
Status
Completed · report April 19, 2001
Report
Approved by Office Director
FAA report
20000701035759I
Case key
51111

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

The company maintenance personnel's inadequate torquing procedures of the propeller attachment bolts which resulted in the fatigue failure of the propeller attachment bolts and the in-flight separation of the propeller.

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.

Propeller failure/malfunctionCruise
Propeller system/accessories - separation
Miscellaneous,bolt/nut/fastener/clamp/spring - undertorquedCause
Miscellaneous,bolt/nut/fastener/clamp/spring - fatigue
Maintenance,adjustment - inadequateCompany maintenance personnelCause
Forced landingDescent - uncontrolled

Analysis

The pilot had just departed on a cross-country flight, and had climbed to 9,500 feet. He said that he began to feel a 'heavy vibration' in the aircraft, and immediately turned towards the closest runway. Soon thereafter the propeller separated from the airplane, and the pilot performed a forced landing without further incident. Postincident examination of the maintenance records indicated that the attachment bolts for the wooden propeller were last torqued 110 hours before the incident. The manufacturer of the propeller recommends that their wooden propellers be torque checked every 50 hours of flight. Examination revealed that the propeller attachment bolts showed signs of fatigue failure. There was also fretting damage on the propeller extension flange and bushing shanks. The above-mentioned signatures are suggestive of the studs being insufficiently torqued by the mechanic during assembly or periodic maintenance procedures not being followed, and subsequently becoming loose during propeller operation.

Factual narrative

On July 1, 2000, at 1300 mountain daylight time, a Diamond Aircraft Industries 20C-1, N991CT, sustained minor damage when the propeller separated from the airplane near Spanish Fork, Utah. The private pilot and his passenger were not injured. The airplane was being operated by Smith and Barlow Enterprises, Inc., Provo, Utah, under Title 14 CFR Part 91. Visual meteorological conditions prevailed for the local flight that originated from Provo, Utah, approximately 15 minutes before the incident. No flight plan had been filed.

The pilot said that he had just departed on a cross-country flight, and had climbed to 9,500 feet. He said that he began to feel a "heavy vibration" in the aircraft, and immediately turned the airplane back towards the closest runway at Spanish Fork Airport. Soon thereafter the propeller separated from the airplane. The pilot performed a forced landing to runway 30 without further incident.

The wooden propeller was not recovered. The propeller extension assembly was removed from the engine and forwarded to the National Transportation Safety Board's (NTSB) Material's Laboratory. Examination revealed that all six propeller attachment bolts showed signs of fatigue failure. There was also fretting damage on the propeller extension flange and bushing shanks.

Postincident examination of the maintenance records indicated that the attachment bolts for the propeller were last torqued on April 26, 2000, 110 hours before the incident. Sensenich Propeller Manufacturing Co., Inc., the manufacturer of the propeller, recommends that their wooden propellers be torque checked every 50 hours of flight.

Aircraft

Registration
N991CT
Reported as
Diamond Aircraft Industries 20C-1
Category
Airplane
Serial number
C0091
Engine
Continental IO-240, 125 horsepower, reciprocating
Damage
Minor damage
Flight
Personal · Part 91
Registered owner
Smith And Barlow Enterprises
Airworthiness certificate
Standard, Normal
Departed
PVU · Provo, UT
Destination
41U · Ephraim, UT

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
Certificate
Private
Airplane ratings
Single-engine land
Medical
Unknown, Unknown
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 39 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.