ERA16LA041

NTSB accident investigation · Woodrow Larry W Sonex · Morganton, NC · November 15, 2015

Accident · No injuriesLimited investigationFinal report
Date
November 15, 2015, 14:45 local (19:45 UTC)
Place
Morganton, NC
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7035ZWoodrow Larry W Sonex
Defining event
Initial climb: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report February 17, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20151115023369A
Case key
92327

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 pilot/owner’s inadequate maintenance inspection following a propeller strike, which resulted in the subsequent in-flight propeller separation due to propagation of fatigue cracks in the crankshaft.

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.

Engine (reciprocating): recip eng front sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionWoodrow Larry W SONEX: 1 caseAll aircraft: 13 casesProbable cause
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Owner/builderWoodrow Larry W SONEX: 1 caseAll aircraft: 167 casesProbable cause

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 private pilot, who was also the owner/builder of the experimental, amateur-built airplane, reported that, during initial climb for the local flight, about 3,000 ft mean sea level, the propeller separated from the airplane and fell to the ground. The pilot/owner turned the airplane toward an airport that had a longer runway than the departure airport and attempted to glide the airplane to the runway. However, the airplane did not have sufficient altitude, and it subsequently impacted trees about 600 ft short of the runway. Photographs of the crankshaft revealed that it fractured just aft of the propeller mounting hub/flange. The fracture surfaces on the hub exhibited features consistent with fatigue crack propagation through the wall thickness of the crankshaft and the subsequent overstress fracture of the remaining portion of the crankshaft. Review of maintenance records revealed that the airplane had sustained a propeller strike about 7 years before the accident. After that event, the pilot/owner, who performed his own maintenance, replaced the propeller; however, he did not disassemble the engine or otherwise document any inspection or replacement of the crankshaft in the airplane's maintenance records.

Factual narrative

On November 15, 2015, about 1445 eastern standard time, an experimental, amateur-built Sonex, N7035Z, operated by a private individual, was substantially damaged during a forced landing into trees, while on approach to Foothills Regional Airport (MRN), Morganton, North Carolina. The private pilot and passenger were not injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the local flight that departed Lower Creek Airport (NC27), Lenoir, North Carolina, about 1440. The pilot reported that during initial climb from NC27, about 3,000 feet mean sea level, the propeller separated from the airplane and fell to the ground. The pilot turned the airplane toward MRN and attempted to glide to runway 21, but did not have sufficient altitude to glide to the runway and impacted trees about 600 feet short of the runway. The pilot owned the airplane and performed the maintenance on it himself. He completed construction of the airplane in 2005 and it was issued a Federal Aviation Administration (FAA) experimental airworthiness certificate. The airplane was equipped with an Aerovee 80-horsepower engine. At the time of the accident, the airframe and engine had accumulated 278.5 hours since new and the airplane's most recent annual condition inspection was completed on April 14, 2015. Examination of the airplane by an FAA inspector revealed that it came to rest nose-down in trees about 600 feet prior to the approach end of runway 21. During the impact, both wings and the fuselage sustained damage. The inspector added that review of the maintenance records revealed that the airplane had experienced a propeller strike on August 28, 2006, at 21.9 total hours since new. Following the propeller strike, the pilot replaced the propeller, but did not inspect the engine crankshaft. Additionally, the crankshaft was not required to be inspected, through such means as ultrasonic or magnetic particle inspection, on an experimental airplane. NTSB metallurgical examination of photographic evidence revealed that the crankshaft fractured just aft of the propeller mounting hub/flange, allowing the propeller assembly to separate from the airplane. Examination of images of the fracture surfaces on the hub attached to the propeller revealed fracture surface features consistent with fatigue crack propagation through the wall thickness of the crankshaft and subsequent overstress fracture of the remaining portion of crankshaft. According to a representative of the engine manufacturer, they did not publish guidance regarding the maintenance actions necessary following a propeller strike. When contacted by customers following such events, they routinely recommend some form of inspection relative to the severity of the event. For minor cases, a measurement of crankshaft run-out was recommended, with procedures regarding how to conduct the measurement published ina service bulletin. For more serious cases, the manufacturer typically recommended an engine disassembly, magnaflux inspection, and possibly a precautionary replacement of the crankshaft. The engine manufacturer could not locate any records documenting contact with the accident owner/pilot following the airplane's 2006 propeller strike. According to FAA Advisory Circular 43.13-1B - Acceptable Methods, Techniques, and Practices - Aircraft Inspection and Repair, "Every engine that suffers a sudden stoppage must be inspected in accordance with the manufacturer's maintenance instructions before being returned to service. If the engine manufacturer does not provide the required information, then the engine case must be opened and every major component part must be inspected using visual and/or nondestructive inspection procedures as applicable."

Aircraft

Registration
N7035Z
Reported as
Woodrow Larry W Sonex (NO SERIES)
Category
Airplane, amateur-built
Serial number
605
Built
2005
Airframe hours
279
Engine
Larry Woodrow Aerovee2002, 80 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Woodrow Larry W
Registered owner
Woodrow Larry W
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · April 15, 2015 · 17 hours before
Departed
NC27 · Lenoir, NC
Destination
NC27 · Lenoir, NC
Airport
MRN · Foothills Regional Airport, runway 21, 5,500 × 75 ft, asphalt
Equipment
Handheld GPS

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
78
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Sport pilot
Last flight review
June 25, 2014
Seat
Left
Restraint
4-point
Flight hours
339 total · 269 in this make and model · 279 as pilot in command · 7 in the last 90 days · 2 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 55 °F
Altimeter
30.40 inHg
Observed at
MRN, 1 nm away

Docket · 6

The files NTSB released with the investigation on January 11, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.