ERA16LA319

NTSB accident investigation · Grumman G164 · Chestertown, MD · September 18, 2016

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
September 18, 2016, 14:40 local (18:40 UTC)
Place
Chestertown, MD
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N75EPGrumman G164
Defining event
Initial climb: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20160918018799A
Case key
94046

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

Loss of engine power due to a failure of the No. 3 cylinder head, which resulted in a forced landing and collision with ground equipment.

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.

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 day before the accident, the pilot was performing aerial application work when he noticed a significant loss of engine power and made an emergency landing in a corn field. Maintenance personnel inspected the engine and replaced the No. 2 cylinder, test ran the engine, and returned the airplane to service. The following day, the pilot ran the engine for several minutes before flight to ensure that it was operating normally. Experiencing no anomalous behavior, the pilot conducted a short-field takeoff, but immediately after rotation and during initial climb, the engine lost partial power. The pilot was unable to climb or maintain altitude and the airplane settled back onto the ground before colliding with farm equipment. Postaccident examination revealed that the No. 3 cylinder failed catastrophically. The failed accident cylinder was not examined in detail, and the manner in which the failure occurred was not determined.

Factual narrative

On September 18, 2016, about 1440 eastern daylight time, a Grumman G-164A, N75EP, was destroyed when it was involved in an accident near Chestertown, Maryland. The commercial pilot sustained minor injuries. The airplane was operated under the provisions of Title 14 Code of Federal Regulations Part 137 as an aerial application flight. On September 17th, the day before the accident, the airplane was performing aerial agricultural work when the pilot noticed a significant loss of engine power and made a subsequent emergency landing in a corn field. Maintenance personnel inspected the engine and replaced the No. 2 cylinder, adjusted the valves and test ran the engine; the airplane was subsequently returned to service. On the day of the accident, the pilot reported that he ran the engine for 15 minutes on the ground then taxied down to the beginning of the private strip and ran the engine near full power for an additional 5 minutes, to make sure everything was normal. Experiencing no anomalies, the pilot conducted a short field takeoff, but immediately after takeoff, when the airplane was just a few feet in the air, he heard a "pop" and felt a vibration, followed by an immediate loss of engine power. The airplane was unable to climb or maintain altitude and it settled back down to the ground. The pilot was unable to maneuver or stop the airplane in time, and it struck farm equipment and a trailer before skidding to a stop and catching fire. PERSONNEL INFORMATION AIRCRAFT INFORMATION According to airplane maintenance records, the engine was overhauled on July 26, 2011 and the Pratt and Whitney Service Bulletin (SB) No. 1787, dated September 7, 1983, and requisite Airworthiness Directive (AD) No. 99-11-02 was complied with. This included visual and fluorescent penetrant inspection of cylinders for head cracking, and the replacement of cracked cylinders with serviceable parts. Thereafter, repetitive visual inspections of the cylinders must be made every 250 hours for this engine type, a Pratt & Whitney Radial R-1340 with installed baffles. The AD and SB were designed to prevent cylinder head cracking, which could result in engine power loss, forced landing, and damage to the airplane. Subsequent maintenance inspections on the engine occurred regularly and within the requisite hourly limits set forth in AD 99-11-02. From engine overhaul to the accident (5 years), there were eight documented cylinder inspections in accordance with the AD and in each case, there were no defects noted to the No. 3 cylinder. The most-recent inspection in accordance with the AD occurred on August 21, 2016, at 761 hours SMOH, and about 74 hours before the accident. However, the No. 2 cylinder was replaced twice; once on September 13, 2011 at 112.0 hours total time since major overhaul (SMOH) and again on September 18, 2016 at 835.9 hours total time SMOH, but the reason for replacement was not specified. No other cylinder crack irregularities were noted in the logbook. Theentry documenting the most-recent replacement of the number 2 cylinder did not note that an inspection in accordance with the AD had been complied with at that time (nor was one required to have been completed). METEOROLOGICAL INFORMATION WRECKAGE AND IMPACT INFORMATION Examination of the wreckage revealed that the airplane was taking off from east to west on a private agricultural field that was about 1,000 ft long when it struck a trailer and farm equipment off the end of the takeoff surface, before coming to rest in a large gravel parking area near a hangar. The airplane was impact damaged, the fuselage was consumed by the postimpact fire, and there was significant thermal damage to the engine. Examination of the engine showed that the top of the No. 3 cylinder was fractured and separated near the head of the cylinder. The cylinder was not examined in any further detail.

Aircraft

Registration
N75EP
Reported as
Grumman G164 (A)
Category
Airplane
Serial number
1394
Built
1974
Airframe hours
7,092
Engine
Pratt-Whitney 1340, 600 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Aerial application · Part 137
Operator
Paniere Eric W
Registered owner
Paniere Eric W
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · May 15, 2016 · 84 hours before
Departed
Chestertown, MD
Destination
Chestertown, MD
Airport
None · Private Agricultural Field
Equipment
Unknown

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
30
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
July 4, 2016
Seat
Single
Restraint
4-point
Flight hours
1,645 total · 206 in this make and model · 1,630 as pilot in command · 125 in the last 90 days · 50 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 7 knots
Visibility
10 statute miles
Lowest ceiling
4,000 ft broken
Temperature
86 °F, dew point 68 °F
Altimeter
30.03 inHg
Observed at
BWI, 30 nm away

Docket · 6

The files NTSB released with the investigation on October 9, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.3 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.