ERA17LA037

NTSB accident investigation · Aviat A 1B · Geneva, FL · November 2, 2016

Accident · No injuriesLimited investigationFinal report
Date
November 2, 2016, 11:00 local (15:00 UTC)
Place
Geneva, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N54HYAviat A 1B
Defining event
Enroute: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20161102019199A
Case key
94350

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

A partial loss of engine power due to debris in the No. 1 cylinder that damaged the spark plugs.

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 engine power sectionAircraft › Aircraft power plant · Damaged/degradedAviat A-1B: 1 caseAll aircraft: 233 casesProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeAviat A-1B: 1 caseAll aircraft: 313 cases

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 commercial pilot reported that, about 10 minutes into the banner tow flight, the engine began to run roughly. He adjusted the throttle, propeller lever, mixture, and carburetor heat; however, the engine started to backfire and continued to lose power. The pilot performed a precautionary landing on a race track; during the landing roll, the airplane struck a fence before coming to rest. The engine continued to operate during the landing roll until the airplane struck the fence. Postaccident examination of the engine revealed that the No. 1 cylinder top and bottom spark plug electrodes exhibited mechanical damage; no mechanical damage was noted on the other spark plugs. The No. 1 piston looked like it was "sandblasted" compared to the other cylinders. Further disassembly of the engine was performed; no debris was noted in the carburetor box, carburetor, and No. 1 cylinder. Maintenance was performed on the engine 2 days before the accident to troubleshoot "hard starting, low static RPM, and a rough engine." The maintenance entry indicated that both No. 1 cylinder spark plugs were damaged and that new spark plugs were installed. A comparison of the photographs of the spark plugs removed from the No. 1 cylinder during maintenance and the spark plugs removed from the No. 1 cylinder after the accident showed similar mechanical damage. Although no debris was found during the postaccident examination, it is likely that both sets of No. 1 spark plugs were damaged by debris in the No. 1 cylinder; the source of the debris could not be located.

Factual narrative

On November 2, 2016, about 1100 eastern daylight time, an Aviat Aircraft Inc. A-1B, N54HY, was substantially damaged after it impacted a fence during a precautionary landing near Geneva, Florida. The commercial pilot was not injured. Visual meteorological conditions prevailed, and no flight plan had been filed for the banner tow flight that was operated under the provisions of 14 Code of Federal Regulations Part 91. The flight originated from Massey Ranch Airpark (X50), New Smyrna Beach, Florida, around 1050, with an intended destination of Orlando Executive Airport (ORL), Orlando, Florida. According to the pilot, he performed an engine run up prior to departing X50 with no anomalies noted. About 10 minutes into the flight, the engine began to "run rough." The pilot adjusted the throttle, propeller lever, mixture, and carburetor heat; however, the engine started to backfire and continued to lose power. About that time, he noted a race track below the airplane and elected to perform a precautionary landing. He made a spiraling descent from about 1,000 feet above ground level in order to warn the personnel on the track and maneuvered the airplane to land on a paved area. During the landing roll, the airplane came to rest after it struck a fence. The pilot stated that the engine continued to operate throughout the landing and landing roll until the airplane struck the fence. According to Federal Aviation Administration (FAA) records, the airplane was issued an airworthiness certificate 2001. It was equipped with a Lycoming O-360-A1P, a 180-hp, engine. According to the airframe maintenance logbook, the most recent annual inspection was performed on September 3, 2016, at a total time of 4,571.3 hours. The airframe total time at the time of the accident was 4,650.3 hours. An examination of the airplane revealed substantial damage to the left wing. An undetermined amount of fuel was removed from the airplane during the recovery. Engine crankshaft continuity was confirmed from the propeller to the accessory drive section. The spark plugs were removed, and it was noted that the cylinder No. 1 top and bottom spark plug electrodes exhibited mechanical damage. The electrodes had become displaced and shorted to the center electrode. No mechanical damage was noted on the other spark plugs. Furthermore, the No. 1 piston looked like it was "sandblasted" when compared to the other cylinders. The left magneto generated spark on all towers. The right magneto generated spark on only one tower. Maintenance was performed on the engine on October 31, 2016, to troubleshoot "hard starting, low static RPM, and a rough engine." The maintenance entry indicated that both No. 1 spark plugs were damaged. Subsequently, eight new spark plugs were installed on the engine, then "test runs show smooth mag[neto] drops, leak and op[erational] checks good." Photographs of the No. 1 spark plugs removed during maintenance on October 31, 2016, revealed that part of the ceramic sectionaround the massive spark plug electrode was absent and mechanical damage was noted on the center and ground electrodes. Furthermore, a comparison of the photographs between the spark plugs removed on October 31, 2016, and the spark plugs removed after the accident flight showed similar mechanical damage between the two sets of spark plugs from the No. 1 cylinder. Further disassembly of the engine was performed under FAA oversight. The intake system, the carburetor box, the carburetor, the exhaust system, and the No. 1 cylinder were examined with no debris noted inside the components of the engine.

Aircraft

Registration
N54HY
Reported as
Aviat A 1B (B)
Category
Airplane
Serial number
2130
Built
2001
Airframe hours
4,650.3
Engine
Lycoming O-360-A1P, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Banner tow · Part 91
Operator
Aerial Messages Of Daytona & Sales Inc
Registered owner
Aerial Messages Of Daytona & Sales Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 3, 2016 · 79 hours before
Departed
X50 · New Smyrna Beach, FL
Destination
ORL · Orlando, FL
Equipment
Stall warning system, Angle of attack indicator

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
41
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 66 °F
Altimeter
30.22 inHg
Observed at
SFB, 8 nm away

Docket · 8

The files NTSB released with the investigation on December 10, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.0 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.