- Date
- March 25, 2022, 16:13 local (20:13 UTC)
- Place
- Smithfield, NC
- Injuries
- 2 serious
- Damage
- Substantial damage
- Phase of flight
- Initial climb
- Aircraft
- N471BLDiamond Aircraft Ind DA 40 NG
- Defining event
- Initial climb: Loss of engine power (total)
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Eastern Region Aviation
- Parties
- Diamond Aircraft Industries, Federal Safety Investigation Authority, FAA-FSDO, Austro Engines, Transportation Safety Board of Canada
- FAA report
- 20220325002279A
- Case key
- 104831
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
Maintenance personnel’s failure to set the correct engine timing after the replacement of a cylinder head and exhaust camshaft before the accident flight, which resulted in a total loss of engine power.
Findings · 3
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
According to the flight instructor, shortly after takeoff, she heard a “weird” noise coming from the engine and noted a drop in engine rpm. The flight instructor directed the pilot receiving instruction to turn back toward the airport; however, the engine lost all power, and the airplane impacted trees about 1 mile from the departure end of the runway. The airplane sustained substantial damage to the wings, fuselage, and empennage. A postaccident examination of the engine revealed that the engine valvetrain was not timed correctly and that the misalignment resulted in a piston striking a valve. The valve head had separated and fallen into the cylinder, resulting in the total loss of engine power. Examination of the maintenance logbooks revealed that the cylinder head and exhaust camshaft had been replaced the day before the accident flight. Thus, it is likely that the engine’s timing was not set correctly after this maintenance.
Factual narrative
On March 25, 2022, about 1613 eastern daylight time, a Diamond DA-40NG, N471BL, was substantially damaged when it was involved in an accident near Johnston Regional Airport (JNX), Smithfield, North Carolina. The flight instructor and pilot receiving instruction were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. According to the flight instructor and pilot receiving instruction, they conducted a preflight inspection of the airplane, with no anomalies noted, before departing from runway 21 at JNX. Review of radar data revealed that the airplane climbed to an altitude of about 650 ft while turning left. The flight instructor stated that she “heard a weird noise come from the engine” and saw the rpm gauge drop. Shortly afterward, the flight instructor directed the pilot receiving instruction to turn back to the airport, and the engine lost total power while in the turn. The flight instructor attempted to restart the engine while the airplane descended but was unsuccessful. The airplane subsequently impacted trees about 1 mile from the departure end of the runway, resulting in substantial damage to the fuselage. In addition, both wings and the empennage were fractured from the impact. A postaccident examination of the engine revealed that engine valvetrain was not timed correctly and that the resulting misalignment resulted in the piston striking the valve. The valve head had subsequently separated and fallen into the cylinder. Examination of the maintenance logbooks revealed that the cylinder head and exhaust camshaft had been replaced the day before the accident flight.
Aircraft
- Registration
- N471BL
- Reported as
- Diamond Aircraft Ind DA 40 NG
- Category
- Airplane
- Serial number
- 40.NC111
- Built
- 2020
- Airframe hours
- 895
- Engine
- Austro E4-A, 165 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Instructional · Part 91
- Operator
- Blue Line Aviation LLC
- Registered owner
- Blue Line Aviation LLC
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · March 24, 2022 · 2.7 hours before
- Airport
- JNX · Johnston Regional Airport
- Equipment
- Electronic flight bag or handheld device, Electronic multifunction display, Electronic primary flight display, Onboard weather, Stall warning system, ADS-B, Auto-pilot, Data recorder
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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Flight instructor
- Age
- 20
- Injuries
- Serious
- Certificate
- Flight instructor
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1
- Seat
- Right
- Restraint
- 3-point
- Role
- Pilot
- Age
- 26
- Injuries
- Serious
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1
- Last flight review
- March 22, 2022
- Seat
- Left
- Restraint
- 3-point
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 260° at 8 knots, gusting 18
- Visibility
- 10 statute miles
- Lowest ceiling
- 10,000 ft broken
- Temperature
- 68 °F, dew point 32 °F
- Altimeter
- 29.70 inHg
- Observed at
- JNX, 1 nm away
- METAR
- KJNX 252015Z AUTO 26008G18KT 10SM BKN100 20/00 A2970 RMK AO2
Docket · 10
The files NTSB released with the investigation on October 19, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 37.3 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.