ERA22LA412

NTSB accident investigation · Engineering & Research 415-C · Galion, OH · September 9, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 9, 2022, 18:45 local (22:45 UTC)
Place
Galion, OH · North of GQQ
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N99209Engineering & Research 415-C
Defining event
Initial climb: Loss of engine power (partial)
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
20220909017049A
Case key
105923

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 an exhaust valve that was stuck in the open position.

Findings · 1

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 student pilot performed an engine run-up before departure that included a check of the magnetos and carburetor heat, noting normal rpm decreases for each. He initiated the takeoff, noting full rpm during the takeoff roll and normal takeoff distance. On the upwind leg of the airport traffic pattern, when the airplane was about 300 ft above ground level, the engine began to lose power. The pilot lowered the airplane’s nose to maintain airspeed then made a left turn to return to the airport. When the airplane was close to the airport the engine sustained a total loss of power and he realized that the airplane was too high to land on the runway. He flew over and then north of the airport, where he intended to land on an east/west oriented road. The airplane subsequently impacted a powerline pole and came to rest on the road, resulting in substantial damage to the fuselage and aft empennage. Postaccident examination of the engine revealed the loss of engine power was a result of the No. 2 cylinder exhaust valve being stuck in the open position. About 32 years before the accident, a reconditioned cylinder was installed at the No. 2 position, there were multiple maintenance record entries associated with the No. 2 cylinder citing either a stuck exhaust valve or work to the cylinder consistent valve problems, the most recent being nearly 3 years and about 63 engine hours earlier. Guidance from the engine manufacturer related to a stuck exhaust valve cited a need to clean the cylinder components and perform dimensional checks of specified components. It did not cite what to do for a repetitive problem.

Factual narrative

On September 9, 2022, about 1845 eastern daylight time, an Engineering & Research 415-C airplane, N99209, was substantially damaged when it was involved in an accident near Galion, Ohio. The student pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The student pilot stated that before departure he performed an engine run-up that included a check of the magnetos and carburetor heat, noting normal rpm decrease for each. He initiated the takeoff noting full rpm during the takeoff roll and the airplane became airborne about the usual location along the length of the runway. On the upwind leg of the airport traffic pattern when the airplane was about 300 ft above ground level, the engine began to lose power. The pilot lowered the airplane’s nose to maintain 65 knots then made a left turn to return to the airport. When the airplane was close to the airport the engine experienced a total loss of power and the student pilot realized that the airplane was too high to land on the runway. He flew over and then north of the airport where he intended to land on an east/west oriented road. The airplane subsequently impacted a powerline pole and came to rest on the road. Postaccident examination of the airplane following recovery revealed structural damage to the fuselage and aft empennage. Examination of the engine revealed the exhaust valve of the No. 2 cylinder was stuck open. Review of the engine maintenance records revealed that a reconditioned cylinder was installed at the No. 2 position in March 1990. About 6 ½ years and 79 hours later, the No. 2 cylinder was removed and the valves were ground. Although the engine was overhauled in January 1998, the only work done to the cylinders were that they were honed, and the valves were ground and lapped. Since the engine overhaul, the No. 2 cylinder was removed in 2005 and again in 2009. The entry in 2005 specified “stuck valves” while the reason for the valve removal in 2009 was not noted. Both entries specified cleaning and/or reaming of the valve guides. In September 2019, which was before the pilot owned the airplane, a “stuck open” exhaust valve of the No. 2 cylinder was reported, with a corrective action of reaming the guide and polishing the valve stem. The engine had accrued about 63 hours and nearly 3 years since the last exhaust valve incident was logged and over 32 years and about 628 hours since the reconditioned cylinder was installed on the engine. According to the engine manufacturer Standard Practice Maintenance Manual, the expected repair for an engine experiencing a stuck valve included cleaning of the parts of the cylinder and dimensional checks of the components. The manual did not have any guidance for a repetitive issue.

Aircraft

Registration
N99209
Reported as
Engineering & Research 415-C (NO SERIES)
Category
Airplane
Serial number
1832
Built
1946
Airframe hours
2,883
Engine
Cont Motor C85-12, 85 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 9, 2022 · 29 hours before
Airport
GQQ · Galion Municipal Airport, runway 23, 3,504 × 75 ft, asphalt
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
72
Injuries
None
Certificate
Student
Seat
Left
Restraint
Lap only
Flight hours
102 total · 45 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 61 °F
Altimeter
30.02 inHg
Observed at
KMFD, 10 nm away
METAR
METAR KMFD 092252Z 12007KT 10SM CLR 26/16 A3002 RMK AO2 SLP160 T02560161=

Docket · 8

The files NTSB released with the investigation on January 30, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.7 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.