IAD98LA034

NTSB accident investigation · Cessna 150M · Haverhill, MA · March 4, 1998

Accident · Minor injuriesLimited investigationFinal report
Date
March 4, 1998, 09:06 local (14:06 UTC)
Place
Haverhill, MA
Injuries
1 minor, 1 uninjured
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N63387Cessna 150M
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2000
Report
Approved by Office Director
FAA report
19980304002569A
Case key
28283

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 NTSB’s determination of the probable cause, and any contributing factors.

A loss of engine power due to a fractured number two cylinder exhaust valve and cracked cylinder. Contributing factors were the operator's allowance of the time between engine overhaul to be exceeded and the trees.

Analysis

In level flight at 2,000 feet, the engine began running rough with an associated vibration. The CFI took control of the airplane and the vibration became stronger. After shutting down the engine, the CFI attempted to land on an abandoned runway. The airplane impacted trees approximately 100 feet beyond the departure end of the abandoned runway. Examination of the engine logbooks and discussions with the operator disclosed that the engine was 362 hours beyond Time Between Overhaul (TBO) and automotive fuel was utilized without a Supplemental Type Certificate. Disassembly of the engine revealed the number two cylinder's exhaust valve was fractured and the cylinder was cracked. An examination of the fractured exhaust valve by the Materials Laboratory Division of the National Transportation Safety Board revealed that the 'shank area immediately adjacent to the fracture was reduced in size, and the fracture features were indicative of bending overstress separation with no indications of pre-existing cracking.'

Factual narrative

On March 4, 1998, about 0906 eastern standard time, a Cessna 150M, N63387, was destroyed as it collided with trees during a forced landing near Haverhill, Massachusetts. The certificated flight instructor (CFI) and the student pilot were not injured. Visual meteorological conditions prevailed and no flight plan was filed for the local instructional flight conducted under 14 CFR Part 91. The flight originated from the Lawrence Municipal Airport, Lawrence, Massachusetts, about 0810.

The CFI reported that they had completed maneuvers in the local practice area, and climbed to 2,000 feet. He recalled that they were in cruise flight for about 2 minutes when the engine began running rough with an associated strong vibration. The CFI stated that he took control of the airplane with all engine indications normal. Unable to reach the airport and with the vibration getting worse, the CFI shutdown the engine and attempted to land at a closed airport.

The flight instructor reported that they were high and fast, floated over the abandoned runway and impacted trees approximately 100 feet beyond the departure end of runway 32. The airplane came to rest in a nose down attitude, and the student and flight instructor exited the airplane through the left door.

On March 5, 1998, a Federal Aviation Administration Inspector assisted in the disassembly of the engine. The number two cylinder was removed revealing a fractured exhaust valve, a piston head which contained holes, and a crack cylinder wall. Examination of the engine logbooks and discussions with the operator disclosed that the engine was 362 hours beyond Time Between Overhaul (TBO) and automotive fuel was utilized without a Supplemental Type Certificate (STC).

The number two cylinder assembly with the intake valve installed, and the fractured exhaust valve were examined by the Materials Laboratory Division of the National Transportation Safety Board. The examination revealed that the valve head was heavily damaged and distorted by mechanical forces but with no indications of severe thermal distress such as channeling or burning. The shank area immediately adjacent to the fracture was reduced in size, and the fracture features were indicative of bending overstress separation with no indications of pre-existing cracking."

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerCruise
Engine assembly,valve,exhaust - fracturedCause
Maintenance,overhaul,major - exceededCompany/operator managementFactor
Engine assembly,cylinder - crackedCause
Fluid,fuel grade - automotive
Forced landingDescent - emergency
In flight collision with objectEmergency descent/landing
Object - tree(s)Factor

Aircraft

Registration
N63387
Reported as
Cessna 150M
Category
Airplane
Serial number
15077277
Airframe hours
9,143
Engine
Continental O-200-A, 100 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Registered owner
Eagle East Aviation
Airworthiness certificate
Standard, Utility
Last inspection
Annual · March 3, 1998 · 13 hours before
Departed
LWM · Lawrence, MA

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
48
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
1,520 total · 900 in this make and model · 1,200 as pilot in command · 180 in the last 90 days · 60 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
39 °F, dew point 30 °F
Altimeter
29.00 inHg
Observed at
LWM, 5 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.