# NTSB LAX03LA070: Cessna A188A, N5638J, Brawley, CA, January 15, 2003

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Limited investigation · Final report
- Date: January 15, 2003, 07:55 local (15:55 UTC)
- Place: Brawley, CA
- Coordinates: 33, -115.5
- Nearby events: https://openairdocs.org/map.md?lat=33.0000&lon=-115.5000&mi=10
- Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping)
- Highest injury: No injuries
- Injuries: 1 uninjured
- Status: Completed, report December 28, 2004
- Report: Approved by Office Director
- Parties: Federal Aviation Administration, Teledyne Continental Motors
- NTSB case key (mKey): 56383
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX03LA070
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/56383/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=56383
- Page: https://openairdocs.org/ntsb/LAX03LA070

## Probable cause

loss of engine power for undetermined reasons.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power, takeoff - initial climb
  - reason for occurrence undetermined (cause)
- Forced landing, emergency landing after takeoff
- On ground/water encounter with terrain/water, landing - roll
  - terrain condition - ditch

## Analysis

After takeoff, the engine started to lose power, and the pilot made a forced landing in an open field.  The airplane came to rest in a ditch.  The flight was an agricultural application flight and was carrying herbicide at the time of the accident.  The engine had accumulated about 17 hours since a factory overhaul, and had been installed on the accident airplane for 2 months prior to the accident.  An on-scene inspection of the engine established mechanical and valve train continuity.  Investigators obtained thumb compression in firing order.  No discrepancies were found during a teardown inspection of the engine and propeller.  Bench tests of the fuel and ignition systems revealed operation within specification.

## Factual narrative

On January 15, 2003, at 0755 Pacific standard time, a Cessna A188A, N5638J, made a forced landing in an open field and came to rest in a ditch following a loss of engine power after takeoff from a private dirt strip near Brawley, California.  Farm Aviation, Inc., owned and operated the airplane under the provisions of 14 CFR Part 137, as an agricultural application flight.  The airplane sustained substantial damage.  The commercial pilot was not injured.  Visual meteorological conditions prevailed for the local area crop dusting flight, and no flight plan had been filed.  The flight was scheduled to terminate at a private dirt strip.

According to the pilot he conducted a preflight at 0730 that morning.  He checked the fuel level, "which was full," and then sumped each wing looking for fuel contamination.  He noted no discrepancies during the preflight.  The crew then loaded 18 bags of TR10 (herbicide) on board the airplane.  The pilot then started the engine to warm it up.  After the oil temperature warmed up, he taxied to the end of runway 08.  He conducted a run-up, which included checking both magnetos and cycling the propeller three times looking for a drop in rpm's, an increase in manifold pressure, and a decrease in oil pressure.  He encountered no discrepancies during the run-up.

About 1-2 minutes after takeoff, the pilot noted that the engine started to lose power (50 - 60-percent).  The airplane also started to lose indicated airspeed and started to descend.  He checked the magnetos to confirm that they were both in the ON position.  He then advanced the propeller, throttle, and mixture to the full forward position, and activated the electric fuel boost pump.  The pilot stated that the engine continued to lose power, and the airplane continued to descend.  He reported that he began looking for an open field to make a forced landing.  The pilot indicated that there was less than 1/4 mile in which to make the forced landing.  After landing, the airplane bounced and rolled into a ditch after he applied full flaps and brakes.

A Federal Aviation Administration (FAA) inspector performed a visual inspection of the engine.  He manually rotated the propeller, and established mechanical and valve train continuity.  He obtained thumb compression in firing order.  The engine was crated up under the supervision of the FAA, and shipped to the Teledyne Continental Motors (TCM) facility in Mobile, Alabama, on February 21, 2003.

AIRCRAFT INFORMATION

The airplane had a Teledyne Continental Motors IO-520-D55 engine, serial number 821984-R installed.  TCM overhauled the engine.  The engine had been reinstalled on the accident airplane on August 13, 2002.  Total time on the engine was 17.5 hours.

The propeller governor had been overhauled by Santa Monica Propellers, Santa Monica, California, and returned to service on August 30, 2002.  The propeller assembly was reinstalled on the accident airplane on September 5, 2002.

TESTS AND RESEARCH

TCM received the engine on March 13, 2003.  TCM completed a teardown inspection on August 12, 2003, under the auspices of the Safety Board investigator-in-charge (IIC), and a representative from TCM who was a party to the investigation.

TCM noted no discrepancies during the external inspection of the engine.  They bench tested both magnetos and they operated normally through all rpm ranges.  TCM removed the spark plugs.  According to the Aviation Check-A-Plug AV-27 Chart, the spark plugs exhibited normal operating signatures.

The internal inspection of the engine revealed no mechanical anomalies.  TCM bench tested the fuel pump, throttle body/metering unit, and manifold valve.  All three components met the manufacturer's specified parameters with no discrepancies noted.  All six of the fuel injector nozzles were unobstructed and undamaged.  The lubrication system was undamaged.

The propeller governor, model number C290D3-K/T9, serial number 772897, was shipped to the manufacturer, McCauley Propeller Systems, Vandalia, Ohio, on August 29, 2003.  An FAA inspector from the Cincinnati, Ohio, Flight Standards District Office oversaw the inspection of the propeller governor at McCauley on September 9, 2003.

The drive gear rotated manually by hand with no obstructions encountered.  The propeller governor bench tested to manufacturer specifications, with the exception of the MAX rpm test.  Manufacturer specifications for MAX rpm were 2,850 +/- 10 rpm.  The accident propeller governor's MAX rpm was 2,794 rpm.  McCauley stated that the lower than specified MAX rpm setting could be as a result of an on-aircraft adjustment.  They noted no further discrepancies during the bench tests.

## Aircraft

- Registration: [N5638J](https://openairdocs.org/deregistered/N5638J-2005-01-05), registration cancelled 2005-01-05, S/N 18800588, built 1969 (OpenAirDocs)
- Reported make and model: Cessna A188A
- Registry model: [Cessna A188A](https://openairdocs.org/model/cessna-a188a) (registry code 2073008) (OpenAirDocs)
- Registry engine: [Continental IO-520 series](https://openairdocs.org/engine/continental-io-520-series) (registry code 17032, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 18800588
- Engines: Teledyne Continental IO-520-D55 300 horsepower reciprocating
- Damage: Substantial damage
- Flight: Aerial application, Part 137
- Registered owner: Farm Aviation Inc
- Airworthiness certificate: Special, Restricted (Special)
- Last inspection: Annual, August 13, 2002, 17.3 hours before
- Departed: BRAWLEY, CA

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 30; injuries: none; commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 2, valid medical--no waivers/lim.; last flight review March 21, 2002; seat: single; flight hours: 2,840 total, 2,708 as pilot in command

## Weather

- Conditions: Visual (VMC), Day
- Wind: 270° at 4 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 45 °F, dew point 34 °F
- Altimeter: 30.17 inHg
- Observed at: IPL

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20030115000689A](https://openairdocs.org/incident/20030115000689A), Jan 15, 2003: Cessna A188A, Brawley, CA, Substantial damage. (.19) On January 15, 2003, at 0800 pacific standard time, a Cessna A188A, N5638J, made a forced landing in an open field and came to rest in a ditch following…

## Docket (5 files)

The files NTSB released with the investigation on October 20, 2004, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=56383. 1.0 MB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 339 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40441563&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF
- Report from Federal Agencies- Cincinnati, OH FSDO (item 2, .PDF, 68 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40441564&FileExtension=.PDF&FileName=Report%20from%20Federal%20Agencies-%20Cincinnati,%20OH%20FSDO-Redacted.PDF
- Aircraft Logbook Excerpts (item 3, .PDF, 251 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40441567&FileExtension=.PDF&FileName=Aircraft%20Logbook%20Excerpts-Redacted.PDF
- Statement of Party Representatives to NTSB Investigation (item 4, .PDF, 294 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40441566&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF
- McCauley Propeller Systems Governor Exam Report (item 5, .PDF, 52 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40441562&FileExtension=.PDF&FileName=McCauley%20Propeller%20Systems%20Governor%20Exam%20Report-Redacted.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

---
OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.
