LAX04LA022

NTSB accident investigation · American AA-1 · San Martin, CA · October 22, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
October 22, 2003, 15:15 local (22:15 UTC)
Place
San Martin, CA
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5968LAmerican AA-1
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20031022029239A
Case key
58241

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 absence of compression in two of the airplane's four cylinders, and the pilot/mechanic's failure to maintain the engine in an airworthy condition, which resulted in a loss of engine power during takeoff-initial climb, and subsequent forced landing.

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 powerTakeoff - initial climb
Engine assembly,cylinder - low compressionCause
Maintenance,service of aircraft/equipment - not performedOwner/pilot mechanicCause
Forced landingEmergency landing after takeoff
On ground/water collision with objectLanding - roll
Terrain condition - rough/uneven
Object - fence

Analysis

The student pilot/airplane owner, who is also an aviation mechanic, reported a loss of engine power after takeoff during the initial climb. He said the engine was running rough, and started to lose power. He was unable to maintain altitude, and made a forced landing. The airplane collided with a fence during the landing roll. An examination of the engine disclosed virtually no compression in two of the four cylinders, an absence of an air cleaner, excessively wide gaps on all of bottom spark plugs, and a heavily sooted and fouled number 4 top spark plug. The engine was installed in July, 1978, and had accumulated 2157.5 total operating hours; it has never been overhauled.

Factual narrative

History of flight

On October 22, 2003, at 1515 Pacific daylight time, an American AA-1, N5968L, collided with the ground during a forced landing at South County Airport, San Martin, California. The forced landing was precipitated by a loss of engine power during the initial takeoff climb. The student pilot/owner was operating the airplane under the provisions of 14 CFR Part 91. The pilot and passenger were seriously injured, and the airplane was substantially damaged. Visual meteorological conditions prevailed, and a flight plan had not been filed.

The pilot stated in the Pilot/Operator Accident Report, that at 300 feet (agl) the engine became rough, lost power, and he could not maintain altitude. The pilot directed the airplane to an open area that was a county vehicle depot, and struck the depot boundary fence after making the landing. Damage to the airplane included the collapse or shearing off of the tricycle landing gear and leading edge damage to both wings.

An aircraft airframe and power-plant mechanic examined the airplane under the supervision of an FAA Inspector. The mechanic reported that the carburetor air filter was not present, the number 4 top spark plug was leaded and sooty, all gaps on the bottom spark plugs were wide, the number 2 and 4 cylinders had measured compression ratios of 5/80 and 0/80 psi respectively, and the piston wrist pins had been scraping on the cylinder walls of the number 2 and 4 cylinders.

The pilot, who was also the airplane's mechanic, reported that the Lycoming O-235-C2C engine had been installed on July 27, 1978, with at total time of 1510.57 hours and that the engine had not been overhauled since installation. The pilot provided copies of pages from the engine logbook that showed the last annual inspection on the engine was done on March 1, 2003, at a total time of 2157.5 hours. The airframe maintenance log book records a aircraft total time of 3343.4 hours on March 1, 2003, during its last airframe annual inspection.

Personal information

A review of FAA airman records revealed that the pilot held a student pilot certificate issued on June 10, 2003. He was issued a third class medical certificate on June 10, 2003, with the restriction that he posses glasses for near and intermediate vision.

Additonal information

Manufacturers Recommended Time Between Overhaul Periods (TBO)

Lycoming Service Instruction 1009AQ, affecting all Lycoming piston aircraft engines, states that "all engines that do not accumulate the hourly period of time between overhauls specified in this publication are recommended to be overhauled in the twelfth year". The specified time between overhauls (TBO) for the O-235-C2C engine is 2,400 hours.

Aircraft

Registration
N5968L
Reported as
American AA-1
Category
Airplane
Serial number
268
Airframe hours
3,343.4
Engine
Lycoming O-235-C2C, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Michael D. White
Registered owner
Kevin David Carey
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 1, 2003
Departed
KQ99 · San Martin, CA
Destination
KWLW · Willows, CA
Airport
KQ99 · South County Airport

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
Student pilot
Age
47
Injuries
Serious
Certificate
Student
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
September 15, 2003
Seat
Left
Flight hours
121 total · 112 in this make and model · 7 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 14 knots
Visibility
15 statute miles
Lowest ceiling
20,000 ft broken
Temperature
72 °F, dew point 55 °F
Altimeter
30.10 inHg
Observed at
KRHV, 28 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.