LAX04LA039

NTSB accident investigation · Zivko Edge 540-T · King City, CA · November 11, 2003

Accident · Serious injuriesLimited investigationFinal report
Date
November 11, 2003, 12:20 local (20:20 UTC)
Place
King City, CA
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N540RCZivko Edge 540-T
Weather
Visual (VMC) · Day
Status
Completed · report February 24, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20031111032369A
Case key
58330

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 after market manufacturer's improper application of a crankshaft , which exceeded the original manufacturer's intended use. A factor in the accident was the oil covering the windscreen, which restricted the pilot's ability to see.

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 power(total) - mech failure/malfManeuvering
Maintenance,modification - improperSupplier/distributor of partsCause
Engine assembly,crankshaft - fracturedCause
Forced landingEmergency landing
OverrunEmergency landing
Visual lookout - restrictedPilot in commandFactor
Window,flight compartment window/windshield - contaminationFactor
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - ditch

Analysis

The airplane lost engine power and subsequently overran the runway and impacted terrain while making an emergency landing at an airport. The pilot reported that about 5 minutes after takeoff he noticed a loss of oil pressure, followed by a loss of power. He decided to return to the departure airport, and while en route back the windscreen became obscured by engine oil. During the landing the pilot landed long and was unable to stop the airplane before it departed the runway environment. The airplane came to rest north of the departure end of runway 29 in a ditch. During the engine examination, the crankshaft was found cracked completely through diagonally across the counterweight hanging blade cheek located between connecting rod journal numbers five and six. Textron Lycoming was contacted regarding the crankshaft serial number and applicability to the Lycoming mandatory service bulletins (552 and 553) and FAA airworthiness directive (AD2002-19-03) relating to crankshaft manufacturing defects causing catastrophic in-service crankshaft failures. They said the crankshaft by serial number was a "small journal six" and therefore was not affected by the recall or inspections required by both the service bulletins or airworthiness directive. Lycoming service bulletins 552, 553, and airworthiness directive 2002-19-03 relate specifically to engines rated at 300 horsepower (hp) and above. The "small journal six" crankshaft is not a 300 hp crankshaft. It is typically utilized in engines producing no more than 260 hp. Textron Lycoming originally manufactured this crankshaft for installation into an AEIO-540-D4A5 model engine rated at 260 hp and 2,700 rpm. Therefore, neither the mandatory service bulletin nor the airworthiness directive were applicable. This engine was modified by a engine overhaul shop for installation in experimental airplanes and carried a data plate naming the shop as the manufacturer and labeling the engine as a AEIO-540-EXP. The engine closely resembles a Lycoming AEIO-540-L1B5 model rated at 300 hp and 2,700 rpm, but with other modifications proprietary to the overhaul shop that increased its horsepower rating to 340 hp.

Factual narrative

On November 11, 2003, about 1220 Pacific standard time, a Zivko Edge 540-T, N540RC, overran the runway and impacted terrain while making an emergency landing at Mesa Del Rey Airport (KIC), King City, California. The owner/pilot was operating the airplane under the provisions of 14 CFR Part 91. The airline transport pilot, who was the pilot under instruction (PUI), and the certified flight instructor pilot sustained serious injuries; the airplane sustained substantial damage. The local aerobatic instructional flight departed King City, about 1210. Day visual meteorological conditions prevailed, and no flight plan had been filed. The primary wreckage was at 36 degrees 13 minutes north latitude and 121 degrees 07 minutes west longitude.

The pilot reported that about 5 minutes after takeoff he noticed a loss of oil pressure, followed by a loss of power. He decided to return to KIC, and while en route back to the airport the windscreen became obscured by engine oil. While landing at KIC the airplane landed long and was unable to stop before the airplane departed the runway environment. The airplane came to rest north of the departure end of runway 29 in a ditch.

The aircraft was recovered for further investigation. The engine was examined on December 3, 2003, at Plain Parts, Pleasant Grove, California.

During the engine examination the crankshaft was found cracked completely through diagonally across the counterweight hanging blade cheek located between connecting rod journal numbers five and six.

The crankshaft part number was 13E27622 and the serial number was V5379 23712 CT.

Textron Lycoming was contacted regarding the crankshaft serial number and applicability to the Lycoming mandatory service bulletins (552 and 553) and Federal Aviation Administration (FAA) airworthiness directive (AD2002-19-03) relating to crankshaft manufacturing defects causing catastrophic in-service crankshaft failures. They said the crankshaft by serial number was a "small journal six" and therefore, was not affected by the recall or inspections required by both the service bulletins or airworthiness directive. Lycoming service bulletins 552, 553, and airworthiness directive 2002-19-03 relate specifically to engines rated at 300 horsepower (hp) and above. The "small journal six" crankshaft is not a 300 hp crankshaft. It is typically utilized in engines producing no more than 260 hp. Textron Lycoming originally manufactured this crankshaft for installation into an AEIO-540-D4A5 model engine rated at 260 hp and 2,700 rpm. Therefore, neither the mandatory service bulletin nor the airworthiness directive were applicable. This engine was modified for installation in experimental airplanes by an engine overhaul shop, Lycon Engines, Inc., and carried a data plate naming the shop as the manufacturer and labeling the engine as a AEIO-540-EXP. The engine closely resembles a Lycoming AEIO-540-L1B5 model rated at 300 hp and 2,700 rpm, but with other modifications proprietary to the overhaul shop that increased its horsepower rating to 340 hp.

According to the Zivko Edge 540 T specification sheet the engine is a modified IO-540 to produce 340 hp.

The National Transportation Safety Board investigator-in-charge released the wreckage to the owner's representative.

Aircraft

Registration
N540RC
Reported as
Zivko Edge 540-T
Category
Airplane, amateur-built
Serial number
2014
Airframe hours
100
Engine
Lycon AEI0-540-EXP, 340 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Roger L. Claypool
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · February 19, 2003 · 55 hours before
Departed
KIC · King City, CA
Destination
KIC · King City, CA
Airport
KIC · Mesa Del Rey Airport, runway 29, 4,485 × 1,367 ft, asphalt

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
Pilot
Age
53
Injuries
Minor
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
May 1, 2003
Seat
Rear
Flight hours
2,900 total · 105 in this make and model · 2,400 as pilot in command · 36 in the last 90 days · 23 in the last 30 days · 5 in the last 24 hours
Role
Flight instructor
Age
45
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Front

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 43 °F
Altimeter
30.14 inHg
Observed at
SNS, 35 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.