LAX07LA031

NTSB accident investigation · Ryan Navion B · Riverside, CA · November 12, 2006

Accident · No injuriesLimited investigationFinal report
Date
November 12, 2006, 12:28 local (20:28 UTC)
Place
Riverside, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5348KRyan Navion B
Weather
Visual (VMC) · Day
Status
Completed · report December 20, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration, Sierra Hotel Aero, Inc.
FAA report
20061112024999A
Case key
64860

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

A leak in the fuel selector valve and gascolator that resulted in fuel starvation on takeoff due to air leakage into the fuel system. A contributing factor in the accident was the inadequate annual inspection performed by other maintenance personnel.

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/malfTakeoff - initial climb
Fuel system,selector/valve - wornCause
Fuel system,gascolator - leakCause
Maintenance,annual inspection - inadequateOther maintenance personnelFactor
Maintenance,service bulletin/letter - not complied withOther maintenance personnel
Forced landingEmergency landing after takeoff
On ground/water encounter with terrain/waterEmergency landing after takeoff
Terrain condition - open field
Landing gear - collapsed

Analysis

During the takeoff climb the engine lost power and the pilot made a forced landing in an open field. About 50-100 feet agl, with no remaining runway, the engine began to run rough. Shortly thereafter the engine lost all power. The pilot stated that he had already raised the landing gear before the engine began to run rough. He lowered the landing gear and made the forced landing in the field. The landing gear was only partially extended when the airplane touched down. Post accident examination revealed that air was leaking into the fuel system through worn seals in the fuel selector valve and gascolator. The Type Certificate Holder for the airplane issued Service Bulletin (SB) 101A, which recommended inspection of the fuel selector valve for leaks that allow air intrusion. An annual inspection had taken place 4 hours prior to the accident. Inspection of the airframe logbooks revealed no record of SB 101A having been performed.

Factual narrative

On November 12, 2006, at 1228 Pacific standard time, a Ryan Navion B, N5348K, experienced a loss of engine power during the takeoff initial climb from runway 6 and made a forced landing in an open field near Flabob Airport (RIR), Riverside, California. The commercial pilot/owner operated the airplane under the provisions of 14 CFR Part 91 as a personal flight. The airplane sustained structural damage to the fuselage and wings. The pilot and a private pilot passenger were not injured. Visual meteorological conditions prevailed for the local area flight, and no flight plan had been filed. The flight was destined for El Monte Airport (EMT), El Monte, California.

The National Transportation Safety Board investigator-in-charge (IIC) interviewed the pilot. The pilot reported that the day before the accident he had flown from EMT to Corona Municipal Airport (AJO), Corona, California, and refueled the airplane. He then flew back to EMT. On the day of the accident, they had departed for EMT earlier that morning to attend an airshow at RIR. There were no problems encountered with the flight the day before or the earlier flight to RIR.

The pilot reported that the run-up at RIR for the return flight to EMT was normal. About 50-100 feet above ground level (agl), with no remaining runway, the engine started to sputter. The pilot stated that he had already retracted the landing gear before the engine began to run rough. Shortly after the engine began to sputter it lost all power; the pilot placed the landing gear in the down position and noted that they were losing altitude. He chose an open field to make the emergency landing, and reported that the landing gear was only partially extended when the airplane touched down in the open field. The landing gear collapsed after touchdown, which caused damage to the wings and fuselage; the airplane came to rest upright and was lying on one of its wings. The propeller also struck the ground.

A Federal Aviation Administration inspector performed a post accident examination of the airplane on December 5, 2006. The examination revealed that an excessive amount of air was leaking into the fuel system through worn seals in fuel selector valve. The investigator also observed air leaking into the fuel system through the gascolator gasket.

Service Bulletin No. 101A, dated August 23, 2005, was issued by the type certificate holder, Sierra Hotel Aero, Inc., regarding the fuel system fuel selector valve, serial number NAV-4-002 thru NAV-4-2561. The Service Bulletin states:

"Previous design has a history of wear, causing internal leakage, valve step air ingestion and improper valve selector positioning. Internal leakage of the valve is suspected in several cases resulting in inadvertent fuel transfer between main and auxiliary tanks. Improper valve selector positioning and air ingestion has been implicated in several crashes - some fatal. The improper positioning is more likely to occur as detents in the original body wear, making positive tank selection less obvious."

According to the airframe logbook, the airplane had a total time of 4,839.2 hours. An annual inspection had been completed on November 1, 2006, and the airplane had flown approximately 4 hours since the inspection. There was no indication in the logbook that the service bulletin had been performed.

Additional information

Sierra Hotel Aero, Inc., issued mandatory Service Bulletin No. 106A on May 1, 2007, which addressed an inspection of the fuel selector valve at every annual inspection unless terminating action had been accomplished through compliance of Navion Service Bulletin No. 101A. (http://www.navion.com/servicebulletins/SB%20106A.pdf)

Aircraft

Registration
N5348K
Reported as
Ryan Navion B
Category
Airplane
Serial number
NAV-4-2248B
Airframe hours
4,839.2
Engine
Lycoming GO-480, 295 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Gabriel A Lopez, Trustee
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · November 1, 2006 · 4 hours before
Departed
RIR · Riverside, CA
Destination
EMT · El Monte, CA
Airport
RIR · Flabob, runway 06, 3,200 × 50 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
February 1, 2006
Seat
Left
Flight hours
1,726 total · 1,359 in this make and model · 1,699 as pilot in command · 18 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 13 knots
Visibility
30 statute miles
Lowest ceiling
20,000 ft broken
Temperature
70 °F, dew point 37 °F
Altimeter
30.04 inHg
Observed at
RIV, 10 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.