LAX89FA307

NTSB accident investigation · Aero Commander 680FLP · Kailua-Kona, HI · September 11, 1989

Accident · FatalField investigationFinal report
Date
September 10, 1989, 15:18 local (Sep 11, 1989, 01:18 UTC)
Place
Kailua-Kona, HI
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N22LRAero Commander 680FLP
Weather
Visual (VMC) · Day
Status
Completed · report September 5, 1991
Report
Approved by Office Director
FAA report
19890910034089A
Case key
26249

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

Inadequate maintenance, and operation by the pilot with known deficiencies in the aircraft. Factors related to the accident were: excessive wear in both engines, improper use of powerplant controls by the pilot, subsequent overtemperature/detonation in both engines, improper emergency procedures by the pilot (including premature gear extension and/or failure to properly reduce drag on the aircraft after loss of engine power), and the pilot's lack of experience in multi-engine and this make and model of aircraft.

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
1 engine
Engine assembly - wornFactor
Fluid,oil - contamination
Maintenance - inadequateOther maintenance personnelCause
Operation with known deficiencies in equipment - performedPilot in commandCause
Engine assembly - overtemperatureFactor
Engine assembly,piston - failure,totalFactor
Loss of engine power(total) - mech failure/malfManeuvering - turn to landing area (emergency)
All engines
Precautionary landing - initiatedPilot in command
Gear extension - prematurePilot in commandFactor
Powerplant controls - improper use ofPilot in commandFactor
Engine assembly,piston - overtemperatureFactor
Engine assembly,piston - failure,totalFactor
Forced landingManeuvering - turn to landing area (emergency)
Emergency procedure - improperPilot in commandFactor
Lack of total experience in type of aircraftPilot in commandFactor
In flight collision with terrain/waterLanding
Terrain condition - rough/unevenFactor

Analysis

As the acft was depg fm rwy 17, smoke was observed coming fm the rgt eng. The plt confirmed a loss of pwr & made a rgt turn back toward the rwy, then rprtd he had 'lost both engines.' The acft was extensively dmgd during a lndg on rough, rocky trrn abt 1/4 mi sw of the rwy threshold. Investigation revealed the acft had just changed ownership. During pre- purchase inspn in Florida, metal particles were fnd in the oil screens of both engs. Oil was chgd & flushed, but metal particles were fnd after another eng run. In may 1989, the rgt eng was replaced with an eng fm another acft. The acft was flown to oakland, CA, where it was painted & new interior was installed. A LCL mech noted metal particles in both eng oil screens & rcmndd oil analysis, but ferrying plt refused. After flt to Hawaii, no oil stain noted on fuselage bfrflt on 9/9/89. Exam of wreckage revealed both engs failed fm detonation. Hvy oil streaks fnd bhnd rgt eng, some streaks of oil fnd bhnd left eng. Rgt eng crankshaft/rod brg surface was 0.010' under standard, but rod brgs were standard size.

Aircraft

Registration
N22LR
Reported as
Aero Commander 680FLP
Category
Airplane
Serial number
1503-18
Airframe hours
4,790
Engine
Lycoming IGSO-540-B1A, 380 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Peter M. Maveal
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 2, 1988 · 72 hours before
Departed
KOA
Destination
HNL · Honolulu, HI
Flight plan
VFR
Airport
KOA · Keahole, runway 17, 6,500 × 150 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
30
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
203 total · 23 in this make and model · 148 as pilot in command · 34 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 6 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point -0 °F
Altimeter
29.00 inHg
Observed at
KOA

FAA reports on this event · 1

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