LAX90FA111

NTSB accident investigation · American AA-1 · Borego Springs, CA · March 10, 1990

Accident · Serious injuriesField investigationFinal report
Date
March 10, 1990, 15:16 local (23:16 UTC)
Place
Borego Springs, CA
Injuries
2 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N5655LAmerican AA-1
Weather
Visual (VMC) · Day
Status
Completed · report June 2, 1992
Report
Approved by Office Director
FAA report
19900310003789A
Case key
26618

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

Improper in-flight planning/decision by the pilot, and his failure to maintain sufficient airspeed and altitude, which resulted in a stall/mush into rising mountainous terrain. Factors related to the accident were: the terrain and weather conditions, and failure of the engine to provide full power, due to improper maintenance and subsequent wear of the cam lobes & tappets.

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.

In flight collision with terrain/waterClimb
In-flight planning/decision - improperPilot in commandCause
Terrain condition - high terrainFactor
Terrain condition - risingFactor
Weather condition - high density altitudeFactor
Weather condition - downdraftFactor
Maintenance,overhaul,major - improperCompany maintenance personnelFactor
Engine assembly,camshaft - wornFactor
Engine assembly,rocker arm/tappet - wornFactor
Aircraft performance,climb capability - otherFactor
Proper altitude - not maintainedPilot in commandCause
Airspeed - not maintainedPilot in commandCause
Stall/mush - inadvertentPilot in commandCause
Terrain condition - mountainous/hillyFactor

Analysis

The acft had flown 228 hrs, since the eng was overhauled. The overhaul was done by the owners & signed off by an a & p mech. Drg the overhaul, the cam shaft was ground & the tappets resurfaced. The Lycoming o/h manual stated that if the cam shaft was replaced or reground, new tappets must be installed to prevent severe wear & spalling of the cam lobes & tappet bodies. Exam of the eng revealed that the cam lobes & tappets for the #1 & #2 cyls were severely spalled & worn down to about half the normal profile. Lyc tech reps said the cam lobe wear would change the duration & amount of valve action, reducing the power output ability. Otr discrepancies were found during the exam of the eng. After depg, the acft climbed toward the mtns. The trrn rise was about 470 ft/mi & the acft was capable of climbing at about 350 ft/mi. Witnesses saw the acft apch the mtn ridge low & slow, then turn left as it began a dscnt to the gnd. High winds were blowing across the ridge at the time & clouds topped the mtns.

Aircraft

Registration
N5655L
Reported as
American AA-1
Category
Airplane
Serial number
AA1-0055
Engine
Lycoming O-235-C2C, 108 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Puffer, Gene L.
Departed
L08 · Borego Springs, CA
Destination
SEE · El Cajon, CA

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
32
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Flight hours
1,201 total · 100 in this make and model · 1,052 as pilot in command · 55 in the last 90 days · 22 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 10 knots, gusting 15
Visibility
50 statute miles
Lowest ceiling
1,500 ft broken
Temperature
-0 °F, dew point -0 °F

FAA reports on this event · 1

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