LAX91FA052

NTSB accident investigation · de Havilland DHC-6-100 · Perris Valley, CA · December 9, 1990

Accident · Minor injuriesField investigationFinal report
Date
December 9, 1990, 14:00 local (22:00 UTC)
Place
Perris Valley, CA
Injuries
1 minor, 20 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N121PMde Havilland DHC-6-100
Weather
Visual (VMC) · Day
Status
Completed · report August 6, 1993
Report
Approved by Office Director
FAA report
19901209053309A
Case key
26968

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 loss of power on the left engine due to a fatigue failure of a compressor turbine blade leading to further compressor blade damage; a worn power turbine governor throttle cam assembly which led to loss of power on the right engine; and inadequate maintenance and inspection by the operator.

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(partial) - mech failure/malfTakeoff - initial climb
1 engine
Compressor assembly,blade - fatigueCause
Compressor assembly - failure,partialCause
Loss of engine power(partial) - mech failure/malfDescent - emergency
1 engine
Bleed air system,governor - wornCause
Maintenance - inadequateCompany maintenance personnelCause
Forced landingLanding - flare/touchdown
On ground/water collision with objectLanding - roll
Object - fence
Object - tree(s)

Analysis

After lift-off, at about 100 ft AGL and 85 KTS, the left eng decelerated and the airplane began to yaw and roll left. The PIC aborted the takeoff, turned left and landed on a flat level field. The airplane struck a fence, then trees. Examination of the left eng revealed the loss of power was attributed to a fatigue fracture of a compressor turbine blade, which led to subsequent blade fractures. The right eng was examined and found to have advance wear on the throttle cam assembly of the power turbine governor. In a test cell, only aprx 28% of takeoff power could be achieved. The cam lobe wear had progressed over an extended period of time. The right engine prop governor was replaced 11/18/90, followed by a test run.

Aircraft

Registration
N121PM
Reported as
de Havilland DHC-6-100
Category
Airplane
Serial number
14
Airframe hours
45,332
Engine
P&W PT6-20, 550 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 91
Operator
One Papa Mike Corp.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Continuous airworthiness · August 1, 1990 · 81 hours before
Airport
L65 · Perris Valley, runway 15, 5,100 × 65 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
36
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
5,527 total · 333 in this make and model · 2,576 as pilot in command · 55 in the last 90 days · 30 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
20 statute miles
Lowest ceiling
None
Temperature
70 °F

FAA reports on this event · 1

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

Other investigations on N121PM · 3

Matched to the same aircraft by N-number and date.