LAX92FA064

NTSB accident investigation · Glasair SH-2R · Nuevo, CA · December 6, 1991

Accident · FatalField investigationFinal report
Date
December 6, 1991, 15:30 local (23:30 UTC)
Place
Nuevo, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Unknown
Aircraft
N614LSGlasair SH-2R
Weather
Visual (VMC) · Day
Status
Completed · report April 23, 1993
Report
Approved by Office Director
FAA report
19911206063009A
Case key
27394

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 failure of the pilot to perform preventative maintenance on the airplane's powerplant which resulted in a loss of performance during an unknown phase of operation. Contributing to the accident was fouled spark plugs and the partial loss of aircraft performance.

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 powerUnknown
Single engine aircraft
Aircraft performance - loss,partialFactor
Ignition system,spark plug - fouledFactor
Maintenance - not performedPilot in commandCause
In flight collision with terrain/waterUnknown
Terrain condition - rough/uneven

Analysis

The airplane collided with rugged terrain after a loss of engine power. It struck the north face of 20 deg slope of an east-west ridge, just below the crest. The airplane then slid about 20 ft down the slope where a post-impact fire destroyed the plane. An exam of the engine spark plugs revealed the #1 & #3 cylinder spark plug gaps were bridged with cinder-like deposits with metallic globules starting to fill the firing end cavity & worn center electrodes. According to the spark plug manufacturer, severely fouled plugs will operate colder causing misfires, and will also misfire at higher power because of the conductive nature of the deposits at elevated temps. Bridged gaps will short out the spark plug. Such a malfunctioned plug will misfire at all power settings in a manner similar to a oil fouled plug. Bridged gaps bridged by beaded lead globule will not clear up by engine operation & can be corrected only by replacing the malfunctioning spark plug with a serviceable unit. The acdnt time was estd be at 1530 PST.

Aircraft

Registration
N614LS
Reported as
Glasair SH-2R
Category
Airplane, amateur-built
Serial number
763
Engine
Lycoming O-360-B1E, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Other work use · Part 91
Operator
Saber, Lloyd E.
Registered owner
Saber, Lloyd E.
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · April 12, 1991
Departed
L12 · Redlands, 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
62
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Toxicology
Performed
Flight hours
2,030 total

Weather

Conditions
Visual (VMC) · Day
Visibility
5 statute miles

FAA reports on this event · 1

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