LAX93LA207

NTSB accident investigation · Cassutt III M · Corona, CA · May 7, 1993

Accident · Serious injuriesLimited investigationFinal report
Date
May 7, 1993, 15:44 local (22:44 UTC)
Place
Corona, CA
Injuries
1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N250PCassutt III M
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 1994
Report
Approved by Office Director
FAA report
19930507012549A
Case key
28376

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

the pilot improper maintenance modification and total failure of the magneto.

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 powerTakeoff - initial climb
Ignition system,magneto - failure,totalCause
Maintenance,modification - improperPilot in commandCause
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - emergency

Analysis

The airplane experienced a loss of engine power on takeoff. The pilot executed a 180 degree turn and landed adjacent to the departure runway. The engine examination disclosed one magneto was inoperable. The engine valve springs were from a different model engine.

Factual narrative

On May 7, 1993, at 1544 hours Pacific daylight time, a Cassutt III M, N250P, lost control and collided with level terrain after takeoff from the Corona Municipal Airport, Corona, California. The pilot was conducting a local visual flight rules personal flight. The airplane was destroyed. The certificated commercial pilot received serious injuries. Visual meteorological conditions prevailed at the time.

The accident was witnessed by a FAA Accident Prevention Counselor (APC). According to the APC the airplane was observed turning when it appeared to stall. The airplane descended until colliding with the ground. Friends of the pilot indicated that the pilot complained of chest pains days before the accident. According to the FAA, the pilot's doctor indicated that the pilot had suffered recent heart damage.

On September 2, 1993, Safety Board investigators examined the engine at Corona Airport, Corona, California. The following are the results of the examination:

External examination

The engine was removed from the aircraft before the examination by an unknown party and the following had been removed: the propeller, magnetos, exhaust system and parts of the fuel and electrical systems. There was no evidence of impact damage to the engine casing and there was no data plate on the engine. The valve covers and carburetor had been removed and reinstalled prior to the examination by an unknown party.

Spark Plugs

Six of the spark plugs were AC plugs; four of which were S-88 and the remaining two were unknown. The other two spark plugs were Champion M41E and were installed in the top position of cylinders number one and two. All spark plug electrodes showed signs of normal erosion with the center ground electrodes being about half of their original thickness. Also, wet, oily deposits were noted on the spark plugs.

Valve Covers

Continuity of the gear and valve train assembly was established. Compression was evident during the continuity crankshaft rotation and there was no visual sign of valve leakage. The valve covers exhibited evidence of circular marks created by the valve rocker shafts.

Accessories

Magnetos

Two Bendix S4LN-21 magnetos, serial numbers 587045 and 562364, were given to the investigator by a friend of the pilot who said that these magnetos had come off of the engine. The magnetos engine position could not be determined due to the absence of their respective wiring harnesses. Magneto, serial number 587045, produced spark upon rotation of its drive shaft; the remaining magneto did not produce spark.

Disassembly

Cylinders

The chrome cylinders contained a small amount of oil that was light brown in color and water contamination was noted. Safety Board investigators did not determine the origin of the contaminates.

Camshaft and Valve Springs

The pilot's friend reported that Continental O-200 camshaft and valve springs were installed on the engine. A representative of Teledyne Continental said that replacement of the original camshaft and valve springs by the O-200 series would not adversely effect the engine operation. However, the O-200 camshaft and valve springs are not approved by the manufacture for installation in the C-85 engine.

Valve Seats

The intake valve seats exhibited evidence of carbon deposits.

Pistons

The pistons exhibited evidence of triangular patterned carbon deposits directly opposite of the bottom plugs.

Aircraft

Registration
N250P
Reported as
Cassutt III M
Category
Airplane, amateur-built
Serial number
250P
Airframe hours
353
Engine
Continental C85-12F, 85 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
James Proctor
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · November 15, 1993 · 7 hours before
Airport
L66 · Corona, runway 21, 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
52
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Center
Flight hours
5,000 total · 750 in this make and model · 7 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 7 knots
Visibility
25 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.