LAX94LA225

NTSB accident investigation · Staudacher 300S · Chandler, AZ · May 28, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
May 27, 1994, 17:30 local (May 28, 1994, 00:30 UTC)
Place
Chandler, AZ
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N791SStaudacher 300S
Weather
Visual (VMC) · Day
Status
Completed · report November 14, 1994
Report
Approved by Office Director
FAA report
19940527012929A
Case key
28747

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 operation of the engine at an RPM setting that exceeded the original design specifications and resulted in the failure of the no. 5 connecting rod bearing.

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/malfManeuvering
Engine assembly,bearing - failure,totalCause
Maintenance,adjustment - improperCompany maintenance personnelCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - berm

Analysis

The pilot had completed a practice acrobatic sequence when she said she heard the engine begin to 'lug.' She noted the engine oil pressure gauge was reading between 20 to 40 psi with the aircraft at full power, then almost immediately dropped to zero. The pilot selected an area for a forced landing, but as she neared the ground she said the area did not look as flat as it had initially. The pilot said that since the aircraft continued to lose power, she was committed to land. During the landing roll, the aircraft struck a berm damaging the landing gear, wings, and propeller. An internal examination of the crankcase revealed that the No. 5 connecting rod bearing had failed, although the connecting rod still remained attached to the crankshaft. The data plate indicated that the engine installed is rated for 290 hp at 2,575 rpm's. The aircraft's mechanic reported that the engine rpm was set for 2,700 rpm's.

Factual narrative

On May 27, 1994, at 1730 mountain standard time, a homebuilt experimental Staudacher 300S, N791S, sustained substantial damage during an off-airfield forced landing 10 miles south of Chandler, Arizona. The aircraft was owned and operated by the pilot and was on a solo acrobatic practice flight. Visual meteorological conditions were prevalent at the time and no flight plan had been filed. The certificated commercial pilot sustained serious injuries. The flight originated from the Chandler Municipal airport at 1715 on the day of the accident.

The pilot had completed a practice acrobatic sequence terminating between 700 and 800 feet agl, and had just begun a climb when she said she heard the engine begin to "lug." She stated that as she looked at the engine oil pressure gauge, she noted that it was reading between 20 to 40 psi with the aircraft at full power. She further stated that, as she looked, the oil pressure reading almost immediately dropped to zero.

She radioed the problem to her acrobatic coach who had been observing the practice from the ground. He asked her if she thought she could return to the airport, but she replied that she would be forced to land because the aircraft was losing power. He then advised her to tighten her shoulder harness in preparation for a forced landing.

The pilot said she did not immediately see a suitable forced landing area and began a search during a 180-degree left turn. The pilot selected a landing site and set up an approach. She said that as she neared the ground the terrain did not look as flat as it had initially, but since the aircraft continued to lose power, she was committed to land. During the landing roll, the aircraft struck a berm damaging the landing gear, wings, and propeller. The pilot sustained a fractured right ankle during the forced landing.

A postaccident inspection of the engine was conducted. When the propeller governor was removed from the crankcase, oil was observed leaking from the two top bolt holes. A visual inspection of the bolt holes revealed that the holes extended into the internal cavity of the case. Several small pieces of metal were found in the propeller screen governor screen.

An internal examination of the crankcase revealed that the No. 5 connecting rod bearing (P/N SL-13521) had failed, although the connecting rod still remained attached to the crankshaft. Further examination also revealed a smearing of the No. 3 main bearing halves.

The data plate indicated that the IO-540 engine develops 290 hp at 2,575 rpm's. The aircraft mechanic reported that the engine rpm was set for 2,700 rpm's.

Aircraft

Registration
N791S
Reported as
Staudacher 300S
Category
Airplane, amateur-built
Serial number
007
Airframe hours
335
Engine
Lycoming IO-540, 290 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Diane L. Hakala
Registered owner
Diane L. Hakala
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · April 6, 1994 · 38 hours before

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
39
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Front
Flight hours
1,331 total · 287 in this make and model · 1,206 as pilot in command · 25 in the last 90 days · 15 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 6 knots
Visibility
30 statute miles
Lowest ceiling
18,000 ft broken
Temperature
95 °F, dew point 46 °F
Altimeter
29.00 inHg
Observed at
IWA, 17 nm away

FAA reports on this event · 1

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