LAX95LA189

NTSB accident investigation · Ryan Navion · Flagstaff, AZ · May 16, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
May 16, 1995, 11:38 local (18:38 UTC)
Place
Flagstaff, AZ
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N41151Ryan Navion
Weather
Visual (VMC) · Day
Status
Completed · report December 19, 1995
Report
Approved by Office Director
FAA report
19950516033039A
Case key
29096

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 owner/pilot improper installation of the propeller by failing to properly connect the pitch change mechanism.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Propeller system/accessories,pitch change mech - not connectedCause
Maintenance,installation - improperOwner/pilot mechanicCause
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - emergency
Terrain condition - drop-off/descending embankment

Analysis

Shortly after lift-off, a propeller blade rotated toward the feather position. The pilot was unable to maintain altitude and landed adjacent to the runway on an embankment. The airplane then rolled down the embankment. Examination of the propeller assembly revealed that a pitch change control rod end nut backed off and contacted the engine case. This contact caused the pitch change control rod to fail, which allowed the propeller blade to rotate. The pilot, a certificated mechanic, installed the propeller about 4 days before the accident.

Factual narrative

On May 16, 1995, at 1138 hours mountain standard time, a Ryan Navion, N41151, crashed about 1/4-mile southwest of the departure end of runway 21 at Pulliam Airport, Flagstaff, Arizona. The pilot was beginning a visual flight rules personal flight to Whiteman Airpark, Pacoima, California, with an intended fuel stop at Kingman Airport, Kingman, Arizona. The airplane, registered to and operated by the pilot, sustained substantial damage. The certificated private pilot and his passenger, a certificated private pilot, sustained minor injuries. Visual meteorological conditions prevailed.

The pilot reported in a telephone interview conducted on May 16, 1995, that the engine lost power shortly after the airplane lifted off the runway. The airplane landed on the edge of the runway and then rolled down the embankment.

A pilot witness said in a telephone interview conducted on May 16, 1995, that he observed the airplane taking off while he was on final approach to runway 21. He said the airplane appeared to accelerate and lift-off normally; however, after the airplane lifted off, it appeared to decelerate when it reached 25 feet above the ground. The airplane landed on the side of the runway and then rolled down the embankment.

The examination of the wreckage showed that one propeller blade had rotated about 90 degrees toward the feather position. During the removal of the propeller, the aircraft retriever discovered that one of the two pitch change rod end nuts was not fully tightened. The nut was on the control rod bolt about 3/16 of an inch. The engine case displayed the nut scrape marks and its associated propeller blade control rod was broken. The pilot told Safety Board investigators that the propeller was installed by Sunstate Propeller, Inc., Tampa, Florida. He sent a copy of a propeller logbook entry that he signed, but did not date, indicating Sunstate Propeller, Inc. (from now on called Sunstate Propeller), installed the propeller.

Sunstate Propeller manager reported in a telephone interview and written statement that Sunstate Propeller did not install the propeller. He said that Sunstate Propeller sold the propeller to the pilot, a certificated aircraft mechanic with inspection authorization, and provided him with the necessary tools to install the propeller. He said that the pilot installed the propeller on or about May 12, 1995, at a facility in Lakeland, Florida.

A Federal Aviation Administration (FAA) airworthiness inspector from the Scottsdale [Arizona] Flight Standards District Office reported that the airframe logbook entry does not show that Sunstate Propeller installed the propeller. The pilot signed, but did not date, the entry.

Aircraft

Registration
N41151
Reported as
Ryan Navion
Category
Airplane
Serial number
4-1151
Engine
Continental E-225, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
George B. Robinson, Jr.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 15, 1995
Destination
WHP · Pacoima, CA
Airport
FLG · Pulliam Airport, runway 21, 6,999 × 150 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
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
5,000 total · 2,000 in this make and model · 40 in the last 90 days · 30 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F
Altimeter
29.00 inHg
Observed at
FLG

FAA reports on this event · 1

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