LAX96LA180

NTSB accident investigation · Cessna 320 · Mammoth Lakes, CA · April 28, 1996

Accident · No injuriesLimited investigationFinal report
Date
April 28, 1996, 13:45 local (20:45 UTC)
Place
Mammoth Lakes, CA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5752XCessna 320
Weather
Visual (VMC) · Day
Status
Completed · report January 17, 1997
Report
Approved by Office Director
FAA report
19960428008739A
Case key
29429

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 partial failure of the right engine turbocharger wastegate butterfly valve to fully close due to mechanical binding and the low setting of its associated absolute pressure controller. A related factor was the high density altitude which reduced the engine's ability to produce adequate manifold pressure.

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
Exhaust system,turbocharger - pressure too lowCause
Exhaust system,wastegate - binding(mechanical)Cause
In flight collision with terrain/waterTakeoff - initial climb
Weather condition - high density altitudeFactor
Terrain condition - rough/uneven

Analysis

The pilot performed a static engine run-up, and with no discrepancies noted, he commenced the takeoff. Upon reaching between 25 and 50 feet above the runway during the initial climb, the normal 35 inches of manifold pressure (MP) was observed being produced by the left engine. However, the right engine only produced between 18 and 20 inches of MP. The airplane veered right and settled into the rough/uneven terrain near the airport. The airport's elevation is 7,128 feet mean sea level, and the calculated density altitude was over 8,200 feet. An examination of the right engine's turbocharger assembly revealed the absolute pressure controller was set lower than the manufacturer's specifications required. Also, the wastegate butterfly valve was mechanically binding in its housing and would not fully close.

Factual narrative

History of flight

On April 28, 1996, at 1345 hours Pacific daylight time, a Cessna 320, N5752X, experienced a partial loss of power from the right engine during takeoff from runway 09 at the Mammoth Lakes Airport, Mammoth, California. The airplane collided with rough/uneven terrain adjacent to the airport and was substantially damaged. Neither the private pilot nor the two passengers were injured. Visual meteorological conditions existed, and no flight plan was filed for the personal flight which was originating at the time of the accident.

The pilot reported that immediately prior to taking off he performed a static engine run-up in accordance with the pilot's operating handbook. No discrepancies were noted, and he commenced the takeoff.

During the acceleration, no unusual engine sounds were heard. Upon reaching between 25 and 50 feet above the runway surface, the normal 35 inches of manifold pressure (MP) was observed being produced by the left engine. However, the right engine only produced between 18 and 20 inches of MP. The airplane veered right and settled into the terrain.

Airport and meteorological information

The Mammoth Lakes Airport's elevation is 7,128 feet mean sea level. About the time of the accident, the airport's automatic weather observing/reporting system (AWOS) reported that the temperature was 58 degrees Fahrenheit, and the barometric pressure was 30.31 inches of mercury. The density altitude was calculated to be over 8,200 feet.

Tests and research

Two Federal Aviation Administration (FAA) inspectors and a representative from Allied Signal Aerospace (the turbocharger manufacturer) performed an on-scene examination of the airplane. The FAA reported that no irregularities were found except that the right engine's wastegate could not be freely turned throughout its full operating range without binding. Specifically, the mechanical binding restricted its movement so as to preclude the butterfly valve assembly from fully closing. With the wastegate partially opened, development of maximum engine power would be reduced under conditions of high density altitude.

The right engine's turbocharger and wastegate were examined at Allied Signal's Torrance, California, facilities under the supervision of the Safety Board. The factory representative reported that the turbocharger's fixed absolute pressure controller was found functional but set lower than the specifications required. The controller regulates the amount of oil pressure to the wastegate actuator which opens and closes the wastegate butterfly valve. With insufficient actuating pressure, the wastegate valve's operation could be adversely affected. The representative further indicated that when the wastegate valve is not adequately closed, too much of the exhaust gas energy would be shunted around the turbocharger, thus not allowing the turbocharger to produce the required manifold boost pressure for development of full engine power.

Additional information

A review of pertinent maintenance records revealed that the wastegate was "completely repaired" in October of 1990, by Main Turbo Systems, Inc., Visalia, California. The owner of Main Turbo Systems reported that he does not keep work orders past the required 2-year period.

Aircraft

Registration
N5752X
Reported as
Cessna 320
Category
Airplane
Serial number
320-0052
Airframe hours
3,059
Engine
Continental TSIO-470-B, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Maynard L. Jenkins, Jr.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 4, 1996 · 231 hours before
Departed
MMH
Destination
Q99 · San Martin, CA
Airport
MMH · Mammoth Lakes, runway 9, 7,000 × 100 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
53
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
964 total · 20 in the last 90 days · 7 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 10 knots
Visibility
50 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 14 °F
Altimeter
30.00 inHg
Observed at
MMH, 1 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.