MIA04LA097

NTSB accident investigation · Gulfstream American AA5B · Crystal River, FL · June 14, 2004

Accident · No injuriesLimited investigationFinal report
Date
June 14, 2004, 09:45 local (13:45 UTC)
Place
Crystal River, FL
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4516VGulfstream American AA5B
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2005
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20040614017629A
Case key
59467

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 number three cylinder exhaust valve which resulted in the partial loss of engine power. The pilot's misjudgment of speed and distance resulted in an overrun of the runway.

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/malfCruise
Engine assembly,valve,exhaust - failureFactor
Forced landingDescent - emergency
OverrunLanding - roll
Distance/speed - misjudgedPilot in commandFactor
In flight collision with objectGo-around (vfr)
Object - tree(s)Cause

Analysis

The pilot stated that he was en route to Athens, Georgia, and the airplane was in level cruise flight at 8,000 feet, when all of a sudden the engine started running roughly. He stated that he was unable to maintain altitude, so he declared an emergency with FAA Jacksonville Air Route Traffic Control Center, and was given vectors for Crystal River Airport, Crystal River, Florida. He stated that he flew the subsequent approach to a forced landing with too much speed, and was unable to stop the airplane on the runway. As he was nearing the end of the runway, he stated that he thought he had enough power to execute a go-around, but as he was attempting to do so, he was able to avoid the fence, but collided with some trees. Post crash examination of the airplane's engine showed no compression was noted in the No. 3 cylinder. Further examination revealed that the No. 3 cylinder exhaust valve head was missing and that the cylinder head and top of the piston had incurred mechanical damage. The center electrode of No. 3's upper spark plug showed evidence of physical contact, and was found pushed against the side electrodes. Two pieces of metal appearing to be pieces of the valve head were found in the exhaust system. According to information obtained from the pilot, the engine had accumulated a total of 1,547 total flight hours since overhaul, and 56 flight hours since its last annual inspection, which had been conducted in October 2003.

Factual narrative

On June 14, 2004, about 0945 eastern daylight time, a Gulfstream American AA5B, N4516V, registered to and operated by a private individual, as a Title 14 CFR part 91 personal flight, collided with trees while attempting a go-around at Crystal River, Florida. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed. The private-rated pilot and three passengers were not injured, and the airplane incurred substantial damage. The flight originated in Sarasota, Florida, the same day, about 0900.

The pilot stated that he was en route to Athens, Georgia, and the airplane was in level cruise flight at 8,000 feet, when all of a sudden the engine started running roughly. He stated that he was unable to maintain altitude, so he declared an emergency with FAA Jacksonville Air Route Traffic Control Center, and was given vectors for Crystal River Airport, Crystal River, Florida. He stated that he flew the subsequent approach to a forced landing with too much speed, and was unable to stop the airplane on the runway. As he was nearing the end of the runway, he stated that he thought he had enough power to execute a go-around, but as he was attempting to do so, he was able to avoid the fence, but collided with some trees.

On June 23, 2004, the accident airplane's engine was examined and no compression was noted in the No. 3 cylinder. Further examination revealed that the No. 3 cylinder exhaust valve head was missing and that the cylinder head and top of the piston had incurred mechanical damage. The center electrode of No. 3's upper spark plug showed evidence of physical contact, and was found pushed against the side electrodes. Two pieces of metal appearing to be pieces of the valve head were found in the exhaust system. According to information obtained from the pilot, the engine had accumulated a total of 1,547 total flight hours since overhaul, and 56 flight hours since its last annual inspection, which had been conducted in October 2003.

Aircraft

Registration
N4516V
Reported as
Gulfstream American AA5B
Category
Airplane
Serial number
AA5B-1022
Airframe hours
1,547
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Arthur L Kaiser
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · October 1, 2003 · 56 hours before
Departed
SRQ · Satasota-Braden, FL
Destination
AHN · Athens, GA
Flight plan
IFR
Airport
CGC · Crystal River, runway 09, 4,700 × 75 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
41
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
June 5, 2004
Seat
Left
Flight hours
314 total · 58 in this make and model · 297 as pilot in command · 46 in the last 90 days · 15 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 72 °F
Altimeter
30.05 inHg
Observed at
OCF

FAA reports on this event · 1

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

Other investigations on N4516V · 1

Matched to the same aircraft by N-number and date.