MIA06LA104

NTSB accident investigation · Christopher Norris Glasair III · Daytona Beach, FL · May 4, 2006

Accident · Minor injuriesLimited investigationFinal report
Date
May 4, 2006, 17:28 local (21:28 UTC)
Place
Daytona Beach, FL
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N317PSChristopher Norris Glasair III
Weather
Visual (VMC) · Day
Status
Completed · report July 25, 2007
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
FAA report
20060504007759A
Case key
63661

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 failure of the pilot to maintain airspeed while turning towards the runway after experiencing a partial loss of engine power, resulting in an uncontrolled descent, and in-flight collision with the runway. A factor in the accident was the failure of maintenance personnel to properly secure the throttle control lever at the servo fuel injector following maintenance.

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) - nonmechanicalApproach - vfr pattern - downwind
Maintenance,installation - inadequatePilot in commandFactor
Fuel injection control,linkage - not safetied
Fuel injection control,linkage - loose
Loss of control - in flightManeuvering - turn to landing area (emergency)
Airspeed - not maintainedPilot in commandCause
Stall/mush - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - runway

Analysis

While in the traffic pattern between the downwind and base legs, the engine quit. The pilot turned towards the runway, and while turning to line up onto final approach, the airplane experienced an accelerated stall. The pilot recovered to a wings level attitude but the airplane impacted the runway in a nose-low attitude. Examination of the engine revealed the throttle control arm at the servo fuel injector (fuel servo) was not secured to the throttle shaft, which prevented movement of the throttle shaft with movement of the throttle control. A cotter pin was not installed to secure the castellated nut which secures the throttle arm to the throttle shaft. The mechanic who recently installed the fuel servo failed to install the cotter pin. An additional discrepancy noted was that the left magneto was inoperative.

Factual narrative

On May 4, 2006, about 1728 eastern daylight time, a Glasair III, N317PS, registered to and operated by a private individual, was landed hard at Spruce Creek Airport, Daytona Beach, Florida. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 CFR Part 91 personal flight from Daytona Beach International Airport, Daytona Beach, Florida, to Spruce Creek Airport. The airplane was substantially damaged and the private-rated pilot, the sole occupant, sustained minor injuries. The flight originated about 1712, from Daytona Beach.

The pilot stated that the airplane was at Daytona Beach for an engine adjustment and maintenance to the airplane's brakes. The purpose of the accident flight was to reposition to Spruce Creek Airport, where the airplane is based. Prior to departure he performed a preflight inspection and several high speed taxi runs down the runway to "...burn in the new brakes evenly. The engine, instruments, and brakes all worked fine." The flight was cleared for takeoff and he orbited the departure airport one time, then proceeded to the destination airport where he also orbited the airport one time. He entered the traffic pattern for landing on runway 05, and "...somewhere between downwind to base leg the engine quit and I immediately turned the aircraft towards the runway while I attempted to re-start the engine." He was unable to restart the engine and while turning to line up with the runway after clearing trees, the airplane experienced an accelerated stall. He recovered to a wings level attitude, but impacted onto the runway in a nose low attitude. He secured the airplane then waited for help to arrive.

Examination of the engine by an FAA airworthiness inspector revealed that movement of the throttle control in the cockpit did not result in movement of the throttle control shaft at the servo fuel injector. The serrated teeth of the throttle control arm which connects to serrated teeth of the throttle control shaft were ratcheting or slipping with movement of the throttle control in the cockpit. Further examination of the throttle control arm revealed a castellated nut was installed but not tight, and no cotter pin was noted securing the castellated nut. Additionally, the left magneto was not operating. That discrepancy was traced to a failure of the carbon brush not contacting the coil tab inside the magneto. No other discrepancies were reported.

Review of the airplane maintenance records revealed the servo fuel injector (fuel servo) had been overhauled on March 22, 2006, and reinstalled, but the mechanic who reinstalled the fuel servo did not make an entry in the airplane maintenance records indicating the work he had performed. The mechanic who installed the servo fuel injector reported to the FAA airworthiness inspector that he should have caught the missing cotter pin.

Aircraft

Registration
N317PS
Reported as
Christopher Norris Glasair III
Category
Airplane, amateur-built
Serial number
3007
Airframe hours
150
Engine
Lycoming IO-540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Christopher Norris
Airworthiness certificate
Special, Experimental (Special)
Departed
KDAB · Daytona Beach, FL
Destination
7FL6 · Port Orange, FL
Airport
7FL6 · Spruce Creek Airport, runway 5, 4,000 × 176 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
51
Injuries
Minor
Certificates
Commercial, Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 1, 2005
Seat
Left
Flight hours
2,500 total · 150 in this make and model · 3 in the last 90 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 59 °F
Altimeter
29.95 inHg
Observed at
KDAB

FAA reports on this event · 1

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