MIA08LA133

NTSB accident investigation · Rockwell International S-2R · Colquitt, GA · July 5, 2008

Accident · Minor injuriesLimited investigationFinal report
Date
July 5, 2008, 11:30 local (15:30 UTC)
Place
Colquitt, GA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N8499VRockwell International S-2R
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report March 23, 2010
Report
Approved by Office Director
Parties
FAA/FSDO, Pratt & Whitney
FAA report
20080705855249A
Case key
68365

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

Loss of engine power due to the installation of incorrect turbine blades on the compressor turbine disk during repair of the disk assembly.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Maintenance: repairPersonnel issues › Task performance · Maintenance personnelRockwell International S-2R: 1 caseAll aircraft: 99 casesProbable cause
Engine (turbine/turboprop): compressor sectionAircraft › Aircraft power plant · Incorrect service/maintenanceRockwell International S-2R: 1 caseAll aircraft: 53 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

Shortly after takeoff during an agricultural application flight, approximately 834 hours since the turbine blades were installed, the engine experienced a loss of power resulting in a forced landing. Unable to dump his chemical load due to cars on a highway, the pilot executed a forced landing in a field resulting in substantial damage to both wings. Examination of the engine revealed that during repair of the compressor turbine disk in 2005, incorrect part number Federal Aviation Administration (FAA) Parts Manufacturer Approval (PMA) turbine blades were installed in all positions of the compressor turbine disk of the accident engine. The engine was approved for return to service. One of the turbine blades failed due to fatigue causing the remaining blades to fracture due to overstress.

Factual narrative

On July 5, 2008, about 1130 eastern daylight time, a Rockwell S-2R, N8499V, experienced a loss of engine power shortly after takeoff and crashed in a field near Colquitt, Georgia. The commercial certificated pilot received minor injuries and the airplane was substantially damaged. The airplane was operated by Double R Flight Service under the provisions of Title 14 Code of Federal Regulations (CFR) Part 137 as an aerial application flight. Visual meteorological conditions prevailed and no flight plan was filed. The local flight was originating at the time of the accident.

The pilot stated to the responding Federal Aviation Administration (FAA) inspector that before takeoff he loaded the aircraft with about 300 gallons of spray solution and topped off the left wing tank; the right tank was half full. During the initial climb at about 300 feet, he noticed a small puff of white smoke exit the exhaust followed by a loss of engine power. At that time, he was over a highway and decided not to jettison his chemical load due to concerns for the safety of people on the ground. The aircraft impacted the ground moments later in a nose and right wing low attitude. The pilot further reported that there was no vibration or shudder associated with the puff of smoke, and he believed the engine went to flight idle and never completely lost power.

Examination of the airplane by an FAA inspector revealed that the engine remained partially attached to the airframe, and the wings were substantially damaged.

Examination of the Pratt & Whitney Canada PT6A-34AG engine by a representative of the engine manufacturer with FAA oversight revealed the engine displayed moderate impact damage but no fire damage. The compressor turbine shroud was heavily battered, gouged, and circumferentially scored. Inspection of the compressor turbine disk part number (P/N) 301311, serial number (S/N 9963, revealed the blade airfoils were fractured from the root to approximately three quarter span. The upstream side of the blade platforms displayed light circumferential rubbing across approximately one third of the disk circumference due to contact with the compressor turbine guide vane ring. Removal of one of the blades revealed the P/N prefix began with the letter “T.” The disk was retained for further examination.

Examination of the compressor turbine disk was performed at the Safety Board’s Materials Laboratory located in Washington, D.C. The results of the examination revealed all inspected turbine blade were marked with P/N T-102401-01. The fracture surface of turbine blade No. 34 exhibited smooth granular pattern. Following removal of the blade from the disk, an area near the trailing edge had a green colored appearance which is consistent with a preexisting crack. The fracture in the green colored area was located 0.15 inch above the blade platform and extended up to approximately 0.25 inch from the trailing edge. Additionally, the fracture surface exhibited areas of transgranular fracture with radial marks and curving arrest lines, features that are consistent with fatigue. The furthest fatigue features observed was approximately 0.32 inch from the trailing edge.

Review of the maintenance records revealed the compressor turbine disk was repaired on March 24, 2005. During the repair 58 serviceable turbine blades P/N T102401-01 were installed. The turbine blades were FAA PMA blades manufactured by Turbo Products, Inc. The disk was approved for return to service and installed in the engine. The engine had accumulated approximately 834 hours since the repaired compressor turbine disk was installed.

According to the FAA Parts Manufacturer Approval (PMA) list for Turbo Products, Inc., turbine blade P/N T-102401-01 are eligible to be installed in Pratt and Whitney Canada model PT6A-11, 11AG, 15AG, 21, 25, 25A, 27, 28, 110, and 112 series engines. The list indicates that the correct P/N turbine blade for the accident engine, model PT6A-34AG, is P/N T-102401-792.

Aircraft

Registration
N8499V
Reported as
Rockwell International S-2R
Category
Airplane
Serial number
2372R
Airframe hours
14,022
Engine
P&W PT6A-34AG, 750 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Double R Flight Service Inc, doing business as Aerial Application
Registered owner
Double R Flight Service Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · May 30, 2008
Departed
Colquitt, GA

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
58
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
July 30, 2006
Seat
Center
Flight hours
16,305 total · 9,800 in this make and model · 100 in the last 90 days · 40 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 70 °F
Altimeter
30.06 inHg
Observed at
ABY

Docket · 8

The files NTSB released with the investigation on January 13, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 27.5 MB in all.

FAA reports on this event · 1

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