SEA02LA003

NTSB accident investigation · Ellsberg One Design · Bend, OR · October 6, 2001

Accident · Minor injuriesLimited investigationFinal report
Date
October 5, 2001, 16:00 local (Oct 6, 2001, 00:00 UTC)
Place
Bend, OR
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N55TEEllsberg One Design
Weather
Visual (VMC) · Day
Status
Completed · report February 20, 2002
Report
Approved by Office Director
Parties
Portland FSDO
FAA report
20011005026119A
Case key
53591

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 NTSB’s determination of the probable cause, and any contributing factors.

the separation of a propeller counterweight mounting bracket due to incorrect mounting bolt torque. Factors include significant powerplant vibration during the forced landing, no suitable landing area, and soft terrain next to the narrow road on which the pilot attempted his emergency landing.

Analysis

Just after the pilot entered the aerobatic box in his experimental One Design aircraft, the airplane developed an "extreme vibration." The pilot therefore shut the engine off and began a glide toward a nearby road. During the descent, with the propeller windmilling, the aircraft shook so violently that it was very difficult for the pilot to see, and he became concerned that the engine might separate from the airframe. When the aircraft reached the ground, the pilot tried to land on a narrow road, but with his visibility still significantly effected by the vibration of the airframe, he was unable to keep the One Design within the lateral confines of the road. During the landing roll, one of the main wheels departed the side of the road and encountered soft terrain. The main gear wheel then began to sink into the soft terrain, and the aircraft nosed over onto its back. It was later determined that one of the propeller counterweight mounting brackets (along with the counterweight itself) had separated from the propeller. A post-accident inspection of the counterweight on the apposing blade revealed that one of its mounting bolts was under-torqued approximately 115 inch-pounds below the value listed in the associated assembly torque table. The propeller, which was a non-certified model with composite blades, had been loaned to the pilot by the manufacturer, while his propeller was undergoing a periodic inspection.

Factual narrative

The factual narrative522 words

On October 5, 2001, about 1600 Pacific standard time, an experimental Ellsberg One Design, N55TE, nosed over during a forced landing about eight miles north of Bend, Oregon. The pilot, who was the sole occupant, received minor injuries, and the aircraft, which is owned and operated by the pilot, sustained substantial damage. The 14 CFR Part 91 aerobatic practice flight, which departed Bend Municipal Airport about 1545, was being operated in visual meteorological conditions. No flight plan had been filed. There was no report of an ELT activation.

According to the pilot, just after he entered the aerobatic box, and while still at cruise, the engine began to violently shake. He therefore shut the engine off, and began a glide toward a nearby road in order to attempt an emergency landing. During the descent, the entire aircraft continued to vibrate to such a degree that is was very difficult for the pilot to see, and he became concerned that the engine might separate from the airframe. When he reached the ground, the pilot attempted to land on a narrow two-lane road, but during the landing roll, the windmilling propeller continued to shake the aircraft to an extent that made it hard for the pilot to see the restricted landing area. During the rollout, one of the aircraft's main gear departed the side of the road and encountered soft terrain. The tire then began to sink into the soft terrain, and the aircraft nosed over onto its back. According to the pilot, a quick check of the engine area revealed that a propeller counterweight attach bracket (including the counterweight) had separated from its mounting collar.

A post-accident inspection revealed that the subject propeller was a non-certified 200 series Whirlwind composite. The composite blades were used with a conventional McCauley propeller hub, internal components, and counterweighs. Whirlwind Propellers had connected 500 series McCauley counterweights and their respective attach brackets to the propeller blade collar with two AN-6 bolts and two AN364 elastic stop nuts. According to the associated McCauley propeller assembly torque table and the manufacturer of the blades (Whirlwind Propellers), these bolts should be torqued to 27 to 30 foot-pounds (324-360 inch-pounds). Although the separated counterweight was never located, during the inspection, a calibrated torque wrench was used to see how much force was needed to loosen one of the AN-6 bolts that held the other counterweight attach bracket to the apposing propeller blade collar. The bolt broke loose at a torque of 210 inch-pounds (17 foot-pounds), which is approximately 115 inch-pounds less than the required torque. The torque on the second bolt could not accurately be determined as it would have changed when the first bolt was loosened.

According to the pilot, this propeller had been supplied to him by Whirlwind as a temporary replacement, while his propeller was undergoing a periodic inspection at the Whirlwind facility. According to Whirlwind, after the accident, they sent out a notification to all Whirlwind Propeller owners, asking them to check the subject bolts for proper torque. Reportedly, there have been no under-torqued bolts discovered, and no history of nuts backing off their installed torque specification.

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.

Propeller failure/malfunctionCruise
Propeller system/accessories,counterweight - separationCause
Propeller system/accessories,counterweight - undertorquedCause
Forced landingEmergency descent/landing
Nose overEmergency landing
Terrain condition - softFactor
Terrain condition - none suitableFactor
Powerplant - vibrationFactor

Aircraft

Registration
N55TE
Reported as
Ellsberg One Design
Category
Airplane, amateur-built
Serial number
94-0239
Engine
Lycoming IO-360, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Thomas R. Ellsberg
Airworthiness certificate
Special, Experimental (Special)
Departed
S07 · Bend Municipal, OR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
65
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Front
Flight hours
3,000 total · 600 in this make and model · 2,900 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 5 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
61 °F

FAA reports on this event · 1

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