SEA02LA121

NTSB accident investigation · Grumman-Schweizer G-164B · Shelley, ID · July 4, 2002

Accident · Minor injuriesLimited investigationFinal report
Date
July 3, 2002, 20:30 local (Jul 4, 2002, 02:30 UTC)
Place
Shelley, ID
Injuries
1 minor
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N297ALGrumman-Schweizer G-164B
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20020703015199A
Case key
55157

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.

A loss of engine power due to the manufacturer's improperly machined threads, which prevented the cylinder base/head halves from being properly assembled, leading to fatigue propagation and the ultimate separation of the cylinder. A contributing factor was the rough terrain.

Analysis

The pilot had just commenced a spray run when there was an abrupt loss of power accompanied by engine roughness and vibration. Unable to maintain flight, the pilot executed a forced landing into the field being sprayed, landing across the rough, furrowed terrain. Post crash examination revealed that the top of the number five cylinder had separated from the lower half of the cylinder. Further metallurgical examination revealed that the cylinder split circumferentially due to fatigue which originated at the first and second thread roots of the cylinder threads on the inside of the cylinder head. Dimensional examination revealed that the threads between the cylinder base and head had been improperly machined resulting in the cylinder's abutting surfaces not coming into complete contact during assembly of the two components.

Factual narrative

On July 3, 2002, approximately 2030 mountain daylight time, a Grumman G-164B "Agcat," N297AL, registered to and operated by Nef Flying Service, Inc., and being flown by a commercial pilot, was destroyed during a forced landing following a loss of power during a spray run approximately six nautical miles northwest of Shelley, Idaho. The pilot sustained minor injuries. Visual meteorological conditions existed and no flight plan had been filed. The flight, which was a crop dusting flight, was operated under 14 CFR 137, and originated from a private landing site just west of Shelley, approximately 2000 on the evening of the accident.

The pilot reported that he had just rolled out of a turn to begin a spray run when there was an abrupt loss of power accompanied by engine roughness and vibration. The pilot, unable to maintain altitude, executed a forced landing into the field he was spraying. The aircraft touched down roughly perpendicular to the furrows and the aircraft tumbled end over end several times shedding both the engine and the empennage before coming to rest inverted (refer to photographs 1 and 2).

Post-crash examination revealed the top of the number five cylinder had separated from the lower half of the cylinder and departed the engine (refer to photographs 3 and 4). The cylinder had separated circumferentially about an inch inside the barrel. The pilot reported that the engine had undergone a zero-time overhaul within the previous 120 hours.

The number five cylinder and associated piston was sent to the Safety Board's metallurgical laboratory for subsequent examination and testing. The examination revealed that the cylinder had split circumferentially between the fifth and sixth inboard cooling fins and that the fracture surfaces displayed characteristic crack arrest lines (fatigue). Multiple fatigue crack points of origin were noted within the first and second thread roots of the cylinder threads on the inside of the cylinder head, and no mechanical damage was observed within the threads.

Dimensional examination revealed that the threads between the cylinder base and head had been improperly machined resulting in the cylinder's abutting surfaces not coming into complete contact during assembly of the two components (refer to attached metallurgical report).

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/malfManeuvering - aerial application
Engine assembly,cylinder - fatigueCause
Maintenance,installation - improperManufacturerCause
Engine assembly,cylinder - cracked
Engine assembly,cylinder - separation
Forced landingEmergency landing
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - rough/unevenFactor

Aircraft

Registration
N297AL
Reported as
Grumman-Schweizer G-164B
Category
Airplane
Serial number
188B
Airframe hours
6,500
Engine
Pratt & Whitney R-1340, 600 horsepower, reciprocating
Damage
Destroyed
Flight
Aerial application · Part 137
Registered owner
Nef Flying Service, Inc.
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · May 1, 2002 · 120 hours before
Departed
Shelley, ID

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
49
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
January 20, 2002
Seat
Front
Flight hours
6,000 total · 2,800 in this make and model · 5,800 as pilot in command · 120 in the last 90 days · 60 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 39 °F
Altimeter
30.03 inHg
Observed at
IDA, 5 nm away

Docket · 6

The files NTSB released with the investigation on February 10, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.