SEA03FA179

NTSB accident investigation · Aero Commander Callair A-9B · Driggs, ID · August 25, 2003

Accident · No injuriesField investigationFinal report
Date
August 25, 2003, 13:30 local (19:30 UTC)
Place
Driggs, ID
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7924VAero Commander Callair A-9B
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
Salt Lake FSDO
FAA report
20030825020869A
Case key
57807

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

A loss of engine power due to the improper installation of a counterweight roller pin retaining washer circlip, leading to the circlip coming out of its groove and the counterweight roller pin coming in contact with two of the engines connecting rods. Contributing to the accident were the fence and the uneven terrain.

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(total) - mech failure/malfClimb
Eng assembly,crankshaft counterweights/vib damper - loose part/bolt/nut/clamp/etcCause
Maintenance,overhaul - improperOther maintenance personnelCause
Forced landingDescent - emergency
On ground/water collision with objectEmergency landing
Terrain condition - rough/uneven
Object - fenceFactor

Analysis

During takeoff with a glider in tow, while passing through an altitude of 200 feet above the ground (agl), the aircraft's engine experienced a catastrophic failure. The pilot then released the glider and executed a forced landing on nearby terrain. Although the touchdown was successful, the aircraft hit a fence before the pilot could bring it to a stop. A teardown examination of the engine determined that the circlip holding one of the counterweight roller pin retaining washers had come out of the groove in the counterweight body. This lead to the roller pin coming in contact with the number five and number six connecting rods, and ultimately to the catastrophic failure. A comparison of wear pattern development on the subject circlip with the others on the counterweight body determined that it had come out of its retaining groove soon after the counterweight was overhauled about 21 hours prior to the accident. Wear patterns also indicated that the subject circlip had been installed with its "sharp edge" facing inwards, which is contradictory to the instructions contained in Textron Lycoming Service Instruction 1012F.

Factual narrative

History of flight

On August 25, 2003, approximately 1330 mountain daylight time, an Aero Commander Callair A-9B, N7924V, impacted a fence during the landing roll, after losing power just after takeoff from Reed Memorial Airport, Driggs, Idaho. The airline transport pilot, who was the sole occupant, was not injured, but the aircraft, which is owned and operated by Teton Avjet, sustained substantial damage. The 14 CFR Part 91 glider tow flight was being operated in visual meteorological conditions. No flight plan had been filed.

According to the pilot, who had just departed the airport with a glider in tow, upon reaching 200 feet above the ground, he heard a loud "explosion" followed by smoke coming from the engine compartment. The aircraft then experienced a complete loss of engine power. He therefore released the glider, which made a successful landing, and attempted a forced landing in a nearby field. Although the initial touchdown was uneventful, during the landing roll the aircraft impacted a fence before the pilot was able to bring it to a stop.

In addition to the substantial damage to the airframe, inspection of the engine found the number six connecting rod extending out of the top of the crankcase, and the case itself cracked completely around its circumference. The oil sump was intact, and the dip stick indicated eight of the possible 12 quarts were still present. There was no indication of heat stress due to lack of lubrication.

Upon further engine disassembly, it was determined that the counterweight roller pin was no longer present in the number one counterweight roller pin hole, and the roller pin retaining washer and circlip were missing from the front (propeller flange side) of the subject counterweight hole (see diagram #1). The roller pin, circlip (in two pieces) and about one-third of the pin-retaining washer were found in the engine oil sump. Further inspection revealed two circular gouges, one 20 millimeters in diameter and the other 15 millimeters in diameter, on the outer ridges of the shaft of the number five connecting rod. These gouges were directly in front of where the number five shaft normally rotates past the forward end of the number one counterweight hole (see photos #1 and #2). In addition it was found that the bushing in the forward face of the number one counterweight hole had been forcefully cocked about 30 degree from its normal installation alignment, and there was a one millimeter by three millimeter gouge along the outer lip of the bushing. Immediately adjacent to the gouge on the bushing, there was a circular shaped gouge/compression in the body of the counterweight itself. The center of this gouge, which measured eight millimeters by twelve millimeters, contained a bluish-black heat signature (see photo #3).

There was contact damage on the shaft of the number six connecting rod, which was bent about 30 degrees about mid-shaft. Both of its rod cap bolts had fractured, and the rod cap had come off. Both cap bolts had necked down to the point of the fracture, and the fracture surfaces were dull gray and fibrous, with numerous jagged 45 degree edges.

As part of the inspection, all of the remaining counterweight roller pins, retaining washers, and circlips were removed from the counterweights, and the counterweights were removed from their mounting tangs/blades. Inspection of the removed circlips established that all of them had clear and distinct wear patterns on their inward facing (toward the washer) and outward facing surfaces. On their inward face the circlips displayed a well-developed shinny wear pattern over most of their surface, except along the inner and outer edges (see photo #4). The well-developed shinny wear pattern on their outward face (see photos #5 and #6) was present only along the outermost edge, and was less than one millimeter wide. All of the removed circlips, except the number two aft circlip, were found to be installed with the "sharp edge" outward, as is called for in Textron Lycoming Service Instruction No. 1012F. The number two aft circlip was found to be installed with the "sharp edge" facing inward.

Optical examination of the faces of the failed circlip with a binocular microscope determined that no clear or well developed wear pattern was present on either side. The rounded-edge face of the circlip showed a very slight rubbing/buffing pattern along most of its outer edge, coinciding with the location of the well-developed pattern on the outer circumference of the sharp-edge face of all but one of the other circlips. No discernable rubbing, buffing, or wear pattern was detected on the sharp-edge face of the number one circlip.

All of the removed retaining washers, except the aft washer on hole number one, had a very well developed circular wear pattern on their inward facing (toward the roller pin) surfaces (see photos #7 and #8). The number one hole aft washer showed only a very slight unclearly-defined wear pattern (see photo #9).

Additional data and information

According to the engine log book, the engine was overhauled by the owner/operator of the aircraft, Teton Aviation Center, on August 5, 2003. As part of that process, the crankcase halves, the crankshaft, and the connecting rods were sent to Engine Components, Inc., (ECI) for inspection and overhaul. According to ECI work order 44673, the crankshaft was plated and polished, and both the crankshaft blades and the counterweight bodies were rebushed. The components were then returned to Teton Aviation Center for installation in the overhauled engine. At the time of the accident, the engine had accumulated approximately 21 hours of time in service since the overhaul.

Aircraft

Registration
N7924V
Reported as
Aero Commander Callair A-9B
Category
Airplane
Serial number
1563
Airframe hours
4,587.5
Engine
Lycoming IO-540-G1C5, 290 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Registered owner
Teton Avjet, LTD, LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · August 5, 2003 · 21 hours before
Departed
U59 · Driggs, ID
Destination
U59
Airport
U59 · Reed Memorial

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
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine sea, Multi-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
June 21, 2003
Seat
Front
Flight hours
15,000 total · 2,000 in this make and model · 14,950 as pilot in command · 116 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 3 knots
Visibility
40 statute miles
Lowest ceiling
None
Temperature
81 °F

FAA reports on this event · 1

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