SEA95LA154

NTSB accident investigation · Air Tractor AT-301 · Roberts, ID · July 17, 1995

Accident · No injuriesLimited investigationFinal report
Date
July 17, 1995, 08:15 local (14:15 UTC)
Place
Roberts, ID
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4326SAir Tractor AT-301
Weather
Visual (VMC) · Day
Status
Completed · report February 8, 1996
Report
Approved by Office Director
FAA report
19950717019149A
Case key
42196

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 separation of the number 3 cylinder exhaust valve rocker arm shaft from the cylinder head, which disabled movement of the exhaust valve. A factor was the lack of suitable terrain for the forced landing.

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/malfTakeoff - initial climb
Engine assembly,rocker arm/tappet - separationCause
Engine assembly,valve,exhaust - disabledCause
Forced landingEmergency landing after takeoff
On ground/water encounter with terrain/waterEmergency landing after takeoff
Terrain condition - none suitableFactor
Terrain condition - crop

Analysis

The pilot reported that shortly after takeoff, at 40 feet above ground level, the engine lost power and began backfiring. The pilot made a forced landing in a barley field with 3-foot-tall crops, and the airplane cartwheeled. Postaccident examination of the engine revealed that the exhaust valve rocker arm housing on the number 3 cylinder separated, disabling the number 3 cylinder exhaust valve.

Factual narrative

On July 17, 1995, at 0815 mountain daylight time, an Air Tractor 301, N4326S, owned by Lewis Flying Service, Inc., a 14 CFR 137 agricultural aircraft operator certificate holder, received substantial damage in a forced landing following a loss of engine power on takeoff from the pilot's private airstrip near Roberts, Idaho. The commercial pilot, a co-owner of the single-seat agricultural aircraft, was not injured. The flight was a 14 CFR 91 positioning flight to Rigby, Idaho. Visual meteorological conditions existed and no flight plan had been filed.

The pilot stated in his report on the accident: "During climb- out at approx[imately] 40 foot altitude engine lost power and [began] backfiring. All terrain (360 deg) was cultivated fields with near mature crops...Established glide into barley field - 3 foot tall crop...attempted soft-field landing. Wheels contacted barley; aircraft immediately pitched over and cartwheeled on left wing...."

A post-accident inspection of the Pratt & Whitney R-1340-AN1 radial engine revealed that the boss securing the exhaust valve rocker arm shaft to the number 3 cylinder head had separated from the cylinder head, allowing the entire rocker arm to move freely rather than pivot. This failure prevented the number 3 cylinder's exhaust valve from opening during engine operation. No other evidence of engine damage or malfunction was noted.

According to the accident report and copies of the aircraft and engine logs submitted by the airplane's owner, the engine had been operated 201.3 hours since the airplane's last inspection (an annual inspection conducted on April 7, 1995), and 233.8 hours since its last overhaul. The engine was installed on the airplane at zero time since overhaul on August 7, 1994 according to the engine log.

The FAA publication, "General Aviation Airworthiness Alerts" (AC 43-16), December 1995 issue, which the FAA distributes to FAA- certificated Inspection Authorization (IA) airframe and powerplant mechanics, contained an advisory for cylinder cracks on Pratt & Whitney model R-1340 engines. The advisory reported: "After receiving reports from three engine overhaul shops concerning cracks in the cylinder exhaust rocker shaft housing area, an investigation and interviews suggest this may be a systematic problem. Two repair stations stated they reject approximately 3 percent of the cylinders passing through their shops for this type defect. The defects in the exhaust rocker shaft housings range from slight cracking to complete separation of the housing above the rocker shaft....The Service Difficulty Reporting (SDR) data base revealed 42 similar reports, and 7 others which may have been related to this topic....the exact cause for cracking in this area has not been determined...Since the rocker shaft uses an 'O-ring' seal under each of the nuts, it is possible that when oil seepage is found, the nuts are tightened beyond the torque limits established by the manufacturer's maintenance manual....It is also possible that thermal expansion and contraction...may result in this type defect....It would be wise to pay close attention to this area during scheduled inspections."

Aircraft

Registration
N4326S
Reported as
Air Tractor AT-301
Category
Airplane
Serial number
301-0006
Airframe hours
7,174
Engine
P&W R-1340-AN1, 600 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
Lewis, Orlin & Julia
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 7, 1995 · 202 hours before
Destination
U56 · Rigby, 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
50
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Center
Flight hours
8,554 total · 3,301 in this make and model · 8,433 as pilot in command · 220 in the last 90 days · 100 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 5 knots
Visibility
60 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 48 °F
Altimeter
30.00 inHg
Observed at
IDA, 12 nm away

FAA reports on this event · 1

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

Other investigations on N4326S · 3

Matched to the same aircraft by N-number and date.