WPR10LA339

NTSB accident investigation · Douglas A4L · Fallon, NV · July 8, 2010

Accident · Minor injuriesLimited investigationFinal report
Date
July 8, 2010, 13:40 local (20:40 UTC)
Place
Fallon, NV
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N132ATDouglas A4L
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report July 12, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
Case key
76557

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 during takeoff due to the failure of the engine's stator and turbine. Contributing to the accident was inadequate maintenance.

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.

Engine (turbine/turboprop): turbine sectionAircraft › Aircraft power plant · FailureDouglas A4D-2N: 1 caseAll aircraft: 74 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleDouglas A4D-2N: 1 caseAll aircraft: 1,269 cases

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

According to the pilot, he entered a right-hand climbing turn after departure and the engine experienced a loss of thrust. The pilot reversed direction and attempted to land on the runway in the opposite direction, but the airplane was too low and slow to make it back to the runway. He elected to steer the airplane in the direction of an empty field and successfully ejected. The operator reported that their postaccident examination of the engine determined that the protective coating on the turbine blades and stators had degraded. This degradation led to the eventual failure of the stator vanes and then the turbine blades. They could not establish the exact reason for the degradation of the protective coating.

Factual narrative

On July 8, 2010, about 1340 Pacific daylight time, a Douglas A4L, N132AT, collided with terrain after the pilot ejected following a loss of engine power on takeoff from Fallon Naval Air Station, Fallon, Nevada. Airborne Tactical Advantage Company (ATAC) was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91 on a local public-use flight. The airline transport pilot sustained minor injuries. The airplane sustained substantial damage by impact forces and post crash fire. Visual meteorological conditions prevailed, and no flight plan had been filed. The operator reported that the takeoff and gear and flap retraction were normal. The pilot started a right turn for departure from the airport traffic area during the initial climb when the engine lost power. He reversed his turn, and attempted to land on the runway in the opposite direction of the takeoff. The airplane was too low and slow, so he steered the airplane in the direction of an empty field and successfully ejected. The airplane exploded on impact. The operator reported that their examination of the engine determined that the protective coating on the turbine blades and stators had degraded. This degradation led to the eventual failure of the stator vanes and then the turbine blades. They could not establish the exact reason for the degradation of the protective coating. The operator listed several contributing factors. They were unaware of a requirement to down trim the engines to a maximum of 102 percent until an associated technical change had been complied with. The airplane had a modified electrical start system that resulted in starts that approached the flight manual time and temperature maximum limits. During the post accident exam, they discovered a broken fuel tube due to fatigue in the combustion chamber at the 11 o'clock position. The operator believes that none of the contributing conditions caused the engine problem. However, they stated that the combination of the three led to the degradation of the protective coatings on the stators and blades in the turbine section, and ultimately the failure of the turbine blades.

Aircraft

Registration
N132AT
Reported as
Douglas A4L
Category
Airplane
Serial number
12374
Airframe hours
4,926
Engine
Curtis Wright J-65-20, turbo jet
Damage
Substantial damage
Fire
On-Ground
Flight
Public aircraft - federal · Part 91
Operator
Airborne Tactical Advantage Co
Registered owner
A-4 L LLC
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · July 10, 2010 · 44 hours before
Departed
NFL · Fallon, NV
Destination
NFL · Fallon, NV
Flight plan
IFR
Airport
NFL · Fallon NAS, runway 31R, 11,079 × 200 ft, concrete

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
48
Injuries
Minor
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
October 30, 2008
Seat
Single
Flight hours
5,152 total · 1,405 in this make and model · 4,682 as pilot in command · 57 in the last 90 days · 26 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 23 °F
Altimeter
30.00 inHg
Observed at
KNFL

Docket · 1

The files NTSB released with the investigation on May 13, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.0 MB in all.