WPR10LA465

NTSB accident investigation · Mooney M20C · Visalia, CA · September 21, 2010

Accident · No injuriesLimited investigationFinal report
Date
September 21, 2010, 09:40 local (16:40 UTC)
Place
Visalia, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N6090QMooney M20C
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report December 13, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20100921044529A
Case key
77356

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A partial loss of engine power during takeoff, which resulted from the failure of the spark plug retention mechanism.

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.

Ignition system: spark plugs/ignitersAircraft › Aircraft power plant · FailureMooney M20C: 2 casesAll aircraft: 38 casesProbable cause
Personnel issuesPersonnel issues › Action/decision · PilotMooney M20C: 1 caseAll aircraft: 56 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

The pilot applied full engine power, took off, and climbed to about 300 feet above the runway. The engine suddenly lost partial power, and the pilot elected to return to the airport for a forced landing. The airplane’s altitude was insufficient to complete the turn, and the airplane impacted the ground adjacent to the departure runway, substantially damaging the right wing. An examination of the engine revealed that the retention mechanism for the bottom No. 3 spark plug failed and the spark plug had blown out of its cylinder. Its failure appeared related to excessive wear and the loosening over time of the Heli-Coil insert. According to the Federal Aviation Administration, evidence of the Heli-Coil’s loosening would not, necessarily, have been apparent to a mechanic during routine maintenance.

Factual narrative

On September 21, 2010, about 0940 Pacific daylight time, a Mooney M20C, N6090Q, experienced a partial loss of engine power during takeoff from Visalia Municipal Airport, Visalia, California. During a low altitude course reversal turn back to the runway, the airplane impacted the ground hard and was substantially damaged. The commercial pilot owned, operated, and maintained the airplane. He was not injured during the personal flight. Visual meteorological conditions prevailed, and the flight was performed under the provisions of 14 Code of Federal Regulations Part 91. No flight plan was filed. The flight was originating at the time of the accident. The pilot reported that, in preparation for takeoff, he had performed an engine run-up, and no anomalies were noted. Thereafter, he applied full engine power and commenced taking off. At 300 feet above the runway he heard a loud pop noise, and the engine’s rpm decreased to 1,500. Unable to maintain flight, the pilot initiated a course reversal turn for a forced landing back on the airport. However, the airplane’s altitude was insufficient to complete the turn, and he impacted the ground adjacent to the departure runway. The impact was sufficiently hard to activate the emergency locator transmitter, break off the nose gear, and bend the outboard 6 feet of the right wing. Federal Aviation Administration (FAA) personnel subsequently examined the airplane’s engine. The FAA reported that a bottom spark plug of the Lycoming engine's number three cylinder had blown out of its cylinder. FAA personnel additionally reported that the spark plug had been installed in the cylinder hole with a Heli-Coil insert, which surrounds the plug's threads in the cylinder. The blown out spark plug was found, and it appeared to have failed due to wear from repeated insertions and removals, while the Heli-Coil gradually loosened. FAA personnel further opined that the spark plug had not been loose in the cylinder. Rather, the Heli-Coil showed evidence of loosening over time. Evidence of the Heli-Coil’s loosening would not, necessarily, have been apparent to the mechanic during routine maintenance, according to the FAA. The engine had over 1,600 hours of total time since its last major overhaul. The number three cylinder had not been replaced since its 1987 overhaul, according to maintenance records.

Aircraft

Registration
N6090Q
Reported as
Mooney M20C
Category
Airplane
Serial number
3260
Airframe hours
6,718
Engine
Lycoming O-360A1D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 30, 2010 · 13 hours before
Departed
VIS · Visalia Municipal, CA
Destination
VIS · Visalia Municipal, CA
Airport
VIS · Visalia Municipal, runway 30, 6,559 × 150 ft, asphalt

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
63
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
August 28, 2009
Seat
Left
Flight hours
2,674 total · 1,600 in this make and model · 2,294 as pilot in command · 10 in the last 90 days · 4 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 55 °F
Altimeter
29.77 inHg
Observed at
VIS

Docket · 6

The files NTSB released with the investigation on November 2, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.6 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.