WPR15LA223

NTSB accident investigation · Stinson 108 - 3 · North Las Vegas, NV · July 25, 2015

Accident · No injuriesLimited investigationFinal report
Date
July 25, 2015, 16:30 local (23:30 UTC)
Place
North Las Vegas, NV
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6152MStinson 108 - 3
Defining event
Approach-VFR pattern crosswind: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report April 4, 2016
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA/FSDO
FAA report
20150725012709A
Case key
91635

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 partial loss of engine power due to a degraded cylinder exhaust valve seal, which resulted in low cylinder compression.

Findings · 6

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 (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Damaged/degradedStinson 108-3: 2 casesAll aircraft: 373 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentStinson 108-3: 2 casesAll aircraft: 278 cases
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeStinson 108-3: 2 casesAll aircraft: 313 cases
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationStinson 108-3: 3 casesAll aircraft: 594 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 private pilot, after an uneventful departure in high-density altitude conditions for the personal cross-country flight, he made a left crosswind turn in the airport traffic pattern as instructed by an air traffic controller. When the airplane was about 800 ft above ground level and near the departure end of the runway, the airplane stopped climbing, which was accompanied by a vibration. The airplane likely stopped climbing due to a partial loss of engine power and the high-density altitude conditions. The pilot lowered the airplane's nose to increase airspeed and continued the turn to land on the runway, but when the airplane started to sink, he decided to land on a tarmac located straight ahead. The airplane touched down, with a tailwind, about halfway down the tarmac. The pilot deployed full flaps but was unable to slow the airplane before it impacted a fence and then nosed over. A postaccident examination of the engine revealed that the No. 1 cylinder exhaust valve seal was degraded, which prevented the valve from seating properly and likely resulted in low cylinder compression and a partial loss of engine power. Further, testing of the magnetos revealed that the primary ignition lead for the No. 6 cylinder was inoperative, which likely resulted in the engine running roughly after the partial loss of power.

Factual narrative

On July 25, 2015, about 1630 Pacific daylight time, a Stinson 108-3 airplane, N6152M, was substantially damaged during a forced landing near North Las Vegas Airport (VGT), Las Vegas, Nevada. The airplane was registered to Arizona Land Holding LLC, and was operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. The private pilot, sole occupant of the airplane, was not injured. The airplane sustained substantial damage to the rudder. Visual meteorological conditions prevailed and no flight plan was filed for the personal, cross country flight, which was destined for Triangle Airpark (AZ50), White Hills, Arizona, and was originating at the time of the accident. According to the pilot, he did not observe any anomalies with the airplane or engine during his preflight inspection and engine runup. Prior to departure, the tower controller issued instructions to the pilot to depart runway 12R and to make "left traffic." The pilot departed the runway and maintained about 80 miles per hour (mph) during the climbout. He started a left turn near the departure end of the runway at about 800 feet above ground level but the airplane "quit climbing" and started to shake. He lowered the nose to gain airspeed and some power returned. The pilot initially continued his turn to attempt a landing on runway 30R, but when the airplane began to "sink", he decided to land straight ahead on a paved parking area. He used a slip maneuver to descend quickly and touched down about "halfway down" the tarmac. The pilot deployed flaps and maneuvered to avoid obstacles, but was unable to slow the airplane down before it departed the tarmac, struck a fence, and nosed over. The pilot reported no preimpact mechanical malfunctions or anomalies related to the airframe and stated that he could have stopped the airplane with an additional "50 feet" of distance. Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed substantial damage to the rudder. The pilot/owner held a private pilot certificate with a rating for airplane single-engine land that was issued on July 16, 2014. His most recent FAA third-class medical certificate was issued on September 30, 2010 without limitations. According to the pilot's logbook, he accumulated 98 hours of total flight experience, 48 of which were in the accident airplane make and model. The pilot had not flown in the three calendar months that preceded the accident. According to FAA airworthiness records, the airplane was manufactured in 1948, and registered to the pilot/owner on July 16, 2014, under Arizona Land Holdings, LLC. Review of the airplane's maintenance logbooks revealed that its most recent annual inspection was completed on June 12, 2014, at a recorded tachometer time of "2,835.8 hours." The pilot/owner remarked that the logbook tachometer times had been erroneously recorded in the logbooks by the mechanic and should have been documented as "283.58." During a follow-uptelephone conversation, the pilot/owner stated that the tachometer had been replaced about 20 years ago, which was reflected in the tachometer time in the airframe logbook; however, there was no record of a tachometer installation during that time. At the time of the accident, the airplane had accumulated approximately 44.6 flight hours since its most recent inspection. Based on the airplane's maintenance records, it had accumulated about 2,868 flight hours of total time in service. The airplane was equipped with a Franklin 6A4-165-B3, 165 horsepower engine. The engine's most recent annual inspection, which was also completed on June 12, 2014, included the following cylinder compression record: #1 - 74 psi, #2 – 73 psi, #3 – 71 psi, #4 – 73 psi, #5 – 71 psi, and #6 – 71 psi. The last recorded engine overhaul could not be determined as the corresponding engine logbook was not provided. An air traffic controller reported the winds as 180 degrees at 5 knots gusting to 14 knots a few minutes before the airplane departed on the accident flight. According to the National Oceanic and Atmospheric Administration, the density altitude at the time of the accident was 5,538 feet. The airplane came to rest inverted on a southerly heading beyond an airport perimeter fence. The landing area was a parking tarmac located on the east side of the airport and measured about 1,000 feet long by 600 feet wide. An airport perimeter fence bordered the north end of the landing site. The airplane's landing path was composed of several obstacles including two concrete drums and two light posts, which were located approximately 50 feet from the accident site. Further, several airplanes were parked along the airport perimeter fence and one was located in the accident airplane's landing path about 60 feet from where the airplane came to rest. An airport employee stated that he observed "a lot of fuel" drain from the airplane during the recovery process. An examination of the engine was completed by a certified airframe and powerplant mechanic under the supervision of NTSB and FAA investigators on August 26, 2015, at an aircraft storage facility in Las Vegas, Nevada. Initial examination of the engine revealed that the right side engine mount was fractured. The crankshaft was rotated by hand and valve-train continuity and thumb compression were observed on all cylinders. The propeller remained attached to the engine. One blade exhibited leading edge damage and the propeller faceplate displayed bending. The cylinders were examined with a borescope. Each cylinder exhibited normal operating signatures with the exception of the number 1 cylinder, which contained a large volume of carbon deposits. The number 1 cylinder also recorded a compression value of 20/80 psi when tested. A subsequent pressure test revealed a leak in the exhaust valve that directed airflow through the exhaust pipe. A follow-up borescope inspection revealed degradation on one side of the exhaust valve seal,which prevented the valve from seating properly. Both the top and bottom engine spark plugs were removed and examined. The top spark plugs exhibited wear consistent with normal operation. Each spark plug gap measured about 0.032 inches; however, according to the engine manual the prescribed gap tolerance range for the spark plugs was 0.014 – 0.018 inches. Both magnetos remained attached to the engine; testing revealed that the number 6 cylinder top magneto primary lead did not produce spark during propeller rotation or when tested with a high tension lead tester.

Aircraft

Registration
N6152M
Reported as
Stinson 108 - 3 (3)
Category
Airplane
Serial number
108-4152
Built
1948
Airframe hours
2,868
Engine
Franklin 6A4165B2, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 12, 2014 · 44 hours before
Departed
VGT · North Las Vegas, NV
Destination
AZ50 · White Hills, AZ
Airport
VGT · North Las Vegas

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
35
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
July 16, 2014
Seat
Left
Restraint
Lap only
Flight hours
98 total · 48 in this make and model · 77 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
102 °F, dew point 25 °F
Altimeter
29.84 inHg
Observed at
VGT, 1 nm away

Docket · 9

The files NTSB released with the investigation on February 11, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 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.