WPR21LA208

NTSB accident investigation · Boeing A75N1(PT17) · Hollister, CA · May 26, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
May 26, 2021, 14:30 local (21:30 UTC)
Place
Hollister, CA · open field
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N75016Boeing A75N1(PT17)
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20210526014779A
Case key
103156

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

The improper installation of a relief valve spring that was shorter than the standard spring length, which slowed the response of the propeller governor to change the pitch of the blades during climbout, resulting in a partial loss of power.

Findings · 1

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.

Propeller system: propeller governorAircraft › Aircraft propeller/rotor · Incorrect service/maintenanceBoeing A75N1(PT17): 1 caseAll aircraft: 16 casesProbable cause

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 airplane was climbing out shortly after takeoff when the pilot noticed that the engine rpm was decreasing, and that the airplane was not gaining altitude. The pilot added that, even with the decrease in engine rpm, the engine was still producing some engine power. The pilot-rated passenger stated that the airplane was not gaining or losing altitude and that he verified that the propeller, throttle, and mixture control levers were in the correct settings. The pilot decided to maneuver away from power lines and make a forced landing onto a field. Subsequently, the lower part of both wings impacted the ground and sustained substantial damage. A postaccident examined revealed that the propeller governor had a relief valve spring that was shorter in length than a standard relief valve spring. The shorter relief valve spring resulted in an internal governor pressure of 125 psi, which was less than the manufacturer’s setting of 180 to 200 psi. The lower internal pressure setting slowed the governor’s ability to make the immediate corrections in propeller blade pitch necessary to maintain the engine rpm during the climb out, which caused the engine to lose partial power.

Factual narrative

On May 26, 2021, about 1430 Pacific daylight time, a Boeing A75N1 Stearman, N75016, was substantially damaged when it was involved in an accident near Frazier Lake Airpark (1C9), Hollister, California. The pilot and pilot-rated passenger sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he purchased the accident airplane 6 days before the accident and hired a local maintenance shop to perform an annual inspection for the airplane. A few days later, the airplane was returned to service, and the pilot received a “thorough” walkaround and preflight covering the details of the airplane. The next day (the day of the accident), the pilot and pilot-rated passenger completed a preflight inspection and an engine run-up with no anomalies noted. They performed 10 full-stop takeoffs and landings and then flew to Hollister Municipal Airport (CVH), Hollister, California to refuel the airplane. The pilot performed another takeoff and landing after returning to 1C9. He reported that, during the initial climbout, the engine rpm began decreasing, and the airplane stopped gaining altitude. The pilot estimated that the airplane was at an altitude of about 600 ft above ground level at the time. The passenger reported that the airplane was neither gaining nor losing altitude and that he verified that the propeller lever, throttle lever, mixture control lever, and fuel selector lever were all in their correct positions. The pilot further reported that, although the “RPMs were just dropping,” the airplane “never lost complete power.” Shortly after, the pilot initiated a right turn to maneuver away from telephone lines and completed a forced landing in a soft dirt field about 0.3 nm away from 1C9. The airplane came to rest upright, and the lower part of the left and right wings sustained substantial damage. Postaccident examination of the wreckage revealed no preimpact anomalies or mechanical failures with the airframe. A subsequent engine run-up was performed, and no anomalies were noted. A follow-up examination of the engine revealed no preimpact mechanical or mechanical failures. The propeller governor installed on the engine was removed from its drive pad for further testing. A review of the maintenance logbooks revealed that the governor had not been overhauled. An external examination of the governor revealed no body damage, and the drive gears turned freely. Moreover, no metal or contaminants were observed in the oil expelled when the gears were manually rotated. The flywheel assembly, pilot valve, and thrust bearing were also unremarkable. Bench testing revealed a high rpm setting of 2,400 rpm and a relief pressure setting of 125 psi. According to the manufacturer, the high rpm setting should be 2,300 rpm, and the relief pressure setting should be 180 to 200 psi. The governor was tested in a feather setting, and the 1,200 rpm that was observed was within themanufacturer’s specifications. The governor’s internal leakage and pumping capacity of 8 quarts per hour and 10 quarts per minute, respectively, were within limits. A lag was observed as the rpm rose when the simulated throttle setting was increased; conversely, a lag was not observed when the throttle setting was decreased. A teardown examination of the relief valve assembly, which consisted of a bushing, plunger, spring, and plug with a locking washer within the governor body, revealed that the relief valve spring was shorter in length than an exemplar spring, as shown in the figure below. No broken pieces were seen or recovered in the governor. Subsequently, the spring was replaced with a standard-length spring, and the governor was again bench tested. The governor produced 200 psi in relief pressure, and a lag was not observed as the rpm rose when the throttle setting was increased. A review of the maintenance logbooks did not reveal when the propellor governor was last overhauled. Figure. Removed propeller governor (left) with close-up view of relief valve spring (upper right) and a standard-length relief valve spring (lower right). (Source: Wings West Exchange & Overhaul, Inc)

Aircraft

Registration
N75016
Reported as
Boeing A75N1(PT17)
Category
Airplane
Serial number
75-3418
Built
1942
Airframe hours
6,420
Engine
Lycoming R-680-13, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
One Slim Rabbit LLC
Registered owner
One Slim Rabbit LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 14, 2021 · 1 hours before
Airport
1C9 · Frazier Lake Airpark, runway 23, 2,500 × 100 ft, grass/turf

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
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 29, 2020
Seat
Rear
Restraint
5-point
Flight hours
2,774 total · 24 in this make and model · 2,586 as pilot in command · 74 in the last 90 days · 16 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 19 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 46 °F
Altimeter
30.02 inHg
Observed at
KCVH, 4 nm away
METAR
KCVH 262115Z AUTO 24019KT 10SM CLR 24/08 A3002 RMK A01

Docket · 11

The files NTSB released with the investigation on November 16, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 24.5 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.

Other investigations on N75016 · 1

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