Aviation Accident Summaries

Aviation Accident Summary BFO94LA010

STERLING, MA, USA

Aircraft #1

N28215

GULFSTREAM AMERICAN AA-5B

Analysis

THE PILOT REPORTED THAT THE AIRPLANE WAS AT 2000 FEET MSL WHEN A SEVERE VIBRATION DEVELOPED ON THE AIRPLANE. HE STATED THAT THE AIRPLANE WAS DESCENDING AT 200 FEET PER MINUTE WITH THE THROTTLE FULL FORWARD, AND 1700 RPM ON HIS GAGE. HE STATED THAT THE NEAREST AIRPORT WAS ABOUT 6 MILES AWAY, SO HE RADIOED THE AIRPORT OF HIS SITUATION AND ENTERED THE TRAFFIC PATTERN ON THE BASE LEG. HE STATED THAT HE WAS HIGH ON THE APPROACH, BUT HE RECALLED FROM HIS TRAINING THAT IT WAS BETTER TO BE HIGH AND FAST THAN LOW AND SLOW. THE AIRPLANE TOUCHED DOWN ABOUT HALF WAY DOWN THE 3100 FOOT LONG RUNWAY AND EXITED INTO A SIX FOOT CULVERT WHERE IT NOSED OVER. AN EXAMINATION OF THE ENGINE BY THE FAA REVEALED A LEAK WHEN A COMPRESSION TEST WAS COMPLETED. THE CYLINDER WAS REMOVED AND SENT TO THE NTSB LAB IN WASHINGTON, DC. A METALLURGICAL EXAMINATION REVEALED THE EXHAUST VALVE SEPARATED AS A RESULT OF FATIGUE CRACKING THAT INITIATED IN THE RADIUS BETWEEN THE STEM AND THE HEAD OF THE VALVE.

Factual Information

On Sunday, November 14, 1993, about 1030 eastern standard time, N28215, a Gulfstream American Corp. AA-5B, owned and operated by James Connelly of Maynard, Massachusetts, collided with the ground and nosed over on landing following a power-off forced landing at Sterling Airport, Sterling, Massachusetts. Visual meteorological conditions prevailed and a flight plan was not filed. The certificated private pilot, and his three passengers received minor injuries. The airplane was substantially damaged. The personal flight originated in Fitchburg, Massachusetts, and was conducted under 14 CFR 91. According to the pilot, the airplane was at an altitude of 2000 feet MSL when he experienced a "severe vibration." He stated that the nearest airport was about 6 miles away, so he radioed the airport and reported that he was going to make a landing at that airport. He stated that he entered the traffic pattern on the base leg, and that the airplane was high on the approach. The pilot stated that during his training he was taught that "it is better to be high and fast than low and slow." The airplane touched down about half way down the 3100 foot long runway then exited into a six foot culvert and nosed over. The engine was removed to a hangar at Sterling Airport for further examination under the supervision of the FAA. The examination involved removing the lower spark plugs, and conducting a compression test. The examination revealed a leakage from both number one and two cylinders. The two cylinders were removed and sent to the NTSB Lab in Washington, DC for further examination. The examination involved the removal of the intake and exhaust valves from the number one cylinder assembly. The number two cylinder assembly and piston were submitted for comparison purposes. Examination of the number one exhaust valve revealed a fracture. Visual examination of the fracture with the aid of a bench binocular microscope revealed the presence of a crack that initiated in the radius between the stem and the head of the valve.

Probable Cause and Findings

SEPARATION OF THE NUMBER ONE EXHAUST VALVE DUE TO FATIGUE CRACKING WHICH RESULTED IN LOSS OF ENGINE POWER. OTHER RELATED FACTORS WERE MISJUDGMENT OF ALTITUDE AND AIRSPEED BY THE PILOT RESULTING IN ON GROUND COLLISION WITH THE TERRAIN AND SUBSEQUENT NOSE OVER.

 

Source: NTSB Aviation Accident Database

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