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July 17, 1995 · Air Tractor AT-301 · N4326S

Roberts, ID

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
July 17, 1995
Injury Outcomes
No injuries (1 uninjured)
Location
Roberts, ID
Aircraft
Air Tractor AT-301
Tail Number
N4326S
Operator
Lewis Flying Service
Injuries
None
Aircraft Damage
Substantial
NTSB Number
SEA95LA154

THE PILOT REPORTED THAT SHORTLY AFTER TAKEOFF, AT 40 FEET ABOVE GROUND LEVEL, THE ENGINE LOST POWER AND BEGAN BACKFIRING. THE PILOT MADE A FORCED LANDING IN A BARLEY FIELD WITH 3-FOOT-TALL CROPS, AND THE AIRPLANE CARTWHEELED. POSTACCIDENT EXAMINATION OF THE ENGINE REVEALED THAT THE EXHAUST VALVE ROCKER ARM HOUSING ON THE NUMBER 3 CYLINDER SEPARATED, DISABLING THE NUMBER 3 CYLINDER EXHAUST VALVE.

NTSB Probable Cause

A LOSS OF ENGINE POWER DUE TO THE SEPARATION OF THE NUMBER 3 CYLINDER EXHAUST VALVE ROCKER ARM SHAFT FROM THE CYLINDER HEAD, WHICH DISABLED MOVEMENT OF THE EXHAUST VALVE. A FACTOR WAS THE LACK OF SUITABLE TERRAIN FOR THE FORCED LANDING.

Full Narrative

On July 17, 1995, at 0815 mountain daylight time, an Air Tractor 301, N4326S, owned by Lewis Flying Service, Inc., a 14 CFR 137 agricultural aircraft operator certificate holder, received substantial damage in a forced landing following a loss of engine power on takeoff from the pilot's private airstrip near Roberts, Idaho. The commercial pilot, a co-owner of the single-seat agricultural aircraft, was not injured. The flight was a 14 CFR 91 positioning flight to Rigby, Idaho. Visual meteorological conditions existed and no flight plan had been filed. The pilot stated in his report on the accident: "During climb- out at approx[imately] 40 foot altitude engine lost power and [began] backfiring. All terrain (360 deg) was cultivated fields with near mature crops...Established glide into barley field - 3 foot tall crop...attempted soft-field landing. Wheels contacted barley; aircraft immediately pitched over and cartwheeled on left wing...." A post-accident inspection of the Pratt & Whitney R-1340-AN1 radial engine revealed that the boss securing the exhaust valve rocker arm shaft to the number 3 cylinder head had separated from the cylinder head, allowing the entire rocker arm to move freely rather than pivot. This failure prevented the number 3 cylinder's exhaust valve from opening during engine operation. No other evidence of engine damage or malfunction was noted. According to the accident report and copies of the aircraft and engine logs submitted by the airplane's owner, the engine had been operated 201.3 hours since the airplane's last inspection (an annual inspection conducted on April 7, 1995), and 233.8 hours since its last overhaul. The engine was installed on the airplane at zero time since overhaul on August 7, 1994 according to the engine log. The FAA publication, "General Aviation Airworthiness Alerts" (AC 43-16), December 1995 issue, which the FAA distributes to FAA- certificated Inspection Authorization (IA) airframe and powerplant mechanics, contained an advisory for cylinder cracks on Pratt & Whitney model R-1340 engines. The advisory reported: "After receiving reports from three engine overhaul shops concerning cracks in the cylinder exhaust rocker shaft housing area, an investigation and interviews suggest this may be a systematic problem. Two repair stations stated they reject approximately 3 percent of the cylinders passing through their shops for this type defect. The defects in the exhaust rocker shaft housings range from slight cracking to complete separation of the housing above the rocker shaft....The Service Difficulty Reporting (SDR) data base revealed 42 similar reports, and 7 others which may have been related to this topic....the exact cause for cracking in this area has not been determined...Since the rocker shaft uses an 'O-ring' seal under each of the nuts, it is possible that when oil seepage is found, the nuts are tightened beyond the torque limits established by the manufacturer's maintenance manual....It is also possible that thermal expansion and contraction...may result in this type defect....It would be wise to pay close attention to this area during scheduled inspections."

Flight

Event TypeAccident
Event Time08:15 MDT
Nearest Airport0nm
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftAir Tractor AT-301
Tail NumberN4326S
Aircraft CategoryAir
DamageSubstantial
OperatorLewis Flying Service
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsP&W · R-1340-AN1 · Reciprocating · 600
Seats1

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 50 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind350° @ 5 kt
Visibility60 sm
CeilingNone
Temperature / Dew Point57 / 48
Altimeter30.00 inHg
Observation Time13:45
Weather SourceWFAC

Appendix: Source Data