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Aviation safety reports, made easier to study

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December 9, 1990 · De Havilland DHC-6-100 · N121PM

Perris Valley, CA

Overview

Report Status
Probable Cause
Event Type
Accident
Date
December 9, 1990
Injury Outcomes
1 injury (1 minor injury), 20 uninjured
Location
Perris Valley, CA
Aircraft
De Havilland DHC-6-100
Tail Number
N121PM
Operator
One Papa Mike
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
LAX91FA052

AFTER LIFT-OFF, AT ABOUT 100 FT AGL AND 85 KTS, THE LEFT ENG DECELERATED AND THE AIRPLANE BEGAN TO YAW AND ROLL LEFT. THE PIC ABORTED THE TAKEOFF, TURNED LEFT AND LANDED ON A FLAT LEVEL FIELD. THE AIRPLANE STRUCK A FENCE, THEN TREES. EXAMINATION OF THE LEFT ENG REVEALED THE LOSS OF POWER WAS ATTRIBUTED TO A FATIGUE FRACTURE OF A COMPRESSOR TURBINE BLADE, WHICH LED TO SUBSEQUENT BLADE FRACTURES. THE RIGHT ENG WAS EXAMINED AND FOUND TO HAVE ADVANCE WEAR ON THE THROTTLE CAM ASSEMBLY OF THE POWER TURBINE GOVERNOR. IN A TEST CELL, ONLY APRX 28% OF TAKEOFF POWER COULD BE ACHIEVED. THE CAM LOBE WEAR HAD PROGRESSED OVER AN EXTENDED PERIOD OF TIME. THE RIGHT ENGINE PROP GOVERNOR WAS REPLACED 11/18/90, FOLLOWED BY A TEST RUN.

NTSB Probable Cause

A LOSS OF POWER ON THE LEFT ENGINE DUE TO A FATIGUE FAILURE OF A COMPRESSOR TURBINE BLADE LEADING TO FURTHER COMPRESSOR BLADE DAMAGE; A WORN POWER TURBINE GOVERNOR THROTTLE CAM ASSEMBLY WHICH LED TO LOSS OF POWER ON THE RIGHT ENGINE; AND INADEQUATE MAINTENANCE AND INSPECTION BY THE OPERATOR.

Full Narrative

AFTER LIFT-OFF, AT ABOUT 100 FT AGL AND 85 KTS, THE LEFT ENG DECELERATED AND THE AIRPLANE BEGAN TO YAW AND ROLL LEFT. THE PIC ABORTED THE TAKEOFF, TURNED LEFT AND LANDED ON A FLAT LEVEL FIELD. THE AIRPLANE STRUCK A FENCE, THEN TREES. EXAMINATION OF THE LEFT ENG REVEALED THE LOSS OF POWER WAS ATTRIBUTED TO A FATIGUE FRACTURE OF A COMPRESSOR TURBINE BLADE, WHICH LED TO SUBSEQUENT BLADE FRACTURES. THE RIGHT ENG WAS EXAMINED AND FOUND TO HAVE ADVANCE WEAR ON THE THROTTLE CAM ASSEMBLY OF THE POWER TURBINE GOVERNOR. IN A TEST CELL, ONLY APRX 28% OF TAKEOFF POWER COULD BE ACHIEVED. THE CAM LOBE WEAR HAD PROGRESSED OVER AN EXTENDED PERIOD OF TIME. THE RIGHT ENGINE PROP GOVERNOR WAS REPLACED 11/18/90, FOLLOWED BY A TEST RUN.

Flight

Event TypeAccident
Event Time14:00 PST
Nearest AirportPerris Valley (0nm N)
Runway15
Runway Length5100 ft
Runway Width65 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftDe Havilland DHC-6-100
Tail NumberN121PM
Aircraft CategoryAir
DamageSubstantial
OperatorOne Papa Mike
Operating RulePart 91
Engines2
Engine TypeTurboprop
Engine DetailsP&W · PT6-20 · Turboprop · 550
Seats2

People & Injuries

Injury Summary1 injury (1 minor injury), 20 uninjured
Fatal0
Serious0
Minor1
Uninjured20
Total21
Crew 1Age 36 · Second Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility20 sm
CeilingNone
Temperature / Dew Point70 F / 0 C
Altimeter0
Weather SourcePILO

Appendix: Source Data