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March 25, 2009 · Reimus Sonex FR1 · N1006N

Paso Robles, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
March 25, 2009
Injury Outcomes
1 injury (1 serious injury)
Location
Paso Robles, CA
Aircraft
Reimus Sonex FR1
Tail Number
N1006N
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
WPR09LA166

During cruise flight, the engine of the experimental amateur-built airplane began to run rough and then lose all power. The pilot/builder then performed a forced landing in a vineyard. During the landing sequence, the airplane struck a trellis and sustained substantial damage to the firewall and right wing. Postaccident examination of the engine revealed that the valve clearance for three of the cylinder head rocker arms was beyond adjustment tolerances; additionally, one of the pushrods was loose within the cylinder head and did not make contact with its associated rocker arm. The pilot performed maintenance about 24 flight hours prior to the accident flight which included adjusting the rocker arm valve clearance. The pilot noted in the engine logbook that the valves were gapped at the manufacturer’s recommended setting. The pilot was not aware of the engine manufacturer's requirement to apply a specific torque to the valve rocker adjustment nuts during adjustment, and as such, did not tighten the nuts to the recommended torque level.

NTSB Probable Cause

A total loss of engine power during cruise flight due to the pilot/builder’s failure to follow the engine manufacturer’s maintenance instructions and apply the correct torque to the rocker arm nuts during maintenance.

Full Narrative

HISTORY OF FLIGHT On March 25, 2009, about 1040 Pacific daylight time, an experimental amateur-built Reimus Sonex FR1, N1006N, collided with terrain during a forced landing near Paso Robles, California. The pilot/builder was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. The certificated sport pilot sustained serious injuries; the airplane sustained substantial damage to the firewall and right wing. The local flight departed Paso Robles Municipal Airport about 1010. Visual meteorological conditions prevailed, and no visual flight rules flight plan had been filed. The pilot reported departing Paso Robles Municipal Airport and flying for about 30 minutes when the engine began to run rough. He changed heading towards the airport in preparation for a precautionary landing, but shortly thereafter the engine lost all power. The pilot then performed a forced landing in a vineyard; during the landing the airplane struck a trellis. The airplane came to rest intact in a nose down attitude with the tail section resting on a 5-foot-tall trellis. First responders reported the presence of fuel on the ground in the area surrounding the nose of the airplane. One propeller blade was observed undamaged; the second blade was fractured midspan with aft bending of the tip. AIRCRAFT INFORMATION The two-seat, experimental amateur-built airplane was issued a Special Airworthiness Certificate on October 18, 2006. It was powered by a four-cylinder, air-cooled, AeroConversions Inc. AeroVee 2180cc engine, and equipped with a two-blade wooden propeller. AeroConversions supplied the engine to the pilot as a kit in 2005. The pilot completed the assembly of the engine later that year, 50.2 flight hours prior to the accident. According to the engine maintenance logbook, the last documented maintenance was performed on February 14, 2008, 23.42 flight hours prior to the accident. The entry, signed by the pilot, stated, "Retorqued head, valves at 0.006 gap changed oil. Reset maintenance to 25.0 hours." TESTS AND RESEARCH Post accident examination of the engine revealed that the number four cylinder head exhaust valve rocker arm adjustment nut was loose, and had rotated towards the end of its travel. Additionally, the valve clearances for the number one cylinder exhaust and intake valves, and the number four cylinder intake valves, were between 3/16 and 3/8 inches. The associated pushrods were observed loose within their cylinder heads; the pushrod for the number four exhaust valve did not make contact with the rocker arm. The AeroVee engine assembly manual recommended that the rocker arm valve clearance be set to 0.006 inches. Additionally, it stated that the torque for the rocker arm adjusting nuts be set to 14 foot-pounds. The pilot reported that he was not aware of the manufacturer’s recommendation to apply a torque of 14 foot-pounds to the rocker arm nuts during the adjustment of the valve clearance.

Flight

Event TypeAccident
Event Time10:40 PDT
Nearest AirportPaso Robles Municipal Airport (3nm)
Flight Plan FiledUnknown
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftReimus Sonex FR1
Tail NumberN1006N
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsAerovee · Reciprocating
Seats2

People & Injuries

Injury Summary1 injury (1 serious injury)
Fatal0
Serious1
Minor0
Uninjured0
Total1
Crew 1Age 75 · None · Serious

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point55 / 43 C
Altimeter30.00 inHg
Observation Time17:53
Weather SourceWFAC

Appendix: Source Data