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NTSB Report

July 17, 2018 · Aero Commander S2R · N5553X

Vinton, IA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
July 17, 2018
Injury Outcomes
No injuries (1 uninjured)
Location
Vinton, IA
Aircraft
Aero Commander S2R (1973)
Tail Number
N5553X
Operator
Noe Aviation
Injuries
None
Aircraft Damage
Substantial
NTSB Number
CEN18LA278

The pilot stated that on final approach, he slowed the airplane for landing. When the airplane crossed the end of the runway, he reduced the throttle back, but the airplane would not slow, so he executed a go-around. During the go-around, the engine lost partial power and would not respond to the pilot’s throttle inputs. The pilot then executed a forced landing in a cornfield, and the airplane sustained substantial damage to the fuselage and empennage. Examination of the throttle control system revealed that the interlocking teeth mechanisms between the carburetor lever stop assembly and the throttle control lever were worn and lost integrity to interconnect. The teeth on the lever stop assembly were severely worn. Thus, it is likely that during the accident flight, when the pilot actuated the throttle control lever, the throttle control system failed when the worn-down teeth on the lever stop would not engage the teeth on the mating throttle control lever. This caused a loss of the throttle lever input, which allowed the engine to enter a low rpm condition. The material examination also noted a mismatch in hardness of the associated parts; although the hardness values were typical for the respective part compositions and microstructures, the mismatch in hardness lent itself to higher wear rates. A review of the airplane’s maintenance records revealed that the carburetor had been removed for overhaul and reinstalled 135 hours before the accident. It is likely that maintenance personnel reinstalled the worn parts without thoroughly inspecting them.

NTSB Probable Cause

Loss of throttle control input due to a failure in the throttle control system. Contributing to the accident was the inadequate inspection and reinstallation of worn parts by maintenance personnel.

Full Narrative

On July 17, 2018, about 1345 central daylight time, an Aero Commander S2R airplane, N5553X, was substantially damaged when it was involved in an accident near Vinton, Iowa. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 137 aerial application flight. The pilot stated he departed about 1254 from Vinton Veterans Memorial Airpark (VTI), Vinton, Iowa, with a load of fungicide. He sprayed two fields and had emptied all the fungicide in the airplane’s hopper. He reported that the takeoff, flight to and from the fields, and flight while spraying the fields were uneventful. He then headed back to VTI for a straight-in approach for runway 9. At 1/2 mile out on short final, he slowed the airplane for landing, and when the airplane crossed the end of the runway, he reduced the throttle back to the normal landing position. After a couple of seconds, the pilot realized the airplane was not slowing down. He then reduced the throttle back more, and the engine rpms did not drop. At that point, the airplane was almost halfway down the runway, and the pilot decided to go around. The pilot stated that he advanced the throttle, the airspeed increased, and he proceeded to go around. The pilot flew the pattern back around and was almost abeam the landing threshold when he had to increase the throttle to maintain engine rpms. He stated that when he turned to final, he reduced power “just a little bit” and the engine lost “most” of its power. The pilot stated he pushed the throttle full forward and moved it back and forward again with no response from the engine. The pilot chose to conduct a forced landing in a sandy cornfield to the right of the approach end of runway 9, and the airplane sustained substantial damage to the fuselage and empennage. Examination of the throttle control system revealed that teeth on the carburetor lever stop assembly and throttle control lever were worn out and no longer interconnected (see Figure 1); the lever stop assembly teeth were noted to be severely worn. When the throttle control lever was actuated, the worn-down teeth of the mating parts would glide over each other with no respective response from the carburetor lever stop assembly. The castellated hex retaining nut was found properly cotter pinned. Upon removal of the cotter pin, the nut could not be tightened to the next accessible castellation. The lever stop assembly roll pin was tight and had to be removed with a drift punch. Both levers fit tight on the throttle shaft. A logbook review indicated that a carburetor overhaul and installation was completed 135 hours before the accident. The associated parts were removed and sent to the National Transportation Safety Board Materials Laboratory for further examination, which revealed that the lever stop assembly had a composition consistent with aluminum alloy, while the composition of the throttle control lever was carbon steel. The hardness of the steel throttle control lever averaged 52 HRA and the hardness of the aluminum lever stop averaged 34 HRA; these data were typical for the respective part compositions and microstructures. Figure 1: Diagram of Throttle Control Lever and Lever Stop from Accident Airplane with Inset Photo of Worn Teeth The carburetor was removed for examination and bench testing. The carburetor passed the bench test, and no anomalies were found that would have precluded normal operation.

Flight

Event TypeAccident
Event Time13:45 CDT
Nearest AirportVinton Veterans Memorial Airpo (1nm W)
Runway09
Runway Length4000 ft
Runway Width70 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftAero Commander S2R
Tail NumberN5553X
Aircraft CategoryAir
DamageSubstantial
OperatorNoe Aviation
Operating RulePart 137
Engines1
Engine TypeReciprocating
Engine DetailsPratt And Whitney · R-1340-S3H1-G · Reciprocating · 600
Seats1

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 49 · Second Class · None

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point57
Altimeter30.11 inHg
Observation Time13:35
Weather SourceWFAC

Appendix: Source Data