Aircraft Accident/Incident Report

Vacaville, California 95688
Friday, February 26, 1999 13:30 PST

NTSB Narrative Summary Released at Completion of Accident

The pilot made a forced landing into rough terrain following a bang and sudden loss of engine power. The engine had accumulated about 70 hours since overhaul. The sump contained a connecting rod, a wrist pin, bearings, many pieces of metal debris, and several rod cap bolts and nuts. None of the rod cap bolts in the sump were intact. They were all bent, fractured, and separated approximately at their midpoint. The pieces were covered with oil. The connecting rods for cylinders number two and four were leaning on the camshaft. The camshaft was not discolored. The crankshaft did not show evidence of discoloration or mechanical damage. A report of metallurgical testing of various engine pieces and their fracture surfaces strongly suggested that the nuts were not tightened on the connecting rod bolts according to specifications. A bolt that corresponded to the head of the bolt from cylinder number two exhibited failure characteristics of low cycle-high stress reverse bending fatigue. Reverse bending fatigue is indicative of an under-torqued bolt. The inspection revealed additional evidence that some of the nuts were not tightened to specification. Some bolts had flattened and polished bolt threads, as well as wear marks on the bolt's outer diameters. Some nut threads had only one end flattened. No fractured bolt had a nut on it except the fatigued bolt.

NTSB Probable Cause Narrative

The failure of the engine assembler to apply the proper torque on the connecting rods bolts, which led to fatigue cracking and ultimately fracture of the rod bolts.

Event Information

Type of Event Accident
Event Date 2/26/1999
Event Day of the Week Friday
Time of Event 1330
Event Time Zone Pacific Standard Time
Event City VACAVILLE
Event State CALIFORNIA
Event Country --
Zipcode of the event site 95688
Event Date Year 1999
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1355 Pacific Standard Time
Direction of event from weather observation facility (degrees) 130
Weather Observation Facility ID SUU
Elevation of weather observation facility 62
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 20000
Lowest Non-Ceiling Height 10000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 25
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 6
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Variable
Wind Speed (knots) 3
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor 1
Injury Total None 1
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 1893
NTSB Notification Source --
NTSB Notification Date Feb 26 1998 12:00AM
NTSB Notification Time 1543
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record May 19 2001 4:45AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N36VR
NTSB Number LAX99LA111
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name COOPER
Aircraft Model VANS RV-6
Aircraft Series Identifier VANS RV-6
Aircraft Serial Number 24999
Certified Max Gross Weight 1600
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? Yes
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Sep 9 1998 12:00AM
Airframe hours since last inspection 67
Airframe Hours 67
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name MARCUS COOPER III
Aircraft Owner Street Address
Aircraft Owner City HANFORD
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 93230
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code O45
Departure City
Departure State
Departure Country
Departure Time 1310
Departure Time Zone PST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record May 19 2001 4:08AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --