Borrego Valley Airport
Aircraft Accident/Incident Report

Borrego Springs, California 92004
Sunday, February 6, 1994 15:28 PST

NTSB Narrative Summary Released at Completion of Accident

While in cruise, the pilot noticed that his engine began running roughly. He made a precautionary landing at a nearby airport, but was unable to identify the problem. A second ground run-up developed only 2,100 rpm's at full throttle. He then called the operator. After a discussion, he decided that if the engine performance improved, he would fly back. On the next run-up, the rpm improved in the 2,200-to-2,300 rpm range, and the pilot felt this was fine for takeoff. The takeoff roll seemed slower than normal, so he decided to climb over the airport in case of an emergency. On climbout at 100-to-200 feet agl, the engine again began running roughly. He began a shallow turn back toward the runway, and lost control of the aircraft. The aircraft stalled, impacted the ground, and nosed over. An inspection of the engine showed the rocker arm boss on the No. 1 cylinder had fractured due to fatigue cracking. Lab analysis showed the boss was welded during cylinder overhaul, a procedure not allowed by Continental.

NTSB Probable Cause Narrative

1) the pilot's decision to takeoff in an aircraft with a known, yet unresolved, engine performance deficiency, and 2) the pilot's failure to maintain an adequate airspeed while maneuvering back to the runway. A factor in the accident was the weld repair of the cylinder head rocker arm boss during overhaul, which led to a fatigue failure of the component.

Event Information

Type of Event Accident
Event Date 2/6/1994
Event Day of the Week Sunday
Time of Event 1528
Event Time Zone Pacific Standard Time
Event City BORREGO SPRINGS
Event State CALIFORNIA
Event Country --
Zipcode of the event site 92004
Event Date Year 1994
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport BORREGO VALLEY
Event Location Nearest Airport ID L08
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 520
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1452 Pacific Standard Time
Direction of event from weather observation facility (degrees) 10
Weather Observation Facility ID TRM
Elevation of weather observation facility 117
Distance of event from weather observation facility (units?) 27
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 27000
Lowest Non-Ceiling Height 16000
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) 30
Air Temperature at event time (in degrees celsius) 22
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 120
Variable Wind Indicator Unknown
Wind Speed (knots) 10
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 204
NTSB Notification Source --
NTSB Notification Date Feb 6 1994 12:00AM
NTSB Notification Time 1709
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 6 2000 10:40AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8855S
NTSB Number LAX94LA114
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 CESSNA
Aircraft Model 150F
Aircraft Series Identifier 150F
Aircraft Serial Number 15062155
Certified Max Gross Weight 1600
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
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 100 Hour
Date of Last Inspection Aug 30 1993 12:00AM
Airframe hours since last inspection 92
Airframe Hours 7053
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name DAVID C. BRATTON/ JOEL D. LUTH
Aircraft Owner Street Address P.O. BOX 90895
Aircraft Owner City SAN DIEGO
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 92109
Operator is an individual? --
Operator Name PLUS ONE FLYERS, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 3417 HUGO ST.
Operator City SAN DIEGO
Operator State CA
Operator Country
Operator Zip code 92106
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
Departure City
Departure State
Departure Country
Departure Time 1528
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code MYF
Destination City SAN DIEGO
Destination State CA
Destination Country
Specific Phase of Flight Takeoff
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 25
Runway Length 5000
Runway Width 75
Sight Seeing flight No
Air Medical Flight No
Medical Flight --