Aircraft Accident/Incident Report

Bonners Ferry, Idaho 83805
Tuesady, September 29, 1998 14:54 PDT

NTSB Narrative Summary Released at Completion of Accident

During the initial climb following a touch-and-go landing, the engine sputtered twice and the pilot-in-command initiated an emergency landing. The field of choice was obstructed with construction equipment and she chose an alternate field. She retarded the throttle to idle, lowered full flaps, and slipped the aircraft to land as expeditiously as possible; and then steered the aircraft into small trees and brush to avoid going over an embankment. Post-crash examination revealed all 3 bosses of the #3 cylinder broken, thus rendering the intake/exhaust valves permanently closed. Metallurgical examination revealed that the separation of the rocker arm shaft bosses was initiated by fatigue cracking in the boss located adjacent to the exhaust valve. Further examination revealed the presence of heavy tool marks on the bore surface of all three bosses. The heavy manual cutting of the bore surface is not authorized by the engine manufacturer and the surface created by this procedure did not meet the engine manufacturer requirements for surface finish in the bore of the bosses. A review of the aircraft's engine log revealed an overhaul 645.4 hours previous to the accident. The overhaul facility reported that all 4 cylinders were outsourced during the overhaul procedure.

NTSB Probable Cause Narrative

Improper maintenance by an outsourcing facility which resulted in a lack of identification of scoring of the interior of the #3 cylinder rocker shaft bosses. The scoring resulted in a fatigue fracture and subsequent permanent closure of both intake and exhaust valves. Contributing factors were the lack of a suitable landing site and trees.

Event Information

Type of Event Accident
Event Date 9/29/1998
Event Day of the Week Tuesday
Time of Event 1454
Event Time Zone Pacific Daylight Time
Event City BONNERS FERRY
Event State IDAHO
Event Country --
Zipcode of the event site 83805
Event Date Year 1998
Event Date Month 9
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 Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1454 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 182
Weather Observation Facility ID COE
Elevation of weather observation facility 2318
Distance of event from weather observation facility (units?) 60
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) 6
Wind Direction (degrees magnetic) 250
Variable Wind Indicator Unknown
Wind Speed (knots) 8
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 None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 1588
NTSB Notification Source --
NTSB Notification Date Sep 29 1998 12:00AM
NTSB Notification Time 1755
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Feb 23 2001 1:57PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N19427
NTSB Number SEA98LA190
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 150L
Aircraft Series Identifier 150L
Aircraft Serial Number 15074415
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 Annual
Date of Last Inspection Mar 4 1998 12:00AM
Airframe hours since last inspection 185
Airframe Hours 5306
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name JACOBSON & STRUDER
Aircraft Owner Street Address RR4, PO BOX 5404
Aircraft Owner City BONNERS FERRY
Aircraft Owner State ID
Aircraft Owner Country
Aircraft Owner Zipcode 83805
Operator is an individual? --
Operator Name JACOBSON, SANDRA, L.
Operator Same as Owner? No
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 65S
Departure City
Departure State
Departure Country
Departure Time 1345
Departure Time Zone PDT
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 --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 23 2001 1:57PM
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 --