Aircraft Accident/Incident Report

Sebastian, Florida 32958
Tuesady, July 1, 2003 12:40 EDT

NTSB Narrative Summary Released at Completion of Accident

The pilot stated that about 10 minutes after takeoff during cruise flight at 1,500 feet with the passenger flying the airplane, the engine briefly "shuddered", and the rpm dropped to 2,000, then to zero. He took the controls and attempted to restore engine power but was unsuccessful. He maneuvered the airplane for a forced landing in a field, and when the flight was approximately 20 feet above ground level he recognized there were drainage ditches in the field. The airplane was landed in the field, and during the landing roll the nose landing gear collapsed after traveling into a ditch. The airplane then slid into a second ditch, and came to rest approximately 158 feet from the first ditch impact location. Examination of the engine revealed the crankshaft was fractured at the No. 3 cylinder connecting rod journal; there was no evidence of lack of lubrication or fretting on the faying surfaces of the crankcase halves. Metallurgical examination of the crankshaft revealed the fracture surface was located in the aft radius of the No. 3 connecting rod journal; fatigue progression was noted to initiate from the intersection of the radius and the journal. The fracture propagated in a plane perpendicular to the journal surface from a single origin. The fatigue initiation site did not contain scoring marks or scratches. All connecting rod journals measured 2.114 inches. The No. 3 connecting rod journal superficial macro hardness was slightly below the minimum specified limit, while the core hardness was within limits. The overall aft radius was determined to be 0.152 inch, while a localized transition radius of .015 inch at the fatigue origin location was noted. The crankshaft had been to two FAA certified repair stations (FAA CRS), the first time on December 14, 1991, and the second time on August 2, 2001. Both repair stations rejected the crankshaft due to a crack in the No. 1 main bearing area. The records from the facility that inspected the crankshaft in 2001 indicate the No. 3 connecting rod journal measured 2.1193 inches at the time it was rejected; no work was performed to it. The owner reported that following the rejection in 2001, he took the crankshaft to another FAA CRS who reportedly ground two connecting rod journals and polished the crankshaft. The owner did not have a receipt or yellow tag for the work performed to the crankshaft. The engine was assembled, and had been operated 87.8 hours since being reassembled at the time of the crankshaft failure. The president of the FAA CRS that the owner of the airplane reported last worked on the crankshaft reported he did not have any records pertaining to the accident crankshaft. He also reported that he voluntarily closed his business in August 2002, to retire.

NTSB Probable Cause Narrative

The improper repair of the crankshaft by a FAA Certified Repair Station resulting in fatigue failure and subsequent total loss of engine power. A factor in the accident was the rough/uneven terrain encountered by the pilot during the landing roll in a field.

Event Information

Type of Event Accident
Event Date 7/1/2003
Event Day of the Week Tuesday
Time of Event 1240
Event Time Zone Eastern Daylight Time
Event City Sebastian
Event State FLORIDA
Event Country --
Zipcode of the event site 32958
Event Date Year 2003
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 274900N
Event Location Longitude 0804100W
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 1253 Eastern Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID KVRB
Elevation of weather observation facility 24
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 31
Dew Point at event time (in degress fahrenheit) 24
Wind Direction (degrees magnetic) 130
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 15
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.11
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None --
Injury Total Serious 1
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 16571
NTSB Notification Source Accident/Incident Notice
NTSB Notification Date Jul 3 2003 12:00AM
NTSB Notification Time 1229
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Oct 28 2004 10:11AM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office Orlando, Florida

Aircraft Involved

Aircraft #1

Aircraft Registration Number N51576
NTSB Number MIA03LA139
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Samual G. DaSilva
Aircraft Model Velocity
Aircraft Series Identifier --
Aircraft Serial Number DMO-0112
Certified Max Gross Weight --
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 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Conditional
Date of Last Inspection Mar 11 2003 12:00AM
Airframe hours since last inspection 24.1
Airframe Hours 760
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Samuel G. DaSilva
Aircraft Owner Street Address 14412 Mooring Drive
Aircraft Owner City Seminole
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 34646
Operator is an individual? No
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? --
Certified for Part 133 or 137 Operation --
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 Yes
Departure Point Same as Event No
Departure Airport Code X26
Departure City Sebastion
Departure State FL
Departure Country USA
Departure Time 1230
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code KPIE
Destination City St. Petersburg
Destination State FL
Destination Country USA
Specific Phase of Flight Landing
Report sent to ICAO? No
Evacuation occurred Yes
Date of most recent change to record Aug 27 2004 9:54AM
User who most recently changed record KENJ
Since inspection or accident Last Inspection
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --