Aircraft Accident/Incident Report

Palos Verdes, California 90274
Saturday, August 20, 2005 14:20 PDT

NTSB Narrative Summary Released at Completion of Accident

During a banner towing flight over the ocean along the coast, the engine lost power and the airplane ditched in the water. While in cruise flight, the engine began to run rough and lose a significant amount of power. The pilot attempted corrective measures (applying and removing carburetor heat and releasing the banner), but the airplane continued to lose power. The engine was not producing enough power for continued flight and the pilot landed in the water short of the beach. When the airplane hit the water, it nosed over and came to rest inverted. Post accident examination revealed that the number 4 piston had fractured around the circumference of the piston just above the connecting rod pin and had beach mark signatures consistent with cyclic fatigue. Fractured pieces of the piston were found in the oil sump. The aft piston pin end cap was worn and burnished. The forward piston pin end cap separated from the piston pin, with fracture surface signatures consistent with overload. The rod journal bearing was also worn and burnished. The number 4 connecting rod journal of the crankshaft was cracked and the connecting rod cheek on the crankshaft was fractured perpendicular to the rod journal. The journal cheek fracture exhibited beach marks consistent with cyclic fatigue. The fracture had an irregular shape that provided a "key" that maintained rotational continuity of the crankshaft during operation; however, the fracture also allowed the crankshaft to flex. Flexing of the crankshaft induced a rotational misalignment of the connecting rod, which in turn induced the cyclic fatigue failure of the piston. This condition was likely on-going for some time prior to the final fatigue failure. Copious amounts of small metal debris and flakes were retrieved from the oil pressure filter screen that were consistent with the rod end cap bearing material and should have been apparent if the screen and filter were being checked for contaminants on a regular basis. Lycoming Mandatory Service Bulletin (SB) No. 480E recommends an oil change, pressure screen cleaning and oil sump screen check at 25-hour intervals. The SB continues that observation of abnormal metal content during the service may indicate additional service is required. Examination of maintenance records revealed that it had been 112 hours since the last 100-hour inspection at the time of the accident. The aircraft and engine logbooks contained no record of the operator following the recommended procedures as set forth in SB 480E.

NTSB Probable Cause Narrative

a loss of engine power due to the cyclic fatigue failure and separation of the number 4 piston.

Event Information

Type of Event Accident
Event Date 8/20/2005
Event Day of the Week Saturday
Time of Event 1420
Event Time Zone Pacific Daylight Time
Event City Palos Verdes
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90274
Event Date Year 2005
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 334612N
Event Location Longitude 1182500W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1750 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 30
Weather Observation Facility ID TOA
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 4
Time Zone of the weather observation PDT
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) 24
Dew Point at event time (in degress fahrenheit) 7
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 14
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.97
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 20980
NTSB Notification Source FAA
NTSB Notification Date Aug 20 2005 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 26 2007 11:14AM
User who most recently changed record NTSB\lema
Basic weather conditions Visual Meteorological Cond
FAA District Office Federal Aviation Administration Long Beach FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N294T
NTSB Number LAX05LA273
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-18-105
Aircraft Series Identifier --
Aircraft Serial Number 182468
Certified Max Gross Weight 1600
Aircraft Category Airplane
Aircraft Registration Class --
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 Mar 1 2005 12:00AM
Airframe hours since last inspection 120
Airframe Hours 12589
ELT Installed No
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Van Wagner Aerial Media LLC
Aircraft Owner Street Address 1600 E. Airport Road
Aircraft Owner City Hollywood
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 33023
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) Banner Tow
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code LGB
Departure City LONG BEACH
Departure State CA
Departure Country USA
Departure Time 1205
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 Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 5 2006 6:04PM
User who most recently changed record COOS
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --