Individually Owned: 150,657
Corporate Owned: 137,281
Spirit Of St. Louis Airport
Aircraft Accident/Incident Report
Chesterfield, Missouri 63005
Wednesday, May 23, 2007 15:40 CDT
NTSB Narrative Summary Released at Completion of Accident
Shortly after takeoff the pilot experienced a loss of power on the right engine. He attempted to return to the airport to land, but determined that he was not going to reach the runway so he elected to land on a dirt field. He flew under power lines that were in his flight path and attempted to flare the airplane prior to it impacting the terrain. The airplane was equipped with Teledyne Continental GTSIO-520 engines. Post accident examination of the right engine revealed that all of the teeth on the starter adapter gear and several of the teeth on the crankshaft gear were missing. Several gear teeth and metal filings were located in the oil sump. The torsional damper to shaft gear woodruff key was sheared. The torsional damper was placed on a test bench to determine the damping time. The consecutive tests averaged a damping time of 6.9 seconds. The damping time of a new damper is min/max 1.5 to 3.125 seconds. Metallurgical examination revealed 15 starter gear teeth and 11 crankshaft gear teeth were fractured near their root. No indications of preexisting cracking were noted. At least two of the starter gear teeth and several of the crankshaft gear teeth displayed spalling and wear at the pitch line of the teeth. On June 13, 1994, Teledyne Continental issued a Mandatory Service Bulletin, MSB94-4, addressing the possible failure of the starter adapter gear and/or crankshaft gear on GTSIO-520 and GIO-550 engines. On October 31, 2005, Teledyne Continental issued revision, MSB94-4G. The service bulletin called for an inspection of the starter adapter viscous damper and shaft gear backlash every 100 hours of engine operation, and a visual inspection of the starter adapter shaft and crankshaft gear teeth for spalling, pitting, and wear, every 400 hours of engine operation. The Federal Aviation Administration (FAA) issued Airworthiness Directive (AD) 2005-20-04, effective November 1, 2005, requiring compliance with the Teledyne Continental Mandatory Service Bulletin. Maintenance records showed the mandatory service bulletin had been complied with when the right engine was overhauled and installed in March 2001. There was no indication in the maintenance records that either the mandatory service bulletin or the AD had been complied with since the engine was installed. The engine had a total time of 541.9 hours at the time of the accident. The pilot did not follow the published emergency procedures.
NTSB Probable Cause Narrative
Maintenance personnel failed to comply with an Airworthiness Directive which resulted in the total failure of the starter adapter gear teeth and the crankshaft gear teeth and the pilot failed to follow the published emergency procedures. Contributing to the accident were the low altitude at which the loss of power occurred, the power lines, and the unsuitable terrain which prevented the pilot from adequately flaring the airplane and resulted in the subsequent hard landing.
Event Information
| Type of Event | Accident |
| Event Date | 5/23/2007 |
| Event Day of the Week | Wednesday |
| Time of Event | 1540 |
| Event Time Zone | Central Daylight Time |
| Event City | Chesterfield |
| Event State | MISSOURI |
| Event Country | -- |
| Zipcode of the event site | 63005 |
| Event Date Year | 2007 |
| Event Date Month | 5 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 383944N |
| Event Location Longitude | 0903907W |
| Event Location Airport | Spirit of St. Louis |
| Event Location Nearest Airport ID | SUS |
| 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 | 463 |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1545 Central Daylight Time |
| Direction of event from weather observation facility (degrees) | -- |
| Weather Observation Facility ID | SUS |
| Elevation of weather observation facility | 463 |
| Distance of event from weather observation facility (units?) | -- |
| Time Zone of the weather observation | CDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | 8500 |
| Lowest Non-Ceiling Height | 6500 |
| Sky/Lowest/Cloud Conditions | Scattered |
| Sky Condition for Lowest Ceiling | Broken |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 10 |
| Air Temperature at event time (in degrees celsius) | 29 |
| Dew Point at event time (in degress fahrenheit) | 14 |
| Wind Direction (degrees magnetic) | 180 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 9 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 30.09 |
| 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 | -- |
| Injury Total None | -- |
| Injury Total Serious | 1 |
| Injury Total All | 1 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 23601 |
| NTSB Notification Source | FAA |
| NTSB Notification Date | May 23 2007 12:00AM |
| NTSB Notification Time | -- |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | May 28 2008 12:03PM |
| User who most recently changed record | NTSB\johb |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | St. Louis, MO FSDO |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N4082L |
| NTSB Number | CHI07LA154 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | VFR/IFR |
| Flight plan Was Activated? | -- |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Cessna |
| Aircraft Model | 421 |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 421-0082 |
| Certified Max Gross Weight | 6840 |
| 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 | 6 |
| Number of Engines | 2 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Sep 1 2006 12:00AM |
| Airframe hours since last inspection | 35 |
| Airframe Hours | 2835 |
| ELT Installed | Yes |
| ELT Activated | -- |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | William C. Patrick, Jr. |
| Aircraft Owner Street Address | 750 Spirit 40 Park Dr. |
| Aircraft Owner City | Chesterfield |
| Aircraft Owner State | MO |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 63005 |
| Operator is an individual? | No |
| Operator Name | -- |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | -- |
| Operator City | -- |
| Operator State | -- |
| Operator Country | USA |
| 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 | No |
| Departure Point Same as Event | Yes |
| Departure Airport Code | SUS |
| Departure City | Chesterfield |
| Departure State | MO |
| Departure Country | USA |
| Departure Time | 1540 |
| Departure Time Zone | CDT |
| Destination Same as Local Flt | -- |
| Destination Airport Code | CPS |
| Destination City | Cahokia |
| Destination State | IL |
| Destination Country | USA |
| Specific Phase of Flight | Takeoff - initial climb |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | May 4 2008 9:43PM |
| User who most recently changed record | BOWL |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | -- |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |