Pilot Debrief

GRUMMAN AA1 near Phoenix, AZ — 2017-08-01

Final reportWPR17LA175
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Date
2017-08-01
Location
Phoenix, AZ, USA
Airport
DVT
Aircraft
GRUMMAN AA1
Registration
N6216L
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Initial climb

Probable cause

The partial loss of engine power during initial climb due to the No. 3 cylinder exhaust valve becoming stuck open due to deposit buildup in the exhaust valve stem and guide and the pilot’s exceedance of the airplane’s critical angle of attack while attempting to turn back to the airport, which resulted in an aerodynamic stall.

NTSB narrative

Shortly after the private pilot took off for the local flight, about 200 to 300 ft above ground level, the engine experienced a partial loss of power. The airport was bordered on the south, west, and north by buildings, and there were high-traffic arterial roads on both the west and south sides of the airport; the pilot turned the airplane back toward the departure runway to make an emergency landing to the east. During the turn, the pilot exceeded the airplane's critical angle of attack, which resulted in an aerodynamic stall. The pilot was unable to regain control, and the airplane pitched nose down and subsequently impacted terrain and then collided with an airport perimeter fence and a tree before coming to rest. Postaccident examination of the propeller blades revealed chordwise striations across the cambered surface, torsional twisting, and trailing edge "S" bending, consistent with the engine producing power at the time of impact. The engine teardown examination revealed that the No. 3 cylinder's exhaust valve was stuck open, which would have degraded the engine power. Further, the exhaust valve stem and guide exhibited heavy combustion deposits, which likely led to the valve becoming stuck. No preaccident deficiencies were found with the cylinder.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Pilot should have addressed engine roughness before flight.

NTSB coding

Evidence available

  • 19 docket documents
View NTSB final reportView NTSB docket

Docket documents19

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