37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 721291 |
Time | |
Date | 200612 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | msl single value : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : zzz.tower tower : cyul.tower |
Operator | general aviation : personal |
Make Model Name | Trinidad TB-20 |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | None |
Person 1 | |
Affiliation | other |
Function | flight crew : single pilot |
Qualification | pilot : multi engine pilot : private pilot : instrument |
Experience | flight time last 90 days : 5 flight time total : 1150 flight time type : 180 |
ASRS Report | 721291 |
Person 2 | |
Affiliation | government : faa |
Function | controller : local |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : manifold press indication other flight crewa |
Resolutory Action | other |
Consequence | other |
Factors | |
Maintenance | performance deficiency : installation performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Prior to flight; annual performed. Lycoming crankshaft airworthiness directive performed with reinstallation of engine. 2 prior flts conducted earlier that day -- ZZZX direct ZZZY direct ZZZ with no abnormality. VFR flight ZZZ direct ZZZY planned; cruise at 5500 ft. On climb out from ZZZ; heading 060 degrees; 12.5 NM from airport; I adjusted the throttle to compensate for manifold pressure drop from altitude; 5000 ft; manifold pressure suddenly dropped to 2.3 inches from 25 inches; throttle control moved forward and backward -- no effect; engine was running; but creating low power. I called ZZZ tower; which acknowledged; and I declared an emergency; stating throttle broken; engine running and the need to return. I considered changing to airport but decided against it; when I was 5 mi and 7 from ZZZ. Airspeed maintained 80-90 KTS. Arrived northeast area of field 1000 ft AGL. Lowered gear; partial flaps; landing assured; full flaps; mixture; fuel off; made uneventful touchdown runway 25. Rolled off onto taxiway east and stopped. Fire crews present; asked if ok; and we were. Later; I spoke with mechanic about what happened. We went to plane the next day; discovered throttle locking cotter pin not present; resulting in disconnect. Mix control cotter pin also not installed. Mechanic had gone over all connection 3 times prior to signoff; had an additional mechanic look over engine install as well. Defect not found. Mechanic does remember he was interrupted when he was initially reconnecting the throttle cable when reinstalling the engine. Callback conversation with reporter revealed the following information: the airplane was just out of annual inspection and this was the third flight. The return to the field and landing was uneventful and the airplane incurred no damage. Engine check of the throttle linkage revealed a missing locking cotter pin that was overlooked when the engine was installed during the annual inspection.
Original NASA ASRS Text
Title: A SOCATA TB20 ON CLB AT 5000 FT DECLARED AN EMER DUE TO LOSS OF ENG THROTTLE CTL. RETURNED TO DEP ARPT. FOUND COTTER LOCKING PIN IN THROTTLE LINKAGE MISSING.
Narrative: PRIOR TO FLT; ANNUAL PERFORMED. LYCOMING CRANKSHAFT AIRWORTHINESS DIRECTIVE PERFORMED WITH REINSTALLATION OF ENG. 2 PRIOR FLTS CONDUCTED EARLIER THAT DAY -- ZZZX DIRECT ZZZY DIRECT ZZZ WITH NO ABNORMALITY. VFR FLT ZZZ DIRECT ZZZY PLANNED; CRUISE AT 5500 FT. ON CLBOUT FROM ZZZ; HDG 060 DEGS; 12.5 NM FROM ARPT; I ADJUSTED THE THROTTLE TO COMPENSATE FOR MANIFOLD PRESSURE DROP FROM ALT; 5000 FT; MANIFOLD PRESSURE SUDDENLY DROPPED TO 2.3 INCHES FROM 25 INCHES; THROTTLE CTL MOVED FORWARD AND BACKWARD -- NO EFFECT; ENG WAS RUNNING; BUT CREATING LOW PWR. I CALLED ZZZ TWR; WHICH ACKNOWLEDGED; AND I DECLARED AN EMER; STATING THROTTLE BROKEN; ENG RUNNING AND THE NEED TO RETURN. I CONSIDERED CHANGING TO ARPT BUT DECIDED AGAINST IT; WHEN I WAS 5 MI AND 7 FROM ZZZ. AIRSPD MAINTAINED 80-90 KTS. ARRIVED NE AREA OF FIELD 1000 FT AGL. LOWERED GEAR; PARTIAL FLAPS; LNDG ASSURED; FULL FLAPS; MIXTURE; FUEL OFF; MADE UNEVENTFUL TOUCHDOWN RWY 25. ROLLED OFF ONTO TXWY E AND STOPPED. FIRE CREWS PRESENT; ASKED IF OK; AND WE WERE. LATER; I SPOKE WITH MECH ABOUT WHAT HAPPENED. WE WENT TO PLANE THE NEXT DAY; DISCOVERED THROTTLE LOCKING COTTER PIN NOT PRESENT; RESULTING IN DISCONNECT. MIX CTL COTTER PIN ALSO NOT INSTALLED. MECH HAD GONE OVER ALL CONNECTION 3 TIMES PRIOR TO SIGNOFF; HAD AN ADDITIONAL MECH LOOK OVER ENG INSTALL AS WELL. DEFECT NOT FOUND. MECH DOES REMEMBER HE WAS INTERRUPTED WHEN HE WAS INITIALLY RECONNECTING THE THROTTLE CABLE WHEN REINSTALLING THE ENG. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE AIRPLANE WAS JUST OUT OF ANNUAL INSPECTION AND THIS WAS THE THIRD FLT. THE RETURN TO THE FIELD AND LNDG WAS UNEVENTFUL AND THE AIRPLANE INCURRED NO DAMAGE. ENG CHK OF THE THROTTLE LINKAGE REVEALED A MISSING LOCKING COTTER PIN THAT WAS OVERLOOKED WHEN THE ENG WAS INSTALLED DURING THE ANNUAL INSPECTION.
Data retrieved from NASA's ASRS site as of January 2009 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.