Mechanical & Engine Failure · NTSB WPR16FA118

MOORE JOSEPH O VARIEZE — Santa Paula, CA

2 fatal High-time pilot
DateMay 28, 2016
LocationSanta Paula, CA
AircraftMOORE JOSEPH O VARIEZE (amateur-built)
Purpose of flightPersonal
ConditionsDay · Visual Meteorological Cond
Phase / occurrenceEmergency descent Collision with terr/obj (non-CFIT)
Pilot age61
Pilot total time3,500 hrs · High time
Time in type0 hrs
Fatalities2

Probable cause

A total loss of engine power due to fatigue failure of the camshaft drive gear teeth.

NTSB findings

  • Aircraft-Aircraft power plant-Engine (reciprocating)-(general)-Fatigue/wear/corrosion - C
  • Environmental issues-Physical environment-Object/animal/substance-Wire-Contributed to outcome

What happened

The airline transport pilot and a passenger departed on a local area flight; shortly after takeoff, the engine experienced a total loss of power. To the northwest of the accident site was an open field and a road; both were available to use for landing but presented challenges. The field had been recently plowed and there was auto traffic on the road. It was likely that the pilot was attempting to land on the road but struck power lines during the descent. The airplane came to rest in a lemon orchard and was subsequently consumed by a postcrash fire.

Visual examination of the engine revealed thermal damage. The engine crankcase was disassembled; the main bearings on the left crankcase half were dark in color and exhibited pitting. The camshaft drive gear cluster displayed nine broken teeth, most of which were found in the oil sump.

Metallurgical examination revealed that three of the camshaft drive gear teeth failed in fatigue, which subsequently resulted in the overstress failure of the other six teeth. The fatigue initiated at sharp corners formed during hand-grinding of the forward faces of the teeth while dressing the edges and removing burrs from the teeth during manufacture.

Airplane logbook entries revealed that the engine was assembled by a third party and installed new on the airframe about 13 years before the accident.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →