Accident de Havilland Canada DHC-3 Otter C-GGON,
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ASN Wikibase Occurrence # 322815
 

Date:Thursday 22 May 2003
Time:11:00
Type:Silhouette image of generic DHC3 model; specific model in this crash may look slightly different    
de Havilland Canada DHC-3 Otter
Owner/operator:Whiteshell Air Service
Registration: C-GGON
MSN: 225
Year of manufacture:1957
Fatalities:Fatalities: 0 / Occupants: 4
Aircraft damage: Substantial, repaired
Category:Accident
Location:4 km E of Lac du Bonnet, MB -   Canada
Phase: Initial climb
Nature:Passenger - Non-Scheduled/charter/Air Taxi
Departure airport:Lac du Bonnet (North) SPB, MB
Destination airport:George Lake, MB
Investigating agency: TSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
A de Havilland Canada DHC-3 Otter, registered C-GGON, sustained substantial damage in an accident 4 km east of Lac du Bonnet, MB, Canada. All three passengers and the pilot survived. The airplane operated on a flight from Lac du Bonnet, MB to George Lake, MB.
The pilot completed a normal takeoff from the Winnipeg River in an easterly direction and began a shallow climb over the shoreline. As the aircraft levelled at approximately 400 feet agl, there was a loud backfire followed by a complete loss of engine power. The pilot force landed straight ahead; the aircraft struck several large trees and came to rest in a swampy area. The aircraft struck the ground on its left side, both wings broke off, and the engine was buried in the swampy ground.

FINDINGS AS TO CAUSES AND CONTRIBUTING FACTORS:
1. A spacer in the No. 3 cylinder push rod tube was installed incorrectly. This initiated the increased wear that eventually prevented the No. 3 exhaust valve from opening, resulting in hot exhaust gases migrating into the induction system and causing the engine failure.
2. Following replacement of the No. 1 cylinder, the operator did not complete a field barometric power reference check, which is used in early identification of an engine problem.
3. The valve adjustment screw protrusion was set beyond specified limits. Had the out-of-limits screw protrusion been noted during adjustment or during a scheduled inspection, an examination might have revealed the excessive wear in the valve train and prevented the engine failure.

Accident investigation:
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Investigating agency: TSB
Report number: A03C0118
Status: Investigation completed
Duration: 9 months
Download report: Final report

Sources:

TSB

History of this aircraft

Other occurrences involving this aircraft
23 June 2002 C-GGON Whiteshell Air Service 0 George Lake, MB sub

Revision history:

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