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What happened

On 8 March 2013, during climb after departure from Tyabb aerodrome, Victoria, the pilot and sole occupant of a Jabiru J430 aircraft, registered VH-TJP, reported the onset of vibration through the airframe. As a precaution, the pilot began to turn the aircraft back towards Tyabb. During the turn, the propeller separated from the aircraft, necessitating a forced landing upon tidal flats at the western edge of Westernport Bay. The pilot was not injured and was able to disembark the aircraft safely.

What the ATSB found

The ATSB investigation found that most of the cap screws connecting the propeller mounting flange to the engine crankshaft had failed by bending fatigue fracture – principally due to repeated relative movement between the mounted components. This movement was traced to a combination of an ineffective, multi-step torqueing method and the relaxation of tension within the crank–flange joint due to the compression of multiple layers of paint within the joint. It was also found that there were some anomalies within the maintenance documentation that related to these areas.

After attempting to analyse the origin of the worsening vibration in the aircraft, the pilot correctly followed emergency procedures both before and after the propeller loss. The over-water return decision limited the risks associated with the forced landing, and the pilot effectively maintained control of the aircraft throughout the descent and landing.

What's been done as a result

In July 2011, the manufacturer had improved the strength and reliability of the crank–flange joint by adding positive-location dowels in all new-production engines. However, that modification was not extended to earlier design assemblies, which included VH-TJP. The current (revised) issue of the Engine Overhaul Manual has an added, strong recommendation for inclusion of these dowels at the next full overhaul or at bulk strip of engines manufactured prior to July 2011. Furthermore, in addition to the earlier requirement for no paint on mating faces or where screw heads bear, a broad requirement was introduced to ensure that no paint, thread-locking compound or contaminants remain in the propeller flange joint. The fastener torqueing method has been amended to a single-step process in which the required torque is to be obtained dynamically while the fastener is being turned.

Finally, the manufacturer’s Propeller Flange Attachment Service Bulletin now refers maintainers directly to the engine overhaul manual for installation procedures – removing the variability that previously existed between documents.

Safety message

A potentially serious accident was avoided by the pilot’s adherence to emergency procedures and maintaining control of the aircraft after a significant mechanical failure.

Regarding the mechanical assembly, the ATSB encourages manufacturers and maintainers to consider older and legacy operating assemblies when designs are optimised or improved to enhance safety and reliability.

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Safety issues

AO-2013-046-SI-01 - AO-2013-046-SI-02 - AO-2013-046-SI-03 -  

Engines with un-doweled crankshaft–propeller flange joints

Jabiru engines manufactured before July 2011 have reduced strength and reliability of the crankshaft/propeller flange joint, compared with the later design that incorporated positive location dowel pins.

Safety issue details
Issue number:AO-2013-046-SI-01
Who it affects:All owners and operators of Jabiru J230 & J430 aircraft with an engine number before 33A2446 i.e. 2,445 pre-July 2011 engines.
Status:Adequately addressed


 

Insufficient joint clamping

The manufacturer’s specified procedure for assembling and torqueing of the crankshaft/propeller flange fasteners was ineffective in ensuring resistance against subsequent joint movement in service.

Safety issue details
Issue number:AO-2013-046-SI-02
Who it affects:All owners and operators of Jabiru J230 & J430 aircraft
Status:Adequately addressed


 

Documentation anomalies

The engine manufacturer’s documents with respect to the propeller mounting flange were technically inconsistent with regard to painting and torqueing procedures.

Safety issue details
Issue number:AO-2013-046-SI-03
Who it affects:All owners and operators of Jabiru J230 & J430 aircraft
Status:Adequately addressed

 
General details
Date: 08 March 2013 Investigation status: Completed 
Time: 1615 EDST Investigation type: Occurrence Investigation 
Location   (show map):North of French Island Occurrence type:Propeller/rotor malfunction 
State: Victoria Occurrence class: Technical 
Release date: 19 August 2014 Occurrence category: Accident 
Report status: Final Highest injury level: None 
 
Aircraft details
Aircraft manufacturer: Jabiru Aircraft Pty Ltd 
Aircraft model: J430 
Aircraft registration: VH-TJP 
Serial number: 567 
Type of operation: Private 
Sector: Piston 
Damage to aircraft: Substantial 
Departure point:Tyabb, Vic
Destination:Leongatha, Vic
 
 
 
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Last update 18 July 2016