N337LJ

HISTORY OF FLIGHT

On June 24, 2013, at 1255 Pacific daylight time, a Cessna P337H, N337LJ, collided with a power distribution line, building, and delivery truck following takeoff from San Luis Obispo County Regional Airport, San Luis Obispo, California. The airplane was registered to CSC Solutions LLC, and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91. The private pilot/owner sustained fatal injuries; the airplane was destroyed by impact forces and a post impact fire. The cross-country personal flight departed San Luis Obispo at 1254, with a planned destination of Palo Alto Airport of Santa Clara County, Palo Alto, California. Visual meteorological conditions prevailed and no flight plan had been filed.

According to a friend of the pilot, during the month leading up to the accident, the rear engine was "stuttering" as the throttle was advanced from idle to full power. The pilot reported that he was able to forestall the problem by advancing the throttle slowly. The friend had not experienced this problem, having flown with him on a number of occasions; however, the pilot stated to him that it had been getting worse during the 2-week period leading up to the accident.

PCF Aviation, at the pilot's home base of San Luis Obispo, began troubleshooting steps on the rear engine about 1 week prior to the accident. Although they could reproduce the problem, they could not definitively determine its cause, and the pilot asked them to discontinue the diagnosis.

Another mechanic at a maintenance facility (Advantage Aviation) located at Palo Alto Airport, stated that the airplane was brought to him about 2 weeks prior, and that he had attempted to diagnose the same problem. He briefed the pilot on the most likely cause, and was subsequently approached again by the pilot, who agreed to fly the airplane back to his facility on the day of the accident for further diagnosis.

The pilot had also made plans to depart on an international commercial flight from San Francisco International Airport (20 miles from Palo Alto by automobile) at 1925 later that evening. According to his wife, the reason for the flight was so that he could attend a time sensitive business meeting in Europe.

According to the pilot's friend, the pilot planned to fly the airplane in the traffic pattern, and if all was well, continue the flight to the maintenance facility in Palo Alto.

The airplane departed uneventfully and flew a single circuit in the traffic pattern. The pilot requested a touch-and-go landing, and while on the final approach leg for runway 29, an air traffic controller issued landing clearances to the pilot on three different transmissions. The pilot responded to the last transmission, accepting the clearance for the touch-and-go.

A series of security cameras were located at various positions along the length of runway 29. They captured video of various segments of the flight sequences. The recordings revealed that during the touch-and-go, the airplane appeared to utilize almost the full runway length for the ground roll. As it reached the runway overrun, it climbed to about 70 feet above ground level (agl) with the landing gear retracted. The climb progressed to about 150 feet agl and a short time later, the pilot transmitted, "Mayday Mayday". The tower controller responded, and a broken transmission of, "uh" was then received.

A camera located at a tire service center, about 1 mile west-northwest of the departure end of runway 29 recorded the airplane's departure path. The camera was facing northeast, and recorded the airplane flying on a northwest track at an altitude of about 150 feet agl. The airplane remained level and then began to descend out of view, and 4 seconds later, power to the camera was lost. About 20 seconds later power was restored, and a plume of smoke was seen in the vicinity of the airplane's descent path. The airplane collided with a power distribution line during the descent, temporarily shutting off power to multiple local businesses.

Multiple witnesses located at various locations within the airport perimeter recounted observations similar to the video recordings. They recalled that their attention was initially drawn to the airplane because it was producing an unusual sound during the departure roll of the touch-and-go. An air traffic controller reported that she heard the sound of a "bang," and looked below towards the airplane as it passed the control tower at midfield. Another witness described the airplane as making a "popping" sound, with another stating the sound was similar to a radial engine. A witness located at an FBO at midfield, stated that he looked up when he heard the sound of "propellers out of sync" and when he did so, he observed the airplane traveling northwest along the runway.

A witness who was in an airplane holding short of runway 29 was cleared to "line up and wait" by air traffic control personnel just after the accident airplane passed him on the runway after landing. The witness stated that as he looked up he perceived that the airplane was continuing on the runway for a long time. It finally rotated as it approached the runway end, and continued at a low altitude, flying in what he described as ground effect. It eventually transitioned to a shallow climb, with a steep angle of attack such that he could see the entire upper wing surface. The airplane then began to "mush" back down, remaining in the nose-high attitude, and rocking from side to side. It then began a rapid descent, followed a short time later by a flash.

PERSONNEL INFORMATION

The 44-year-old pilot was originally issued a private pilot certificate with ratings for airplane single-engine land in 1998. In May 2013, about a month before the accident, he was issued an additional rating for multiengine land. At that time he reported his total flight experience in airplanes was 82 hours, of which 23 hours he acted in the capacity of pilot-in-command, primarily in a Cessna 152. He also reported 29 hours of rotorcraft experience, with 1.1 hours as pilot-in-command.

The pilot's logbooks indicated his multiengine training utilized about 22 hours of flight time, and occurred in a Piper PA-44 during the period from April 6, 2013, through to his check ride on May 16, 2013. Over the following month he received about 14 hours of dual instruction in the accident airplane culminating in his high performance and complex-airplane endorsements. His last logbook entry was dated June 3, 2013, and indicated a total flight experience of 118 hours, of which 2.8 hours was logged as pilot-in-command time in the accident airplane.

A review of Federal Aviation Administration (FAA) airman records revealed that the pilot held a third-class medical certificate issued in March 2013 with no limitations.

AIRCRAFT INFORMATION

The pressurized, high-wing, centerline-thrust multiengine airplane was manufactured in 1978, and purchased by the pilot 2 months prior to the accident. It was powered by two Continental Motors Incorporated TSIO-360 series turbocharged-engines and equipped with McCauley two-blade constant-speed propellers.

The last entry in the airplane's maintenance logbooks was a 100-hour/annual inspection, which was recorded as being completed on March 22, 2013. At that time, the airframe had accrued 2,096.2 total flight hours. The front and rear engines had accumulated 1,110 and 616 hours, respectively, since their factory rebuild.

A work order dated 1 week before the accident was provided by PCF Aviation, which documented the diagnosis of the rear engine. The order indicated that the engine stuttered at 2,000 rpm, and that maintenance personnel could duplicate the problem, but were unable to resolve the discrepancy. The "Action Taken" section of the order specifically stated:

"Adjusted aft idle mixture and check aft engine fuel pressures per Teledyne Continental SID97-3E. Fuel pressures satisfactory. Swapped fuel pump and flow divider from forward to aft engine. No change in aft engine. Returned fuel pumps to original configuration. Inspected aft engine for induction leaks, no discrepancies found. Stopped troubleshooting at owners request.... Found excessive play in prop governor assembly linkage. Notified owner that prop governor needed to be sent out for repair/overhaul."

The owner of PCF Aviation stated that he informed the owner that the airplane had not been repaired. The pilot stated that the problem was, "manageable" and that he would take it to another repair facility. The airplane then remained on the ramp, and was not flown again until the day of the accident.

In a post-accident interview, the mechanics at PCF Aviation who performed the diagnosis stated that the propeller blade pitch angle did not change while the engine was stuttering, and they therefore discounted a governor problem as the cause. They further stated that if the throttle was rapidly advanced the engine speed would reach 1,900 to 2,100 rpm, and then stutter and "oscillate" but not reach full speed.

A mechanic from Advantage Aviation in Palo Alto stated that he had performed troubleshooting steps about 2 weeks prior to the accident for the same problem, and that he recommended the governor control be sent to a repair facility for overhaul. Work orders for that visit indicated that the tachometer for the front engine was providing intermittent readings, and that this discrepancy was resolved by repairing the right-hand magneto ground.

AIRPORT INFORMATION

Runway 29 at San Luis Obispo Airport was 6,100 feet long, by 150 feet wide, and comprised of asphalt. A 600-foot-long blast pad/stopway projected beyond the runway's departure end, and the area from the runway to the accident site was comprised of level open fields, transected by a two-lane road.

Following the accident, the runway was examined for remnants of foreign objects or recent propeller strike damage; none were found.

MEDICAL AND PATHOLOGICAL INFORMATIO...