NTSB CAROL · Event
Event CEN14LA412
Aircraft involved
Probable cause & findings
A loss of engine power due to the malfunction of the No. 4 cylinder intake valve.
Factual narrative
On August 7, 2014, about 0946 central daylight time, an Enstrom F-28F helicopter, N213BL, was substantially damaged when the pilot executed a precautionary landing in a cornfield after experiencing engine difficulties near Tomah, Wisconsin. The pilot was seriously injured. The helicopter was registered to and operated by Paul Peterson Aviation LLC under the provisions of 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The local flight originated from the loading site about one-half mile from the accident site.The pilot's departure from the loading site on the third application flight of the morning proceeded without incident. However, about one-half mile from the planned application field, the pilot reportedly felt a vibration in the cyclic control and experienced an "irregular" running engine. He immediately elected to execute a precautionary landing to a corn field; the corn crop was approximately 10 feet tall at the time. During the landing, the landing skids collapsed and the tailboom was severed by a main rotor blade. A portion of the tail rotor drive shaft was separated from the airframe. Separation of the drive shaft was consistent with a main rotor strike. The tail rotor transmission separated into two sections; the appearance of the fracture surface was consistent with an overstress failure. The postaccident examination did not reveal any preimpact anomalies with respect to the flight control system and rotor drive system. Examination of the engine revealed that the no. 4 cylinder did not exhibit compression during crankshaft rotation. Further examination of the No. 4 cylinder determined that the intake valve was not seating properly; a gap of approximately 0.015 inch existed when the valve should have been fully seated. Linear scoring were observed on the valve stem. Debris consistent with valve guide material was also recovered on removal of the valve. No other anomalies with respect to the engine were observed. The accident helicopter was purchased by the operator on June 4, 2014. The aircraft was issued a restricted category, special airworthiness certificate for agriculture operations on July 25, 2014. The operator reported a total airframe time of 2,385.1 hours at the time of the accident. The most recent annual inspection was completed in December 2013 at 2,327.4 hours. The helicopter was powered by a 225-horsepower Lycoming HIO-360-F1AD fuel-injected, reciprocating engine. Maintenance records indicated that the engine was overhauled in March 2006. At the time of the accident, the engine had accumulated about 831.2 hours since overhaul, with about 57.7 hours of that time since the annual inspection. The most recent engine maintenance entry was dated August 4, 2014, and consisted of replacement of the spark plugs. The helicopter maintenance records did not contain a record of any unresolved maintenance issues. The pilot felt a vibration in the cyclic control and he stated that the engine was running irregularly as he neared the intended application field on the agricultural application flight. He immediately elected to execute a precautionary landing to a cornfield; the corn crop was about 10 feet tall at the time. During the landing, the landing skids collapsed, and the tailboom was severed by a main rotor blade. A postaccident examination of the engine revealed that the No. 4 cylinder did not exhibit compression during crankshaft rotation. Further examination of the No. 4 cylinder revealed that the intake valve did not seat properly; a gap of about 0.015 inch existed when the valve should have been fully seated. Linear scoring was observed on the valve stem, and debris consistent with valve guide material was also recovered upon removal of the valve. No other anomalies with respect to the engine were observed. The engine had accumulated about 831 hours since overhaul. The helicopter maintenance records did not contain a record of any unresolved maintenance issues. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Malfunction - C
Verbatim from NTSB's published report. Source file
NTSB_2014_CEN14LA412.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
Browse the full corpus — academia portal ↗