LAX07LA114
2007-03-17 · St. George, Utah, United States · None · 1 aircraft · Status: Completed
Airport KSGU
Aircraft involved
Probable cause & findings
Oil contamination of the right magneto. Factors were the airplane owner's failure to comply with manufacturer's service bulletins and overhaul porcedures.
Factual narrative
On March 17, 2007, at 1800 mountain daylight time, a Mooney M20B, N74503, experienced a partial loss of engine power after takeoff and forced landed near St. George Municipal Airport, St. George, Utah. The private pilot operated the airplane under the provisions of 14 CFR Part 91. The pilot and single passenger were not injured, and the airplane sustained substantial damage. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight originated at St. George airport at 1745, and was en route to Blackfoot, Idaho. The pilot stated to the National Transportation Safety Board investigator that 10 minutes after takeoff he leveled the airplane at 6,500 feet for cruise; the engine started running rough and backfiring. The engine would run sporadically rough then smooth out. The pilot executed emergency procedures, switched fuel tanks, and switched on the boost pump, but there was no change in the engine's rough running condition. He decided to return to St. George airport, and configured the airplane for best glide. He setup for a 2-mile final to runway 34. The pilot determined that he was not going to make the runway, and force landed the airplane in a clear area by a river bed. The next day a Federal Aviation Administration inspector examined the engine and determined that the right magneto contained engine oil. The seal between the engine accessory drive and the magneto was hard, loose fitting, and covered with engine oil. Examination of the engine maintenance logbook revealed that the engine had been manufactured new on February 8, 1979, and installed on the airplane April 13, 1979. A 9-year gap where no maintenance was recorded on the engine occurred between October 1992 (engine total time of 1302.9 hours) and July 2002 (engine total time of 1322.39 hours). A 100-hour inspection was recorded as being completed on July 2, 2002. The most recent 100-hour inspection was performed on June 22, 2006, at 1,439.1 hours total time. There is no record of an engine or magneto overhaul. Lycoming Service Instruction No. 1009AS states that engines that do not accumulate the hourly period of time between overhauls specified (2,000 hours for the O-360-A1D) are recommended to be overhauled in the twelfth year. Teledyne Continental Ignition Systems Service Bulletin, SB643B, for all TCM and Bendix magnetos states that the magnetos must be overhauled or replaced at the expiration of 5 years since the date of original manufacture or last overhaul, or 4 years since the date the magneto was placed in service, which ever occurs first with out regard to accumulated operating hours. Ten minutes after takeoff the airplane's engine started running rough, and the airplane collided with terrain during a forced landing into an open area. The pilot leveled the airplane at 6,500 feet for cruise and the engine started running rough and backfiring. The engine would run sporadically rough then smooth out. The pilot executed emergency procedures, switched fuel tanks, and switched on the boost pump, but there was no change in the engine's rough-running condition. He decided to return to the airport, and configured the airplane for best glide. He setup for a 2-mile final to runway 34. The pilot determined that he was not going to make the runway, and force landed the airplane in a clear area by a river bed. An examination of the engine determined that the right magneto contained engine oil. The seal between the engine accessory drive and the magneto was hard, loose fitting, and covered with engine oil. Examination of the engine maintenance logbook revealed that the engine had been manufactured new on February 8, 1979, and installed on the airplane April 13, 1979. A 9-year gap where no maintenance was recorded on the engine occurred between October 1992 (engine total time of 1302.9 hours) and July 2002 (engine total time of 1322.39 hours). A 100-hour inspection was recorded as being completed on July 2, 2002. The most recent 100-hour inspection was performed on June 22, 2006, at 1,439.1 hours total time. There is no record of an engine or magneto overhaul. Lycoming Service Instruction No. 1009AS states that engines that do not accumulate the hourly period of time between overhauls specified (2,000 hours for the O-360-A1D) are recommended to be overhauled in the twelfth year. Teledyne Continental Ignition systems Service Bulletin, SB643B, for all TCM and Bendix magnetos states that the magnetos must be overhauled or replaced at the expiration of 5 years since the date of original manufacture or last overhaul, or 4 years since the date the magneto was placed in service, which ever occurs first with out regard to accumulated operating hours. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2007_LAX07LA114.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
- TallyAero Live Wire Aviation press
- NTSB CAROL Agency ↗
- NTSB Docket Agency ↗
- Aviation Safety Network Aviation press ↗
- Kathryn's Report Aviation press ↗
- Aviation Herald Aviation press ↗
- AVweb Aviation press ↗
- Pilots of America Community ↗
- Reddit /r/flying Community ↗
- FlightAware Aviation press ↗
- AOPA accident database Aviation press ↗
- Google News News ↗
- DuckDuckGo News ↗
Related research
Matched on aircraft type or causal vocabulary (stall, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2023 · Conference paper The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- 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…
- NASA NTRS 2026 · Conference Paper Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- 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.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.