LAX91FA052
1990-12-09 · PERRIS VALLEY, California, United States · Minor · 1 aircraft · Status: Completed
Airport L65
Current FAA registration · N121PM
- Make / Model
- DEHAVILLAND DHC-6 TWIN OTTER
- Year of manufacture
- 1966 · 24 years old at event
- Engine
- U/A CANADA PT6 SER 578HP (550 hp)
- Seats / Engines
- 16 seats · 2 engines
- ADS-B equipped
- Yes — Mode-S A058BA
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
A LOSS OF POWER ON THE LEFT ENGINE DUE TO A FATIGUE FAILURE OF A COMPRESSOR TURBINE BLADE LEADING TO FURTHER COMPRESSOR BLADE DAMAGE; A WORN POWER TURBINE GOVERNOR THROTTLE CAM ASSEMBLY WHICH LED TO LOSS OF POWER ON THE RIGHT ENGINE; AND INADEQUATE MAINTENANCE AND INSPECTION BY THE OPERATOR.
Factual narrative
AFTER LIFT-OFF, AT ABOUT 100 FT AGL AND 85 KTS, THE LEFT ENG DECELERATED AND THE AIRPLANE BEGAN TO YAW AND ROLL LEFT. THE PIC ABORTED THE TAKEOFF, TURNED LEFT AND LANDED ON A FLAT LEVEL FIELD. THE AIRPLANE STRUCK A FENCE, THEN TREES. EXAMINATION OF THE LEFT ENG REVEALED THE LOSS OF POWER WAS ATTRIBUTED TO A FATIGUE FRACTURE OF A COMPRESSOR TURBINE BLADE, WHICH LED TO SUBSEQUENT BLADE FRACTURES. THE RIGHT ENG WAS EXAMINED AND FOUND TO HAVE ADVANCE WEAR ON THE THROTTLE CAM ASSEMBLY OF THE POWER TURBINE GOVERNOR. IN A TEST CELL, ONLY APRX 28% OF TAKEOFF POWER COULD BE ACHIEVED. THE CAM LOBE WEAR HAD PROGRESSED OVER AN EXTENDED PERIOD OF TIME. THE RIGHT ENGINE PROP GOVERNOR WAS REPLACED 11/18/90, FOLLOWED BY A TEST RUN. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1990_LAX91FA052.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- 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 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.
- 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 (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…