MIA04LA097
2004-06-14 · Crystal River, Florida, United States · None · 1 aircraft · Status: Completed
Airport CGC
Aircraft involved
Probable cause & findings
The failure of the number three cylinder exhaust valve which resulted in the partial loss of engine power. The pilot's misjudgment of speed and distance resulted in an overrun of the runway.
Factual narrative
On June 14, 2004, about 0945 eastern daylight time, a Gulfstream American AA5B, N4516V, registered to and operated by a private individual, as a Title 14 CFR part 91 personal flight, collided with trees while attempting a go-around at Crystal River, Florida. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed. The private-rated pilot and three passengers were not injured, and the airplane incurred substantial damage. The flight originated in Sarasota, Florida, the same day, about 0900. The pilot stated that he was en route to Athens, Georgia, and the airplane was in level cruise flight at 8,000 feet, when all of a sudden the engine started running roughly. He stated that he was unable to maintain altitude, so he declared an emergency with FAA Jacksonville Air Route Traffic Control Center, and was given vectors for Crystal River Airport, Crystal River, Florida. He stated that he flew the subsequent approach to a forced landing with too much speed, and was unable to stop the airplane on the runway. As he was nearing the end of the runway, he stated that he thought he had enough power to execute a go-around, but as he was attempting to do so, he was able to avoid the fence, but collided with some trees. On June 23, 2004, the accident airplane's engine was examined and no compression was noted in the No. 3 cylinder. Further examination revealed that the No. 3 cylinder exhaust valve head was missing and that the cylinder head and top of the piston had incurred mechanical damage. The center electrode of No. 3's upper spark plug showed evidence of physical contact, and was found pushed against the side electrodes. Two pieces of metal appearing to be pieces of the valve head were found in the exhaust system. According to information obtained from the pilot, the engine had accumulated a total of 1,547 total flight hours since overhaul, and 56 flight hours since its last annual inspection, which had been conducted in October 2003. The pilot stated that he was en route to Athens, Georgia, and the airplane was in level cruise flight at 8,000 feet, when all of a sudden the engine started running roughly. He stated that he was unable to maintain altitude, so he declared an emergency with FAA Jacksonville Air Route Traffic Control Center, and was given vectors for Crystal River Airport, Crystal River, Florida. He stated that he flew the subsequent approach to a forced landing with too much speed, and was unable to stop the airplane on the runway. As he was nearing the end of the runway, he stated that he thought he had enough power to execute a go-around, but as he was attempting to do so, he was able to avoid the fence, but collided with some trees. Post crash examination of the airplane's engine showed no compression was noted in the No. 3 cylinder. Further examination revealed that the No. 3 cylinder exhaust valve head was missing and that the cylinder head and top of the piston had incurred mechanical damage. The center electrode of No. 3's upper spark plug showed evidence of physical contact, and was found pushed against the side electrodes. Two pieces of metal appearing to be pieces of the valve head were found in the exhaust system. According to information obtained from the pilot, the engine had accumulated a total of 1,547 total flight hours since overhaul, and 56 flight hours since its last annual inspection, which had been conducted in October 2003. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2004_MIA04LA097.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 (go-around). All research papers
- NASA NTRS 2025 · Conference Paper A Training Study to Improve Monitoring During A Go-Around
As part of an FAA program to improve go-around (GA) safety, we were asked to determine if we could improve the performance of the Pilot Monitoring (PM) during a GA maneuver.
- Flight Safety Foundation 2024 · FSF / AeroSafety World Go-Around Safety Forum Findings
Foundation Go-Around Safety Forum technical findings — examines why pilots fail to execute go-arounds when criteria are met (stabilized approach gate not met, energy state out of envelope, traffic con…
- Semantic Scholar 2022 · Article (Journal of Safety Research) Go-around accidents and general aviation safety.
INTRODUCTION Changes in General Aviation (GA) accident rates, specifically in the go-around phase, are examined by comparing the number of accidents, the proportion of fatal accidents, and the proport…
- Semantic Scholar 2021 · Article (Aerospace) Classification and Analysis of Go-Arounds in Commercial Aviation Using ADS-B Data
Go-arounds are a necessary aspect of commercial aviation and are conducted after a landing attempt has been aborted. It is necessary to conduct go-arounds in the safest possible manner, as go-arounds …
- NASA NTRS 2021 · Accepted Manuscript (Version with final changes) Go-Around Criteria Refinement for Transport Category Aircraft
Presently, airline pilots are trained to go around if, when lower than 500 ft above the ground, they are outside of a handful of parameters such as airspeed, position, and rate of descent.
- NASA NTRS 2019 · Conference Paper Validation of Proposed Go-Around Criteria Under Various Environmental Conditions
This paper evaluates the effects of environmental conditions on touchdown performance under varying approach states and validates proposed go-around criteria developed using data from a previously con…