This is the
story of my (Carl Holden's) flight and crash in a Jabiru Aircraft
from Wedderburn in 2001. The aircraft was claimed to be "fully
GA certified" and had "just come off the GA register.
Ron Bertram was the Pilot and claimed to be the Maintainer.
Bertram claimed
he was a LAME (Licensed Aircraft Mechanical Engineer) * see below.
The wreckage
was taken to the Jabiru factory "very shortly" after
the
crash - without my knowledge. The engine strip-down inspection
was
performed at the Jabiru factory. To date - over 7 years later,
despite
many requests, the report of the engine strip-down has never been
released to me by Jabiru or any other party.
And I am still waiting. Why ?
Can anyone shed
any light on what caused this engine to fail ?
* Bertram died
in 2006, test-flying a Lancair he had just repaired (engine failure
on climb-out). By 2007, following years of obstruction, I was able
to gain access to his CASA licensing records - and there is no
record
of him having any maintenance qualifications. Read
the ATSB report here - VH-ZNZ Lancair crash (pdf)
If anyone has any information to substantiate Bertram's claims he
was a C-130 Pilot in the 'first' Gulf War, or a 'Caribou Pilot',
please let us know.
Bertram was
at the time of his crash, the President of AOPA
Australia.
UPDATES
December 2008
Bogus
Qantas engineer sent to jail
Three
times in 2006 I asked CASA CEO Bruce Byron a series of safety
related questions, in writing, relating to the 2001 crash and
the 2006 crash - and he has refused to answer since.
Why ?
latest:
Bruce Byron to step down as CASA CEO
AOPA's
preferred insurer in the 1990's was Booker International.
AOPA have refused repeated requests for assistance with this matter.
Why ?
Jabiru
Aircraft has consistently refused to supply any information
on the cause of the Engine failure, despite repeated written
requests. Why ?
CAMIT (the
engine builder) has refused to supply any information on the
cause of the Engine failure, despite written requests. Why ?
JABIRU
ENGINE USER REPORTS
CAA
(Civil Aviation Authority) South Africa report/expert opinion
- July 2004 (pdf)
(I
wish I had been informed of this prior to the flight ! - Carl
Holden)
"Jabiru engine cylinders with engine serial numbers up
to 644, have smaller cooling fins which causes the cylinders
to overheat and the engines to fail.
Engines
with serial numbers from 645 upwards are fitted with re-designed
cylinders with larger cooling fins which results in improved
cooling"
Where's
the AD, AN, Service Bulletin, Defect Notice or any relevant
documentation from the Manufacturer or CASA, as it is a CASA
certified engine for "VH" aircraft
use. Why ?
Van's
forum pages - Support problem for Jabiru engines 1
Van's
forum pages - Support problem for Jabiru engines 2
Jabiru
crash, engine failure, Azores
MrSoaring
- News - July 2002 (link)
Note comments "....Unfortunately Jabiru have had a bit of a bad name caused
by some of the earlier engines with the small heads and no oil cooler. There
has been very little trouble with J2200 sr no 710 and up as this engine has the
large heads, oil cooler and larger diameter Bing carburettor."
EAA
Sport Pilot article by Dave Jalanti - Flying behind a Jabiru
engine - July 2005 (pdf)
Note comments Page 57 - "Unfortunately, the
cylinder head temperatures went slightly higher than 385°F, high enough to warp the two
rear cylinder heads. After this flight, I
learned from Jabiru USA that overheating
cylinder heads had become enough of an issue that Jabiru had redesigned
the heads, adding more and larger cooling fins, and had changed
the shape of the combustion chamber. It also redesigned the cooling
ducts to improve the airflow, particularly over the rear
cylinders."
(In
the USA is it not a requirement for Manufacturers/Importers to inform
Pilots of "Known Defects" ?)
Dave Jalanti's
engine number is quoted as "478"
UK
AAIB (Aircraft Accident Investigation Board) report on
G-TUBB Engine Failure - 10/2002 (pdf)
Summary - "The engine suffered a catastrophic failure due to the
number three cylinder exhaust valve becoming
stuck open in the valve guide. The piston then struck the valve,
causing the valve head to detach.
This lead to the destruction of the piston and bending of the connecting
rod. Following the piston
break up the engine seized.
The exhaust valve became jammed due to excess carbon build up as
a result of overheating of the
number three cylinder."
(In
the UK is it not a requirement for Manufacturers/Importers to inform
Pilots of "Known Defects" ?)
JABIRU
ENGINE PISTON and CYLINDER HEAD FAILURES
MASQUITO
(Belgium) Helicopter development
Progress
Report. November 2001 - July 2002. More
engine problems.....
"... Jabiru
engine suddenly stopped without warning during one of the ground
test runs. When we tried to start the engine again, the starter
was not capable of turning over the engine. Further inspection
showed that the engine crankshaft could not be rotated." " If
the crankshaft wouldn't turn, then it was indicative that something
serious had gone wrong. When the engine was dismantled, we found
one of the pistons had broken into several pieces, and the crankshaft
and all its' supporting bearings had worn very badly. A full report
with accompanying pictures was sent to the UK CAA and to the Australian
manufacturer Jabiru."
"The most likely
explanation (according to Jabiru) was that our piston shattered
because the gudgeon pin (the round tube joining the conrod to the
piston) was no longer held in its' correct position and worked
its way completely to one side of the cylinder wall. In this position,
only one part of the piston was being supported by the gudgeon
pin and due to the high unsymmetrical forces, the piston broke."
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Photo
of Jabiru Engine installation - from Pacific
Flyer Magazine August 1998
Note:
Rocker Covers - Engine is 2200 early model (like the
one I flew behind) |
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Picture
from the Masquito website 2002 - showing the broken pistons
Masquito's
comment: "Piston broke into several parts, conrod
bent and cylinder wall damaged." |
THE
JABIRU ENGINE FAILURE THAT CAUSED MY CRASH
According
to a later report from the Insurance company, they say it was
a Piston Failure, no. 4 Cylinder, that caused the engine to fail
and they did not investigate further. In 2007 I was able
to get the photos from the Photographer for News Ltd (Robert
Pozo) that visited the crash site on the afternoon it happened.
I
had ordered the engine be sent to CASA or ATSB in Canberra for
a totally independent strip-down analysis. My instructions were
not followed. Why ?
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Courtesy
News Photgrapher Robert Pozo, a close up of his photo of
the engine in the wreckage.
Note:
Distinctive Rocker Covers.
Tops
of Cylinder Heads covered by cooling air shroud.
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This
is an enlargement of part of the above Photo. Is the
squarish shape of the visible lower part of the Cylinder
Head the version below or was it some publicly unknown
experimental "cross-over" model - as the next known model
of Head has a markedly changed Rocker Cover and attachment
system. Who knows ?
This
engine was supposedly
CASA certified. |
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The
Enlargement of the picture from the Masquito article
Pacific Flyer of the Jabiru engine that ultimately failed..
Note:
Cylinder Heads and Rocker Covers. |
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The
Jabiru UK website from 1997 shows an engine promoted
as "80HP".
Note:
Cylinder Heads and Rocker Covers. |
JABIRU
ENGINE UPDATES SECTION
I was told the the Jabiru Aircraft I
crashed in had "the latest engine and modifications".
Now with the benfit of hard experince and
hindsight, I would ask and check exactly what version of what
components have been used and compare it to the latest list - which
could be assumed to give the most reliable engine. Where is such
a list ?
I found this document on an AvidFlyer
website, from 2006, written by Kerry
Owen, compiled from a Jabiru Parts Manual from the year 2000. Click
here to view (word doc)
ENGINE
PICTURES - note the Cylinder Head changes
View
CASA's Engine Type Approval Certificate here (pdf)
Note: Engine certified
by CASA for (max) 55.5 Horsepower @ 3100 RPM
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THE
VERSION OF THE ENGINE I CRASHED WITH (2001)
NOTE:
THE CYLINDER HEADS
Publicised
as CASA certified
Published Specs: 80 HP @ 3300 RPM |
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LATER
VERSION OF JABIRU ENGINE
NOTE:
MAJOR CYLINDER HEAD CHANGES
especially
to Cooling Fins, and Rocker Covers.
CASA
Certification unchanged |
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LATER
VERSION OF JABIRU ENGINE
NOTE:
further CYLINDER HEAD CHANGES
especially
to Cooling Fins
Publicised
now as 85 HP @ 3300 RPM
CASA
Certification unchanged |
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LATEST
PUBLICISED VERSION OF JABIRU ENGINE (2008)
NOTE:
CYLINDER HEAD CHANGES
Publicised
as 85HP @ 3300 RPM
CASA
Certified as 60Kw = 80 HP
CASA
Certificate (click here - pdf)
Web
Conversion Chart (click here to open) |
CASA
PROPELLER CERTIFICATION - 2008 (pdf) Note: limited to 60Kw/80HP
JABIRU
USED IN G.A. SCHOOL - so must be fully CAA/CASA Certified
(like Cessna or Piper) ??
From 1997, a Jabiru
Aircraft Flyer sent to Australian Flying whilst I was
writing the "Sport Flying" Column. Jabiru clearly
imply their aircraft are "Certified" and can be also used
in the "VH" version by General
Aviation Flying Schools. I was quite clearly told by CAA/CASA in
the 1990's that GA Schools can not use Homebuilt or Kit Built
Aircraft. Can only use factory built and must be CAA/CASA Certified.
So in the 1990's Jabiru's must have been CAA/CASA "Certified". Anyone
who can provide evidence that this was a correct assumption, please
let me know.
Here's
a photo of VH-NQA in flight in the 1990's.
VH-NQA was used by
the North Queensland Aero Club, in Cairns.
email
with your question or experience for us to put on our website
- click on this link
DEFECTS
AND LIABILITY LAWS - Australia and USA
Information
on FAA Requirement to report Defects in Aircraft and Strict
Product Liability
CASA
Requirement to report Defects in Aircraft - Criminal penalties
The
website is a "work in progress" - and will be adding
more content shortly (JAN2009).
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