What happened
The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.
(-23) Aircraft lost an engine on take-off, pilot attempted to return to airport and lost control and crashed. Pilot received fatal injuries. (.4)the airplane departed at night after maintenance on the left engine. The pilot attempted to return to the airport and while on base leg struck the ground inverted and nose down. The left engine propeller was found feathered. On the left engine, the #5 cylinder was off the engine and the #5 piston with the connecting rod still attached were found nearby. Interviews revealed that during maintenance, the #1,3,5,and 6 cylinders had not been tightened. Several people had worked on the airplane at various stages of the work. The maintenance facility did not have a system to pass down what had been accomplished, and the FAA did not require the tracking of work accomplised in other than 14 CFR part 121, or 14 CFR part 145 facilities.
As the FAA filed it
(-23) AIRCRAFT LOST AN ENGINE ON TAKE-OFF, PILOT ATTEMPTED TO RETURN TO AIRPORT AND LOST CONTROL AND CRASHED. PILOT RECEIVED FATAL INJURIES. (.4)THE AIRPLANE DEPARTED AT NIGHT AFTER MAINTENANCE ON THE LEFT ENGINE. THE PILOT ATTEMPTED TO RETURN TO THE AIRPORT AND WHILE ON BASE LEG STRUCK THE GROUND INVERTED AND NOSE DOWN. THE LEFT ENGINE PROPELLER WAS FOUND FEATHERED. ON THE LEFT ENGINE, THE #5 CYLINDER WAS OFF THE ENGINE AND THE #5 PISTON WITH THE CONNECTING ROD STILL ATTACHED WERE FOUND NEARBY. INTERVIEWS REVEALED THAT DURING MAINTENANCE, THE #1,3,5,AND 6 CYLINDERS HAD NOT BEEN TIGHTENED. SEVERAL PEOPLE HAD WORKED ON THE AIRPLANE AT VARIOUS STAGES OF THE WORK. THE MAINTENANCE FACILITY DID NOT HAVE A SYSTEM TO PASS DOWN WHAT HAD BEEN ACCOMPLISHED, AND THE FAA DID NOT REQUIRE THE TRACKING OF WORK ACCOMPLISED IN OTHER THAN 14 CFR PART 121, OR 14 CFR PART 145 FACILITIES.
NTSB investigation
The NTSB’s investigation of this event, with its probable cause and findings. Matched to this report by N-number and date.