ATL05LA047

NTSB accident investigation · Beech C-23 · Roseboro, NC · January 17, 2005

Accident · No injuriesLimited investigationFinal report
Date
January 17, 2005, 16:05 local (21:05 UTC)
Place
Roseboro, NC
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N9JYBeech C-23
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2006
Report
Approved by Office Director
Parties
Greensboro FSDO
FAA report
20050117000909A
Case key
60943

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The overload fracture of the engine oil cooler for undetermined reasons.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfTakeoff
Engine accessories,oil cooler actuating assembly - fracturedCause
Engine accessories,oil cooler actuating assembly - overloadCause
Forced landingEmergency landing after takeoff
In flight collision with objectEmergency landing after takeoff
Object - tree(s)

Analysis

According to the pilot, he made a preflight inspection and run-up of the airplane prior to takeoff. He stated that after takeoff, as he climbed through 1,000 feet, he heard a knocking sound coming from the engine and immediately observed low oil pressure on the oil pressure gauge in the cockpit. He stated that within 60 seconds, "the engine seized" and the airplane began to lose altitude. The pilot immediately turned toward an open field, but collided with trees 40 yards short of the field. The airplane came to rest in a wooded area in a nose low, right wing low attitude. The post-accident examination of the airplane revealed the right wing was partially separated at the root and the left wing was displaced aft. The horizontal stabilizer was separated from the empennage assembly. There was oil residue on the external oil hoses, the starter, and underside of the fuselage. There was also oil observed at the airstrip apron where the preflight run-up was conducted. The oil cooler contained two cracks in the first segment of the cooler adjacent to the joint between the first and second segments and in line with one of the oil ports. NTSB Material Laboratory examination showed that the exterior portion of the crack was damaged, apparently by contact with the mating face of the crack, and that fracture features on undamaged portions consisted of ductile dimples, indicative of overstress fracture.

Factual narrative

On January 17, 2005, at 1605 eastern standard time, a Beech C-23, N9JY, registered to and operated by a private individual, collided with trees following a loss of engine power after takeoff from a private turf airstrip in Roseboro, North Carolina. The personal flight was conducted under the provisions of Title 14 CFR Part 91 and visual flight rules. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed. The private pilot was not injured and the airplane sustained substantial damage. The flight originated at a private turf airstrip in Roseboro, North Carolina, on January 17, 2005 at 1600.

According to the pilot, he made a preflight inspection and run-up of the airplane prior to takeoff. He stated that after takeoff, as he climbed through 1,000 feet, he heard a knocking sound coming from the engine and immediately observed low oil pressure on the oil pressure gauge in the cockpit. He stated that within 60 seconds, "the engine seized" and the airplane began to lose altitude. The pilot stated he immediately turned toward an open field, established an approach, but collided with trees 40 yards short of the field. The airplane came to rest in a wooded area in a nose low, right wing low attitude.

The post-accident examination of the airplane revealed the right wing was partially separated at the root and the left wing was displaced aft. The horizontal stabilizer was separated from the empennage assembly. There was oil residue on the external oil hoses, the starter, and underside of the fuselage. There was also oil observed at the airstrip apron where the preflight run-up was conducted.

During the examination of the engine assembly, a readily visible crack was located in the first segment of the engine oil cooler adjacent to the joint between the first and second segments and in line with one of the oil ports. Further examination at the NTSB Materials Laboratory disclosed that the crack appeared to completely penetrate the thickness of the cooler over a length of 0.29 inch, although visible deformation extended beyond this length. The crack was gaped open up to 0.020 inch. Detailed visual examination of the exterior surface of the oil cooler revealed the presence of a second, much smaller, crack on the side of the cooler opposite from the side containing the readily visible crack. The smaller crack was in nearly an identical location as the readily visible crack, in the first segment of the cooler adjacent to the joint between the first and second segments and in line with the other oil port. The joint between the two segments had a slight jog near the crack location. The crack measured 0.088 inch long and was gaped open very slightly, on the order of several thousandths of an inch. It was noted that oil would seep out of this crack when the cooler was held with the crack on the bottom, confirming that the crack completely penetrated the wall thickness of the cooler. One face of the readily visible crack was cut from the remainder of the cooler; the crack surface was then cleaned and examined with a scanning electron microscope. The scanning electron microscope examination showed that the exterior portion of the crack was damaged, apparently by contact with the mating face of the crack, and that fracture features on undamaged portions consisted of ductile dimples, indicative of overstress fracture. No evidence of fatigue cracking or other type of progressive cracking was noted during the scanning electron microscope examination.

According the engine maintenance logs, the engine oil cooler was overhauled 442 hours before the accident on June 19, 2000.

Aircraft

Registration
N9JY
Reported as
Beech C-23
Category
Airplane
Serial number
M-2133
Airframe hours
6,283
Engine
Lycoming O-360-A4J, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Gary G. Brock
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 2004 · 33 hours before
Departed
PVT · Roseboro, NC

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
November 30, 2003
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
36 °F, dew point -0 °F
Altimeter
30.43 inHg
Observed at
kfay

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.