ATL92LA038

NTSB accident investigation · Beech J-35 · Knoxville, TN · January 12, 1992

Accident · No injuriesLimited investigationFinal report
Date
January 12, 1992, 14:02 local (19:02 UTC)
Place
Knoxville, TN
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N185YBeech J-35
Weather
Visual (VMC) · Day
Status
Completed · report August 13, 1993
Report
Approved by Office Director
FAA report
19920112000969A
Case key
8554

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 manufacturer's failure to provide adequate torque information which resulted in the loss of torque on the cylinder hold down nuts and the complete loss of engine power.

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/malfCruise - normal
Engine assembly,cylinder - separation
Engine assembly,cylinder - undertorquedCause
Maintenance,overhaul - inadequateManufacturerCause
Procedure inadequateManufacturerCause
Forced landingDescent - emergency
In flight collision with terrain/waterLanding - flare/touchdown
Airport/facilities - soft

Analysis

Shortly after takeoff, the pilot reported a severe vibration in the airplane, followed by a complete loss of engine power. An emergency landing was attempted to runway 24R at mcghee tyson airport, but the airplane crashed a mile short of the runway. Examination of the engine assembly revealed that number 1 & 2 cylinders had separated from the engine case. The examination also disclosed that the cylinder hold down studs were damaged and the threads were battered. There was an accumulation of metallic dust associated with fretting adjacent to the cylinder flange and engine case. Several hold down nuts were not recovered for examination. The engine maintenance log showed that the number 1 cylinder was removed and installed in accordance with current service instructions 314 hours prior to this accident. Subsequent to this accident Continental motors issued a service bulletin increasing the hold down torque nut values from 710 inch pound to 810 inch pounds, and changed existing six point hold down nuts to twelve point nuts.

Aircraft

Registration
N185Y
Reported as
Beech J-35
Category
Airplane
Serial number
D5333
Airframe hours
4,510
Engine
Continental I0-470-C, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Webster, Gordon
Registered owner
Webster, Gordon
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · March 9, 1991 · 98 hours before
Destination
RYY · Marietta, GA

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
53
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,100 total · 90 in this make and model · 1,100 as pilot in command · 10 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 6 knots
Visibility
7 statute miles
Lowest ceiling
6,500 ft overcast
Temperature
39 °F
Altimeter
30.00 inHg
Observed at
TYS, 1 nm away

FAA reports on this event · 1

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