ATL94LA120

NTSB accident investigation · Beech P35 · Bluffton, SC · June 12, 1994

Accident · No injuriesLimited investigationFinal report
Date
June 12, 1994, 12:00 local (16:00 UTC)
Place
Bluffton, SC
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N982QBeech P35
Weather
Visual (VMC) · Day
Status
Completed · report December 19, 1994
Report
Approved by Office Director
FAA report
19940612015269A
Case key
3401

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

A loss of engine power due to oil starvation. This resulted from an undertorqued condition of the oil filter adapter, and the subsequent fretting of the adapter threads.

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/malfApproach
Lubricating system,oil filter/screen - undertorquedCause
Lubricating system,oil filter/screen - leakCause
Fluid,oil - starvationCause
Forced landingDescent - emergency
On ground/water collision with objectLanding - roll
Object - tree(s)

Analysis

During cruise flight, the pilot observed a loss of oil pressure, accompanied by the smell of burning oil. The propeller oversped, and the engine subsequently quit. The airplane was force landed on a golf course, and collided with trees during the landing roll. An examination of the engine revealed the threads on the oil filter adapter, and the mating threads on the engine case, were severely fretted, and oil had leaked out of the engine, around the adapter threads. There was evidence of oil starvation and thermal distress on internal engine parts. Evidence suggests that the jam nut which tightens the adapter to the engine case either lost its preload torque, or was undertorqued during maintenance. Logbook entries indicating the last maintenance on the adapter were not located.

Factual narrative

On June 12, 1994, at 1200 eastern daylight time, a Beech P35, N982Q, collided with trees during a forced landing near Bluffton, South Carolina. The commercial pilot and two passengers were not injured. The aircraft was destroyed. The flight was operated under 14 CFR Part 91 by SRQ Flyers, Inc. Visual meteorological conditions existed at the time, and an instrument flight rules flight plan was in effect for the personal flight to Garner, North Carolina. The flight originated in Sarasota, Florida, at 1010.

The pilot reported that during cruise flight, he smelled burning oil, and there was no oil pressure indication on the gauge. He turned toward the closest airport, and advised Air Traffic Control of the problem. The propeller oversped a few seconds later. The throttle was retarded, and the engine continued to lose power until the propeller stopped turning. The aircraft descended into clouds at about 6,000 feet mean sea level (msl), and remained in the clouds until reaching about 1,600 feet msl. As he exited the clouds, it was apparent that the aircraft could not make the closest airport. A forced landing was attempted at a nearby golf course. The aircraft touched down on a fairway, and maximum braking was applied. The aircraft could not be stopped in an open area, and it collided with trees.

The engine was examined following the accident. The examination revealed oil had leaked out of the engine via the oil filter adapter. The engine was disassembled, and there was evidence of heat distress and a lack of lubrication on all main and connecting rod bearings. The number two cylinder wall and piston were scored from operation at elevated temperatures. The engine oil sump contained about one quart of oil.

An examination of the threads on the oil filter adapter revealed that about 60 to 70 percent of the thread pitch diameter had been fretted away. The mating threads on the engine case were also fretted. A rubber "o" ring, which fits between a jam nut and the engine case, was damaged in several areas around its circumference. There was evidence of inadequate torque on the jam nut. It is not known whether the inadequate torque resulted from a loss of preload torque, or from insufficient torquing during installation. The oil filter adapter was not supplied with the engine by the engine manufacturer. No maintenance records were located which identified when the adapter was last installed or inspected.

Aircraft

Registration
N982Q
Reported as
Beech P35
Category
Airplane
Serial number
D-6846
Airframe hours
4,142
Engine
Continental IO-470-N, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Srq Flyers, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 1993 · 231 hours before
Departed
SRQ · Sarasota, FL
Destination
NC99 · Garner, NC
Flight plan
IFR

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
22
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
820 total · 8 in this make and model · 780 as pilot in command · 70 in the last 90 days · 56 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 7 knots
Visibility
7 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 72 °F
Altimeter
30.00 inHg
Observed at
SAV, 20 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.