ATL97LA069

NTSB accident investigation · Beech 33 · Carrollton, GA · April 29, 1997

Accident · No injuriesLimited investigationFinal report
Date
April 29, 1997, 11:30 local (15:30 UTC)
Place
Carrollton, GA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N5863SBeech 33
Weather
Visual (VMC) · Day
Status
Completed · report January 7, 1998
Report
Approved by Office Director
FAA report
19970429006969A
Case key
3845

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 inadequate maintenance inspection of the airplane that resulted in the disconnection of the propeller governor linkage and the subsequent reduction in engine power. The pilot also failed to maintain flying speed that resulted in an inadvertent stall during the forced landing.

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.

Airframe/component/system failure/malfunctionCruise - normal
Propeller governor control,linkage - disconnectedCause
Maintenance,annual inspection - inadequateOther maintenance personnelCause
Loss of engine power(partial) - mech failure/malfCruise - normal
Forced landingDescent - emergency
Loss of control - in flightEmergency descent/landing
Airspeed(vs) - not maintainedPilot in commandCause
Stall - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The instrument flight was cleared to a cruise altitude of 6000 feet. A few minutes into the flight, the pilot experienced a reduction in engine power. He declared an emergency and attempted to restore the engine to full operating power. The pilot said he increased the fuel mixture lever to full rich, turned on the fuel system boost pump, but could not restore full engine power. After completing the emergency procedures, the pilot was instructed, by air traffic control, to turn to a 125 degree magnetic heading for vectors to the nearest airport. After descending below the clouds, the pilot established a final approach for the emergency landing. As he flared for the touchdown on the runway, the pilot recalled that the aircraft stall warning horn was blaring. The pilot also stated that the flight controls were barely responsive as the left wing collided with the ground. The examination of the engine assembly disclosed that the propeller pitch control arm, at the propeller governor, had separated from the propeller governor. A review of service data disclosed that a service bulletin had been issued to prevent the separation of the governor control arm from the assembly. This service bulletin had not been accomplished on the accident airplane. The governor control arm separation occurred four flight hours after the last annual inspection.

Factual narrative

On April 29, 1997, at 1130 eastern daylight time, a Beech 33, N5863S, collided with the ground while attempting an emergency landing at the West Georgia Regional Airport in Carrollton, Georgia. The personal flight operated under the provisions of Title 14 CFR Part 91 with an instrument flight plan on file. Visual weather conditions prevailed at the time of the accident. The airplane sustained substantial damage; the pilot and passenger were not injured. The instrument flight departed Atlanta, Georgia, at 1045.

According to the pilot, the instrument departure clearance cleared the flight to a cruise altitude of 6000 feet. The pilot reported that a few minutes into the flight he experienced a reduction in engine power. The pilot declared an emergency and attempted to restore the engine to full operating power. The pilot said he increased the fuel mixture lever to full rich, turned on the fuel system boost pump, but could not restore full engine power. After completing the emergency procedures, the pilot was instructed by the air traffic controller to turn to a 125 degree magnetic heading for the West Georgia Airport in Carrollton. The pilot elected to attempt an emergency landing at the West Georgia Regional Airport; the airport was thirteen miles south east of where he declared the emergency.

The pilot reported that visibility was good as he descended below the last cloud layer, and he established visual contact with West Georgia Airport. The pilot established a final approach for runway 16. As the pilot flared for the touchdown on runway 16, the pilot recalled that the aircraft stall warning horn was blaring. The pilot also stated that the flight controls were barely responsive as the left wing collided with the ground.

The examination of the engine assembly disclosed that the propeller pitch control arm, at the propeller governor, had separated from the propeller governor. A review of aircraft maintenance service data disclosed that a service bulletin had been issued in 1984 to prevent the pitch arm separation from the governor assembly. During a subsequent telephone conversation with the pilot, he stated that he was present when the mechanic accomplished the annual inspection. He recalled that the mechanic did inspect the propeller assembly, and there were no obvious problems noted. According to the pilot/owner, this service bulletin had not been accomplished on the accident airplane. The arm separation occurred approximately four flight hours after that annual inspection. No Federal Aviation Administration airworthiness directive had been issued to prevent this type of failure.

Aircraft

Registration
N5863S
Reported as
Beech 33
Category
Airplane
Serial number
CD830
Airframe hours
3,655
Engine
Continental IO-520-8A8, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Robert E. Nickels
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 5, 1997 · 4 hours before
Departed
KFTY · Atlanta, GA
Destination
KDTS · Destin, FL
Flight plan
IFR
Airport
CTJ · West Georgia Regional, runway 16, 5,001 × 100 ft, asphalt

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
54
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
847 total · 453 in this make and model · 847 as pilot in command · 10 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 8 knots
Visibility
10 statute miles
Lowest ceiling
1,200 ft overcast
Temperature
57 °F, dew point 54 °F
Observed at
ATL, 30 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.

Other investigations on N5863S · 1

Matched to the same aircraft by N-number and date.