CEN10LA188

NTSB accident investigation · Beech 95 · Eden Prairie, MN · April 1, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
April 1, 2010, 14:40 local (19:40 UTC)
Place
Eden Prairie, MN
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N20FPBeech 95
Defining event
Initial climb: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report June 20, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-Minneapolis FSDO
FAA report
20100401044999A
Case key
75643

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 fatigue failure of an intake valve spring on the right engine, which resulted in a partial loss of engine power on takeoff.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · FailureBeech 95: 1 caseAll aircraft: 373 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleBeech 95: 1 caseAll aircraft: 1,310 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot stated that he had no recollection of the events leading up to the accident. The passenger reported that the airplanes' engines seemed to come up to full power during takeoff. The airplane lifted off about halfway down the runway; however, it didn't climb very well. The stall warning sounded just as the airplane was off the end of the runway, and the pilot's efforts to continue flight were unsuccessful. The right wing dropped, and the airplane descended and impacted the ground. A witness reported that the airplane's nose was pitched up 10 to 15 degrees and the wings appeared to be level, as it was flying in ground effect about 10 feet agl. He noted that the engines seemed to be running without any obvious problems. A postaccident examination revealed a lack of compression on the right engine No. 4 cylinder. Further investigation determined that the intake valve spring on the cylinder had fractured. Metallurgical examination noted that the fracture surfaces exhibited features indicative of fatigue progression initiated by corrosion pitting. Corrosion pits and red rust deposits were observed on many areas of the spring. The fatigue initiation also coincided with longitudinal tooling marks consistent with the original forming of the spring. Maintenance records indicated the right engine had been overhauled nearly 2 years prior to the accident. The cylinders were replaced with new non-original equipment manufacturer (OEM) assemblies at that time. The replacement cylinder assemblies were furnished with the valves and valve springs installed. According to the pilot, the right engine had accumulated 18 hours since overhaul.

Factual narrative

On April 1, 2010, about 1440 central daylight time, a Beech model 95, N20FP, impacted a flooded ravine about 2 miles south of Flying Cloud Airport (FCM), near Eden Prairie, Minnesota. The flight had departed from Runway 18 (2,691 feet by 75 feet, asphalt) at FCM. The pilot and passenger both sustained serious injuries. The airplane was registered to Fisher Air LLC, and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91, as a repositioning flight after avionics maintenance. Visual meteorological conditions prevailed for the flight, which was not operating on a flight plan. The flight was originating at the time of the accident. The pilot reported that the purpose of the flight was to reposition the airplane from FCM to New Richmond Regional Airport (RNH), New Richmond, Wisconsin, after avionics work has been completed. He stated that he had no recollection of the events leading up to the accident. The passenger stated that the engines seemed to come up to full power during takeoff. The airplane lifted off about halfway down the runway; however, it didn't climb very well. The stall warning sounded just off the end of the runway about 50 feet above ground level (agl). The pilot appeared to check the gear position and auxiliary fuel pump in an attempt to troubleshoot the problem. The pilot reduced the pitch attitude in an attempt to increase airspeed, but the airplane was unable to maintain altitude. The right wing dropped, and the airplane descended from an altitude of about 300 feet agl. It came to rest in a flooded area at the bottom of the hill off the end of the runway. A witness reported that the accident airplane's nose was pitched up about 10 to 15 degrees. The wings appeared to be level and it was flying in ground effect about 10 feet agl. He noted that the engines seemed to be running, and he did not recall hearing any sputtering or seeing any smoke. A hill dropped off past the end of the runway. The airplane came to rest upright about 30 yards out into a flooded area. The wings were facing north and the fuselage was canted about 30 degrees relative to the wings. The nose section was separated from the remainder of the fuselage and the windshield was broken out. There did appear to be fuel present at the accident site. Examination of the right engine revealed a lack of compression on the #4 cylinder. Further investigation determined that the #4 cylinder intake valve spring was fractured into 5 pieces. Metallurgical examination noted that some of the spring fracture surfaces had been damaged due to mechanical contact. However, the undamaged fracture surfaces exhibited features indicative of fatigue progression. Fatigue initiation was located at corrosion pits on the surface of the spring. Similar corrosion pits and red rust deposits were observed on many areas of the spring. The fatigue initiation also coincided with longitudinal tooling marks consistent with the original forming of the spring. The accidentairplane was a 1958 Beech model 95 (s/n TD-14). The airplane was powered by 2 Lycoming O-360-A1A engines, each capable of developing 180 horsepower. According to the maintenance logs, an annual inspection was completed on October 15, 2009, at 7,078.1 hours total airframe time. The left engine (s/n L515-36) was overhauled in July 1990. The right engine (s/n L2076-36) was overhauled in June 2008. The logs indicated that at the time of the annual inspection, the left and right engines had accumulated 1,837.0 hours and 2.1 hours since overhaul, respectively. On the NTSB accident report, the pilot noted that the left and right engines had accumulated 1,940 hours and 18 hours since overhaul, respectively. A flight log, entitled "Fisher Air – N20FP," was provided to the NTSB with the aircraft documentation. The log included flight times dated January 7, 2010, through April 1, 2010; the date of the accident. The flight time noted in that log totaled 14.1 hours.

Aircraft

Registration
N20FP
Reported as
Beech 95
Category
Airplane
Serial number
TD-14
Airframe hours
7,078
Engines
Lycoming O&VO-360 SER, 180 horsepower, reciprocatingLycoming O&VO-360 SER, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Fischer Air LLC
Registered owner
Fischer Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 5, 2009
Departed
FCM · Minneapolis, MN
Destination
RNH · New Richmond, MN
Airport
FCM · Flying Cloud Airport, runway 18, 2,691 × 75 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
56
Injuries
Serious
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 11, 2010
Seat
Left
Flight hours
11,320 total · 55 in this make and model · 11,220 as pilot in command · 60 in the last 90 days · 20 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 52 °F
Altimeter
29.45 inHg
Observed at
FCM, 2 nm away

Docket · 9

The files NTSB released with the investigation on May 9, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.1 MB in all.

FAA reports on this event · 1

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