CEN10LA433

NTSB accident investigation · Beech H35 · Green Lake, WI · July 25, 2010

Accident · No injuriesLimited investigationFinal report
Date
July 25, 2010, 12:30 local (17:30 UTC)
Place
Green Lake, WI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N5443DBeech H35
Defining event
Enroute-descent: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 7, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-MKE-FSDO, Teledyne Continental Motors
FAA report
20100725042809A
Case key
76743

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

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

A total loss of engine power during descent due to the overhaul facility’s inadequate maintenance.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The pilot reported that, while on approach to the destination airport, the engine experienced a total loss of power. He selected an uphill-sloped soybean field to make a forced landing and retracted the landing gear. The airplane slid 260 feet before coming to a stop. The airplane sustained firewall damage during the landing sequence. The postaccident investigation revealed several anomalies with the engine that were not in accordance with engine manufacturer's recommended maintenance practices. The No. 2 bearing was dislodged/separated and remnants of it were most likely the metallic debris found in the oil sump and oil filter. The cylinder thru-bolts were found to be tight; however, 19 of the 36 cylinder deck stud nuts were loose. A crack was observed between the No. 4 main bearing saddle on the left half of the crankcase, which extended through the No. 5 main bearing saddle. The pilot reported that the airplane had undergone a top overhaul about 18 flight hours prior to the accident. At the conclusion of the examination, the exact cause of the engine failure could not be definitively identified.

Factual narrative

The factual narrative418 words

On July 25, 2010, at 1230 central daylight time, a Beech H35, N5443D, collided with terrain during a forced landing following a loss of engine power in Green Lake, Wisconsin. The pilot and passenger were not injured. The airplane sustained substantial damage to the engine firewall. The 14 Code of Federal Regulations Part 91 personal flight was operating in visual meteorological conditions without a flight plan. The last leg of the cross country flight originated at the Prairie Du Chien Municipal Airport (PDC), Prairie Du Chien, Wisconsin at 1145, with a destination of Wittman Regional Airport (OSH), Oshkosh, Wisconsin. The pilot was en route to EAA AirVenture 2010 when the accident occurred. He reported that he descended to 1,800 feet and was slowing the airplane to 90 knots in preparation to approach OSH per the Notice to Airman when the engine lost power. The pilot selected an open field located next to a road in which to land. The pilot retracted the landing gear and landed the airplane uphill in a soybean field. The airplane slid 260 feet before coming to a stop. The airplane sustained firewall damage during the landing. Post accident teardown inspection and disassembly of the Continental O-470-G-C1 engine revealed the oil pump screen was partially collapsed and it contained pieces metal particles. The oil sump contained metallic debris, which was consistent with bearing material. The torque on the cylinder deck studs and through bolts was measured using a calibrated torque wrench. All 12 of the cylinder through bolts were tight. Nineteen of the 36 cylinder deck studs were loose. The cylinders, pistons, piston rings, valves, and camshaft were removed and found undamaged. The crankshaft exhibited thermal discoloring around the area of the number one connecting rod. The number one connecting rod bearing was mostly extruded from the connecting rod and it exhibited thermal damage and discoloration. Fretting was observed on the crankcase number two main bearing saddle. The number two main bearing saddle bearing tang was worn and smeared. The saddle surface area appeared to be smeared and shiny in color. A crack was observed between the number four main bearing saddle on the left half (even number cylinder half) of the crankcase. The crack extended through the number five main bearing saddle. The number one, three, four, and five main bearings were intact and exhibited wear exposing the copper layer. The number two main bearing was separated into multiple portions. The engine had received a top overhaul 18.72 hours prior to the accident.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N5443D
Reported as
Beech H35
Category
Airplane
Serial number
D-4991
Airframe hours
4,126
Engine
Cont Motor O-470-G-C1, 240 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Michael A. Lella
Registered owner
N407ml LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 20, 2010 · 19 hours before
Departed
PDC · Prairie Du Chie, WI
Destination
OSH · Oshkosh, WI

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
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
July 20, 2010
Seat
Left
Flight hours
1,206 total · 116 in this make and model · 19 in the last 90 days · 19 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 55 °F
Altimeter
30.11 inHg
Observed at
OSH, 31 nm away

Docket · 9

The files NTSB released with the investigation on November 2, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.8 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.