CEN11LA491

NTSB accident investigation · Beech C35 · Medina, OH · July 20, 2011

Accident · No injuriesLimited investigationFinal report
Date
July 20, 2011, 13:27 local (17:27 UTC)
Place
Medina, OH
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1883DBeech C35
Defining event
Enroute-climb to cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report November 7, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20110720019679A
Case key
81181

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 loss of engine power due to fuel starvation due to an age-related failure of the engine-driven fuel pump. Also causal was the failure of the maintenance facility to overhaul the fuel pump and the failure of the operator to ensure that the pump was overhauled.

Findings · 5

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.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelBeech C35: 1 caseAll aircraft: 320 casesProbable cause
Oversight: oversight of maintenanceOrganizational issues › Support/oversight/monitoring · OperatorBeech C35: 1 caseAll aircraft: 28 casesProbable cause
Engine fuel and control: fuel pumpAircraft › Aircraft power plant · Fatigue/wear/corrosionBeech C35: 1 caseAll aircraft: 34 casesProbable cause
Maintenance/inspectionsAircraft › Aircraft handling/service · Incorrect service/maintenanceBeech C35: 1 caseAll aircraft: 103 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Not specifiedBeech C35: 5 casesAll aircraft: 1,695 casesProbable cause

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 airplane lost total engine power while climbing through about 200 feet above ground level after takeoff. Postaccident examination of the engine revealed that the engine-driven fuel pump was leaking fuel through an internal diaphragm and out of a vent hole, thus fuel was not reaching the engine. Although the engine was overhauled about 11 years before the accident, the operator's mechanic stated that there were no records showing that the engine driven fuel pump was overhauled at that time or at any time since it was installed on the engine about 1956. The engine manufacturer recommends that all engine accessories be overhauled when the engine is overhauled.

Factual narrative

On July 20, 2011, about 1327 eastern daylight time, a Beech C35, N1883D, experienced a total loss of engine power after takeoff from Medina Municipal Airport (1G5), Medina, Ohio. The certificated flight instructor (CFI) subsequently took control of the airplane and made a turn back to the airport but then attempted a forced landing to a field about 400 feet from runway 27. The CFI and the commercial pilot were uninjured. The airplane sustained substantial damage. The airplane was registered to Olson Products Inc DBA and operated by Flight Services of Medina as an instructional flight under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident. The flight was originating at the time of the accident. The CFI stated that after practicing maneuvers for about 0.5-0.7 hours, they returned to 1G5 to practice takeoff and landings. During the first practice takeoff, the engine experienced a total loss of engine power about 200 feet above ground level. The CFI stated that there was not much time to troubleshoot the power loss or to decide where to land. The CFI said that 5-7 seconds elapsed before he landed the airplane on a small grass area beyond the departure end of runway 27. The airplane struck several small trees. The engine (Teledyne Continental E-185-8, serial number 26742-D-1-8-R) underwent a test run under the supervision of the Federal Aviation Administration. The cold engine compression prior to testing was recorded as: cylinder 1 - 60/80, cylinder 3 - 10/80, cylinder 5 - 34/80, cylinder 2 - 52/80, cylinder 4 - 58/80, cylinder 6 - 12/80. The engine would not start after four attempts. The engine driven fuel pump was found to be leaking at a seam. The engine driven pump was bypassed and the engine was able to be started and operated from idle to 2,600 rpm. The engine compression ratios were then repeated and recorded as: cylinder 1 - 70/80, cylinder 3 - 50/80, cylinder 5 - 64/80, cylinder 2 - 50/80, cylinder 4 - 64/80, cylinder 6 - 70/80. The engine driven fuel pump that had been leaking was a Thompson Products, Inc. TF 1900, serial number TF48290W. A sticker on the pump read, "JAN 55A". The pump was tested on a test bench during which the test fluid was leaking intermittently from a vent hole. The pumps nose seal would leak continuously. The following parameters were recorded during the test: At 3,000 rpm, pressure was 8 psi, flow rate - 130 lbs/hr At 4,500 rpm, pressure - 9 psi, flow rate - 0 lb/hr At 4,000 rpm, pressure - 9 psi, flow rate - 0 lb/hr At 3,500 rpm, pressure - 9 psi, flow rate - 30 lb/hr The pump speed was returned to 3,000 rpm and the pressure would oscillate from 7-9 psi and 15-17 psi. The vent hole also leaked. When the pump speed was returned to 3,500 rpm, the pressure was 8 psi, and the flow rate was 150 lb/hr. There was no fuel leak present when the pump speed was returned to 3,500 rpm. The pump was disassembled after the test and the diaphragm wasexamined. The diaphragm did not have any holes or perforations; however, the test fluid was able to leak through it. The diaphragm had an annotated "1956". The operator's mechanic was asked to provide the Investigator-In-Charge with the overhaul records and/or the serviceable tag, commonly called the yellow tag, for the pump. The mechanic stated that there were no serviceable tags associated with the pump. The operator said that the engine was overhauled at a maintenance facility that went bankrupt. The engine was obtained from the maintenance facility during that bankruptcy. Teledyne Continental Service Information Letter SIL98-9A, Time Between Overhaul Periods, states: Engine mounted components and accessories require overhaul at the same hourly and calender intervals as the engine, unless otherwise specified by the component or accessory manufacturer. SIL98-9A also states that E185 series engines are to be overhauled after an accumulation 1,500 hours or 12 years which ever occurs first. An engine logbook entry dated October 25, 1999, states that the engine was removed and reinstalled following an engine overhaul at a tachometer time of 84.0 hours. The provided records show that the overhaul was performed by Clydesdale, Inc. An engine logbook entry dated June 14, 2010, indicated that the engine driven fuel pump was repaired and inspected using a new gasket (part number 653487) and hardware as required. The last annual inspection of the airplane and engine was dated August 31, 2010, at a tachometer time of 99.0 hours and an aircraft total time of 4,598.11 hours. The engine total time was 4,598.11 hours. An engine logbook entry dated February 14, 2011, indicated that at a tachometer time of 102.6 hours and an engine total time of 4,601.71 hours, the time since overhaul was 22.2 hours.

Aircraft

Registration
N1883D
Reported as
Beech C35
Category
Airplane
Serial number
D-3155
Airframe hours
4,598.11
Engine
Continental Motors E185, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Flight Services of Medina
Registered owner
Olson Products Inc DBA
Airworthiness certificate
Standard, Utility
Last inspection
Annual · August 31, 2010
Departed
1G5 · Medina, OH
Destination
Unknown
Flight plan
Unknown
Airport
1G5 · Medina Municipal Airport, runway 27, 3,556 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 1, Unknown
Seat
Left
Flight hours
1,765 total · 6 in this make and model · 200 in the last 90 days
Role
Student pilot
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Unknown
Seat
Right
Flight hours
260 total · 20 in this make and model · 30 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 70 °F
Altimeter
29.88 inHg
Observed at
AKR, 15 nm away

Docket · 6

The files NTSB released with the investigation on September 12, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.5 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.

Other investigations on N1883D · 1

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