CEN12LA558

NTSB accident investigation · Beech A36 · Ruleton, KS · August 17, 2012

Accident · No injuriesLimited investigationFinal report
Date
August 17, 2012, 13:45 local (18:45 UTC)
Place
Ruleton, KS
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N262EABeech A36
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20120817022349A
Case key
84733

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 improper installation of the wastegate controller O-ring, which resulted in a partial loss of engine power.

Findings · 2

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: installationPersonnel issues › Task performance · Maintenance personnelRaytheon A36: 2 casesAll aircraft: 371 casesProbable cause
Turbocharging (recip only)Aircraft › Aircraft power plant · Incorrect service/maintenanceRaytheon A36: 1 caseAll aircraft: 6 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

Shortly after leveling off at a cruise altitude of 8,500 feet mean sea level, the pilot noted that the engine rpm increased to above its red line limit (2,700 rpm). The pilot was able to reduce power to 2,500 rpm but was unable to restore thrust and maintain altitude, so he made a forced landing in a nearby wheat field. During postaccident examination, the engine turbocharger controller was found covered with oil. Examination of an elbow fitting on the turbocharger wastegate control revealed that an O-ring was improperly installed and flattened, which allowed oil to seep out. When the O-ring was reseated and the elbow fitting torqued, no seepage was observed.

Factual narrative

On August 17, 2012, about 1345 mountain daylight time, the pilot of a Beech A36, N262EA, made a forced landing in a field near Ruleton, Kansas. The pilot and two passengers were not injured. The airplane was substantially damaged. The airplane was registered to KABAKY, LLC, Rapid City, South Dakota, and operated by 21st Century Equipment, Bridgeport, Nebraska, under the provisions of 14 Code of Federal Regulations Part 91 as a corporate/executive flight. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed. The local flight originated from Goodland, Kansas (KGLD), approximately 1330. According to the pilot's accident report, there was 9 quarts of oil in the engine crankcase (12 quarts maximum capacity) prior to his departure from Sidney, Nebraska. He arrived in KGLD about 1230. He did not indicate whether he checked the oil. After boarding two passengers, he departed KGLD at 1330, en route to Fort Morgan (KFMM), Colorado. Shortly after leveling off at a cruising altitude of 8,500 feet, the pilot heard engine RPM (revolutions per minute) increase and he noted that the tachometer was at the top of the gauge. The pilot was able to reduce power to 2,500 RPM, but was unable to restore thrust or maintain altitude. He extended the landing gear and made a forced landing in a wheat field near County Roads 74 and 9, about 12 miles northwest of KGLD. Post-accident examination revealed the right wing rear spar was broken. FAA inspectors went to the accident site and reported finding the turbocharger controller covered with oil. After the airplane was recovered to a hangar, they drained 5 quarts of oil from the crankcase. On September 27, 2012, the turbocharger controller was examined by the NTSB at Beegles Aircraft Service in Greeley, Colorado. Oil covered the controller piping. When shop air (35-95 psi) was introduced via the oil pressure inlet hose, the wastegate control valve opened and closed normally. A soapy solution was applied to all fittings. Air bubbles were noted at the elbow fitting of the outlet hose going to the wastegate controller. The outlet fitting was loosened and removed. The O-ring was discovered flattened. It was reseated and the elbow fitting re-torqued. Shop air and a soapy solution were reapplied. No more bubbles were observed. Examination of the airplane’s maintenance records revealed the last annual/100-hour inspection was performed on October 10, 2011. On that date, the engine, turbocharger, controller and wastegate were overhauled. The units were reinstalled on the airplane on November 12, 2011, at a Hobbs meter time of 1,907.6 hours. Routine oil changes followed on February 1, 2012 (1,909.8 hours0, April 26, 2012 (1.962.8 hours), and June 12, 2012 (38.5 hours, after the Hobbs meter was changed on April 26).

Aircraft

Registration
N262EA
Reported as
Beech A36
Category
Airplane
Serial number
E-3417
Airframe hours
2,032
Engine
Continental IO-550-B, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Executive/Corporate · Part 91
Operator
21st Century Equipment
Registered owner
Kabajk, LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 11, 2011 · 124 hours before
Departed
KGLD · Goodland, KS
Destination
KFMM · Fort Morgan, CO

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
34
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
September 22, 2011
Seat
Left
Flight hours
2,940 total · 130 in this make and model · 2,510 as pilot in command · 80 in the last 90 days · 35 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 9 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 43 °F
Altimeter
30.12 inHg
Observed at
KGLD, 7 nm away

Docket · 8

The files NTSB released with the investigation on March 20, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.7 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.