# NTSB CEN13LA204: Beech A36, N6038R, Cordova, IL, March 23, 2013 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: March 23, 2013, 13:52 local (18:52 UTC) - Place: Cordova, IL - Coordinates: 41.448055, -90.507499 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=41.4481&lon=-90.5075&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Defining event: [Maneuvering: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report December 11, 2013 - Report: Approved by Office Director - NTSB office: Central Region - Parties: Continental Motors Inc, Federal Aviation Administration - NTSB case key (mKey): 86507 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN13LA204 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/86507/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=86507 - Page: https://openairdocs.org/ntsb/CEN13LA204 ## Probable cause A partial loss of engine power for reasons that could not be determined because a postaccident test run of the engine revealed no mechanical failures or malfunctions that would have precluded normal operation. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Engine (reciprocating)](https://openairdocs.org/ntsb-findings/01058500): Aircraft › Aircraft power plant · Failure (probable cause); cases with it: [Beech A36, 13 cases](https://openairdocs.org/ntsb-findings/01058500/cases.md?model=1151604), [All aircraft, 497 cases](https://openairdocs.org/ntsb-findings/01058500/cases.md) - [Not determined](https://openairdocs.org/ntsb-findings/05000000): Not determined › Not determined · Unknown/Not determined (probable cause); cases with it: [Beech A36, 23 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md?model=1151604), [All aircraft, 2,247 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Maneuvering: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) (defining event); cases with it: [Beech A36, 56 cases](https://openairdocs.org/ntsb-events/341/sequence.md?model=1151604), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md) - [Emergency descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Beech A36, 78 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=1151604), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis Before departure, the pilot conducted a preflight inspection of the airplane and noted no anomalies. The pilot reported that, about 10 minutes after reaching cruise altitude, the engine "coughed" and began to lose power. He stated that he switched fuel tanks and attempted to regain engine power but that the engine could not produce enough power to maintain altitude. Unable to reach an airport, the pilot chose to perform a forced landing to a field, during which the airplane impacted power lines, and a portion of the right wing separated. During the postaccident test run of the engine, no mechanical failures or malfunctions were revealed that would have precluded normal operation. ## Factual narrative On March 23, 2013, at 1352 central daylight time, a Beech A36 single-engine airplane, N6038R, impacted terrain following a partial loss of engine power while maneuvering near Cordova, Illinois. The private pilot was not injured. The airplane sustained substantial damage to the right wing and fuselage. The airplane was registered to Romeo Aviation LLC, Bettendorf, Iowa, and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed, and a flight plan was not filed. The flight originated from the Davenport Municipal Airport (DVN), Davenport, Iowa, and was en route to Sterling, Illinois. Prior to departure, the pilot preflighted the airplane with no anomalies noted. Visual inspection of the fuel tanks showed the tanks contained a total of approximately 64 gallons of fuel. After takeoff, the pilot leveled the airplane at 3,500 feet, set cruise power configuration, and obtained a transponder code. Approximately 10 minutes after reaching cruise altitude, the engine "coughed" and began to lose power. The pilot switched fuel tanks and attempted to regain engine power. The pilot reported the engine produced limited power, but not enough power to maintain altitude. Unable to reach an airport, the pilot elected to perform a forced landing to a field. During the forced landing, the airplane impacted power lines, which separated a portion of the right wing. The airplane came to rest upright in the field. A review of the maintenance records showed the airplane underwent its most recent annual inspection on January 16, 2013, at a total engine time of 887.9 hours. At the time of the accident, the engine accumulated 898.2 hours. According to the pilot, he had accumulated 1402 hours in single-engine airplanes, and 16.2 hours in the accident airplane. On March 27, 2013, the airplane and engine were examined at a salvage facility by representatives from the Federal Aviation Administration and Continental Motors, Inc. Examination of the airplane and engine revealed no mechanical anomalies that would have precluded normal operation. The engine was removed and sent to the manufacturer for further examination. In addition, an Insight Avionics GEM-610 engine monitor was removed from the aircraft and sent to the NTSB Vehicle Recorders laboratory for examination and data extraction. On April 29, 2013, the engine was examined at Continental Motors, Inc, under the supervision of the NTSB investigator-in-charge. Examination of the engine showed impact damage to one engine mount and two fittings on the fuel metering unit. The fuel pump was removed and functionally tested, with no anomalies noted. The fuel pump was reinstalled on the engine. The damage metering unit fittings and engine mount were replaced and installed. The engine was then functionally tested in an engine test cell per the manufacturer functional test procedures. The engine start and test were completed with no anomaliesnoted. According to the NTSB Vehicle Recorders laboratory report, the GEM-610 unit was configured to monitor and record exhaust gas temperatures (EGT) and cylinder head temperatures (CHT). The recording interval was set to 6 seconds. The device had recorded three flights on March 3, 8, and 23, 2013. The last recording was the accident flight. According to the accident flight recording, about 48 seconds (0048) after the start of the recording, EGTs 1-4 (cylinders) generally leveled out; EGT 5 exceeded the temperature of EGTs 1-4 (a different behavior than the March 8, 2013 flight), and EGT 6 was the coldest, with a slightly different trend than the other cylinders in that period. EGTs 1-4 remained rather steady until about 0518 into the recording, when they increased; EGT 5 and 6 also increased with a different trend. By about 0823, EGT 5's temperature decreased, and it became the coldest EGT. About 1102, all the EGTs reduced, then by 1252 into the recording, increased to between 1400 and 1600 degrees Fahrenheit (F). The EGTs all remained rather steady in that range until about 1810, when the EGTs all dropped off rapidly, and the CHTs gradually began to decrease. From the start of the recording, the CHTs trended up, with some level offs, until about 1101, when they leveled off a bit, coincident with the EGT reduction. About 1221, the CHTs rose, as did the EGTs, and then by 1419, the CHTs all stabilized between 300 and 400 degrees F (higher for most cylinders than the March 8, 2013 flight). The CHTs remained fairly constant until they started to drop off gradually about 1810 into the recording, when the EGTs rapidly decreased. ## Aircraft - Registration: [N6038R](https://openairdocs.org/deregistered/N6038R-2014-05-19), registration cancelled 2014-05-19, S/N E-1482, built 1979 (OpenAirDocs) - Reported make and model: BEECH A36 - Registry model: [Beech A36](https://openairdocs.org/model/beech-a36) (registry code 1151604) (OpenAirDocs) - Registry engine: [Continental IO-520 series](https://openairdocs.org/engine/continental-io-520-series) (registry code 17032, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: E-1482 - Airframe hours: 3762 - Engines: Continental Motors Inc IO-520BB-37B 300 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Standard, Normal - Last inspection: Annual, January 16, 2013 - Departed: DVN, Davenport, IA - Destination: SQI, Sterling, IL ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 66; injuries: none; private; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, with waivers/limitations; last flight review September 6, 2012; seat: left; flight hours: 1,402 total, 16 in this make and model, 1,329 as pilot in command ## Weather - Conditions: Visual (VMC), Day - Wind: calm - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 43 °F, dew point 18 °F - Altimeter: 30.09 inHg - Observed at: MLI ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20130323004509A](https://openairdocs.org/incident/20130323004509A), Mar 23, 2013: Beech A36, Cordova, IL, Substantial damage. After takeoff from davenport municipal airport (dvn), IA, en-route to whiteside county airport (sqi) in sterling, IL, N6038R lost engine power. The pilot… ## Docket (4 files) The files NTSB released with the investigation on July 31, 2013, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=86507. 653 KB in all. - Engine Monitor 17 - Specialist's Factual Report (item 1, .PDF, 298 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40393536&FileExtension=.PDF&FileName=Engine%20Monitor%2017%20-%20Specialist%27s%20Factual%20Report-Master.PDF - Engine Monitor 17 - Attachment 1 - Tabular Data (Flight 584) (CSV) (item 2, .CSV, 29 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40393537&FileExtension=.csv&FileName=Engine%20Monitor%2017%20-%20Attachment%201%20-%20Tabular%20Data%20(Flight%20584)%20(CSV)-Master.csv - Engine Monitor 17 - Attachment 2 - Tabular Data (Accident Flight 585) (CSV) (item 3, .CSV, 14 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40393538&FileExtension=.csv&FileName=Engine%20Monitor%2017%20-%20Attachment%202%20-%20Tabular%20Data%20(Accident%20Flight%20585)%20(CSV)-Master.csv - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 4, .PDF, 312 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40395851&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.