- Date
- April 15, 2013, 09:45 local (14:45 UTC)
- Place
- Warren, AR
- Injuries
- 2 minor
- Damage
- Substantial damage
- Phase of flight
- Initial climb
- Aircraft
- N9414YBeech N35
- Defining event
- Initial climb: Loss of engine power (total)
- Weather
- Visual (VMC) · Day
- Status
- Completed · report June 1, 2015
- Report
- Approved by Office Director
- NTSB office
- Central Region
- Parties
- FAA Flight Standards, Continental Motors Group
- FAA report
- 20130415006099A
- Case key
- 86661
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 fatigue failure of the engine crankshaft due to oversized crankcase saddle bores, which resulted from maintenance personnel improperly resizing the saddle bores during engine maintenance.
Findings · 4
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.
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 reported that the engine lost power during the initial climb. He then established a glide in an attempt to return to the airport; however, due to "strong" wind, the airplane landed "abruptly short of the runway." A postaccident engine examination revealed that the crankshaft had fractured due to fatigue through the No. 3 cheek immediately aft of the No. 2 main bearing journal. Portions of the saddle bore diameter at the nose of the crankshaft were oversized. The crankcase No. 2 main bearing saddle exhibited longitudinal deformation adjacent to the bore with fretting and galling on the saddle landings. The No. 1 main bearing shells were deformed; the No. 2 main bearing shells were worn, deformed, and partially split. The remaining bearings exhibited helical lines that matched the machining lines on the crankcase main bearing saddles. The tin coating had been worn away except around the oil transfer holes. The appearance of the main bearing shells was consistent with the bearings shifting during operation due to insufficient crush, which was likely caused by the oversized main saddle bore diameters. Maintenance records indicated that the engine was disassembled about 15 months before the accident due to a propeller strike. At that time, maintenance personnel cut the crankcase mating surfaces and resized the saddle bores. The engine had accumulated about 16.5 hours since the engine was reinstalled. It is likely that maintenance personnel improperly resized the saddle bores during the engine maintenance.
Factual narrative
On April 15, 2013, about 0945 central daylight time, a Beech model N35 airplane, N9414Y, was substantially damaged during a forced landing following a loss of engine power after takeoff from the Warren Municipal Airport (3M9), Warren, Arkansas. The pilot and passenger sustained minor injuries. The aircraft was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight. An instrument flight rules flight plan had been filed, but not yet activated. The flight was originating at the time of the accident. The intended destination was the Mena Intermountain Municipal Airport (MEZ), Mena, Arkansas.The pilot reported that he had departed from runway 21 (3,829 feet by 75 feet, asphalt) at 3M9 and climbed to 700 feet mean sea level (msl). As he started a right turn to the west, about 1,000 feet msl, the engine lost power. He established a glide in an attempted to return to the airport. However, due to "strong" winds, the airplane contacted the ground "abruptly short of the runway." A postaccident engine teardown and subsequent metallurgical examination were conducted. The crankcase was cracked starting at the number 1 cylinder head mounting stud and continuing to the top of the case. The crankcase number 2 main bearing saddle exhibited longitudinal deformation adjacent to the bore, with fretting and galling on the saddle landings. The other saddles exhibited curvilinear marks on the split plane landings and helical marks on the saddle bores, consistent with machining marks. The crankcase was re-assembled and the saddle bore diameter at the nose of the crankshaft was measured. The bore diameter was within limits in the area centered 90-degrees from the split plane. However, the bore diameter was oversized in the area centered about 20-degrees from the split plane. The bore diameter measured 2.5660 inch; the bore diameter limits were 2.5625 inch to 2.5635 inch. The crankshaft had fractured through the number 3 cheek, immediately aft of the number 2 main bearing journal. The fracture surfaces exhibited curvilinear crack propagation marks consistent with fatigue. The main bearing surface exhibited circumferential abrasion marks. The main bearing journal diameters measured within the limits for a reground crankshaft, with the exception of the number 2 journal. The number 1 main bearing shells were deformed; the number 2 main bearing shells were worn, deformed and partially split. The remaining bearings exhibited helical lines that matched the machining lines on the crankcase main bearing saddles. The tin coating on the backside of the bearings had been worn away except around the oil transfer holes. Dimensional inspection of the number 3, 4 and 5 main bearing shells were within limits. Engine maintenance records indicated that the engine was overhauled in January 2001, at 1,526.5 hours total time. According to the records, an annualinspection was completed on December 10, 2009, at 1,696.7 hours total time, with 170.4 hours since overhaul. The next entry indicated that the engine was removed from the previous airframe "for prop strike on or about 8 – 11." This entry noted the total time as 1,526.5 hours, which was the same as at overhaul about 9 years earlier. However, the time since overhaul was the same as at the December 10th annual inspection. An entry dated January 10, 2012, noted that the engine had been disassembled due to a propeller strike. At that time, the crankshaft was magnetic particle inspected with negative findings. The crankcase mating surfaces were cut and the bores were resized to the manufacturer's limits. It was subsequently installed on the accident airplane on March 5, 2013. An annual inspection was completed at that time. The recording tachometer time was noted as 216.8 hours. There were no subsequent entries in the either the airframe or engine maintenance logbooks. The recording tachometer indicated 233.31 hours after recovery of the airplane. Based on the tachometer time noted at the annual inspection, about 16.5 hours had accumulated since the inspection.
Aircraft
- Registration
- N9414Y
- Reported as
- Beech N35
- Category
- Airplane
- Serial number
- D-6592
- Airframe hours
- 6,266
- Engine
- Cont Motor IO-520-BA(6), 285 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Operator
- William M. Morris
- Registered owner
- William M. Morris
- Airworthiness certificate
- Standard, Utility; Standard, Normal
- Last inspection
- Annual · March 5, 2013
- Departed
- 3M9 · Warren, AR
- Destination
- MEZ · Mena, AR
- Flight plan
- IFR
- Airport
- 3M9 · Warren Municipal, runway 21, 3,829 × 75 ft, asphalt
- Equipment
- Stall warning system
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
- 42
- Injuries
- Minor
- Certificates
- Flight instructor, Flight engineer, Airline transport
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, Without waivers/limitations
- Last flight review
- February 24, 2013
- Seat
- Left
- Flight hours
- 7,832 total · 800 in this make and model · 7,436 as pilot in command · 100 in the last 90 days · 25 in the last 30 days · 3 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 170° at 6 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- 1,300 ft overcast
- Temperature
- 66 °F, dew point 61 °F
- Altimeter
- 29.87 inHg
- Observed at
- LLQ, 17 nm away
Docket · 5
The files NTSB released with the investigation on April 27, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.2 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.