CEN14LA165

NTSB accident investigation · Beech P35 · Wichita Falls, TX · March 18, 2014

Accident · Minor injuriesLimited investigationFinal report
Date
March 18, 2014, 10:20 local (15:20 UTC)
Place
Wichita Falls, TX
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9532YBeech P35
Defining event
Approach-VFR pattern base: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report December 15, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Lubbock FSDO, Continental Motors
FAA report
20140318003109A
Case key
88939

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 the misrigging of the fuel mixture control.

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.

Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · MalfunctionBeech P35: 1 caseAll aircraft: 195 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Fatigue/wear/corrosionBeech P35: 1 caseAll aircraft: 195 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Incorrect service/maintenanceBeech P35: 1 caseAll aircraft: 195 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · OtherBeech P35: 2 casesAll aircraft: 1,386 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 pilot reported that, while turning from the downwind to the base leg to prepare for a short-field landing on the runway, he reduced the throttle. He then applied throttle to increase the power when the airplane was about 600 feet above ground level; however, the engine did not respond, and the pilot subsequently executed a forced landing to a field. During the landing, both wings sustained substantial damage. During an engine test run with the cockpit fuel mixture control in the full-forward position, the engine would lose power when the throttle was advanced past 2,000 rpm. When the cockpit fuel mixture control was pulled out about 1 inch, the engine would develop 2,700 rpm (full power) when the throttle was advanced. The examination of the engine revealed that the lean mixture stop pin in the fuel metering unit was loose and could be removed by hand. Wear was observed on the inside of the fuel mixture actuating arm and on the mixture stop on the rotating shaft. The fuel metering unit's rich mixture stop pin was missing, which allowed the actuating arm to travel past the full-rich mixture position. A bench test of the fuel mixture control demonstrated that extension past the rich mixture stop pin reduced the fuel flow to the engine. This condition indicates that the airplane's fuel mixture control was misrigged, which resulted in the rich mixture stop pin dislodging from the fuel metering unit. It could not be determined when the fuel mixture control was misrigged.

Factual narrative

On March 18, 2014, about 1020 central daylight time, a Beech P35 airplane, N5932Y, sustained substantial damage after a loss of engine power while landing at the Kickapoo Downtown Airport (CWC), Wichita Falls, Texas. The pilot received minor injuries and the instructor pilot was not injured. The airplane was registered to and operated by a private individual under the provisions of the 14 Code of Federal Regulations Part 91 as an instructional flight. Visual meteorological conditions prevailed for the flight, which was not on a flight plan. The flight originated from CWC about 0930. The pilot reported that he had turned from the downwind leg to the base leg and was preparing for a short-field landing on runway 17 (4,450 feet by 75 feet, asphalt). He had reduced the throttle during the turn to base leg, but when he applied throttle to increase the power, the engine did not respond. The airplane's altitude was about 600 feet above ground level, and the pilot executed a forced landing to a field containing mesquite bushes. The airplane sustained leading edge damage to both wings during landing. The on-site examination of the airplane by Federal Aviation Administration inspectors revealed that the airplane had 50 gallons of fuel on board. No damage to the engine was observed. The airplane wreckage was transported to an aircraft storage facility for further examination and an engine run. The Beech P35 Bonanza, serial number D-7017, was manufactured in 1962. The engine was a 260-horsepower Continental IO-470-LCN, manufactured in 1981. The last annual maintenance inspection was conducted on January 1, 2014, with at total aircraft time of 5,896 hours. At the time of the accident, the engine had 4,210 total hours with 326 hours since the last major overhaul. The airplane had flown 21 hours since the annual maintenance inspection. On May 28, 2014, an engine run was conducted. The bent propeller was removed from the engine and replaced with a stock propeller. A 5 gallon fuel container was connected to the left side of the fuel selector. No other work was performed and the engine was run on the airframe. The engine was started and allowed to warm up. The throttle was then advanced to 1,700 rpm and a magneto check was performed. Each magneto had a 75 rpm drop during the magneto check. The throttle was then advanced to full throttle with the mixture full rich. When the throttle was advanced over 2,000 rpm, the engine would begin to lose power. During the first engine run, an attempt was made to shut down the engine, but the cockpit mixture control was stuck in the full rich position. The actuating arm on the fuel metering unit was over center and had to be moved by hand to the lean position. The rich mixture stop pin on the fuel metering unit was missing, allowing the mixture actuating arm to travel past the full rich mixture position and over center. The engine was run a second time with the mixture control in the cockpit pulled out about one inch. Thethrottle was advanced and the engine then ran at 2,700 rpm (full power). The engine was then shut down using the cockpit mixture control. The fuel metering unit was removed and examined. The rich mixture stop pin was missing from the fuel metering unit and could not be located. The lean mixture stop pin was loose in the fixture and could be removed by hand. Wear was observed on the inside of the fuel mixture actuating arm and on the mixture stop on the rotating shaft. The fuel screen was clean and clear. The fuel metering unit was sent to Continental Motors, Inc for further testing. On September 9, 2014, the fuel metering unit was reassembled, examined and tested at Continental Motors, Inc. The examination revealed that the rich mixture stop pin was missing and had signatures of wear in the pin socket. The fuel metering unit was flow tested and it functioned properly through its full range of operation, although some leakage was observed. Upon completion of the production test, the mixture control was extended past the stop pin limits in one-half stop pin diameter increments. The first extension reduced fuel flow from 124.9 pounds per hour (pph) to 113.4 pph. The next extension reduced flow from 133.9 to 88.9 pph. The amount of over extension the aircraft mixture control cable produced is unknown. The test demonstrated that the extension past the rich mixture stop pin reduced the fuel flow to the engine.

Aircraft

Registration
N9532Y
Reported as
Beech P35
Category
Airplane
Serial number
D-7017
Built
1962
Airframe hours
5,896
Engine
Continental IO-470, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Beavers Glenn A
Registered owner
Beavers Glenn A
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 1, 2014
Departed
CWC · Wichita Falls, TX
Destination
CWC · Wichita Falls, TX
Airport
CWC · Kickapoo Downtown Airport, runway 17, 4,450 × 75 ft, concrete

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
Pilot
Age
79
Injuries
Minor
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
12,813 total · 2,000 in this make and model · 32 in the last 90 days · 13 in the last 30 days · 1 in the last 24 hours
Role
Flight instructor
Age
67
Injuries
None
Certificates
Airline transport, Flight instructor
Last flight review
May 1, 2013
Seat
Right
Restraint
4-point
Flight hours
8,500 total · 60 in this make and model · 30 in the last 90 days · 20 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 19 knots, gusting 24
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
61 °F, dew point 28 °F
Altimeter
29.48 inHg
Observed at
SPS, 8 nm away

Docket · 16

The files NTSB released with the investigation on November 10, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.8 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.

Other investigations on N9532Y · 1

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