CEN14LA273

NTSB accident investigation · Beech H35 · Monroe, LA · June 3, 2014

Accident · Serious injuriesLimited investigationFinal report
Date
June 3, 2014, 10:55 local (15:55 UTC)
Place
Monroe, LA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N653TBeech H35
Defining event
Approach: Unknown or undetermined
Weather
Visual (VMC) · Day
Status
Completed · report May 16, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO, Continental Motors, Textron Aviation
FAA report
20140603012589A
Case key
89337

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 loss of engine power for reasons that could not be determined because postaccident examination of the airframe and engine did not reveal any anomalies that would have precluded normal operation.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedBeech H35: 3 casesAll aircraft: 2,247 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeBeech H35: 1 caseAll aircraft: 933 cases

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 commercial pilot was conducting a maintenance test flight. According to Federal Aviation Administration audio files, the pilot reported to an air traffic controller that the airplane was experiencing an unspecified fuel problem. The engine then experienced a total loss of power, and the pilot conducted a forced landing, during which the airplane collided with a tree and then impacted a parking lot. A postaccident examination of the airframe, engine, and fuel system did not reveal any preimpact anomalies that would have precluded normal operation. A review of data obtained from the airplane's engine data monitoring system did not reveal any unusual engine readings before the loss of engine power. At the accident site, fuel was drained from each wing tank and a fuel line leading to the engine; the fuel from the fuel line was orange. Testing of the orange fuel sample revealed the presence of silicon. The tank seals and lines were intact, and the source of the silicon could not be determined. No silicon nor any white powdery deposits (the expected combustion byproducts of silicon) were found on any of the engine components. The reason for the loss of engine power could not be determined.

Factual narrative

On June 3, 2014, about 1055 central daylight time, a Beech H35 airplane, N653T, impacted a parking lot following a total loss of engine power near Monroe, Louisiana. The commercial pilot was seriously injured and the airplane was substantially damaged. The airplane was registered to WFO Flying Services, and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a maintenance test flight. Visual meteorological conditions prevailed for the flight, which operated with a flight plan. The local flight originated from Monroe Regional Airport (KMLU), Monroe, Louisiana, about 1020.The airplane was co-owned by the accident commercial pilot and another pilot. They acquired the airplane in March 2013. Months prior to the accident, the airplane had been mistakenly fueled with Jet-A by the other pilot. Data obtained from the onboard JPI engine data monitoring (EDM) system found that on November 1, 2013, the engines cylinder head temperatures (CHT) increased about 460° F several times during the flight. The airplane landed at KMLU and it was repaired. An invoice from the repair facility stated that the fuel tanks were drained and mechanics "flushed 5 gallons through fuels to clear them of contamination." The engine was removed, repaired, and reinstalled on the airplane. The engine's fuel hoses were also replaced. Work was completed on the airplane on June 2, 2014. On the day of the accident, the airplane departed KMLU for a maintenance test flight flown by the accident commercial pilot/co-owner. The pilot reported an unspecified fuel malfunction before the engine experienced a total loss of engine power. During the forced landing, the airplane collided with a tree and impacted a parking lot. The cockpit was distorted and crushed aft. The airplane's right wing sustained more damage when compared to the left wing. The outboard portion of the right wing was torn outboard of the landing light. The fuselage was wrinkled and distorted. At the accident site, fuel was drained from each tank and from a fuel line leading to the engine. The fuel pulled from the fuel line leading to the engine was light orange in color. The fuel samples pulled from the fuel tanks appeared in color and clarity with 100 low lead fuel. The orange colored fuel was sent for fuel testing. Gas chromatograph mass spectrometer testing was conducted on the orange colored fuel sample. The testing's certificate of analysis noted "if heavier compounds or polymers are present these were not seen on the gas chromatograph mass spectrometer. Testing found the presence of silicon in the quantity of 12.9 mg/kg. An examination of the airframe and engine was conducted at a salvage facility. No preimpact anomalies were detected with the airframe or the fuel tanks. The fuel lines and fuel screens were all found clear and unobstructed. The engine examination did not detect any preimpact anomalies. No silica or white powdery deposits were noted in the fuel divider,cylinders, or spark plugs. Data obtained from the JPI EDM, found that on the day of the accident, data for the accident flight began at a JPI EDM time of 1437:44. At 1517:20 EDM time, the engine's CHTs averaged 373° F and the exhaust gas temperatures (EGTs) averaged 1412° F. Within 6 seconds the EGTs averaged 780° F and continued to decay. About 2 minutes later, the EDM recorded "NA" values for several values. Reliable scientific data does not exist to determine a level of silicon contamination prior to obstruction of an airplane's engine performance.

Aircraft

Registration
N653T
Reported as
Beech H35
Category
Airplane
Serial number
D-4998
Built
1957
Airframe hours
5,475.13
Engine
Continental O-470-G-CI, 240 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Operator
Private individual
Registered owner
Wfo Flying Service
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 19, 2013
Departed
MLU · Monroe, LA
Destination
MLU · Monroe, LA
Airport
MLU · Monroe Regional, runway 18, 5,001 × 150 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
41
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
2,200 ft broken
Temperature
82 °F, dew point 70 °F
Altimeter
30.06 inHg
Observed at
KMLU

Docket · 7

The files NTSB released with the investigation on March 7, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.8 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.