CEN15IA365

NTSB incident investigation · Beech V35 · Mount Vernon, OH · August 16, 2015

Incident · No injuriesIncident investigationFinal report
Date
August 16, 2015, 19:55 local (23:55 UTC)
Place
Mount Vernon, OH
Injuries
2 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N2059WBeech V35
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Dusk
Status
Completed · report June 29, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20150816014659I
Case key
91814

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

The loosening of the flyweight due to the installation of an improperly hardened flyweight carrier, which resulted in the overspeed of the propeller and engine and the subsequent in-flight separation of the propeller.

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.

Propeller system: propeller governorAircraft › Aircraft propeller/rotor · Incorrect service/maintenanceBeech V35: 1 caseAll aircraft: 16 casesProbable cause
Propeller system: propeller governorAircraft › Aircraft propeller/rotor · MalfunctionBeech V35: 1 caseAll aircraft: 16 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · OtherBeech V35: 2 casesAll aircraft: 371 casesProbable cause
Propeller system: propeller governorAircraft › Aircraft propeller/rotor · FailureBeech V35: 1 caseAll aircraft: 16 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 commercial pilot was conducting a personal cross-country flight. The pilot reported that, during cruise flight, he heard a sudden high-pitched whine emanating from the engine and saw that the tachometer was reading about 3,500 rpm. He was unable to bring the engine rpm within limits and diverted the airplane to the nearest airport. During the approach, he heard a "pop," and oil covered the windscreen. After landing, he found that the propeller was missing from the airplane. A postaccident examination of the engine found metal particulates in the propeller governor. An examination of the governor revealed that a flyweight was not secured and that the flyweight carrier did not meet the factory hardness specifications. The flyweight's retaining pin hole was excessively worn, which had allowed the pin to back out and the flyweight to become loose and resulted in the overspeed of the propeller and engine and the subsequent in-flight separation of the propeller. A review of factory records did not find any similar incidents or a history of a batch of materials not meeting factory specifications. A review of the maintenance records revealed that an overhauled propeller governor had been installed on the airplane about 16 years before the accident; however, it could not be determined if the improper flyweight carrier was installed in the propeller governor during the overhaul or at some time after the overhaul.

Factual narrative

On August 16, 2015, about 1955 eastern daylight time, a Beech V35 airplane, N2059W, experienced a propeller and engine over speed while in cruise flight near Mount Vernon, Ohio. The pilot and passenger were not injured. The propeller separated from the propeller flange inflight and no damage was sustained to the airplane. The airplane was registered to the Bennett Ramsey Group and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules flight plan. The flight originated from the Rowan County Airport (KRUQ), Salisbury, North Carolina, at 1800 and was en route to the Ann Arbor Municipal Airport (KARB), Ann Arbor, Michigan.According to the pilot, while in cruise flight at 8,000 feet mean sea level, he heard a sudden high pitched whine from the engine. He saw that the engine tachometer read about 3,500 rpm. Unable to bring the engine rpm within limits, the pilot declared an emergency and headed towards the Knox County Airport (4I3). While on final approach to the airport, the pilot heard a "pop" and oil covered the windscreen. The pilot landed on the runway and discovered that the propeller was missing from the airplane. A postaccident examination of the engine found metal particles in the propeller governor. The propeller governor was removed from the airplane and sent to the manufacturer for an examination. An x-ray revealed that the flyweight was loose from its position and a bench-test of the governor would not be possible. Under the auspices of the Federal Aviation Administration, the governor was disassembled and examined. The hole for the flyweight retaining pin on the flyweight carrier was excessively worn and was not be able to properly secure the retaining pin. With the flyweight loose, the proper loading on the propeller governor pilot valve could not be maintained and the engine and propeller speed would then be commanded between 130-150%. A hardness test of the installed carrier did not meet factory specification and did not appear to be case hardened. Internal components were different than the factory original and it is likely that the governor had been overhauled at least once after it had left the manufacturer in 1966. Woodward did not have any record of a deficient batch of flyweight carriers not meeting hardness requirements and the history of the installed carrier flyweight is not known. Based on records provided by the owner, an engine logbook entry dated October 4, 1999, documented that an overhauled propeller governor was installed on the airplane. No further log book entries pertaining to the propeller governor were found in the provided records. Based off the information provided, it could not be determined if the incorrect part was installed in the propeller governor during the overhaul or at a time subsequent to the overhaul.

Aircraft

Registration
N2059W
Reported as
Beech V35
Category
Airplane
Serial number
D-7993
Built
1965
Airframe hours
5,394
Engine
Continental IO-520-BA, 285 horsepower, reciprocating
Damage
No damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 19, 2015 · 14 hours before
Departed
RUQ · Salisbury, NC
Destination
ARB · Ann Arbor, MI
Flight plan
IFR
Airport
4I3 · Knox County, runway 28, 5,498 × 100 ft, asphalt
Equipment
Auto-pilot, 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
69
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
July 26, 2015
Seat
Left
Restraint
Lap only
Flight hours
2,475 total · 630 in this make and model · 2,350 as pilot in command · 14 in the last 90 days · 14 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 66 °F
Altimeter
30.12 inHg
Observed at
K4I3

Docket · 5

The files NTSB released with the investigation on May 10, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.6 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.