CEN17LA255

NTSB accident investigation · Beech A36 · El Paso, TX · July 4, 2017

Accident · No injuriesLimited investigationFinal report
Date
July 3, 2017, 20:06 local (Jul 4, 2017, 02:06 UTC)
Place
El Paso, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N24LFBeech A36
Defining event
Enroute-climb to cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Dusk
Status
Completed · report November 15, 2018
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Continental Motors, Hartzell Propeller, GTA Air Inc
FAA report
20170703008819A
Case key
95491

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

A partial loss of engine power for reasons that could not be determined because a postaccident examination did not reveal any anomalies that would have precluded normal engine 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.

Engine (reciprocating)Aircraft › Aircraft power plant · Related operating infoBeech A36: 13 casesAll aircraft: 497 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedBeech A36: 23 casesAll aircraft: 2,247 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

During the initial climb after takeoff for a non-scheduled cargo flight, the engine experienced a partial loss of power and the commercial pilot reversed course to return to the airport. Unable to reach the runway, the pilot landed the airplane in a field, during which it sustained substantial damage. An examination of the engine revealed no anomalies that would have precluded normal operation. Thermal damage was noted on the lower left side of the engine near the turbocharger. Examination of the turbocharger and housing revealed thermal damage and erosion within the turbocharger housing. Further, the turbocharger had been reconfigured with a different compressor housing and the addition of wear washers. The erosion of the turbocharger housing and induction wye was likely caused by excessive internal turbine temperatures. This erosion would have reduced performance, but likely would not have resulted in the airplane's ability to climb or maintain flight. The reconfiguration of the turbocharger with the wear washers likely would result in the abnormal wear of the bearings and subsequent instability and rub, but would not have precluded normal operation.

Factual narrative

On July 3, 2017, about 2006 mountain daylight time, a single engine Beech A36 airplane, N24LF, lost engine power during the initial climb after takeoff from El Paso International Airport (ELP), El Paso, Texas. The commercial pilot and passenger were not injured. The airplane sustained substantial damage. The airplane was registered to and operated by GTA Air, Inc., under the provisions of 14 Code of Federal Regulations Part 135. Visual meteorological conditions prevailed and a Federal Aviation Administration (FAA) visual flight rules flight plan had been filed for the flight. The non-scheduled domestic cargo flight departed ELP and was en route to Dallas Love Field Airport (DAL), Dallas, Texas.According to the pilot, he climbed to an altitude of 4,800 ft and the engine lost power. The pilot reversed course towards ELP and intended to land on runway 26R. The glide of the airplane did not reach the runway and the wings and fuselage were substantially damaged during the forced landing to a field. The airplane was equipped with a Continental IO-520-BB87B engine. The engine had been modified with the addition of a Tornado Alley Turbo Whirlwind system under a supplemental type certificate. Examination of the airframe and engine revealed thermal damage concentrated on the lower left side of the engine. The induction tube, forward of the turbocharger compressor, was melted and the remains were found in the cowling below. The induction wye exhibited a hole emanating outward from the turbine wheel. The engine, magnetos, and related systems were otherwise unremarkable. The turbocharger on the accident airplane was not part of the original modification. Examination and disassembly of the Hartzell Engine Technologies turbocharger (SN HSGL00002) revealed that the turbocharger had been reconfigured with a different compressor housing and the addition of wear washers. The turbocharger had originally been sold to the operator on a factory remanufactured engine from Continental Motors in 2015 (TSIO-520-EB5B – SN 1031058). According to the operator, they did not repair or modify the turbocharger, they only loosened and tightened the V-band clamp and loosened and tightened the hot side bolts. Investigators were unable to determine who modified the turbocharger prior to its installation on the accident airplane. Evidence of high temperatures and thermal distress were noted on the turbine housing exhaust flange, the thrust collar, thrust spacer, and back plate. The turbine and compressor wheels exhibited evidence of rub within their housings. The turbine wheel hub exhibited evidence of hard rub with the center housing seal bore area. The turbine housing exhibited red coloring on the internal surfaces, bubbling of the exhaust flange, and spiraling tongue erosion, which according to Hartzell are consistent with high turbine inlet temperatures.

Aircraft

Registration
N24LF
Reported as
Beech A36 (UNDESIGNAT)
Category
Airplane
Serial number
E-1665
Built
1980
Airframe hours
12,899.3
Engine
T.C.M. IO-520-BB87B, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Airworthiness certificate
Standard, Utility
Last inspection
AAIP · June 9, 2017
Departed
KELP · El Paso, TX
Destination
KDAL · Dallas, TX
Flight plan
Company VFR
Airport
KELP · El Paso International Airport
Equipment
Electronic flight bag or handheld device, 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
41
Injuries
None
Certificates
Commercial, Flight instructor, Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
May 2, 2017
Seat
Left
Restraint
3-point
Flight hours
1,085.5 total · 206.6 in this make and model · 1,004.2 as pilot in command · 212.6 in the last 90 days · 101.5 in the last 30 days · 3.7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
150° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 43 °F
Altimeter
29.95 inHg
Observed at
KELP

Docket · 4

The files NTSB released with the investigation on August 28, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.7 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.