CEN17LA357

NTSB accident investigation · Beech A36 · McAlester, OK · September 15, 2017

Accident · Minor injuriesLimited investigationFinal report
Date
September 15, 2017, 16:20 local (21:20 UTC)
Place
McAlester, OK
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N18403Beech A36
Defining event
Approach: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 8, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors, FAA
FAA report
20170915024389A
Case key
96031

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

A total loss of engine power for reasons that could not be determined because postaccident examination of the engine did not reveal any evidence of mechanical malfunctions or failures 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 A36: 23 casesAll aircraft: 2,247 casesProbable cause
Object/animal/substanceEnvironmental issues › Physical environment · Contributed to outcomeBeech A36: 2 casesAll aircraft: 224 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 private pilot stated that the flight originated with full fuel tanks. About 8 minutes after takeoff, he noticed fuel leaking from the left fuel tank cap for a short period. The pilot continued the flight, switching fuel tanks every 25 minutes. The flight continued uneventfully until the engine lost total power while the airplane was entering the downwind leg to land. The pilot switched fuel tanks and attempted to restart the engine to no avail. The pilot performed a forced landing in a field; the airplane touched down hard and contacted a hay bale, which resulted in substantial damage to the wings and compromised the fuel system. Postaccident examination of the main fuel tank caps revealed the O-rings were cracked. Maintenance records showed that the O-rings were replaced about 17 months before the accident. Although it is unknown how much fuel leaked from the fuel cap during the flight, the pilot reported that, about 50 minutes before the accident, both fuel tanks were indicating about 3/4 full; thus, it is doubtful that enough fuel would have leaked to result in fuel exhaustion. A postaccident engine test run was conducted with the fuselage strapped down on a trailer; an alternate fuel system was rigged to both the left and right fuel inlet lines at the fuselage. The engine started without hesitation and ran smoothly up to 1,500 rpm using the left fuel tank inlet. The test was repeated using the right fuel tank inlet, and the engine performed in the same manner. The rpm was not increased any higher due to the security of the fuselage during the test. Postaccident examination of the engine did not reveal evidence of preimpact malfunctions or failures that would have precluded normal operation; thus, the reason for the loss of engine power could not be determined.

Factual narrative

On September 15, 2017, at 1615 central daylight time, a Beech A36 airplane, N18403, collided with a hay bale during a forced landing following a loss of engine power while on approach to the McAlester Regional Airport (MLC), McAlester, Oklahoma. The private pilot received minor injuries. The airplane was substantially damaged. The airplane was registered to Travel Air LLC and was being operated by the pilot as a 14 Code of Federal Regulations Part 91 personal flight. Visual flight rules conditions existed near the accident site at the time of the accident. The pilot had canceled his instrument flight rules flight plan when he had MLC in sight. The flight departed from the Garner file Airport (UVA), Uvalde, Texas, at 1357.The pilot reported he purchased fuel prior to takeoff and that both main fuel tanks and both tip tanks were full. The pilot stated he selected the right fuel tank for takeoff and used a stop watch to switch the fuel tanks every 25 minutes during the flight. About 8 minutes after takeoff, while climbing through 5,000 ft, the pilot noticed fuel leaking from the left fuel tank filler cap for a short period. He continued the flight which was uneventful until he prepared to enter a downwind leg at MLC which was when the engine lost power. The pilot switched fuel tanks and attempted to restart the engine to no avail. The pilot stated he touched down hard during the off airport forced landing. Both main landing gear were pushed up through the wings and the right wing contacted a hay bale. The left wing remained attached to the fuselage. The right tip tank was separated from the right wing which remained connected to the fuselage by the control cables and wiring. The fuel system was compromised due to impact damage. A postaccident examination of the wreckage was conducted on October 24, 2017. Both wings were detached from the airframe and were stored outside. Both fuel caps were removed, inspected, and found to have cracks in the main O-ring seal. The left fuel cap was tested in place, by applying air pressure to the fuel outlet line and plugging the vent system and tip tank fuel inlet. A soap and water solution placed around the cap bubbled up indicating an air leak. Air could be felt escaping from around the fuel cap outer seal and the center seal. The right wing was not tested due to impact damage. The aircraft logbook shows that the fuel cap O-rings were replaced with new O-rings during the annual inspection on April 1, 2016. The engine, which was not damaged, had been converted from an IO-520 per STC SE10746SC. A borescope was used to examine the piston domes, cylinder walls, and valve faces which exhibited normal wear and combustion deposits. The propeller was damaged during the accident. The extent of the damage precluded using the accident propeller during the engine run. The propeller was removed, and slave propeller was installed on the airplane. The top spark plugs appeared to be normal in wear and color. The plugs were thenreinstalled in the engine. The airframe was secured on a flatbed trailer. An alternate fuel system was rigged to the left fuel wing fuel inlet line at the fuselage. The fuel line going into the JPI fuel flow transducer was disconnected, power was applied to the airplane and the fuel system boost pump was turned on until positive fuel flow at the disconnected line was verified. The line was then reconnected. The engine started on the first attempt and was idled between 600 – 700 rpm to confirm oil pressure and fuel flow. The rpm was increased to 1,000 rpm. The engine power was then increased to 1,500 rpm and a magneto check was performed. The rpm drop for each magneto during the check was 60 to 80 rpm. The engine run was limited to 1,500 rpm due to the security of the fuselage on the trailer. The above process was repeated with an alternate fuel supply rigged to the right-wing fuel inlet line. The engine run results were the same. With the engine running 1,500 rpm, the fuel selector was switched to the off position. The engine ran for about 25 seconds prior to it shutting down. Examination of the engine revealed the engine started and ran smoothly as tested up to 1,500 rpm. The airplane was equipped with a JPI FS-450 which monitored fuel flow, fuel used, and fuel remaining. The unit was removed from the airplane and shipped to the National Transportation Vehicle Recorder Division for examination. The device stores the last remaining record of fuel used and fuel remaining in gallons. It does not show which fuel tank contains the remaining fuel. A power supply was attached to the unit and the unit display showed 45.4 gallons of fuel used, and 66.6 gallons of fuel remaining. These amounts do not take into consideration the unknown amount of fuel that leaked from the left fuel tank filler cap. The pilot reported that at 1524, both fuel tanks were indicating about ¾ full.

Aircraft

Registration
N18403
Reported as
Beech A36
Category
Airplane
Serial number
E-1120
Built
1977
Airframe hours
2,515
Engine
Continental IO-520-BB, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 16, 2017 · 15 hours before
Departed
UVA · Uvalde, TX
Destination
MLC · McAlister, OK
Flight plan
IFR
Airport
MLC · McAlester Regional Airport
Equipment
Auto-pilot, Electronic multifunction display, Electronic primary flight display, 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
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
September 7, 2017
Seat
Left
Restraint
3-point
Flight hours
508 total · 72 in this make and model · 326 as pilot in command · 47 in the last 90 days · 9 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 66 °F
Altimeter
29.87 inHg
Observed at
MLC, 1 nm away

Docket · 11

The files NTSB released with the investigation on December 6, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 108 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.