- Date
- July 17, 2018, 08:30 local (13:30 UTC)
- Place
- Katy, TX
- Injuries
- 1 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N228QBeech V35
- Defining event
- Enroute-cruise: Loss of engine power (total)
- Weather
- Visual (VMC) · Day
- Status
- Completed · report November 6, 2019
- Report
- Approved by Office Director
- NTSB office
- Central Region
- Parties
- FAA Flight Standards, Continental Motors Inc.
- FAA report
- 20180717011389A
- Case key
- 97809
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
Maintenance personnel’s failure to remove a paper towel from the engine during recent maintenance, which resulted in oil starvation, the failure of a connecting rod, and a catastrophic engine failure and subsequent total loss of engine power.
Findings · 3
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.
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 reported that, as he approached the destination airport, he noted "a sudden and severe noise and vibration" and "a…stream of gray smoke from under the right side of the [engine] cowling," followed by a loss of engine power. The pilot subsequently conducted a forced landing, during which the airplane sustained substantial damage to the fuselage and right wing. Postaccident engine examination revealed two holes in the top of the crankcase near the Nos. 3 and 4 cylinders. A teardown examination of the engine revealed that the No. 4 connecting rod had failed due to oil starvation, which resulted in a catastrophic engine failure. Foreign debris, which was similar to a paper towel, was recovered from the engine oil sump and the oil pickup screen. Most of the screen area was obstructed by the debris, which had interrupted the oil flow from the sump to the engine. The airplane maintenance records noted that the alternator and alternator drive gear were replaced about 8 weeks before the accident. The engine had been operated about 24 hours since the alternator replacement. The starter and starter adapter were replaced the day before the accident flight. The engine had been operated about 15 minutes since the most recent maintenance work was performed. It is likely that maintenance personnel left the paper towel in the engine during the recent maintenance work, which resulted in oil starvation, the failure of the connecting rod, and the catastrophic engine failure and subsequent total loss of engine power.
Factual narrative
On July 17, 2018, about 0830 central daylight time, a Beech V35 airplane, N228Q, was substantially damaged during a forced landing following a loss of engine power near Katy, Texas. The pilot was not injured. The airplane was registered to Pivot Group LLC and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Day visual meteorological conditions prevailed. The flight was not operated on a flight plan. The flight originated from the Fair Weather Field Airport (TX42), Monaville, Texas, about 0820 and was destined for the West Houston Airport (IWS), Houston, Texas.The pilot reported that "a sudden and severe noise and vibration" and "a brief stream of gray smoke from under the right side of the [engine] cowling" preceded a loss of engine power as he approached the destination airport. He subsequently executed a forced landing to a residential development under construction. The airplane "bounced and skidded" before coming to rest upright. The airplane sustained substantial damage to the fuselage and right wing. A postrecovery engine examination was conducted under oversight of the National Transportation Safety Board (NTSB) investigator-in-charge. A visual examination revealed two holes in the top of the crankcase near the No. 3 and No. 4 cylinders. The crankcase appeared to be otherwise intact. A teardown examination determined that the No. 4 connecting rod had separated from crankshaft journal. The connecting rod remained attached to the piston. The end of the connecting rod common to the crankshaft was deformed consistent with secondary mechanical damage. The No. 4 crankshaft journal was discolored consistent with oil starvation. The No. 4 piston was wedged in the cylinder and portions of the piston skirt had separated. The oil sump contained foreign debris that appeared to be a paper-based shop towel. The oil pickup screen was obstructed by similar debris. Approximately 7 quarts of oil were recovered from the sump in addition to the debris. At the time of the examination, the hour (Hobbs) meter and tachometer indicated 1,414.3 hours and 5,959.54 hours, respectively. The debris recovered from the oil sump and the pickup screen was forwarded to the NTSB materials lab. Microscopic examination revealed that the debris consisted of a fibrous material with the appearance of a textured paper product similar to paper towels. A sample was washed with acetone to remove the engine oil and analyzed using a spectrometer. The cleaned sample displayed a spectrum with a strong match to cellulose, which is found in natural plant fibers such as cotton and wood. Paper products are manufactured with cellulosic material. A review of the airplane maintenance records revealed that the most recent annual inspection was completed on September 22, 2017, at 5,815.4 hours tachometer time. On June 6, 2018, the alternator and alternator drive gear were replaced. The corresponding hour meter and tachometer times were 1,390.3 and 5,935.7hours, respectively. On July 16, 2018, the starter and starter adapter were replaced. The corresponding hour meter and tachometer times were 5,959.33 hours and 1,414.0 hours, respectively. The records contained no subsequent entries.
Aircraft
- Registration
- N228Q
- Reported as
- Beech V35
- Category
- Airplane
- Serial number
- D-8135
- Built
- 1966
- Airframe hours
- 5,959
- Engine
- Continental IO-520-BA, 285 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Utility
- Last inspection
- Annual · September 22, 2017 · 140 hours before
- Departed
- TX42 · Monaville, TX
- Destination
- IWS · Houston, TX
- Airport
- IWS · West Houston
- Equipment
- Stall warning system, ADS-B, Auto-pilot, Electronic flight bag or handheld device, Onboard weather, Handheld GPS
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
- 56
- Injuries
- None
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, With waivers/limitations
- Last flight review
- July 2, 2018
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 441 total · 149 in this make and model · 406 as pilot in command · 29 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 250° at 4 knots
- Visibility
- 5 statute miles
- Lowest ceiling
- None
- Temperature
- 79 °F, dew point 79 °F
- Altimeter
- 30.10 inHg
- Observed at
- TME, 7 nm away
Docket · 6
The files NTSB released with the investigation on March 27, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.9 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.