CEN20LA140

NTSB accident investigation · Beech 35 · Seguin, TX · April 1, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 1, 2020, 13:10 local (18:10 UTC)
Place
Seguin, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9883RBeech 35
Defining event
Landing: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Textron Aviation, Continental Aerospace Technologies, FAA San Antonio FSDO
FAA report
20200401008949A
Case key
101143

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 pilot’s mismanagement of airspeed and glidepath during approach for a precautionary landing, which resulted in a runway excursion and a collision with a fence.

Findings · 5

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech M35: 2 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: surface speed/brakingAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech M35: 1 caseAll aircraft: 238 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · Unknown/Not determinedBeech M35: 1 caseAll aircraft: 497 cases
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeBeech M35: 1 caseAll aircraft: 313 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, the airplane’s No. 3 cylinder indicated a cylinder head temperature (CHT) about 60° cooler than the other five cylinders. At 1,000 ft above ground level, the first power reduction was made from takeoff power to 2,500 rpm and 25 inches manifold pressure. The pilot reported a “normal reduction” in fuel flow was made with the mixture control. Immediately, the pilot heard and felt a loud, continuous “rhythmic banging” noise. The pilot noted the No. 3 cylinder CHT had reduced to 220° F; however, all other engine instrument indications remained in the normal range, and the engine still produced power. The pilot decided to return to the airport and land. Once established on the final approach for the runway, the pilot concluded that the airplane was "high and fast.” The pilot reported he was committed to the landing even though he knew he would land "long and hot." After the touchdown, the rollout was “completely under control,” but the groundspeed was “fast.” The airplane crossed the end of the runway and traveled past the runway overrun area. The airplane came to a stop after impact with a fence. The pilot reported the engine continued to run until he shut it down. The airplane sustained substantial damage to the right wing. A postaccident examination of the engine was performed and a small amount of metal was found in the oil filter; no other preimpact anomalies were noted with the engine. The cause of the noise as reported by the pilot and the low No. 3 cylinder CHT could not be determined based on the available evidence. The accident is consistent with the pilot mismanaging his airspeed and glidepath during approach, which resulted in a precautionary landing too far down the runway at too high an airspeed to stop on the remaining runway.

Factual narrative

On April 1, 2020, about 1310 central daylight time, a Beech M35 airplane, N9883R, sustained substantial damage when it was involved in an accident near Sequin, Texas. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, on the initial climb, the No. 3 cylinder indicated a cylinder head temperature (CHT) about 60° cooler than the other five cylinders. At 1,000 ft above ground level, the first power reduction was made from takeoff power to 2,500 rpm and 25 inches manifold pressure. The pilot reported a “normal reduction” in fuel flow was made with the mixture control. Immediately, the pilot heard and felt a loud, continuous “rhythmic banging” noise. The pilot noted the No. 3 cylinder CHT had reduced to 220° F; however, all other engine instrument indications remained in the normal range, and the engine still produced power. The pilot decided to return to the departure airport and land. The pilot assessed that, if a total loss of engine power occurred, there was sufficient altitude and airspeed to turn base and final legs for a landing on the departure runway. He also planned a touchdown point on the grass runway beyond the normal touchdown point. Once established and set up on the final approach for runway 14, the pilot concluded that the airplane was "high and fast" and there was insufficient altitude to perform any descending turns. The pilot reported he was committed to the landing even though he knew he would land "long and hot." After the touchdown on the dry grass, the rollout was “completely under control,” but the groundspeed was “fast.” The airplane crossed the end of the runway and traveled past the runway overrun area. The airplane impacted a small metal farm fence and came to rest upright. The outboard portion of the right wing impacted a small tree trunk and rotated the airplane 180° back toward the runway, which caused substantial damage. The pilot reported the engine continued to run until he shut it down. The pilot and passenger were able to egress from the airplane without further incident. The pilot reported he departed with 52 gallons of fuel onboard; there was fuel present in all four fuel tanks, and there were no fuel leaks after the accident. A postaccident examination of the engine was performed and a small amount of unidentified debris was present underneath the fuel manifold valve screen. No other preimpact anomalies were noted with the engine. The airframe was released to salvage before the investigation was able to complete a detailed examination. This engine’s No. 3 cylinder is located on the right side of the engine, in the middle, between the No. 5 cylinder (forward), and the No. 1 cylinder (aft). The Federal Aviation Administration (FAA)-approved Continental Motors Operator’s Manual for the IO-470 series engine discusses CHT and states in part: Cooling of cylinders depends on aircraft baffles being maintainedproperly fit to the cylinder heads and barrels and other joints in the pressure compartment being tight so as to force air between the cylinder fins. Proper cooling also depends on operation practices. The recommended power setting (RPM and manifold pressure) should not be exceeded for long periods. Fuel and air mixture ratio also affects cylinder temperature. The FAA Airplane Flying Handbook (FAA-H-8083-3B) discusses three likely probable causes of a low CHT and states Excessive cowl flap opening. Excessively rich mixture. Extended glides without clearing engine. This document also lists corrective actions for the three likely probable causes of a low CHT and states: Adjust cowl flaps. Adjust mixture control. Clear engine long enough to keep temperatures at minimum range.

Aircraft

Registration
N9883R
Reported as
Beech 35 (M35)
Category
Airplane
Serial number
D-6454
Built
1960
Airframe hours
4,727.6
Engine
Continental Motors IO-470-C, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · January 15, 2020 · 0 hours before
Departed
0TX6 · Seguin, TX
Airport
0TX6 · Elm Creek Airpark, runway 14, 1,925 × 75 ft, grass/turf
Equipment
None

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
76
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
BasicMed, Without waivers/limitations
Last flight review
February 20, 2020
Seat
Left
Restraint
Lap only
Flight hours
8,070 total · 250 in this make and model · 5 in the last 90 days · 5 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 6 knots
Visibility
10 statute miles
Temperature
72 °F, dew point 50 °F
Altimeter
30.00 inHg
Observed at
KRND, 14 nm away
METAR
KRND 011756Z AUTO 16006KT 10SM FEW150 FEW180 22/10 A3000 RMK AO2 SLP155 T02180097 10218 20104 57013

Docket · 5

The files NTSB released with the investigation on February 7, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.1 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.