CEN20LA148

NTSB accident investigation · Beech 36 · Cincinnati, OH · April 16, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 16, 2020, 11:45 local (15:45 UTC)
Place
Cincinnati, OH
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N66FNBeech 36
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Continental Engines, FAA FSDO
FAA report
20200416016809A
Case key
101171

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 loose fuel inlet fitting on the fuel pump due to improper maintenance, which resulted in a total loss of engine power.

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.

Maintenance: replacementPersonnel issues › Task performance · Maintenance personnelBeech A36: 1 caseAll aircraft: 70 casesProbable cause
Fuel systemAircraft › Aircraft systems · Incorrect service/maintenanceBeech A36: 6 casesAll aircraft: 181 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 a descent to his destination, the pilot noticed an "unusual" vibration. After checking the engine analyzer, he noticed that one of the engine cylinders was not producing an exhaust gas temperature (EGT) reading. A few moments later, another cylinder EGT dropped offline, then a third cylinder. Cylinder EGTs continued to drop offline then the engine "quit." The pilot maneuvered the airplane over a populated area and landed on a roadway. Upon landing, the airplane struck obstacles along the roadway and came to rest underneath a concrete overpass. The wings and fuselage sustained substantial damage. Examination of the engine revealed that both the fuel inlet and fuel return line fittings on the fuel pump were loose and could be turned by hand. No adjacent impact damage was noted around the loose fittings. The fuel pump had been removed and replaced 2 days prior to the accident. The loose fuel inlet fitting likely resulted in the loss of engine power.

Factual narrative

On April 16, 2020, about 1145 Eastern standard time, a Beech A36, N66FN, sustained substantial damage when it was involved in an accident near Cincinnati, Ohio. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. The pilot reported that he was flying the airplane from Indianapolis, Indiana (UMP), to Cincinnati, Ohio (LUK), where maintenance was to be performed. During the flight, the pilot was performing an altitude leaning schedule to attempt to diagnose high exhaust gas temperature (EGT) readings. Enroute, the pilot performed step-up climbs to 14,000 ft to record power settings. After completing the schedule of tests, the pilot was descending to about 2,500 ft and noticed an "unusual" vibration that he had not experienced before. After checking the engine analyzer, he noticed that one of the engine cylinders was not producing an EGT reading. A few moments later, another cylinder EGT dropped offline, then a third cylinder. Cylinder EGTs continued to drop offline then the engine "quit." The pilot was not able to restart the engine and declared an emergency. The airplane was over a heavily populated area just north of downtown Cincinnati, so the pilot maneuvered the airplane for an emergency landing on a roadway. Upon landing, the left wing struck a wooden post along the edge of the roadway. The nose pitched to the left and the airplane landed hard on the right main landing gear and the nose landing gear, resulting in a landing gear collapse. The airplane then pitched right and struck another wooden post on the opposite side of the roadway with the right wing. The nose of the airplane contacted a concrete bridge abutment and the airplane slid under an overpass. The pilot secured the fuel and master switch and exited the airplane. A postaccident examination of the airplane and engine was conducted. The top spark plugs were removed, and compression was verified to the cylinders. The air intake hoses and clamps were verified secure and tight, and no obstructions were noted. The magnetos were verified to spark at all terminals. The engine controls were checked to be free and had full travel. The mixture control screen was removed and found to be free of debris. The fittings and hoses were checked for security on the mixture control, fuel manifold valve, and fuel pump. Both the fuel inlet and fuel return line fittings on the fuel pump were found to be loose and could be turned by hand. No adjacent impact damage was noted around the loose fittings. According to maintenance records, the fuel pump had been removed and replaced on April 14, 2020, 2 days prior to the accident. According to the engine manufacturer, a loose inlet fitting could result in a loss of engine power.

Aircraft

Registration
N66FN
Reported as
Beech 36 (A36)
Category
Airplane
Serial number
E-2981
Built
1996
Airframe hours
1,204
Engine
Continental IO-550B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 28, 2020 · 40 hours before
Departed
UMP · Indianapolis, IN
Destination
LUK · Cincinnatti, OH
Equipment
Stall warning system, Onboard weather, Auto-pilot, ADS-B

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
60
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
April 7, 2018
Seat
Left
Restraint
3-point
Flight hours
1,557 total · 318 in this make and model · 1,448 as pilot in command · 23 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
45 °F, dew point 21 °F
Altimeter
30.36 inHg
Observed at
LUK, 7 nm away

Docket · 4

The files NTSB released with the investigation on April 20, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.9 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.