CEN20LA288

NTSB accident investigation · Beech 36 · Independence, MO · July 16, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 16, 2020, 17:20 local (22:20 UTC)
Place
Independence, MO
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N630JLBeech 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
FAA FSDO
FAA report
20200716010629A
Case key
101617

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

Failure of the No. 5 piston head and ring, which resulted in a total loss of engine power and the pilot’s decision to takeoff with a known mechanical issue.

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.

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 pilot noted a rising cylinder head temperature which shortly after led to the airplane oscillating back and forth and responding slowly. The pilot set up for a forced landing and the airplane began to shake and was unable to hold altitude. During the approach to landing, the engine quit, and the pilot minimized his bank angle to stay out of a stall situation. When the airplane touched down, the pilot lost directional control and the airplane skidded off the road into a grassy area. The airplane sustained substantial damage to the wings and fuselage. The pilot reported that on the previous flight, he was in cruise flight at 8,000 ft when he noted that the airplane began “moving back and forth.” He scanned the instruments and saw the cylinder head temperatures (CHT) for the Nos. 5 and 6 cylinders were “running in the red” along with oil temperature. The pilot diverted and landed uneventfully. During the descent for landing, the engine temperatures returned to normal, and he landed uneventfully. The pilot called the owner and discussed what had occurred. The owner suggested that if the pilot was comfortable, he should return to the home airfield. The pilot agreed to return if the taxi and engine run-up checked normal. The engine run-up was normal, and the pilot departed the airport without incident. Postaccident examination of the engine found that the No. 5 cylinder head and piston ring had failed with signatures of denotation. Additionally, the turbocharger oil seal had failed. The pilot stated that he was not running the engine lean with fuel.

Factual narrative

On July 16, 2020, about 1720 central daylight time, a Beech 36 airplane, N630JL, was substantially damaged when it was involved in an accident near Independence, Missouri. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot recalled that on the previous flight, he was in cruise flight at 8,000 ft when he noted that the airplane began “moving back and forth.” He scanned the instruments and saw the cylinder head temperatures (CHT) for the Nos. 5 and 6 cylinders were “running in the red” along with oil temperature. The pilot diverted to the nearest airport. During the descent for landing, the engine temperatures returned to normal, and he landed uneventfully. The pilot called the owner and discussed what had occurred. The owner suggested that if the pilot was comfortable, he should return to the home airfield. Since the engine temperatures returned to normal during the descent and landing, the pilot agreed to return if the taxi and engine run-up checked normal. The engine run-up was normal, and the pilot departed the airport without incident. During the initial climb, about 4 miles from the airport, the No. 4 CHT increased significantly above the rest of the cylinders. The pilot continued the climb, and the airplane began moving back and forth again and began to respond “sluggishly.” The airplane shook and the pilot was unable to maintain altitude, so he set up for a forced landing to a road. During the approach to landing, the engine quit, and the pilot minimized his bank angle to stay out of a stall situation. When the airplane touched down, the pilot lost directional control and the airplane skidded off the road into a grassy area. The airplane sustained substantial damage to the wings and fuselage. Examination of the engine found that the No. 5 cylinder head and piston ring had failed with signatures of denotation. Additionally, the turbocharger oil seal had failed. The pilot stated that he was not running lean of peak with fuel.

Aircraft

Registration
N630JL
Reported as
Beech 36 (A36)
Category
Airplane
Serial number
E-821
Built
1976
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Strategos International Llc
Registered owner
Strategos International Llc
Airworthiness certificate
Standard, Normal
Destination
KLXT · Lee's Summit, MO
Airport
GPH · Midwest Ntl Air Center

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
47
Injuries
None
Certificates
Commercial, Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
1,470 total · 40 in this make and model · 555.6 as pilot in command · 264.4 in the last 90 days · 86.3 in the last 30 days · 4.5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 5 knots
Visibility
10 statute miles
Temperature
84 °F, dew point 70 °F
Altimeter
30.04 inHg
Observed at
KLXT, 10 nm away

Docket · 3

The files NTSB released with the investigation on June 16, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.8 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.