- Date
- June 18, 2022, 09:45 local (14:45 UTC)
- Place
- Stillwater, OK · HWY 412 8 NM E OF STILLWATER REGIONAL ARPT (SWO)
- Injuries
- 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N5895QMooney M20E
- Defining event
- Enroute-cruise: Loss of engine power (partial)
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Central Region
- Parties
- FAA, Lycoming Engines
- FAA report
- 20220618010639A
- Case key
- 105283
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 inadequate maintenance and inspection of the engine induction air coupling, which impeded airflow to the engine and resulted in the subsequent partial loss of engine power.
Findings · 4
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 pilot reported that, during cruise flight, the engine lost partial power, which necessitated an emergency landing on a highway. During the landing, the airplane impacted a road barrier, which resulted in substantial damage to the left wing. During a postaccident examination, the induction air coupling was found wrapped in gray tape. When the tape was removed, separations were visible on the top and bottom at the flange on the inboard side. The top and bottom separations likely reduced the rigidity of the coupling when the engine was operating. Examination of the inside of the coupling showed that the lower portion appeared to be permanently deformed in a manner similar to compression. Therefore, because of the reduction in the coupling’s rigidity, the coupling had likely closed due to suction from the engine, which impeded airflow. Tape should not have been applied as a fix for the induction coupling separations. The investigation could not determine when the coupling separations appeared or the tape was applied, but those events had likely caused the permanent deformation to the coupling. The airframe and powerplant mechanic, who performed annual inspections for the airplane during the 3 years before the accident. should not have allowed the airplane to return to service with the tape applied and the coupling deformed.
Factual narrative
On June 18, 2022, about 0945 central daylight time, a Mooney M20E airplane, N5895Q, sustained substantial damage when it was involved in an accident near Stillwater, Oklahoma. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. The pilot reported that, about 20 to 25 minutes after departure and while in cruise flight at an altitude of about 4,500 ft mean sea level, the airplane lost partial engine power. The power had been set to 2,400 rpm and 24 inches of manifold pressure, which decreased to 2,000 rpm and between 11 and 12 inches of manifold pressure. The pilot manipulated the throttle control, but the engine did not respond. He moved the fuel selector through all positions while also moving the throttle, but the engine still did not respond. Because the airplane was unable to maintain level flight, the pilot elected to conduct a forced landing to a highway. As the airplane was about to land, the pilot became focused on avoiding a vehicle and failed to extend the landing gear. The airplane touched down “very softly” with the gear up, and the pilot turned the airplane slightly to the left to keep the propeller from impacting the vehicle, which resulted in the left wing impacting a road barrier and substantial damage to the wing. A postaccident examination revealed no anomalies with the engine control system, and throttle control continuity was established from the cockpit controls to the engine. The engine cowling was removed, and the induction air coupling was found wrapped in gray tape (see figure 1). When the tape was removed, separations were visible on the top and bottom at the flange on the inboard side. The inside of the coupling was examined, and the lower portion appeared to be permanently deformed in a manner consistent with compression (see figure 2). Figure 1. Induction coupling with gray tape. Figure 2. View from inside the induction coupling The pilot reported that the airplane’s tachometer time at the time of the accident was about 4,489 hours. According to the maintenance logbooks, the airplane’s most recent annual inspection, in accordance with Title 14 CFR Part 43 Appendix D, was performed on June 11, 2021, at a tachometer time of about 4,429 hours. The airframe and powerplant mechanic with inspection authorization who completed that annual inspection also completed the airplane’s two previous annual inspections. Those inspections were performed on November 11, 2018, and December 7, 2019, when the airplane’s tachometer time was about 4,380 and 4,396 hours, respectively. The maintenance entry dated November 11, 2018, noted “installed new Brackett induction air filter.” No other entries in the maintenance logbooks were associated with the induction air filter or coupling. Multiple attempts to contact the mechanic were made with no success. As a result, the investigation could not determine when the tape was applied to the induction coupling.According to Title 14 Part 43 Appendix D, during an annual inspection, lines, hoses, and clamps should be checked “for leaks, improper condition and looseness” and all systems should be checked for “improper installation, poor general condition, defects, and insecure attachment.”
Aircraft
- Registration
- N5895Q
- Reported as
- Mooney M20E
- Category
- Airplane
- Serial number
- 812
- Built
- 1965
- Airframe hours
- 4,488
- Engine
- Lycoming IO360A1A, 200 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · June 11, 2021 · 54 hours before
- Departed
- KSRE · Seminole, OK
- Destination
- 1K1 · Benton, KS
- Airport
- n/a
- Equipment
- Stall warning system, 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
- 58
- Injuries
- None
- Certificates
- Flight instructor, Airline transport
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1, With waivers/limitations
- Last flight review
- November 11, 2021
- Seat
- Left
- Restraint
- Lap only
- Flight hours
- 22,545 total · 21 in this make and model · 8,278 as pilot in command · 234 in the last 90 days · 78 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 150° at 3 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 84 °F, dew point 73 °F
- Altimeter
- 30.08 inHg
- Observed at
- KSWO, 6 nm away
- METAR
- KSWO 181353Z 15003KT 10SM CLR 29/23 A3008 RMK AO2 SLP169 T02890228 $
Docket · 8
The files NTSB released with the investigation on September 14, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 28.4 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.