CEN23LA419

NTSB accident investigation · Beech A36 · El Dorado, AR · September 23, 2023

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
September 23, 2023, 16:25 local (21:25 UTC)
Place
El Dorado, AR
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N67CDBeech A36
Defining event
Enroute: Unknown or undetermined
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Textron Aviation, Federal Aviation Administration, Little Rock FSDO
FAA report
20230923016089A
Case key
193124

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 loss of engine power for undetermined reasons, which resulted in a forced landing and impact with terrain.

Findings · 1

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.

AircraftAircraft › Aircraft power plant · Unknown/Not determinedBeech A36: 2 casesAll aircraft: 151 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

According to the pilots, the airplane operated normally during the first two hours of the cross-country instructional flight. The flight instructor reported he then noticed the fuel flow seemed a little high. When the flight instructor reduced the mixture setting, the engine began to run rough. The instructor increased the mixture, which smoothed the engine roughness. The engine ran rough again, and the instructor once again increased the mixture setting, which smoothed the engine roughness. The engine then ran rough two additional times; both times the instructor increased the mixture setting, causing the roughness to cease. The engine roughness occurred again but was worse than he previously experienced. The instructor increased the mixture control to its full forward position and decided to divert to an alternate airport. The engine lost power while en route to the alternate airport, and the flight instructor performed a hard gear-up forced landing in a field, resulting in substantial damage to the fuselage and wings. Postaccident examination of the airplane revealed an adequate amount of fuel was present and a postaccident engine test run revealed no mechanical anomalies that would have precluded normal engine operation.

Factual narrative

On September 23, 2023, at 1625 central daylight time, a Beech A36, N67CD, was involved in an accident near El Dorado, Arkansas. The airplane sustained substantial damage. The pilot and a flight instructor received minor injuries. The airplane was operated under Title 14 Code of Federal Regulations Part 91 as an instructional flight. The airplane engine was equipped with a turbocharger through a supplemental type certificate installation. About six weeks before the accident flight, the airplane exhibited a loss of engine power. The accident flight was a cross-country flight to provide the pilot/airplane owner with training required by the pilot’s insurance carrier. During the accident flight, the airplane operated normally during the first two hours of the flight but was then followed by a fuel flow/consumption rate of about 22 gph, which seemed a little high to the flight instructor. When the instructor tried to reduce the mixture setting, the engine began to run rough, which he thought was unusual. They advanced the mixture, and the engine smoothed out. The engine then began to run rough again, and the instructor increased the mixture setting, which smoothed the engine roughness. The engine began to run rough again, and the instructor increased the mixture setting again, which smoothed the engine roughness. The engine then ran rough two additional times; both times the instructor increased the mixture setting, causing the engine roughness to cease. The engine roughness occurred again but was worse than the roughness they previously experienced. The instructor increased the mixture control to its full forward position and decided to divert to an alternate airport. The engine lost power while en route to the alternate airport, and the flight instructor performed a forced landing to a field. During the landing, the airplane sustained substantial damage to the fuselage and wings. During the recovery of the airplane from the accident site, about 50 gallons of 100 low lead aviation fuel was drained from the aircraft. The left wing fuel tank contained about 20 gallons of fuel and the fuel within the right wing fuel tank had drained onto the ground due to an impact-related breach of the right wing fuel tank. The auxiliary fuel tanks had an unknown quantity of fuel. During a postaccident test run of the engine, power settings from idle to maximum power were used. The engine started without hesitation and ran smoothly and without the symptoms that occurred during the accident flight. No anomalies that would have precluded normal operation were present during the test run. Maintenance records indicate the engine was sent out for overhaul and was reinstalled on the airplane about one month before the accident. A maintenance entry dated 12 days before the accident indicated the fuel pump was adjusted to set the fuel flow to 35.9 gallons per hour at full power.

Aircraft

Registration
N67CD
Reported as
Beech A36
Category
Airplane
Serial number
E-2554
Built
1990
Engine
Continental IO-550-B45B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Aspen Aircraft LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 27, 2023
Departed
JKA · Gulf Shores, AL
Destination
HSD · Oklahoma City, OK
Flight plan
IFR
Airport
F43 · El Dorado Downtown Airport-Stevens Field
Equipment
Electronic multifunction display, Stall warning system, ADS-B, Auto-pilot, Electronic flight bag or handheld device

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
67
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
January 6, 2023
Seat
Right
Restraint
3-point
Flight hours
3,247 total · 99 in this make and model · 2,950 as pilot in command · 85 in the last 90 days · 40 in the last 30 days · 4 in the last 24 hours
Role
Pilot
Age
54
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
September 29, 2021
Seat
Left
Restraint
3-point
Flight hours
292 total · 4 in this make and model · 214 as pilot in command · 16 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 72 °F
Altimeter
29.86 inHg
Observed at
ELD, 8 nm away
METAR
KELD 232153Z AUTO 10SM CLR 33/22 A2986 RMK AO2 SLP106 T03330222

Docket · 13

The files NTSB released with the investigation on April 23, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.9 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.

Other investigations on N67CD · 1

Matched to the same aircraft by N-number and date.