CEN24LA038

NTSB accident investigation · Bede BD-4 · Lowell, IN · November 14, 2023

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
November 14, 2023, 13:53 local (19:53 UTC)
Place
Lowell, IN
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N931ASBede BD-4
Defining event
Enroute-cruise: Part(s) separation from AC
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Civil Aviation Authority Accidents and Incidents Investigations, FAA
FAA report
20231114021899A
Case key
193402

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

Fatigue cracking of the propeller blade root, which resulted in the in-flight separation of the propeller blade from its root. Contributing to the accident was the improper machining of the blade root threads, which resulted in chatter/ratchet marks that weakened the strength of the blade root.

Findings · 3

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.

Propeller system: propeller blade sectionAircraft › Aircraft propeller/rotor · Fatigue/wear/corrosionAlfred C Skinnell BD-4 EXPERIMENTAL CL: 1 caseAll aircraft: 51 casesProbable cause
Maintenance: fabricationPersonnel issues › Task performance · Owner/builderAlfred C Skinnell BD-4 EXPERIMENTAL CL: 1 caseAll aircraft: 30 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

About 25 minutes after takeoff, the engine started to run rough and shake violently. The pilot performed an off-airport landing in a soybean field. Upon touchdown, the airplane flipped inverted, which resulted in substantial damage to the fuselage. When the pilot exited the airplane, he discovered one of the propeller blades was missing. The pilot had installed the propeller about 18 months before the accident but had to replace the blades after 12 hours of service because the propeller blades were backing out of the hub. The manufacturer sent the pilot three new blades, which contained retention pins. Metallurgical examination of the blade root of the missing propeller blade revealed multiple fatigue cracks that initiated at the inner surface of the blade root where thread roots intersected a radial hole for the retention pin; the radial hole for the retention pin was located where the composite section of the propeller blade integrated with the metallic root. The darker appearance of the thumbnail-shaped region and curved bands of progression marks emanating from the cracks suggest they had initiated and had been growing before the accident flight. Chatter and ratchet marks, most likely a result of machining, were seen on the threads of the retention pin holes. A cross-section examination of the remaining two propeller blade roots revealed similar fatigue cracks emanating from the retention pin holes. The cracks were not visible from the surface and therefore would not be seen during routine propeller inspections. It is likely that the combination of the chatter/ratchet marks and operational vibrations resulted in fatigue cracking and ultimately overstress failure, which caused one of the propeller blades to separate at the blade root.

Factual narrative

On November 14, 2023, about 1353 central standard time, a Bede Corp BD-4 C, N931AS, was substantially damaged when it was involved in an accident near Lowell, Indiana. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. About 25 minutes after departure, the engine began to run rough and shake violently. The pilot performed an off-airport landing in a soybean field. Upon touchdown, the airplane flipped over, resulting in structural damage to the fuselage. After exiting the airplane, the pilot discovered that one of the propeller blades was missing. The root of the missing propeller blade was still inside the hub. The missing blade was never found. The airplane was equipped with an AXSport Aviation AX3-70 propeller. The propeller was advertised as an experimental 3-blade electric constant speed/variable pitch propeller designed for non-type-certified aircraft. The blades were carbon fiber reinforced epoxy composite structures integrated with an aluminum alloy root section that were assembled into an aluminum alloy hub. The root of the missing propeller blade, propeller hub, and remaining 2 propeller blades were examined postaccident. The metallurgical examination of the propeller blade root from the missing propeller revealed dark gray thumbnail-shaped regions and cracks that originated at the holes for the retention pins—specifically, the inner surface where the thread roots intersected the retention pin holes. Chatter marks, wavy surface imperfections usually caused by vibrations transferred from the tool-work interface during the machining process, were observed on the flanks (straight side) of the threads. Ratchet marks, slight vertical steps within a fracture, correlated with the presence of chatter marks. One of the remaining intact propeller blades was not damaged on the surface, and the other propeller blade exhibited partial chordwise cracks and spanwise separation consistent with ground impact. Visual inspection of both blade roots did not reveal any visible cracks. However, both blade roots were cross-sectioned during the metallurgical examination and several flat crack profiles were observed, extending toward the outer surface from the threads of the retention pin holes. Maintenance logbook records revealed that the propeller was installed in May of 2023. In August of 2023, all three propeller blades were replaced after only 12 hours of service. The owner stated that the original blades did not have retention pins, and the blades were backing out of the hub. The manufacturer sent the owner three new blades that contained retention pins. The new blades were installed, and the propeller was balanced, in accordance with the operator’s manual, to a value of 0.02 in per second. The blade failure occurred after about 33 hours of service.

Aircraft

Registration
N931AS
Reported as
Bede BD-4 (C)
Category
Airplane, amateur-built
Serial number
1359B
Built
2015
Airframe hours
234
Engine
Lycoming O-360-A1A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · July 1, 2023
Departed
KIGQ · Lansing, IL
Destination
5011 · Bainbridge, IN
Airport
n/a
Equipment
ADS-B, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
67
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed, With waivers/limitations
Last flight review
August 15, 2022
Seat
Left
Restraint
4-point
Flight hours
408 total · 200 in this make and model · 293 as pilot in command · 32 in the last 90 days · 15 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 10 knots, gusting 14
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 23 °F
Altimeter
30.32 inHg
Observed at
KRZL, 14 nm away
METAR
KRZL 141955Z AUTO 17010G14KT 10SM CLR 16/M05 A3032 RMK AO2

Docket · 6

The files NTSB released with the investigation on April 23, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.5 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.