CHI95LA139

NTSB accident investigation · Mooney M20J · Kirksville, MO · April 30, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
April 30, 1995, 13:55 local (18:55 UTC)
Place
Kirksville, MO
Injuries
2 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4145HMooney M20J
Weather
Visual (VMC) · Day
Status
Completed · report September 24, 1995
Report
Approved by Office Director
FAA report
19950430011319A
Case key
9879

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

the loss of engine power due to failure of the engine's hydraulic tappet body heads. Related factors in the accident were the restricted visual lookout, and the unsuitable terrain encountered during the forced landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise - normal
Engine assembly,rocker arm/tappet - failureCause
Reason for occurrence undetermined
Forced landingEmergency descent/landing
Visual lookout - restrictedPilot in commandFactor
Unsuitable terrain or takeoff/landing/taxi area - encounteredPilot in commandFactor
On ground/water collision with objectLanding - roll
Object - tree(s)
Terrain condition - ditch

Analysis

Shortly after takeoff, as the airplane reached its assigned cruise altitude, the airplane's engine lost total power. The pilot made a forced landing in a field and during the rollout collided with a tree and ditch. Postaccident examination of the engine revealed that five of six hydraulic tappet body heads were separated from the tappet body. The tappet heads were found throughout the engine case. The reason for the tappet body head failures was not determined.

Factual narrative

On April 30, 1995, at 1355 central daylight time, a Mooney M20J, N4145H, operated as a flying club airplane, experienced a total loss of engine power shortly after departure from Kirksville Regional Airport in Kirksville, Missouri. The airplane sustained substantial damage during the resultant forced landing. The certificated flight instructor and private pilot received minor injuries. The two passengers were not injured. Visual meteorological conditions prevailed for the flight, which operated on an IFR flight plan. The flight operated under 14 CFR Part 91, and originated from Kirksville, Missouri, approximately 1328.

According to the instructor and private pilot, the private pilot was seated in the front, left seat and conducted the flying duties throughout the flight. The private pilot reported, "Normal pre-flight run-up, take-off, and climb to assigned altitude. Just reached assigned altitude - 6,000 feet - loud bang, terrible engine vibration." The pilot stated that he declared an emergency and made a 180 degree turn to try to land at the departed airport. The pilot stated that the instructor pilot accomplished the emergency checklist but the engine did not restart. Due to oil on the windshield, the instructor pilot's view was totally obscured. The private pilot had some visibility and continued to fly the airplane.

The private pilot stated that he made an emergency landing in a field. During the rollout the airplane's left wing collided with a tree and separated from the fuselage. The pilot stated that railroad tracks were "...fast approaching. Did a 180 [degree] turn to right and slid across a drainage ditch backwards, stopping against the train track embankment...."

Postaccident examination of the internal engine case revealed metal contaminates (later identified as hydraulic tappet heads). The engine's rods, pistons, and cylinders were damaged. Five of the six hydraulic tappet body heads were entirely, or partially, separated from their respective tappet.

A metallurgical examination of the tappet bodies and heads were accomplished at the Safety Board's Materials Laboratory. The Metallurgist's Factual report denoted, "The head portion of tappet 1 appeared relatively intact. However, examination with the aid of a bench binocular microscope revealed regularly spaced slant indentations on the cam follower face...Visual examination reveled that the periphery of the head portions of tappets 2 and 3 were broken off. All fractures had a large-scale faceted appearance, as if sections of the tappet heads had broken off in segments. The cam follower faces [that] remained on the tappet bodies exhibited evidence of extensive wear. The fracture faces on tappets 2 and 3, and on all submitted separated pieces of tappets had a brittle appearance and their fracture features were typical of overstress separations...The head portions of tappets 4,5, and 6 were broken off and subsequently worn down to the cylinder portion. The wear between the contact surfaces of tappet 6 and the corresponding cam lobe developed a through-the- wall hole extending into an oil supply chamber."

A hardness test was accomplished on tappet 1. Hardness values obtained were above the minimum hardness specified by the manufacturer.

According to the airplane's engine log books, the engine was overhauled on March 17, 1994, about 190 hours prior to the accident. On June 27, 1994, about 138 hours prior to the accident, the engine received a "propeller strike inspection" and a 100 hour inspection.

Aircraft

Registration
N4145H
Reported as
Mooney M20J
Category
Airplane
Serial number
24-0646
Engine
Lycoming IO-360-A3B6D, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Morris Hancock Flying Club
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 17, 1994 · 138 hours before
Destination
MOX · Morris, MN
Flight plan
IFR

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
68
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
13,020 total · 3,300 in this make and model · 12,000 as pilot in command · 80 in the last 90 days · 25 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 8 knots
Visibility
15 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
55 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
IRK

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.