CHI97LA299

NTSB accident investigation · Beech C23 · Champaign, IL · September 24, 1997

Accident · No injuriesLimited investigationFinal report
Date
September 24, 1997, 09:30 local (14:30 UTC)
Place
Champaign, IL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1851ZBeech C23
Weather
Visual (VMC) · Day
Status
Completed · report January 30, 1998
Report
Approved by Office Director
FAA report
19970924028939A
Case key
10707

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

an undetermined engine and/or oil system failure that resulted in an oil leak and subsequent loss of engine power. A related factor was: high vegetation (corn crop) in the emergency landing area.

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(partial) - mech failure/malfApproach
Miscellaneous,engine - undeterminedCause
Fluid,oil - leak
Engine assembly,valve lifter - fractured
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency landing
Terrain condition - cropFactor

Analysis

The instructor pilot (CFI) said that they were 4 miles from the airport, and in radio contact with the control tower, when the airplane's engine began to run rough and the rpm dropped from 2500 to 2200 rpm. The CFI notified the control tower and requested a closer runway. The CFI trouble shot the problem, but said '. . . nothing worked, and the rpm dropped to 2000. . . . Oil began to cover the windscreen and [oil] pressure dropped to zero. [The] rpm was decreasing and I believed seizure was eminent.' The CFI 'pulled the mixture to lean' and attempted to glide to the runway, but noted that he was low in altitude. 'I sidestepped to aim for the grass and avoid [the runway] lighting and the localizer. I couldn't make the grass, so I landed in the corn.' Examination of the engine revealed that all eight valve lifters were broken. Examination of the lifters and lifter pieces showed brittle fractures due to overload. Some areas on the lifter faces showed evidence of heavy loading from the camshaft.

Factual narrative

On September 24, 1997, at 0930 central daylight time (cdt), a Beech C23, N1851Z, operated by a commercial flight instructor, sustained substantial damage when on approach for landing, the airplane's engine lost power. During the subsequent forced landing, the airplane impacted the terrain. Visual meteorological conditions prevailed at the time of the accident. The instructional flight was being conducted under 14 CFR Part 91. A flight plan was not on file. There were no injuries reported by the instructor pilot or the dual student. The flight originated at Champaign, Illinois, at 0830 cdt.

In his written statement, the instructor pilot said that they were 4 miles from the airport, and in radio contact with the control tower, when the airplane's engine began to run rough. He noted "an immediate rpm loss from 2500 to 2200 rpm. The instructor pilot notified the control tower that they had engine trouble and requested a closer runway. "I tried to trouble shoot - switched [to the other] fuel tank, adjusted mixture, carburetor heat on, cycle the magnetos - but nothing worked, and the rpm dropped to 2000. At this point, we were about 1,300 to 1,400 agl (feet above ground level) and 2 1/2 miles out. Oil began to cover the windscreen and [oil] pressure dropped to zero. [The] rpm was decreasing and I believed seizure was eminent." The instructor set the mixture to lean and attempted to glide to the runway, but noted that he was low in altitude. "I sidestepped to aim for the grass and avoid [the runway] lighting and the localizer. I couldn't make the grass, so I landed in the corn."

The National Transportation Safety Board examined the wreckage in a T-hangar at the University of Illinois - Willard Airport, on October 8, 1996, at 1030 cdt. The outboard 46 inches of the forward leading edge of the left wing were bent upward and aft. The left wing tip was broken off at the rivet line. The engine cowling showed minor damage. The nose gear was broken off. The lower engine mount and bottom of the firewall were bent down and aft. A 30-inch tear was observed along the bottom of the fuselage beginning at the firewall and running aft. The right wing showed dents and minor crushing along the leading edge. The right main landing gear was broken off. The left side of the windscreen was broken out. The right side of the wind screen was covered with a film of oil. The remainder of the airplane's structure was undamaged. Flight control continuity was confirmed.

The engine was removed for further examination. The engine showed a 1/4-inch square hole in the top left forward seam of the case. There were two pushed out areas, approximately 1/4-inch square, one on each side of the top seam of the engine, midway down the case. Examination of the internal engine components revealed that all eight valve lifters were broken. Pieces from the broken lifters were found throughout the engine case and in the oil reservoir. Metal fragments were found in the oil screen and filter. The bases of all four cylinders and the bottoms of all four pistons showed nicks, and chips. Both halves of the inside engine case showed impact marks throughout. Engine controls, engine accessories and other airplane systems revealed no anomalies. The lifters, lifter pieces, and oil filter were retained for laboratory examination.

The lifters, lifter pieces, and oil filter were examined at Engineering Systems, Incorporated, Aurora, Illinois, on November 6, 1997. Hardness testing on the surviving faces of three lifters showed the faces met specified hardness. The body hardness of one lifter was tested and found to meet the specified hardness. The examination of the lifters and lifter pieces showed brittle fractures due to overload. Some areas on the lifter faces showed evidence of heavy loading from the camshaft.

Aircraft

Registration
N1851Z
Reported as
Beech C23
Category
Airplane
Serial number
M2343
Airframe hours
4,653
Engine
Lycoming O-360-A4J, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
University Of Illinois
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 14, 1997 · 67 hours before
Departed
CMI · IL
Airport
CMI · Willard, runway 14R, 8,100 × 140 ft, concrete

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
25
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
354 total · 288 in this make and model · 281 as pilot in command · 14 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
CMI, 1 nm away

FAA reports on this event · 1

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