DCA92MA048

NTSB accident investigation · Beech C-45H · Hinckley, IL · September 7, 1992

Accident · FatalMajor investigationFinal report
Date
September 7, 1992, 12:40 local (17:40 UTC)
Place
Hinckley, IL
Injuries
12 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N3657GBeech C-45H
Weather
Visual (VMC) · Day
Status
Completed · report November 30, 1993
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
19920907038609A
Case key
15957

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

Inadequate maintenance and inspection by the operator which resulted in an engine power loss during the critical takeoff phase of flight. In addition, the pilot did not, or was unable to, attain a full-feather position on the left engine propeller, which would have most likely enabled the airplane to sustain minimum control airspeed.

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/malfTakeoff - initial climb
Eng assembly,blower/impeller/integral supercharger - failure,totalCause
Maintenance - inadequateCompany/operator managementCause
Maintenance,100-hour inspection - not performedCompany/operator managementCause
Forced landingManeuvering - turn to landing area (emergency)
Maintenance,service bulletin/letter - not followedCompany/operator management
Propeller feathering - not attainedCause
In flight collision with terrain/waterManeuvering - turn to landing area (emergency)
Seat belt - not usedPassenger

Analysis

After takeoff, the airplane was seen at low altitude trailing smoke from the left engine. Witnesses saw the wings 'tipping' back and forth, then a wing dropped and hit the ground. Examination revealed that a supercharger bearing had failed in the left engine. The left engine had been recently installed by non-certificated personnel after being inactive for 18 yrs without preservation. The airplane had flown about 184 hrs since the last annual inspection; no record of subsequent 100-HR inspection. The left prop blades were found in an intermediate position between the operating range and the feathered position. The left prop was changed several weeks prior to the accident. There is no evidence that the left prop had ever been successfully cycled to the full feather position. The operator and pilots were not aware of hamilton standard sb 657 recommending full-feather checks every 30 days. Left prop feathering motor relays not recovered. All 11 parachutists were found in center part of fuselage; no evidence of restraint useage.

Aircraft

Registration
N3657G
Reported as
Beech C-45H
Category
Airplane
Serial number
AF461
Airframe hours
7,780
Engine
P&W R-985-AN-14B, 450 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Skydiving · Part 91
Operator
Exa, Incorporated
Registered owner
Exa, Incorporated
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 27, 1992
Departed
OC2
Destination
OC2

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
54
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
3,030 total · 867 in this make and model · 2,705 as pilot in command · 240 in the last 90 days · 190 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 12 knots
Visibility
10 statute miles
Lowest ceiling
3,300 ft broken
Temperature
82 °F, dew point 66 °F
Altimeter
30.00 inHg
Observed at
DPA, 18 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.

Other investigations on N3657G · 2

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