DEN00IA076

NTSB incident investigation · Beech A60 · Englewood, CO · April 8, 2000

Incident · No injuriesIncident investigationFinal report
Date
April 8, 2000, 08:30 local (14:30 UTC)
Place
Englewood, CO
Injuries
3 uninjured
Damage
Minor damage
Phase of flight
Initial climb
Aircraft
N928PTBeech A60
Weather
Visual (VMC) · Day
Status
Completed · report April 6, 2001
Report
Approved by Office Director
Case key
49021

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

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Probable cause

The failure of a number one cylinder connecting rod bolt due to under-torquing during engine major overhaul.

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
1 engine
Engine assembly,connecting rod bolt - undertorqued
Maintenance,overhaul,major - improperOther maintenance personnelCause

Analysis

On departure, the left engine of the twin-engine airplane failed. Postincident examination of the left engine revealed a six-inch hole in the case, and that two connecting rod bolts on the number one cylinder had separated. Examination indicated that one of the rod bolt failed due to fatigue. An SEM examination of the outside surface adjacent to the fracture face revealed no indication of a manufacturing anomaly. Fretting damage was found on the arm of the connecting rod that was associated with this bolt. The physical evidence suggested that the bolt was improperly torqued. Maintenance records indicate that the left engine received a major overhaul 2.5 hours before the incident. A representative of the engine manufacturer said that the rod bolts on this engine are properly installed when the tightening of the nut stretches the bolt to a specified dimension.

Factual narrative

On April 8, 2000, approximately 0830 mountain daylight time, a Beech A60, N928PT, received minor damage following an engine failure during initial climb after takeoff from Centennial Airport, Englewood, Colorado. The flight instructor, the private pilot receiving instruction, and a passenger were not injured. The airplane was being operated by the private pilot under Title 14 CFR Part 91. Visual meteorological conditions prevailed for the cross-country instructional flight that originated approximately 15 minutes before the incident. An instrument flight plan had been filed.

The flight instructor said that while on departure from Centennial Airport, the left engine failed. He said that they returned to the airport and landed without incident. Postincident examination of the left engine revealed a six-inch hole in the case, and that two rod bolts on the number one cylinder connecting rod had separated.

Examination by a National Transportation Safety Board's (NTSB) Materials Laboratory engineer indicated that one of the rod bolts separated due to a fatigue failure. An SEM examination of the outside surface adjacent to the fracture face revealed no indication of a manufacturing anomaly. Fretting damage was found on the arm of the connecting rod that was associated with this bolt.

Maintenance records indicate that the left engine received a major overhaul 2.5 hours before the incident. A representative of the engine manufacturer said that the rod bolts on this engine are properly installed when the tightening of the nut stretches the bolt to a specified dimension.

Aircraft

Registration
N928PT
Reported as
Beech A60
Category
Airplane
Serial number
P-174
Engine
Lycoming TIO-541, 385 horsepower, reciprocating
Damage
Minor damage
Flight
Instructional · Part 91
Registered owner
Raulf D. Janitell, III
Airworthiness certificate
Standard, Normal
Departed
APA
Destination
SDL · Scottsdale, AZ
Flight plan
IFR
Airport
APA · Centennial Airport

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
40
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
3,123 total · 210 in this make and model · 2,983 as pilot in command · 125 in the last 90 days · 35 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 6 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 36 °F
Altimeter
30.00 inHg