DEN07LA083

NTSB accident investigation · Beech 35 · Topeka, KS · April 9, 2007

Accident · Minor injuriesLimited investigationFinal report
Date
April 9, 2007, 13:30 local (18:30 UTC)
Place
Topeka, KS
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N460BBeech 35
Weather
Visual (VMC) · Day
Status
Completed · report September 27, 2007
Report
Approved by Office Director
Parties
FAA Flight Standards District Office, Teledyne Continental Motors
FAA report
20070409006179A
Case key
65566

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 use of unapproved bolts to mount the crankshaft and gear together, causing fatigue and failure of those mounting bolts, resulting in the subsequent loss of engine power. Factors contributing to the accident were the separation of the crankshaft gear, and the lack of suitable terrain for a 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(partial) - mech failure/malfTakeoff - initial climb
1 engine - failure,partial
Engine installation,mounting bolt - improperCause
Engine installation,mounting bolt - failure,totalCause
Engine installation,mounting bolt - fatigue
Accessory drive assy,drive gear - separationFactor
Forced landingDescent - emergency
Emergency procedure - performedPilot in command
On ground/water encounter with terrain/waterDescent - emergency
Terrain condition - none suitableFactor

Analysis

According to the pilot, shortly after departing runway 18 she heard what "sounded like a loud backfire, a single bang," and then the engine lost power. The pilot selected a nearby field and performed a forced landing. During the landing the nose gear collapsed resulting in substantial damage. An examination of the engine revealed that the crankshaft gear separated from the crankshaft and was loose inside the accessory case. The upper portions of five of the six screws used to secure the gear to the crankshaft were found in the accessory case. Metallurgical examination of the fracture surface revealed signatures consistent with fatigue fractures. One screw was sectioned and tested for hardness with the results of 29, 30, 30, and 31 Rockwell C Harness (HRC). According to TCM, the drawing specifies an H5 fastener with a hardness requirement of 32 through 37 HRC. In addition, the head of the screw had a diameter of .40 inches or less. The TCM drawing specifies a diameter of .44 inches. According to TCM, this could have resulted in inadequate torque for this installation. An examination of the airplane flight controls and engine controls revealed no anomalies.

Factual narrative

On April 9, 2007, approximately 1330 central daylight time, a Beech 35, N460B, piloted by a commercial pilot, sustained substantial damage when it impacted terrain during a forced landing near Topeka, Kansas. Visual meteorological conditions prevailed at the time of the accident. The personal flight was being conducted under the provisions of Title 14 CFR Part 91 without a flight plan. The pilot sustained minor injuries and the passenger reported no injuries. The cross-country flight had just departed the Philip Billard Municipal Airport (TOP), Topeka, and was en route to Kansas City, Missouri.

According to a statement submitted by the pilot, the engine start, taxi, and takeoff were normal, without issue or incident. The pilot reported that shortly after departing runway 18 (4,331 feet by 75 feet, asphalt) she heard what "sounded like a loud backfire, a single bang," and then the engine lost power. The pilot selected a nearby field and performed a forced landing. During the landing the nose gear collapsed.

An examination of the airplane, conducted by two airworthiness inspectors with the Federal Aviation Administration (FAA), Wichita, Kansas, revealed that the firewall was wrinkled, and the fuselage skin on the right side was crushed upward. The "keel structure" in the engine compartment was bent. FAA confirmed the existence of fuel in the left and right fuel tanks. The FAA reported that a 1/4 teaspoon of particulate matter and a teaspoon of rust water was sumped from the left and right fuel tanks, respectively. An examination of the airplane flight controls and engine controls revealed no anomalies.

The engine, a Teledyne Continental Motors (TCM) E185-8, was removed from the airframe and sent to TCM in Mobile, Alabama, for further examination. The engine was examined by the Safety Board Investigator-in-Charge and TCM investigators on July 17, 2007. Examination of the engine revealed the crankshaft gear separated from the crankshaft and was loose inside the accessory case. The upper portions of five of the six screws, used to secure the gear to the crankshaft, were found in the accessory case. Safety wire remained attached to two of the five screw heads.

Examination of the gear and crankshaft-mounting surface revealed fretting. Portions of all six screws remained inside the crankshaft. Examination revealed the screws, used to mount the gear to the crankshaft, were allen wrench, capscrew style head screws. According to TCM, the drawing calls for a common hex head screw. The crankshaft gear, screws, and dowel were sent to the TCM Metallurgical Lab for further analysis.

Metallurgical examination of the fracture surface revealed signatures consistent with fatigue fractures. One screw was sectioned and tested for hardness with the results of 29, 30, 30, and 31 Rockwell C Harness (HRC). According to TCM, the drawing specifies an H5 fastener with a hardness requirement of 32 through 37 HRC. In addition, the head of the screw had a diameter of .40 inches or less. The TCM drawing specifies a diameter of .44 inches. According to TCM, this could have resulted in inadequate torque for this installation.

According to the engine maintenance records, the last engine overhaul was completed on August 13, 1970, in Akron, Ohio, at an airframe total time of 2,425.5 hours. The last annual inspection was performed on September 2, 2006, at an engine total time of 671.5 hours.

Aircraft

Registration
N460B
Reported as
Beech 35
Category
Airplane
Serial number
D-1477
Airframe hours
4,275.8
Engine
Continental E185, 205 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2006
Departed
TOP · Topeka, KS
Destination
MKC · Kansas City, MO
Airport
TOP · Philip Billard Muni, runway 18, 4,331 × 75 ft, asphalt

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
57
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 1, 2007
Seat
Left
Flight hours
2,100 total · 75 in this make and model · 75 in the last 90 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 11 knots
Visibility
10 statute miles
Lowest ceiling
5,500 ft overcast
Temperature
46 °F, dew point 27 °F
Altimeter
30.04 inHg
Observed at
KTOP

FAA reports on this event · 1

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