DEN99LA015

NTSB accident investigation · Mooney M20C · Englewood, CO · October 21, 1998

Accident · Serious injuriesLimited investigationFinal report
Date
October 21, 1998, 08:28 local (14:28 UTC)
Place
Englewood, CO
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6405UMooney M20C
Weather
Visual (VMC) · Day
Status
Completed · report February 16, 2001
Report
Approved by Office Director
FAA report
19981021044259A
Case key
45124

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 undertorquing of the camshaft gear retaining bolts during engine overhaul by maintenance personnel. A factor was the unsuitable 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/malfClimb - to cruise
Engine assembly,camshaft - undertorquedCause
Maintenance,overhaul - improperOther maintenance personnelCause
Forced landingDescent - emergency
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - downhill
Terrain condition - ground
Terrain condition - none suitableFactor

Analysis

During climb following departure, the engine lost power. The pilot reported the emergency to the tower and attempted to return to the airport. Determining that he would be unable to make it back, he made an emergency landing in a field one and a half miles southeast of the airport. Postaccident examination of the engine revealed that the camshaft gear retaining bolts connecting the camshaft gear to the camshaft had lost torque. As a result, the lobes failed to open their respective valves, creating discontinuity to the gear train. The tread on each of the four camshaft gear bolts exhibited shiny, worn patterns. According to a Textron Lycoming engineer, loss of camshaft retaining bolt torque is indicative of the bolts being improperly torqued during the engine overhaul. According to aircraft maintenance records, the engine was overhauled on March 15, 1985, and had accumulated 833 hours since overhaul.

Factual narrative

On October 21, 1998, at 0828 mountain daylight time, a Mooney M20C, N6405U, owned and operated by the pilot, was substantially damaged when it collided with terrain following a loss of engine power during climb after departure from Centennial Airport, Englewood, Colorado. The private pilot, sole occupant aboard, sustained serious injuries. Visual meteorological conditions prevailed, and no flight plan was filed for the personal cross-country flight being conducted under Title 14 CFR Part 91. The intended destination was La Junta, Colorado.

According to the pilot, takeoff from runway 10 was normal. While still in a climb, approximately five miles southeast of the airport, the engine lost power. He initiated emergency procedures for loss of engine power, but was unsuccessful in identifying the source of the failure. He reported the emergency to the tower and attempted to return to the airport. Determining that he would be unable to make it back, he made a forced landing in a field one and a half miles southeast of the approach end of runway 28.

Postaccident examination of the engine revealed that the camshaft gear retaining bolts connecting the camshaft gear to the camshaft had lost torque. As a result, the lobes failed to open their respective valves, creating discontinuity to the gear train. Three of the retaining bolts, as well as locking tab fragments, were located in the oil sump. The one remaining bolt was fractured and appeared to have backed out before breaking. The tread on each of the four camshaft gear bolts exhibited shiny, worn patterns. The alignment pins had separated from the camshaft gear, and the gear holes were worn and elongated. In addition, the accessory housing revealed shiny wear marks, and the accessory breather shield was separated from the accessory case and found in fragmented pieces.

According to the aircraft maintenance records, the engine was overhauled on March 15, 1985, at a tachometer time of 3,734.7 hours. The last annual inspection of the engine was performed on October 23, 1997, at a tachometer time of 4,455.2 hours. The engine had accumulated 833 hours since overhaul, and 112 hours since the last annual inspection.

According to a Textron Lycoming engineer, loss of camshaft retaining bolt torque is indicative of the bolts being improperly torqued during the engine overhaul. The engineer stated that if the bolts are improperly torqued, they begin to vibrate and eventually wear, becoming disconnected, as was evident in this accident. If properly torqued, the bolts should have remained torqued until the next scheduled overhaul.

Aircraft

Registration
N6405U
Reported as
Mooney M20C
Category
Airplane
Serial number
2152
Airframe hours
4,567
Engine
Lycoming O-360-A1D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
William D. Folkerts
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 23, 1997 · 112 hours before
Departed
APA
Destination
LHX · La Junta, CO
Airport
APA · Centennial Airport, runway 10, 4,903 × 62 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
45
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,018 total · 834 in this make and model · 996 as pilot in command · 43 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
43 °F, dew point 36 °F
Altimeter
30.00 inHg
Observed at
APA

FAA reports on this event · 1

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