DFW05LA105

NTSB accident investigation · Beech A36 · Early, TX · April 17, 2005

Accident · No injuriesLimited investigationFinal report
Date
April 17, 2005, 07:10 local (12:10 UTC)
Place
Early, TX
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4311SBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report July 7, 2005
Report
Approved by Office Director
Parties
Fort Worth FSDO
FAA report
20050417005849A
Case key
61337

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

A loss of engine power due to the improper installation of the oil filter resulting in oil starvation and eventual seizure of the engine. A contributing factor was the lack of suitable terrain for the 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 powerClimb
Fluid,oil - starvation/exhaustionCause
Maintenance,installation - improperOwner/pilot mechanicCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/water
Terrain condition - high vegetation

Analysis

A 7,378-hour Airline Transport Pilot (ATP) reported that they had just departed the airport and established a cruise-climb, with a 752-hour private pilot at the controls, and one passenger in the rear of the airplane. During the cruise-climb the engine went to full rpm, and then the ATP noticed that the engine oil pressure indicated zero. During the attempted return to the airport, the engine seized and the private pilot turned the controls over to the ATP. The ATP executed a forced landing in a field 4-miles east of the departure airport. Examination of the engine by an NTSB investigator revealed that the oil filter was improperly installed, and the O-ring at the base of the filter was broken. Additionally, the oil filter's adapter plate was found cracked, which allowed the engine oil to be pumped overboard while in flight.

Factual narrative

On April 17, 2005, at 0710 central daylight time, a Beech A36 single-engine airplane, N4311S, was substantially damaged when it impacted terrain during a forced landing following a loss of engine power during takeoff from the Brownwood Regional Airport (BWD), near Brownwood, Texas. The airplane was registered to, and operated by AIT Services, Inc., of Brownwood, Texas. The airline transport rated pilot and two occupants of the airplane were not injured. Visual meteorological conditions prevailed, and a flight plan was not filed for the 672-nautical mile cross-country flight conducted under the 14 Code of Federal Regulations Part 91. The business flight was originating at the time of the accident, with the Murfreesboro Municipal Airport (MBT), near Murgreesboro, Tennasse, as its intended destination.

The 7,378-hour airline transport pilot reported to the NTSB (via NTSB Form 6120.1/2) that they had just departed the airport and established a cruise-climb, with a 752-hour private pilot at the controls, and one passenger in the rear of the airplane. During the cruise-climb, the engine went to full rpm, and then the Airline Transport Pilot (ATP) noticed that the engine oil pressure indicated zero. During the attempted return to the airport, the engine seized and the private pilot turned the controls over to the AT P. The ATP executed a forced landing in a field located approximately 4 miles east of BWD

The Federal Aviation Administration (FAA) inspector, who responded to the accident site, reported that he did not see any evidence of oil on the engine oil dipstick. He added that the oil cap was secured in place. Additionally, he observed a significant amount of fresh oil on the engine firewall and belly of the airplane. The inspector also noted that the left and right wings experienced extensive structural damage and the vertical stabilizer was also damaged.

The wreckage of the airplane was recovered to Air Salvage of Dallas (ASOD) near Lancaster, Texas, where a examination of the engine was conducted on April 27, 2005. The examination revealed that the spin-on oil filter was over torqued, and that the O-ring seal at the base of the oil filter was broken. Additionally, the metal oil filter adapter housing was cracked, so that engine oil could be pumped through the crack and overboard. A review of the engine logbook revealed that the engine oil and filter had been changed the day prior to the accident date.

At 0705, the automated weather observing system at BWD, located three miles from the accident site, reported wind from 140 degrees at 4 knots, 10 statute miles visibility, a clear sky, temperature 59 degrees Fahrenheit, dew point 57 degrees Fahrenheit, and an altimeter setting of 30.23 inches of Mercury.

Aircraft

Registration
N4311S
Reported as
Beech A36
Category
Airplane
Serial number
E-684
Airframe hours
5,806
Engine
Continental IO-520, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 9, 2005 · 60 hours before
Departed
BWD · Brownwood, TX
Destination
MBT · Murfreesboro, TN
Airport
BWD · Brownwood Municipal

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
39
Injuries
None
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
February 9, 2004
Seat
Right
Flight hours
7,378 total · 416 in this make and model · 6,094 as pilot in command · 33 in the last 90 days · 21 in the last 30 days
Role
Other flight crew
Age
28
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
August 31, 2004
Seat
Left
Flight hours
752 total · 389 in this make and model · 697 as pilot in command · 28 in the last 90 days · 94 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 57 °F
Altimeter
30.22 inHg
Observed at
BWD, 3 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.