# NTSB ERA11LA112: Beech A23-24, N3670Q, Venice, FL, January 12, 2011 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Limited investigation · Final report - Date: January 12, 2011, 17:00 local (22:00 UTC) - Place: Venice, FL - Coordinates: 27.296667, -82.419998 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=27.2967&lon=-82.4200&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Defining event: [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) - Highest injury: Serious injuries - Injuries: 1 serious, 1 minor, 2 uninjured - Status: Completed, report December 27, 2011 - Report: Approved by Office Director - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO, Textron/Lycoming - NTSB case key (mKey): 78131 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA11LA112 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/78131/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=78131 - Page: https://openairdocs.org/ntsb/ERA11LA112 ## Probable cause The loss of engine power for undetermined reasons. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Aircraft](https://openairdocs.org/ntsb-findings/01050000): Aircraft › Aircraft power plant · Failure (probable cause); cases with it: [Beech A23-24, 1 case](https://openairdocs.org/ntsb-findings/01050000/cases.md?model=1151226), [All aircraft, 151 cases](https://openairdocs.org/ntsb-findings/01050000/cases.md) - [Not determined](https://openairdocs.org/ntsb-findings/05000000): Not determined › Not determined · Unknown/Not determined (probable cause); cases with it: [Beech A23-24, 2 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md?model=1151226), [All aircraft, 2,247 cases](https://openairdocs.org/ntsb-findings/05000000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) (defining event); cases with it: [Beech A23-24, 4 cases](https://openairdocs.org/ntsb-events/341/sequence.md?model=1151226), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md) - [Emergency descent: Off-field or emergency landing](https://openairdocs.org/ntsb-events/440); cases with it: [Beech A23-24, 5 cases](https://openairdocs.org/ntsb-events/440/sequence.md?model=1151226), [All aircraft, 3,365 cases](https://openairdocs.org/ntsb-events/440/sequence.md) - [Landing: Ditching](https://openairdocs.org/ntsb-events/441); cases with it: [Beech A23-24, 1 case](https://openairdocs.org/ntsb-events/441/sequence.md?model=1151226), [All aircraft, 186 cases](https://openairdocs.org/ntsb-events/441/sequence.md) ## Analysis The pilot stated that during climbout the engine suddenly lost power. An engine restart was attempted but was unsuccessful. The pilot realized he could not make it back to the airport and ditched the airplane into the ocean. According to the pilot, the airplane had 3.5 hours of fuel onboard at the time of departure, and residual fuel was observed in the fuel injector. A postaccident examination of the airframe and flight control system components revealed no evidence of a preimpact mechanical malfunction. Examination of the engine revealed that it was exposed to salt water with a corresponding degree of corrosion. A review of the engine maintenance records revealed that the engine was previously overhauled in the field 13 years prior to the accident. The engine manufacturer recommended the engine be overhauled after the accumulation of 2,000 hours or in the 12th year, whichever occurred first. Despite the corrosion damage and delayed overhaul, a complete examination revealed no mechanical malfunctions or failures that would have precluded normal operation. ## Factual narrative *** This report was amended on October 12, 2012. Please see the public docket of this accident to view the original report. *** On January 12, 2011, about 1700, eastern standard time, a Beech A23-24, N3670Q, registered to and operated by a private owner, ditched in the Gulf of Mexico, west of Venice Beach, Florida, following loss of engine power. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91 with no flight plan filed. Visual meteorological conditions prevailed. The private pilot sustained serious injuries, one passenger sustained minor injuries, and two passengers were not injured. The airplane sustained substantial damage during the ditching. The flight departed Venice Municipal Airport (VNC), Venice, Florida at 1649. The pilot stated that the airplane had 3.5 hours of fuel on board and no anomalies were noted during the preflight inspection or engine run-up. He departed from runway 31 to an altitude of 1,500 feet above ground level. The engine was running smoothly, and all the gauges were “in the green.” He made a right turn to head east, but the engine “suddenly quit.” The pilot established glide speed, switched fuel tanks, turned the auxiliary fuel pump on, enriched the mixture to full rich, and squawked “7700.” An engine restart was attempted but was unsuccessful. He then made a right turn in an attempt to return to the airport, but realized that he could not make the airport or the beach and ditched the airplane into the ocean. After recovery, the airplane was examined by a Federal Aviation Administration inspector. Examination of the airframe and flight control system components revealed no evidence of preimpact mechanical malfunction. Examination of the engine revealed that the engine was exposed to salt water with a corresponding degree of corrosion. The spark plugs were removed and exhibited medium gray color combustion deposits and salt water contamination. The crankshaft was rotated which established internal gear and valve train continuity. All four cylinders produced compression. Both magnetos would not produce spark, but were damaged by salt water exposure. The magnetos were removed and the drive gears were found intact. The fuel system was checked and residual fuel was found in the injector. The injector fuel inlet screen was clean. The engine contained a normal quantity of oil and the oil filter was removed, opened, and found to be clean. A review of the engine maintenance records revealed that the engine was previously overhauled in the field 13 years ago. The Lycoming Service Instruction (SI) No. 1009 specifies the recommended time between overhaul (TBO) for Lycoming Engines. According to SI 1009, IO-360-A2B series engines should be overhauled after the accumulation of 2,000 hours time in service since new or previous overhaul. Additionally, engines that do not accumulate the hourly period of time between overhauls as specified, are recommended to be overhauled in the twelfth(12th) year. ## Aircraft - Registration: [N3670Q](https://openairdocs.org/deregistered/N3670Q-2011-10-13), registration cancelled 2011-10-13, S/N MA-257, built 1967 (OpenAirDocs) - Reported make and model: BEECH A23-24 - Registry model: [Beech A23-24](https://openairdocs.org/model/beech-a23-24) (registry code 1151226) (OpenAirDocs) - Registry engine: [Lycoming I0360 series](https://openairdocs.org/engine/lycoming-i0360-series) (registry code 41515, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: MA-257 - Airframe hours: 2250 - Engines: LYCOMING IO360 SER 180 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Macedo Walter Jr - Registered owner: Macedo Walter Jr - Airworthiness certificate: Standard, Normal - Last inspection: Annual, February 21, 2010, 793 hours before - Departed: VNC, Venice, FL - Destination: ISM, Kissimmee, FL ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 49; injuries: minor; private; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, with waivers/limitations; last flight review January 5, 2011; seat: left; flight hours: 1,100 total, 700 in this make and model, 1,100 as pilot in command ## Weather - Conditions: Visual (VMC), Day - Wind: 350° at 12 knots, gusting 20 - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 48 °F, dew point 43 °F - Altimeter: 30.29 inHg - Observed at: SRQ, 20 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 (OpenAirDocs). - [Accident 20110112000189A](https://openairdocs.org/incident/20110112000189A), Jan 12, 2011: Beech A23-24, Venice, FL, Substantial damage. The pilot, [privacy data omitted] stated that after refueling at bartow municipal airport, he flew the aircraft to Venice municipal airport Florida. At… ## Docket (11 files) The files NTSB released with the investigation on October 31, 2011, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=78131. 5.6 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 553 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349321&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Other Pertinent Forms and Reports-Aircraft Logbook pages (item 2, .PDF, 109 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349325&FileExtension=.PDF&FileName=Other%20Pertinent%20Forms%20and%20Reports-Aircraft%20Logbook%20pages-Redacted.PDF - Other Pertinent Forms and Reports-Engine logbook pages (item 3, .PDF, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349326&FileExtension=.PDF&FileName=Other%20Pertinent%20Forms%20and%20Reports-Engine%20logbook%20pages-Redacted.PDF - Reports from Parties to the Investigation-Lycoming field examination report (item 4, .PDF, 65 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349327&FileExtension=.PDF&FileName=Reports%20from%20Parties%20to%20the%20Investigation-Lycoming%20field%20examination%20report-Master.PDF - Other Pertinent Forms and Reports-Lycoming Sevice Instruction SI1009AU (item 5, .PDF, 42 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349328&FileExtension=.PDF&FileName=Other%20Pertinent%20Forms%20and%20Reports-Lycoming%20Sevice%20Instruction%20SI1009AU-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 6, .PDF, 850 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349329&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Photo 1-Forward view of airplane (item 7, .PDF, 648 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349330&FileExtension=.PDF&FileName=Photo%201-Forward%20view%20of%20airplane-Master.PDF - Photo 2-Forward view of airplane in the water (item 8, .PDF, 507 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349331&FileExtension=.PDF&FileName=Photo%202-Forward%20view%20of%20airplane%20in%20the%20water-Master.PDF - Photo 3-rightside view of airplane in the water (item 9, .PDF, 523 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349333&FileExtension=.PDF&FileName=Photo%203-rightside%20view%20of%20airplane%20in%20the%20water-Master.PDF - Photo 4-Leftside view of airplane in water (item 10, .PDF, 478 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40349334&FileExtension=.PDF&FileName=Photo%204-Leftside%20view%20of%20airplane%20in%20water-Master.PDF - Revisions to Factual - 10/12/12 (item 11, .PDF, 102 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378951&FileExtension=.PDF&FileName=Revisions%20to%20Factual%20-%2010%2F12%2F12-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.