ERA12LA206

NTSB accident investigation · Mooney M20M · Amisville, VA · March 3, 2012

Accident · Serious injuriesLimited investigationFinal report
Date
March 3, 2012, 14:40 local (19:40 UTC)
Place
Amisville, VA
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N486KCMooney M20M
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report November 26, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, FAA/FSDO
FAA report
20120303021289A
Case key
83027

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

On this page

Probable cause

A total loss of engine power during cruise flight for reasons that could not be determined because of the damage due to the postcrash fire.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Not determinedNot determined › Not determined · Unknown/Not determinedMooney M20M: 1 caseAll aircraft: 2,247 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

According to the pilot, the airplane was cruising in smooth, clear air at 9,000 feet. About 30 minutes from the destination airport, the pilot descended the airplane to 5,000 feet and into moderate-to-severe turbulence. The airplane experienced a total loss of engine power. The pilot pushed the throttle forward, which activated the airplane's fuel boost pump and positioned the mixture to full rich, but the engine did not regain power. The pilot stated that each fuel tank was half-full at the time. He further stated that he did not switch tanks as he was preoccupied with where to land the airplane. The pilot thought the right fuel tank was selected when the power loss occurred, but he could not be certain. Due to mountainous terrain, the pilot could not glide the airplane to an airport, and he performed a forced landing to a field. The pilot didn't believe the loss of engine power was a mechanical failure as there was no engine roughness preceding the event. He believed that it was a fuel or air issue, possibly related to the severe turbulence that he had descended into. The airplane did not fly through any clouds or precipitation during the descent or prior to the power loss. Postcrash fire consumed a majority of the wreckage, including the cockpit and wing fuel tanks, which precluded an examination of the fuel and induction systems. The fuel selector was identified and observed in the left main fuel tank position, but the preimpact position of the fuel selector could not be positively determined.

Factual narrative

On March 3, 2012, about 1440 eastern standard time, a Mooney M20M, N486KC, operated by a private individual, was substantially damage during a forced landing to a field, following a total loss of engine power near Amisville, Virginia. The certificated private pilot and passenger were seriously injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed for the planned flight to Hagerstown Regional Airport (HGR), Hagerstown, Maryland. The flight departed Georgetown County Airport, Georgetown, South Carolina, about 1130. The pilot reported that prior to departure, the airplane was topped off with fuel. He also received a weather briefing and filed a flight plan with flight service. The airplane was cruising at 9,000 feet to remain above cloud layers during the initial part of the trip. The sky cleared over Virginia and when the flight was approximately 100 miles (30 minutes) from the destination airport, air traffic control (ATC) instructed the pilot to descend to 5,000 feet, which he acknowledged. Although the air had been smooth at 9,000 feet, the airplane descended into moderate to severe turbulence. The pilot reduced throttle to slow to maneuvering speed. When he subsequently added throttle, there was no response as the engine had lost all power. The pilot then pushed the throttle completely forward, which also activated the airplane's fuel boost pump. He positioned the mixture to full rich; however, the engine did not regain power. The pilot declared an emergency to ATC and the controller provided a vector to the nearest airport. The pilot could not glide to that airport due to mountainous terrain in between. He saw several small fields and was able to land in one of them. During the landing, the airplane struck a fence and trees. The pilot added that he did not believe the loss of engine power was a mechanical failure as there was no roughness to the engine preceding the event. He believed that it was a fuel or air issue, possibly related to the severe turbulence that he had descended into. The sky was clear and the airplane did not fly through any clouds or precipitation during the descent or prior to the power loss. He thought the right fuel tank was selected when the power loss occurred, but could not be certain. He estimated that the fuel tanks were half-full at the time and he had been switching the fuel tanks every 30 minutes during the flight. He did not switch fuel tanks after the power loss as he was preoccupied with where to land the airplane. Additionally, at the time of the power loss, the mixture had been properly leaned based on turbine inlet temperature. Examination of the wreckage by a Federal Aviation Administration inspector revealed that during the impact sequence, the left and right wing fuel tanks were compromised and a postcrash fire ensued, which consumed a majority of thewreckage. The four-seat, low-wing, retractable tricycle-gear airplane, serial number 27-0288, was manufactured in 2000. It was powered by a Lycoming TIO-540, 270-horsepower engine. Review of the aircraft logbooks revealed that the airplane's most recent annual inspection was completed on September 1, 2011. At that time, the airframe and engine had accumulated 1,1,54.5 total hours of operation since new. The airplane had flown approximately 60 hours from the time of the most recent annual inspection, until the accident. The engine was examined following recovery. The engine remained attached to the airframe via the engine mounts and the propeller had separated from the engine. The engine cowling and cockpit were consumed by fire, as was the fuel system and induction system. The throttle quadrant was identified in the cockpit; however, the cables had separated due to fire and impact damage. The fuel selector was identified and observed in the left main fuel tank position, but the preimpact position of the fuel selector could not be positively determined. The engine was separated from the airframe for examination. The valve covers, magnetos, fuel nozzles, and top spark plugs were removed. The spark plug electrodes were intact and light to dark gray in color. Fuel nozzle Nos. 1, 3, 4, and 5 were unobstructed. Fuel nozzle Nos. 2 and 6 contained debris consistent with fire damage. The magnetos sustained thermal damage and could not be tested. The crankshaft could not be rotated by hand. The accessory section was then removed, which revealed thermal and corrosion damage throughout the accessory section and its associated gears. The bottom spark plugs were removed. Their electrodes were intact and light to dark gray in color. The turbocharger wastegate was three-fourths open. The cold section of the turbocharger had been consumed by fire. The hot section impeller housing did not exhibit any rotational scoring. The fire had melted sections from the bottom of the engine case, including the oil sump with the engine data plate. The exposed sections allowed for borescope access. Holes were drilled on top of the engine case to allow borescope access to that section. The cylinders were also examined with a borescope and no evidence of a catastrophic engine failure was observed with the cylinders, camshaft, or crankshaft. Airworthiness Directive (AD) 85-24-03 and Mooney service bulletin (SB) M-20-230 noted reports of fuel and water having been found trapped between ribs due to one or more rib drain holes being sealed over during tank sealing, particularly in tanks that have been resealed. Such water could be released during severe turbulence. The AD and SB addressed older model Mooney aircraft and was not applicable to the accident airplane make and model. For the make and model of the accident airplane, the fuel tank inspection called for in the AD and SB was included in the service manual. Review of maintenance records revealed that the accident airplane'sright fuel tank had been repaired in 2002 and 2010. Postcrash fire damage precluded the examination of the wing fuel tanks for blockage in the rib drain holes.

Aircraft

Registration
N486KC
Reported as
Mooney M20M
Category
Airplane
Serial number
27-0288
Airframe hours
1,155
Engine
Lycoming TIO-540, 270 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Charles Crathern
Registered owner
Crathern C F H
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2011 · 60 hours before
Departed
GGE · Georgetown, SC
Destination
HGR · Hagerstown, MD
Flight plan
IFR

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
61
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
1,000 total · 225 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 34 °F
Altimeter
29.61 inHg
Observed at
CJR, 10 nm away

Docket · 18

The files NTSB released with the investigation on July 31, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.2 MB in all.

FAA reports on this event · 1

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