ERA16LA019

NTSB accident investigation · Beech 23 · Humboldt, TN · October 18, 2015

Accident · No injuriesLimited investigationFinal report
Date
October 18, 2015, 07:45 local (12:45 UTC)
Place
Humboldt, TN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N2339JBeech 23
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report August 10, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20151018018399A
Case key
92194

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 partial loss of engine power due to low No. 2 cylinder compression and an inoperative right magneto.

Findings · 2

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Damaged/degradedBeech 23: 1 caseAll aircraft: 373 casesProbable cause
Ignition system: magneto/distributorAircraft › Aircraft power plant · FailureBeech 23: 1 caseAll aircraft: 101 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

The student pilot and flight instructor reported that ground operations were normal. During the initial climb, when the airplane was about 950 ft above ground level, the engine lost partial power. Unable to return to the departure airport, the flight instructor performed a forced landing in a field. During the landing roll, the nose gear collapsed, which resulted in substantial damage to the airframe. A postaccident examination of the engine revealed that the No. 2 cylinder only produced minimal compression and that the intake valve would not seat fully due to carbon deposits. The No. 2 cylinder exhaust pipe flange was separated from the cylinder exhaust seat face by about 0.25 inch on the outer left side, and the stud was missing the nut and both washers. One of the spark plugs had lead deposits and produced a weak spark when tested. Also, the right magneto was inoperative; the permanent magnet breaker end bearing had failed, and six teeth were missing from the large distributor timing gear. The partial loss of engine power was likely the result of both the low No. 2 cylinder compression and an inoperative right magneto.

Factual narrative

On October 18, 2015 at 0745 central daylight time, a Beechcraft 23, N2339J, was substantially damaged during a forced landing near the Humboldt Municipal Airport (M53) Humboldt, Tennessee. The fight instructor and student pilot were not injured. The airplane was registered to Old School Aircraft, LLC and operated under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight. Visual meteorological conditions were reported near the accident site, and no flight plan was filed.The student pilot arrived to the airplane and conducted his preflight inspection, and confirmed oil and fuel quantities of 6 quarts and 33 gallons respectively. The fuel was strained, and the indications appeared normal. When the flight instructor arrived a short time later, they verified the fuel and oil quantities again. The flight instructor reported that the preflight and engine start were normal. They taxied to the active runway for takeoff. At an altitude of approximately 950 feet above ground level (agl), the engine started to lose power and sounded like it was "missing," according to the student pilot. The engine was generating partial power. The flight instructor took over the controls, checked the fuel, magnetos and applied carburetor heat with no improvement noted. He made a right turn back to the departure airport in order to avoid a residential area immediately north of the airport. He made a series of S-turns to lose altitude and land on runway 22 at M53. Realizing that a highway was immediately off the arrival end of runway 4, and there was a possibility of landing long, he elected to land in a bean field. During landing roll in the field, the nose landing gear sheared off after striking an incline, which resulted in the nose of the airplane striking the ground. Federal Aviation Inspectors examined the airplane after the accident and noted substantial damage to the engine firewall. The airplane was recovered to a storage facility for a more detailed examination. A compression check was performed and all cylinder with the exception of the no. 2 cylinder had compression above 72 psi when a compression tester was used. The no. 2 cylinder would only produce 8 psi of compression. Further examination revealed that carbon deposits were visible on the intake and exhaust valve seats and their respective valve faces. The intake valve would not seat fully due to deposits. The no. 2 cylinder exhaust pipe flange was separated from the cylinder exhaust seat face by about 0.25 in. on the outer left side and the stud was missing the nut and both washers. An examination of the right magneto revealed that it was inoperative. Further disassembly revealed that the permanent magnet breaker end bearing had failed and 6 teeth were missing from the large distributor timing gear. The no. 2 cylinder spark plugs were removed for examination and testing. The top plug tested satisfactorily on a test stand. The bottom plug tested marginally with a weak sparkand there were lead deposits found on the electrode. An annual inspection of the airframe and engine was completed on May 15, 2015. The engine and airframe had accumulated 3,082 hours total time and the engine had accumulated 861 hours since the last major overhaul. About 31 hours had accumulated since the last annual inspection on May 15, 2015.

Aircraft

Registration
N2339J
Reported as
Beech 23
Category
Airplane
Serial number
M-285
Built
1963
Airframe hours
3,096
Engine
Lycoming O-320 SERIES, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Old School Aircraft LLC
Registered owner
Old School Aircraft LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 4, 2015 · 31 hours before
Departed
M53 · Humboldt, TN
Destination
M53 · Humboldt, TN
Airport
M53 · Humboldt Muni, runway 4, 4,003 × 75 ft, asphalt
Equipment
Auto-pilot

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
Flight instructor
Age
44
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
August 8, 2015
Seat
Right
Restraint
Lap only
Flight hours
5,340 total · 73 in this make and model · 5,200 as pilot in command · 37 in the last 90 days · 17 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
21
Injuries
None
Certificate
Student
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
Lap only
Flight hours
25 total · 19 in this make and model · 3 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
36 °F, dew point 30 °F
Altimeter
30.48 inHg
Observed at
KMKL, 12 nm away

Docket · 5

The files NTSB released with the investigation on June 15, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.3 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.