ERA17LA284

NTSB accident investigation · Mooney M20C · Palm Coast, FL · August 21, 2017

Accident · No injuriesLimited investigationFinal report
Date
August 20, 2017, 20:55 local (Aug 21, 2017, 00:55 UTC)
Place
Palm Coast, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N6833NMooney M20C
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Dusk
Status
Completed · report April 20, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20170820011379A
Case key
95859

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 crack in the No. 4 cylinder head, which resulted in engine roughness, a fuel leak, a loss of engine power, and the subsequent in-flight 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.

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

During takeoff and the initial climb for the personal flight, the commercial pilot noticed that the engine was losing power. When the airplane reached about 400 ft above ground level, the engine lost total power. During touchdown for the subsequent forced landing to a road, the pilot noticed flames coming into the cockpit near the passenger's feet; both occupants egressed as quickly as possible after landing. Postaccident examination of the airplane revealed that the cabin was consumed by fire; the fire appeared to have originated in the vicinity of the engine side of the firewall, forward of the copilot-side rudder pedals. Examination of the engine revealed that the No. 4 cylinder head was cracked from the exhaust valve to one of the spark plug holes. The fuel pressure gauge line was burnt about 3 inches from the carburetor. A witness had reported that the airplane's engine was running roughly and "shaking" before the accident. Thus, it is likely that increased engine vibration from the cracked No. 4 cylinder resulted in a loosened fuel line fitting and fuel leak, which subsequently led to the loss of engine power and in-flight fire.

Factual narrative

On August 20, 2017, about 2055 eastern daylight time, a Mooney M20C, N6833N, was substantially damaged during a forced landing following a total loss of engine power after takeoff from Flagler Executive Airport (FIN), Palm Coast, Florida. The commercial pilot and passenger were not injured. Visual meteorological conditions prevailed and no flight plan was filed for the planned personal flight to Fort Lauderdale Executive Airport (FXE), Fort Lauderdale, Florida. The airplane was privately owned and operated under the provisions of 14 Code of Federal Regulations Part 91.According to the pilot, he and a passenger were flying back to FXE from a flight earlier in the day to St Marys Airport (4J6), St Marys, Georgia. They stopped at FIN for fuel. During the subsequent takeoff, the pilot noticed that the engine did not seem to be producing full power. During the initial climb, he felt the engine continue to lose power and about 400 ft above ground level, the engine lost total power. He told the local air traffic controller that the engine lost all power and he was going to land on a road. During touch-down, he noticed flames coming into the cockpit around the passenger's feet. He stopped the airplane and both occupants egressed as quickly as possible. The pilot further stated he did not turn off the master switch or boost pump, nor could he get back in the airplane to turn it off as the flames were too intense at that time. According to a witness, he was working in his hangar, approximately 75 yards away from the self-service fuel farm, when he heard an airplane start up. He stated the engine was running very rough and walked outside to see what the problems was. He saw the accident airplane sitting at the fuel farm and noticed the engine exhaust was "shaking." Then he stated the airplane taxied away towards the runway. After a few minutes, the airport authority came down and locked up the fuel farm and stated that the Mooney just crashed on a road. Examination of the of the airplane following the accident revealed that the cabin was consumed by fire. The engine compartment was black from soot, but intact. The wings, tail section, and landing gear were intact. Thumb compression was attained on all cylinders except the No. 4 cylinder. Borescope examination of the cylinder and revealed that the head was cracked from the exhaust valve to one of the spark plug holes. The fuel pressure gauge line was burnt approximately 3 inches from the carburetor. The bottom of the firewall, in front of the co-pilot's seat, and just below the rudder pedals, was burnt through and the metal was drooping from heat exposure. The four seat, low-wing airplane, was manufactured in 1968. It was powered by a Lycoming O-360 series, 180-horsepower engine, driving a Hartzell two-blade, constant-speed propeller. According to FAA and aircraft maintenance records, the airplane was originally issued an airworthiness certificate on May 30, 1968, and registered to the owner on November 15,2012. According to maintenance records, the most recent annual inspection was conducted on November 1, 2016, with a recorded time in service of 7,644.5 hours. The engine was last overhauled on December 4, 2001 and had accumulated 680.4 hours of service at the time of inspection.

Aircraft

Registration
N6833N
Reported as
Mooney M20C (NO SERIES)
Category
Airplane
Serial number
680123
Built
1968
Airframe hours
7,644.5
Engine
Lycoming O-360 SER, 180 horsepower, reciprocating
Damage
Substantial damage
Fire
In-Flight
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 1, 2016 · 50 hours before
Departed
FIN · Palm Coast, FL
Destination
FXE · Fort Lauderdale, FL
Equipment
Stall warning system

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
35
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 10, 2017
Seat
Left
Restraint
3-point
Flight hours
400 total · 20 in this make and model · 350 as pilot in command · 30 in the last 90 days · 11 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
130° at 3 knots
Visibility
10 statute miles
Lowest ceiling
20,000 ft overcast
Temperature
81 °F, dew point 77 °F
Altimeter
30.06 inHg
Observed at
KDAB, 18 nm away

Docket · 5

The files NTSB released with the investigation on October 30, 2019, 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.