ERA18LA038

NTSB accident investigation · Beech B 55 · Statesville, NC · November 17, 2017

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 17, 2017, 12:15 local (17:15 UTC)
Place
Statesville, NC
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N592SSBeech B 55
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Continental Motors, FAA/FSDO
FAA report
20171117021139A
Case key
96407

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 total loss of left engine power during initial climb. Contributing to the accident was the pilot's failure to maintain control of the airplane following the loss of engine power.

Findings · 3

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.

AircraftAircraft › Aircraft power plant · FailureBeech B-55: 1 caseAll aircraft: 151 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech B-55: 1 caseAll aircraft: 9,295 casesProbable cause
Performance/control parameters: engine out controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech B-55: 1 caseAll aircraft: 35 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 pilot was conducting a flight review with a flight instructor in the multiengine airplane when, during the initial climb following a touch-and-go landing, the airplane yawed to the left. The pilot noticed a change in engine sound and the airplane began to descend. The airplane bounced on the runway and collided with a ditch before skidding to a stop on the edge of the taxiway. The fuselage was substantially damaged during the accident. A postaccident examination and test run of the left engine revealed that it was capable of producing full power; however, when rapidly moving the throttle from idle to full power, a total loss of engine power would occur. The engine's timing was off by 3° from that specified by the engine data plate; testing of the fuel control revealed an excessively-rich mixture setting at lower power settings; and fuel was observed leaking from the fuel pump. It could not be determined which of these discrepancies, or combination thereof, contributed to the loss of engine power. Given this information, it is likely that the left engine lost power as the airplane transitioned to climb following the touch-and-go landing. The pilot then lost control of the airplane as it descended, bounced onto, and subsequently departed the runway.

Factual narrative

On November 17, 2017, about 1215 eastern standard time, a Beech B55, N592SS, was substantially damaged during a forced landing after takeoff from Statesville Regional Airport (SVH), Statesville, North Carolina. The private pilot and certified flight instructor were not injured. The airplane was privately owned and operated under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight. Visual meteorological conditions prevailed at the time, and no flight plan was filed for the local flight. According to the private pilot, he was conducting a flight review with a flight instructor. After completing various flight maneuvers in the area, the pilot proceeded to Mid-Carolina Regional Airport (RUQ), Salisbury, North Carolina and practiced an ILS approach to runway 20. After a full stop landing, the pilot departed RUQ and returned to SVH. Upon landing on runway 10, the private pilot raised the flaps and slowly applied full power on both throttles for a touch-and-go landing. Both engines were producing full power and he rotated just above 90 knots indicated airspeed. After liftoff, he noted a change in engine sound as the left engine stopped producing power and the airplane yawed to the left. The airplane descended, bounced on the runway and collided with a ditch before skidding to a stop on the edge of the taxiway. Inspection of the airplane by a Federal Aviation Inspector revealed that the fuselage was buckled. Inspection of the fuel system, flight controls and flight control surfaces revealed no anomalies. The airplane was recovered for further examination. Examination of the right engine revealed no preimpact anomalies that would have precluded normal operation. Examination of the right engine propeller revealed no preimpact anomalies that would have precluded normal operation. Examination of the left engine revealed four broken engine mounts and minor dents in the engine oil sump. The oil rod was removed, and the oil level appeared to be slightly over 12 quarts. This engine utilized a 12-quart capacity sump. The top sparkplugs were removed, inspected and found to be dark in color but "normal" when compared to a Champion Spark Plug "Check-A-Plug" chart. Each electrode and center insulator were dark and sooty. A borescope inspection of the cylinders revealed no anomalies. All six cylinders produced thumb compression when the engine crankshaft was manually rotated. The left and right magnetos produced spark at the individual ignition leads when the engine crankshaft was manually rotated. The magneto impulse couplers could be heard as the engine was manually rotated. The engine timing was found set at 23 degrees (the engine data plate specified 20 degrees). The fuel control (throttle body) fuel screen was removed and inspected. Fuel was noted when the screen was removed from the body of the fuel control. No contamination was noted. The fuel injectors were removed, inspected and no anomalies were noted. During apostaccident test run of the left engine, the engine would run to full power; however, when rapidly moving the throttle from idle to full power, the engine stopped. When the throttle was slowly advanced from idle, the engine continued to run. Additionally, during the magneto check at about 2,100 rpm, the engine slowly stopped when the left magneto was selected. The left magneto was replaced and the test was repeated. When the right magneto was selected, the engine again slowly stopped producing power. After the engine run, the fuel control, fuel pump, and fuel manifold were bench tested. The test revealed that at the lower throttle angles (low power settings), the mixture was excessively rich. After the bench test, the fuel pump was disassembled because a small weep of fuel from the back of the pump was observed during the test. The fuel pump's diaphragm appeared to be in good condition with no anomalies noted. A review of the maintenance records revealed that the left engine had been overhauled in January 2017, which included the installation of an overhauled manifold valve and the fuel control, which had also been overhauled in January 2017. Both parts came with a caution tag that stated: "Adjustment of the engine fuel system must be accomplished prior to the release of the aircraft to service." The maintenance logs further noted that the overhauled left and right engines were reinstalled onto the accident airplane in February 2017. The log entry documenting the reinstallation stated, in-part, "Test ran engines to verify operation and set idle speed and mixture and check for leaks." The left engine's most recent annual/100-hour inspection was completed on October 12, 2017, about 62 hours after the engine overhaul.

Aircraft

Registration
N592SS
Reported as
Beech B 55 (A)
Category
Airplane
Serial number
TC2375
Built
1981
Airframe hours
4,531
Engines
Continental IO 470 L (21A, 260 horsepower, reciprocatingContinental IO 470 L (8), 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 16, 2017 · 78 hours before
Departed
SVH · Statesville, NC
Destination
SVH · Statesville, NC
Airport
SVH · Statesville Rgnl, runway 10, 7,000 × 100 ft, asphalt
Equipment
Onboard weather, Stall warning system, Electronic flight bag or handheld device, 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
Pilot
Age
60
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
2,834 total · 200 in this make and model · 2,705 as pilot in command
Role
Flight instructor
Age
66
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
10,120 total · 2 in this make and model

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 37 °F
Altimeter
30.19 inHg
Observed at
SVH

Docket · 10

The files NTSB released with the investigation on October 9, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 30.2 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.