ERA20LA033

NTSB accident investigation · Mooney M20J · St. Augustine, FL · November 10, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
November 10, 2019, 09:20 local (14:20 UTC)
Place
St. Augustine, FL
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N5765HMooney M20J
Defining event
Approach-VFR pattern base: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20191110020979A
Case key
100546

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 for undetermined reasons.

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 M20J: 12 casesAll 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

After an annual inspection was completed, the pilot was repositioning his airplane back to his home airport, which was about 1 hour away from the airport where the inspection was performed. During approach to his home airport, while on an extended base leg of the traffic pattern, the engine began to surge for several seconds, followed by a total loss of engine power. The pilot verified that the fuel boost pump was on, the mixture was in the full-rich position, and the fuel selector was positioned to the correct fuel tank. He then attempted to glide the airplane to the airport, but the airplane impacted brackish water about 1 mile short of the runway. Examination of the wreckage at the site revealed that the fuel selector was positioned to the right main fuel tank; about 20 gallons of 100-low-lead aviation gasoline was drained from the right tank. Water was drained from the left main fuel tank. The water had a smell of fuel, but no fuel was observed in the left tank. The engine was subsequently examined at a recovery facility and no preimpact mechanical malfunctions were identified. Due to corrosion, the magnetos and fuel pump could not be tested. Based on the available information, the reason for the loss of engine power could not be determined.

Factual narrative

On November 10, 2019, about 0920 eastern standard time, a Mooney M20J, N5765H, was substantially damaged during a forced landing in a marsh, while on approach to Northeast Florida Regional Airport (SGJ), St. Augustine, Florida. The airline transport pilot sustained minor injuries and the passenger was seriously injured. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan was filed for the flight that departed Gainesville Regional Airport (GNV), Gainesville, Florida, about 0820. The pilot reported that he was repositioning the airplane from the facility that performed the annual inspection, back to his home airport. While on an extended base leg of the airport traffic pattern for runway 31, he reduced airspeed from 100 to 95 knots and then increased engine power to maintain 95 knots. At that point, the engine began to surge for several seconds, followed by a total loss of engine power. The pilot verified that the fuel boost pump was on, the mixture was rich and the fuel selector was positioned to a correct fuel tank. The pilot also checked both magnetos with no success. He then retracted the landing gear for better glide performance but realized that the airplane would not glide all the way to the runway. The pilot subsequently performed a forced landing to a marsh about 1 mile prior to the runway threshold. Initial examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that it came to rest upright, mostly submerged in shallow water. The inspector noted damage to the right wing and empennage. Once the wreckage was recovered to shore, the inspector observed the fuel selector positioned to the right main fuel tank and about 20 gallons of 100-low-lead aviation gasoline was drained from the right main fuel tank. Water was drained from the left main fuel tank. The water had a smell of fuel, but the inspector did not observe any 100-low-lead aviation gasoline mixed with the water. The airplane was examined again by an FAA inspector at a recovery facility. A visual inspection of the engine did not reveal any obvious defects and it exhibited corrosion due to submersion in brackish water. The fuel injector divider was opened and no fuel was found; however, a white crystalized power similar to salt was observed, consistent with the submersion in brackish water. Each individual fuel injector was removed and inspected. All the injectors exhibited evidence of the white crystalized powder and no blockages were found. The top spark plugs and ignition leads were removed and no anomalies were observed. The air filter and air box were also examined and no anomalies were observed. The engine was subsequently examined by a National Transportation Safety Board investigator. Visual inspection of the engine and propeller did not reveal any preimpact mechanical malfunctions. The rocker arm covers were removed and noanomalies were noted. The spark plugs were removed and appeared gray in color. A lighted borescope was used to inspect the cylinders and valves, with no anomalies noted. The propeller was rotated by hand and thumb compression was established on all cylinders. The magnetos and fuel pump were corroded and could not be tested. The four-seat, low-wing, retractable tricycle landing gear airplane was manufactured in 1984. It was powered by a Lycoming IO-360, 200-hp engine equipped with a three-blade, constant-speed, Hartzell propeller. Review of maintenance records revealed that the airplane's most recent annual inspection was completed on October 30, 2019. At that time, the airframe had accumulated 3,398.4 total hours of operation and engine had accumulated 1,610.8 hours since major overhaul. The airplane had flown about 1 hour from the time of the most recent. annual inspection, until the accident, which was the accident flight.

Aircraft

Registration
N5765H
Reported as
Mooney M20J (No Series)
Category
Airplane
Serial number
24-1480
Built
1984
Airframe hours
3,293.4
Engine
Lycoming IO-360-A3B6D, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 30, 2019 · 1 hours before
Departed
GNV · Gainesville, FL
Destination
SGJ · St. Augustine, FL
Airport
SGJ · Northeast Florida Regional, runway 31, 7,997 × 150 ft, asphalt
Equipment
Stall warning system, ADS-B, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
44
Injuries
Minor
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane, Helicopter
Medical
Class 2, Without waivers/limitations
Last flight review
October 17, 2019
Seat
Left
Restraint
3-point
Flight hours
6,700 total · 700 in this make and model · 5,580 as pilot in command · 112 in the last 90 days · 74 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 55 °F
Altimeter
30.23 inHg
Observed at
SGJ, 1 nm away

Docket · 7

The files NTSB released with the investigation on April 15, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.4 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.