ERA23FA273

NTSB accident investigation · Mooney M20R · Southport, NC · June 25, 2023

Accident · FatalClass 3 · FieldFinal report
Date
June 25, 2023, 16:20 local (20:20 UTC)
Place
Southport, NC · Residential
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N13LVMooney M20R
Defining event
Initial climb: 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
20230625006489A
Case key
192440

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

The pilot’s improper decision to fly a known unairworthy airplane, which resulted in a total loss of engine power due to oil starvation.

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.

Fluids: oilAircraft › Fluids/misc hardware · Fluid levelMooney M20R: 1 caseAll aircraft: 174 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 picking up his airplane following unfinished maintenance. Witnesses reported excessive white exhaust smoke and oil leaking from the airplane onto the ground as the pilot taxied it from the mechanic’s hangar to the runway for takeoff. Shortly after takeoff, the pilot reported an engine failure on the common traffic advisory frequency and that he was returning to the runway; however, the airplane impacted a residential area about 1/2-mile before the runway threshold and a postimpact fire ensued. The airplane had been in for maintenance for 8 months. The private pilot/owner had requested that the mechanic troubleshoot interior lighting, service the brakes, attach a standby vacuum hose, and repair an exhaust leak. The mechanic could not complete the work as he could not start and run up the engine due to dead batteries. When he inspected the batteries, he realized that they were unairworthy. Specifically, the airplane was designed with a 24-volt electrical system that utilized two 24-volt batteries; however, the mechanic found four 12-volt batteries installed. When the mechanic contacted the pilot about the discrepancy, the pilot instructed him to reinstall the four 12-volt batteries. The mechanic refused, as it would have been an unapproved and unairworthy installation. The pilot then stated that he wanted his airplane back. The mechanic told him that the airplane was unairworthy, as he had not completed repairs on it; he also noted that it was unairworthy on the invoice. The wreckage came to rest on its right side and oil streaks were noted on the underside of the empennage. The engine came to rest inverted, and the propeller remained attached to the engine. An oil sump accessory port plug was observed loose, with oily blue stained baffling material resting below it. Additionally, the No. 4 connecting rod had protruded through the top of the engine case. A check of the oil dipstick revealed no measurable oil in the engine. The engine likely failed due to oil starvation as the oil leaked from a loose oil sump accessory port plug as a result of uncompleted maintenance work.

Factual narrative

The aircraft logbooks were not recovered. According to the mechanic at SUT, the pilot had mentioned that the airplane’s most recent annual inspection was completed in Pennsylvania sometime during August 2022. On June 25, 2023, about 1620 eastern daylight time, a Mooney M20R, N13LV, was destroyed when it was involved in an accident near Southport, North Carolina. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to a mechanic at Cape Fear Regional Jetport (SUT), Oak Island, North Carolina, the airplane had been in for maintenance since October 2022. The private pilot/owner had requested that the mechanic troubleshoot interior lighting, service the brakes, attach a standby vacuum hose, and repair an exhaust leak. The mechanic could not complete the work as he could not start and run up the engine due to dead batteries. When he inspected the batteries, he realized that they were unairworthy. Specifically, the airplane was designed with a 24-volt electrical system that utilized two 24-volt batteries; however, the mechanic found four 12-volt batteries installed. When the mechanic contacted the pilot about the discrepancy, the pilot instructed him to reinstall the four 12-volt batteries. The mechanic refused, as it would have been an unapproved and unairworthy installation. The pilot then stated that he wanted his airplane back. The mechanic told him that the airplane was unairworthy, as he had not completed repairs on it; he also noted that it was unairworthy on the invoice. On the day of the accident, witnesses at the airport observed excessive white exhaust smoke and oil leaking from the airplane onto the ground as it taxied from the mechanic’s hangar to runway 23 for takeoff. Shortly after takeoff, the pilot reported an engine failure on the common traffic advisory frequency and that he was returning to runway 23. Review of FAA ADS-B data revealed that the airplane departed runway 23 about 1617 and flew a left circuit back to runway 23; however, it impacted a residential area about 1/2-mile before the runway threshold. An autopsy was performed on the pilot by the North Carolina Office of The Chief Medical Examiner, Greenville, North Carolina. The cause of death was reported as “multiple thermal injures.” Toxicological testing was performed on specimens from the pilot by the FAA Office of Forensic Sciences, Oklahoma City, Oklahoma. The testing revealed positive results for carboxyhemoglobin, consistent with smoke inhalation. The testing results were also positive for the blood pressure medication carvedilol, the clot-prevention medication clopidogrel, and the diuretic furosemide, none of which are typically impairing. The pilot’s logbook was not recovered. On his most recent application for an FAA second-class medical certificate, dated June 9, 2017, he reported a total flight experience of 3,945 hours. The wreckage came to rest in a residential yard, near the leftrear side of the home, and a postimpact fire ensued; however, it did not ignite the home. The wreckage was laying on its right side, on a heading of about 090°. A debris path about 125 ft long was observed, beginning with the right aileron suspended in a tree that was about 40 ft tall, on a northwest course to the main wreckage. The left wing remained partially attached to the fuselage. The aileron and flap remained attached to the left wing. The flap was observed in an extended position; however, the flap control in the cockpit could not be identified. The right wing had separated and was resting underneath the left wing. The right aileron and flap had separated from the right wing. The flap was recovered near the right wing and the aileron was recovered from the tree. The landing gear was observed in an extended position. The empennage remained intact and oil streaks were noted on the underside. Flight control continuity was confirmed from the cockpit via push-pull tubes to all flight control surfaces except for the separated right wing, where aileron continuity was confirmed to the wing root. The cockpit and cabin were consumed by fire. The engine came to rest inverted, and the propeller remained attached to the engine. An oil sump accessory port plug was observed loose, with oily blue stained baffling material resting below it. Additionally, the No. 4 connecting rod had protruded through the top of the engine case. A check of the oil dipstick revealed no measurable oil in the engine.

Aircraft

Registration
N13LV
Reported as
Mooney M20R (NO SERIES EXISTS)
Category
Airplane
Serial number
29-0152
Built
1998
Engine
Continental IO-550-G, 280 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Destination
CRE · North Myrtle Beach, SC
Airport
SUT · Cape Fear Regional Jetport, runway 23, 5,505 × 100 ft, asphalt
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
69
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
3,945 total

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 7 knots
Visibility
10 statute miles
Lowest ceiling
8,500 ft broken
Temperature
90 °F, dew point 72 °F
Altimeter
2992.00 inHg
Observed at
SUT, 1 nm away
METAR
252010Z AUTO 20007KT 10SM SCT055 SCT070 BKN085 32/22 A2992

Docket · 11

The files NTSB released with the investigation on June 4, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 459 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.