FTW03LA188

NTSB accident investigation · Mooney M20F · Kerrville, TX · July 18, 2003

Accident · Minor injuriesLimited investigationFinal report
Date
July 18, 2003, 15:35 local (20:35 UTC)
Place
Kerrville, TX
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N353JTMooney M20F
Weather
Visual (VMC) · Day
Status
Completed · report December 30, 2003
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20030718021039A
Case key
57516

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

The loss of engine power due to the failure of the number three cylinder as the result of undertorqued cylinder bolts. A contributing factor was the lack of suitable terrain for the forced landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(partial) - mech failure/malfCruise
Engine assembly,cylinder - undertorquedCause
Engine assembly,cylinder - separation
Forced landingDescent - emergency
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - dirt bank/rising embankmentFactor

Analysis

The 6,533-hour pilot reported that the engine developed a vibration during cruise flight. The pilot suspected a runaway propeller, and elected to shut down the engine. During the forced landing, the airplane went through a fence and impacted terrain. Examination of the engine revealed that the number three cylinder had separated from the 200 horsepower Lycoming engine. Metallurgical evaluation by the NTSB Materials Laboratory revealed that the crankcase bolts were found to be fractured from stress fatigue cracking, and concluded that fatigue failure on cylinder mounting hardware is usually the result of insufficient torque loading.

Factual narrative

On July 18, 2003, about 1535 central daylight time, a Mooney M20F single-engine airplane, N353JT, was substantially damaged when it impacted the ground during a forced landing following a loss of engine power near Kerrville Municipal Airport (ERV), Kerrville, Texas. The commercial pilot and passenger sustained minor injuries. The airplane, registered to and operated by the pilot, was operating under 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and a visual flight rules (VFR) flight plan was filed for the personal flight. The flight originated from the San Angelo Regional Airport (SJT), near San Angelo, Texas, at 1450.

The 6,533-hour pilot reported in the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) that 40 minutes into a planned one hour and 26 minute flight to San Antonio, Texas, the airplane experienced an engine vibration. The pilot stated that he reduced manifold pressure and began a slow descent, and at 1,400 agl, "the alternator belt failed and I heard the propeller started to runaway, with significantly increased vibration." The pilot added, "to prevent a real runaway," he called ERV Unicom and told them that he was shutting down the engine and planning to land in a field about 20 miles west of ERV airport. During landing roll, the airplane went through a fence and impacted the bank of a creek bed.

The FAA inspector, who responded to the site, reported substantial structural damage throughout the fuselage, wings, and flight controls. The number three cylinder of the engine had separated from the crankcase and was hanging by hoses and cables.

The wreckage of the airplane was released for recovery to the Air Salvage of Dallas (ASOD) facility in Lancaster, Texas, and the Lycoming IO-360-A1A engine, serial number L-3459-51A, was removed from the airframe for examination. Maintenance records revealed that the engine was manufactured on March 22, 1967, and had a total flight time of 4,180.8 hours, with 64.2 hours since the last annual inspection and 191.6 hours since overhaul.

On August 12, 2003, the owner/representative of the airplane and NTSB personnel removed broken bolts from the crankcase and the number three cylinder. The hardware was examined by the NTSB's material laboratory and found to be fractured from stress fatigue cracking, and concluded that " a fatigue failure on cylinder mounting hardware is usually the result of insufficient torque loading." The laboratory also found that wear damage to treads of two of the bolts was consistent with movement between the cylinder and the engine case, after fracture of these pieces, but prior to the final separation of the cylinder from the case.

Examination of the maintenance records by an FAA airworthiness inspector did not reveal any anomalies.

Aircraft

Registration
N353JT
Reported as
Mooney M20F
Category
Airplane
Serial number
67053
Engine
Lycoming IO-360-A1A, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Gary R. Walston
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 18, 2002 · 64.2 hours before
Departed
SJT · San Angelo, TX
Destination
SSF · San Antonio, TX
Flight plan
VFR
Airport
ERV · Kerrville Municipal Airport

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
62
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
December 10, 2001
Seat
Left
Flight hours
6,533 total · 265 in this make and model · 6,194 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 64 °F
Altimeter
30.14 inHg
Observed at
ERV, 20 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.