FTW96LA050

NTSB accident investigation · Beech M35 · Estancia, NM · November 21, 1995

Accident · Minor injuriesLimited investigationFinal report
Date
November 21, 1995, 07:56 local (14:56 UTC)
Place
Estancia, NM
Injuries
2 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9886RBeech M35
Weather
Visual (VMC) · Day
Status
Completed · report June 22, 1996
Report
Approved by Office Director
FAA report
19951121037869A
Case key
19712

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

improper maintenance and inspection of the engine, ingestion of an air intake bypass door into the engine intake, detonation (or preignition), and failure of the #1 and #2 piston and connecting rod assemblies. A factor relating to the accident was: the lack of suitable terrain for a 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(total) - mech failure/malfCruise
Maintenance - improperOther maintenance personnelCause
Maintenance,inspection - improperOther maintenance personnelCause
Induction air control,alternate air/door - ingestedCause
Misc,engine pre-ignition and/or detonationCause
Engine assembly,piston - failureCause
Engine assembly,connecting rod - failureCause
Forced landingEmergency descent/landing
In flight collision with objectEmergency landing
Terrain condition - none suitableFactor
Terrain condition - mountainous/hilly
Object - tree(s)

Analysis

While cruising at 9,500 feet MSL, the pilot noticed 'vibrations' accompanied by a 'slight' loss of power. He then 'heard a loud noise,' observed smoke, and the engine lost 'all power.' Subsequently, the airplane collided with trees during a forced landing on wooded/mountainous terrain. Engine examination revealed the following: A hole, 3 inches in diameter, was found adjacent to the #1 cylinder's attachment point on the right side of the crankcase. Debris from the #1 and #2 pistons and the #1 and #2 connecting rods was found throughout the interior of the crankcase. According to an FAA inspector's report, 'Cylinders 1 and 2 evidenced a catastrophic failure similar to that caused by detonation from uneven fuel distribution.' The rear crankcase journals were dry and displayed thermal damage. The interior of the crankcase and rear section of the crankshaft displayed impact damage associated with internal engine component failures. Part of an air intake bypass door from the throttle body air intake was found lodged in the intake port of the #6 cylinder. Examination of the throttle body revealed that a replacement air intake door had been installed, but maintenance records did not reveal service performed on (or a replacement of) the bypass door.

Factual narrative

On November 21, 1995, approximately 0756 mountain standard time, a Beech BE-35, N9886R, registered to, and operated by the pilot, as a Title 14 CFR Part 91 flight was destroyed during a forced landing near Estancia, New Mexico. Visual meteorological conditions prevailed and no flight plan was filed. The private pilot and one passenger received minor injuries. The business flight was en route to Carlsbad, New Mexico, and originated from Albuquerque International Airport, Albuquerque, New Mexico, approximately 30 minutes prior to the accident.

The pilot reported that, while cruising at 9,500 feet MSL, he noticed "vibrations", accompanied by a "slight" loss of power. He then elected to return to Albuquerque. He further reported that, during the return flight, the "engine continued to lose power." Subsequently, the pilot "heard a loud noise", observed "white smoke", and the engine lost "all power." During the ensuing forced landing, the airplane descended into a mountainous area covered in mature forest growth, and came to rest upright, in a nose down attitude.

A detailed examination of the engine by a FAA airworthiness inspector revealed the following: A hole, 3-inches in diameter, was found adjacent to the number 1 cylinder's attachment point on the right side of the crankcase. The #1 and #2 cylinders could not be removed from the crankcase. Cylinders #3 through #6 displayed scoring in the barrels. Debris from the #1 and #2 pistons (which were destroyed) was found throughout the interior of the crankcase when the crankcase was opened. Additionally, debris from the #1 and #2 connecting rods (which were destroyed) was found inside the crankcase. The remainder of the connecting rods were intact and were free to rotate on the crankshaft. The rear crankshaft journals were dry and displayed thermal damage. The interior of both crankcase halves, and the rear section of the crankshaft, displayed impact damage associated with numerous internal engine component failures.

Part of an air intake bypass door from the throttle body air intake was found lodged in the intake port of the #6 cylinder. Further examination of this door, revealed that, the rivet holes on the door corresponded to the rivet holes in the throttle body hinge. Examination of the throttle body revealed that a replacement air intake bypass door had been installed. A review of the maintenance records did not reveal service performed or a replacement of the bypass door.

Aircraft

Registration
N9886R
Reported as
Beech M35
Category
Airplane
Serial number
D-6457
Airframe hours
5,888
Engine
Continental IO-470-C, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
Jerry C. Tankersley
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 2, 1995 · 32 hours before
Departed
ABQ · Albuquerque, NM
Destination
CNM · Carlsbad, NM

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
61
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
2,513 total · 2,113 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
60 statute miles
Lowest ceiling
None
Altimeter
30.00 inHg

FAA reports on this event · 1

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