IAD03LA073

NTSB accident investigation · Mooney M20K · Chesterfield, VA · August 29, 2003

Accident · No injuriesLimited investigationFinal report
Date
August 29, 2003, 11:09 local (15:09 UTC)
Place
Chesterfield, VA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N231PGMooney M20K
Weather
Visual (VMC) · Day
Status
Completed · report December 3, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
Case key
58057

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 loss of engine power due to the fatigue fracture of the #2 cylinder head. 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(total) - mech failure/malfCruise
Engine assembly,cylinder - separationCause
Forced landingDescent - emergency
On ground/water collision with objectEmergency landing
Terrain condition - congested/confined areaFactor

Analysis

A 652-hour commercial pilot reported a loss of engine power during cruise flight. During a forced landing on a four-lane highway, the airplane collided with a vehicle. Examination of the engine revealed that the #2 cylinder head was fractured circumferentially between that fourth and fifth fins from the engine end of the head due to fatigue. As a result, the head was in two pieces: the engine side and the dome side. The engine side of the head remained attached to the barrel and the injector line was fractured at one of the brazed joint for one of the ferrules. The 215-horsepower engine had accumulated a total 326-hours since the last top overhaul and 887 hours since its last major overhaul.

Factual narrative

On September 29, 2003, about 1109 eastern daylight time, a Mooney M20K single-engine airplane, N231PG, registered to and operated by Coral Bay Company, Inc., sustained substantial damage during a forced landing following a loss of engine power during cruise flight near Chesterfield, Virginia. The commercial pilot, sole occupant of the airplane, was not injured. An instrument flight rules flight plan was filed for the flight that originated at Easton/Newnam (ESN), Easton, Maryland, about 0945, and destined for Blue Ridge Airport (MTV), Martinsville, Virginia. Visual meteorological conditions prevailed for the personal flight conducted under 14 Code of Federal Regulations Part 91.

In a written statement, the 692-hour pilot said that he was flying at an altitude of 6,000 feet, with engine operating parameters set at 2,500 rpm, and 28 inches of manifold pressure (MP). At 1105, the pilot reported an unusual and sudden vibration, followed by a sudden, and total loss of cylinder head temperature (CHT) and exhaust gas temperature (EGT) readings on the JPI Fuel Scan instrument for the #2 cylinder.

The pilot advised air traffic control (ATC) that he had "lost a cylinder" and requested to land at the nearest airport. Approximately 1-minute later, while being vectored to the nearest airport, engine rpm dropped "dramatically", and would not develop power even though it was still turning.

The pilot added that he slowed the airplane to best glide speed, and attempted to make a forced landing to a 4-lane highway. During the landing roll on the highway, the airplane struck a vehicle with its left wing.

A Federal Aviation Administration (FAA) inspector examined the airplane and reported that the left wing tip and wing spar were damaged. In addition, the #2 cylinder head was found partially separated from the engine.

The 215-horsepower Continental TSIO-360-GB engine had accrued a total of 326 hours since top overhaul, and 887 hours since major overhaul. Several of the cylinders, including the #2 cylinder, had a Cerminil finish.

The #2 cylinder was retained for further examination at the NTSB Materials Laboratory in Washington, D.C. According to a Senior Materials Engineer at the laboratory, a detailed examination of the #2 cylinder head revealed that the cylinder head was fractured circumferentially between that fourth and fifth fins from the engine end of the head. As a result, the head was in two pieces: the engine side and the dome side. The engine side of the head remained attached to the barrel and the injector line was fractured at one of the brazed joint for one of the ferrules. The piston, push rods, and lifters appeared undamaged, and the oil filter was not examined.

Weather at the time of the accident included wind from 270 degrees at 5 knots, visibility 5 statute miles, mist, and the sky condition was clear. The temperature was 75 degrees Fahrenheit, the dew point was 71 degrees Fahrenheit, and the barometric pressure setting was 29.74 inches of Mercury.

Aircraft

Registration
N231PG
Reported as
Mooney M20K
Category
Airplane
Serial number
25-0242
Airframe hours
4,445
Engine
Continental TSI0-360GB, 215 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Coral Day Company, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 11, 2003 · 43 hours before
Departed
ESN · Easton, MD
Destination
MTV · Martinsville, VA
Flight plan
IFR

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
55
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
November 23, 2002
Seat
Left
Flight hours
692 total · 171 in this make and model · 25 in the last 90 days · 8 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 5 knots
Visibility
5 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 72 °F
Altimeter
29.73 inHg
Observed at
RIC

Other investigations on N231PG · 1

Matched to the same aircraft by N-number and date.