IAD04LA008

NTSB accident investigation · Rockwell 112A · Bedford, MA · January 25, 2004

Accident · Minor injuriesLimited investigationFinal report
Date
January 24, 2004, 22:15 local (Jan 25, 2004, 03:15 UTC)
Place
Bedford, MA
Injuries
2 minor
Damage
Destroyed
Phase of flight
Emergency descent
Aircraft
N1381JRockwell 112A
Weather
Visual (VMC) · Night/dark
Status
Completed · report December 3, 2004
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20040124001189A
Case key
58658

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 NTSB’s determination of the probable cause, and any contributing factors.

Failure of the #2 piston connecting rod cap, which resulted in a hole in the engine crankcase and a loss of engine power. A factor was dark night lighting condition.

Analysis

While descending through 5,500 feet on a moonless night, thick black smoke filled the cabin. The two pilots' initial assessment was that the smoke may have been the result of an electrical fire, so the pilot in command shut off the master switch and vented the cabin. The second pilot grabbed his flashlight and in checking the engine gauges, found there was no oil pressure. The pilots felt they were about to lose engine power, so the second pilot turned on the master switch to notify approach control, and requested vectors to a nearby airport. Approximately 1 minute later, about 4,500 feet, the engine began to vibrate, and lost power. The vibration intensified, and the engine began to shake violently. The pilot in command shut down the engine so it wouldn't break the engine mounts. The second pilot flew the airplane at best glide airspeed, and about 5-6 miles north of the airport, both pilots realized that they were not going to be able to reach it. They looked for a place to land, and found an area that did not appear to have people or homes in it. Approaching the ground, the pilots saw trees in the landing light, and the second pilot maneuvered the airplane to avoid any direct tree hits. Just before ground impact, the pilot in command turned off the master switch. After hitting several trees, the airplane came to a stop, and became engulfed in flames. Because the doors wouldn’t open, the pilots climbed out an opening where the windshield had been. A post-accident engine examination revealed that the #2 piston connecting rod cap had separated, and that there was a hole in the side of the engine case. The number 1, 3, and 4 cylinders were covered with black residue, and the number 2 cylinder was coated with white residue. The engine was last overhauled in September 1990, about 700 operating hours earlier. A service instruction recommended that an engine be overhauled in the 12th year after the previous overhaul, if it had not accumulated the recommended hourly time between overhauls (1,800 hours for that model engine) by that time.

Factual narrative

The factual narrative897 words

On January 24, 2004, about 2215 eastern standard time, a Rockwell International 112A, N1381J, was destroyed after a forced landing near Laurence G Hanscom Field (BED), Bedford, Massachusetts. The two certificated commercial pilots received minor injuries. Night visual meteorological conditions prevailed, and the airplane was not operating on a flight plan. The personal flight, which departed from Barnstable Municipal Airport (HYA), Hyannis, Massachusetts, en route to Boire Field (ASH), Nashua, New Hampshire, was conducted under 14 CFR Part 91.

A compilation of the pilot in command (PIC) and second pilot statements revealed that they departed Hyannis about 2130, after dropping off the second pilot's father. Climbing through 3,000 feet, the second pilot contacted air traffic control (ATC) and requested flight following services to Nashua. In order to fly direct to Nashua, and per ATC instructions, the PIC climbed the airplane to 7,500 feet to remain clear of Boston Class B airspace. During the climb, he set the engine's mixture control so that the fuel flow indicated 12 gallons per hour, and "the exhaust gas temperature [EGT] showed a small climb, but was still way below mid-range."

After passing Boston Class B airspace, the pilots received clearance to descend to 4,500 feet. During the descent, the PIC paid "particular attention to the fuel flow, EGT, and cylinder head temperature (CHT)." He discussed with the second pilot, the possibility that they may have been "running the CHT too cold" given the low ambient temperature of -20 degrees Fahrenheit.

About 20 miles southeast of Nashua, and approximately 5,500 feet, thick black smoke began to rapidly flow into the cabin. The pilots' initial assessment was that the smoke may have been the result of an electrical fire, so the PIC shut off the master switch and vented the cabin. The second pilot grabbed his flashlight and donned an emergency escape hood.

With the master switch off and the cabin vented, the majority of the smoke cleared quickly, although some smoke still entered the cabin. The second pilot checked the engine gauges, and found there was no oil pressure. The pilots felt they were about to lose engine power, so the second pilot turned on the master switch to notify approach control, and once on, "it was obvious they were looking for us." The second pilot advised the controller of the problem, and requested vectors to Hanscom Field for an emergency landing. The controller told the pilots that the field was at their 6 o'clock position, and to turn 180 degrees.

Approximately 1 minute later, about 4,500 feet, the engine began to vibrate, and there was a loss of power. The vibration intensified, and the engine began to shake violently. The PIC told the second pilot he was concerned that the engine would break the engine mounts, so he shut it down while the second pilot flew the airplane.

The second pilot flew the airplane at best glide airspeed, and about 5-6 miles north of the airport, both pilots realized that they were not going to be able to reach it. They advised approach control, and began looking for places to land, including Route 128, which was full of traffic. They found what appeared to be an open area, "that wasn't a large field, but the area seemed more clear than most - at least there [weren't] any people or homes there."

The pilots discussed flying the airplane at 60 knots, and landing in a nose-high attitude, "hoping that the fuselage would provide us some protection from the trees." About 1,000 feet, the second pilot turned the airplane into the wind. Approaching the ground, the pilots saw trees in the landing light, and as the second pilot maneuvered the airplane to avoid any direct tree hits, the stall warning went off intermittently. Just before ground impact, the PIC secured the master switch.

During the landing, the airplane hit several trees and came to a stop, and flames surrounded it. The pilots tried to open both doors, but they were jammed. The second pilot then noticed that the windshield was gone, and he, followed by the PIC, crawled out of it and onto the cowl, and stepped down into burning branches. They then walked about 100 yards to the nearest house.

The airplane was subsequently destroyed by fire.

The engine was a Lycoming IO-360-C1D6. A post-accident examination by a Federal Aviation Administration (FAA) inspector revealed that the #2 piston connecting rod cap had separated, and that there was a hole in the side of the engine case. The number 1, 3, and 4 cylinders were covered with black residue, and the number 2 cylinder was coated with white residue. In addition, items on the engine accessory section were melted.

According to the inspector, the engine was last overhauled in September 1990, about 700 operating hours earlier. Lycoming Service Instruction 1009AQ noted that that if an engine did not reach its recommended hourly time between overhauls (1,800 hours for the IO-360-C series engines), it should be overhauled in the 12th year after the previous overhaul.

The weather reported at Hanscom Field, about 4 nautical miles south of the landing site, at 2156, included clear skies, winds from 290 degrees true at 13, gusting to 20 knots, 10 miles visibility, temperature 7 degrees Fahrenheit, dew point -11 degrees Fahrenheit, and a barometric pressure of 29.93 inches of mercury. In addition, it was a moonless night.

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/malfEmergency descent/landing
Powerplant - vibration
Powerplant - smoke
Engine shutdown - performedPilot in command
Engine assembly,connecting rod cap - failureCause
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Object - tree(s)
Light condition - dark nightFactor

Aircraft

Registration
N1381J
Reported as
Rockwell 112A
Category
Airplane
Serial number
381
Engine
Lycoming I0-360 C106, 200 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
GPW Aeroservices
Registered owner
114 Interactive Group
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 12, 2003
Departed
HYA · Hyannis, MA
Destination
ASH · Nashua, NH

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
47
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
August 19, 2003
Seat
Left
Flight hours
830 total · 35 in this make and model · 500 as pilot in command · 40 in the last 90 days · 12 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
290° at 11 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
None
Temperature
7 °F, dew point -11 °F
Altimeter
29.93 inHg
Observed at
BED, 4 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.