LAX04LA016

NTSB accident investigation · Beech A36 · Lancaster, CA · October 16, 2003

Accident · No injuriesLimited investigationFinal report
Date
October 16, 2003, 15:30 local (22:30 UTC)
Place
Lancaster, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N700TTBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report October 31, 2006
Report
Approved by Office Director
Parties
Federal Aviation Administration, Rolls-Royce Allison
FAA report
20031016034799A
Case key
58206

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

A loss of engine power due to thermal fatigue failure of the first stage turbine wheel resulting in release of a section of its rim. The thermal fatigue was due to the engine exceeding its temperature limits during one or more start cycles.

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 - normal
Turbine assembly,turbine wheel - overtemperatureCause
Starting procedure - improperUnknownCause
Turbine assembly,turbine wheel - fatigueCause
Turbine assembly,turbine wheel - fracturedCause
Turbine assembly,turbine wheel - separationCause
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Object - wire,transmission
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The airplane collided with power lines during an off-airport forced landing following a loss of engine power. While in cruise at 10,500 feet, the pilot heard a bang, and the engine lost power. He declared an emergency, and attempted to glide to a nearby airport; however, he was unable to make it to the runway. The airplane collided with power lines and fell to the ground about 4 miles west of the airport. The N1 and N2 shafting systems were bound up and would not move. The upper magnetic chip detector was free of metal, but it did contain coke. There was slight varnishing of the anode and cathode. The lower magnetic chip detector contained a substantial amount of metallic particles, subsequently identified as material from the No. 5 bearing. The particles did bridge the gap from anode to cathode. A detailed examination of the engine determined that three sections of the first stage turbine wheel separated. The stub shaft also fractured and separated, and a portion of the fractured tie bolt remained in the wheel. Metallurgical examination of the first and second stage turbine wheels found evidence of gamma prime solutioning and localized melting of the second stage turbine wheel airfoil tips, indicating temperature exposures above 2,100 degrees Farenheit, a temperature range outside the normal operating envelope of these wheels. This exposure to elevated temperatures resulted in rim separation due to thermal fatigue initiating at the rim followed by accelerated interdendritic creep crack growth. No evidence of an oil fire was associated with the first stage wheel separation. The composition, hardness, and microstructure of the first stage turbine wheel were as required by the engineering drawing. The No. 5 bearing exhibited heat distress, but the cause of this could not be conclusively determined. According to Rolls-Royce Allison, the internal evidence of excessive thermal damage to the first and second stage turbine wheels was consistent with prior examples of known hot starts.

Factual narrative

On October 16, 2003, about 1530 Pacific daylight time, a Beech A36, N700TT, made an off-airport forced landing near Lancaster, California, following a loss of engine power while in cruise at 10,500 feet. The airplane had been modified by Supplemental Type Certificate with the installation of an Allison 250-B17-F/2 turboshaft engine. The pilot/owner was operating the airplane under the provisions of 14 CFR Part 91. The private pilot, the sole occupant, was not injured; the airplane sustained substantial damage. The personal cross-country flight departed Fullerton, California, about 1435, en route to Fresno, California. Visual meteorological conditions prevailed, and a visual flight rules (VFR) flight plan had been filed.

The National Transportation Safety Board investigator-in-charge (IIC) interviewed the pilot. The pilot said that he heard a bang, and noticed a loss of vacuum. The engine lost power, but the propeller continued to windmill. He declared an emergency, and attempted to glide to William J. Fox Field (WJF) in Lancaster. He was unable to make it to the runway. The airplane collided with power lines and fell to the ground about 4 miles west of the airport.

The Federal Aviation Administration (FAA) accident coordinator examined the wreckage on scene. Both wings separated from the airframe. The propeller and its gearbox separated from the front of the engine.

Initial Exam

The IIC and an investigator from Rolls-Royce Allison examined the airplane and engine at Aircraft Recovery Service, Littlerock, California. They drained 625 milliliters of a clear fluid that had a smell and color similar to jet aviation fuel from the airplane's fuel filter.

Examination of the three bladed propeller showed that all blades were in the feather position as indicated by the feather position reference mark. All blades exhibited damage to the leading edge with one blade curled backward. There was black arcing to the area surrounding the VHF antenna mounting on the top of the airplane.

The IIC observed that the engine sustained mechanical damage to the forward section. The forward flange of the compressor front support was crushed and the inlet guide vanes were buckled. The external oil sump tank buckled up and to the left. The compressor bleed valve manifold adapter buckled with the bleed valve displaced and contacting the Pc line from the compressor scroll. The lower engine mounting bracket was fractured, and the engine was displaced downward.

The propeller reduction gearbox housing fractured outboard from the mounting flange. All mounting bolts were in place and secured to the accessory gearbox. The propeller reduction gearbox rear housing split in one location forward to the forward housing splitline. There was some localized separation of the forward and rear housing. The propeller governor was intact and remained secured to the forward housing mounting pad. The sun gear remained engaged with the power take off (PTO) gearshaft, but had been displaced upward toward the 12 o'clock position. The BETA rod extended through the inner diameter of the sun gear, and bent downward toward the 6 o'clock position nearly 90 degrees and the rod end fractured. The forward gear teeth did not exhibit any damage. The balance of the propeller reduction gearbox remained with the propeller and attached to the propeller flange. The planetary gears, ring gear, spur gear, and balance of the propeller box components remained within the housing with no obvious visual damage observed.

Both the power and condition lever actuating cables fractured and separated at the fuel control and propeller governor end. The cables had been separated from the swaged inserts leading to the mounting brackets leading to the controls.

A manual check of all fuel, lube, and air lines for security determined that they were at least finger tight.

The coordinator assembly was intact. The actuating lever was bound in place, and indicated 0 degrees.

The N1 shafting system would not move when investigators attempted to rotate it via the first stage compressor wheel.

The N2 shafting system would not move when investigators attempted to rotate it via the fourth stage turbine wheel and the sun gear.

The IIC inspected the upper magnetic chip detector and noted that it was free of metal, but it did contain an amount of coke. There was slight varnishing of the anode and cathode.

The IIC inspected the lower magnetic chip detector and noted that it contained a substantial amount of metallic particles. The particles did bridge the gap from anode to cathode. A continuity check on the plug showed ground. Investigators then reconnected the chip detector to the wiring harness, grounded it against the airframe, and applied the airplane's power. The annunciator panel revealed several lights to include master caution and oil chips, which the Rolls-Royce representative said indicated that the chip light system was functional at the time of testing.

During engine removal, oil drained from the oil inlet line from the airplane's bulkhead to the accessory gearbox for approximately 2 minutes. Investigators drained the oil into a plastic container. They did not measure the oil quantity, but it appeared clean and did not smell burnt. They drained an additional 150-200 ml of oil from the lower chip port of the accessory gearbox. As with the oil inlet line, this oil appeared clean and did not smell burnt.

The IIC decided to ship the engine to Rolls-Royce Corporation, Indianapolis, Indiana, for further examination.

Indianapolis Examination

This engine examination occurred on January 11, 2004, under the supervision of the FAA.

Clean oil leaked from the exhaust collector after technicians placed the engine on a turnover stand.

The No. 8 oil supply line was crushed and broken. Technicians removed the oil pressure standpipe, and observed a moderate amount of coking inside the tube. However, they poured oil from a can through the tube and noted no obstructions.

The external oil sump tank was buckled and deformed. Oil was present in the tank and when rotated inverted, oil drained from the tank for approximately 10 seconds.

The beta rod was still engaged to the engine and extended through the inner diameter of the sun gear. The rod bent approximately 90 degrees at the point where the rod exited the sun gear.

The sun gear was still engaged to the power takeoff gearshaft and was displaced downward on an approximate 30 degree angle. Technicians noted static imprints (marks) that they felt were from contact with the inner diameter of the power takeoff gear. After removal of the sun gear, N2 remained bound in place.

After removal of the compressor, the N1 remained bound in place.

Removal of the horizontal fire shield showed a localized exit wound to the gas producer support in the plane of the first stage turbine wheel. The support was torn open from the 5:00 to 8:30 position. The gas producer support to power turbine support splitline separated in a localized area, and two of the splitline bolts fractured.

During removal of the turbine with the N1 and N2 couplings held in place (engaged to the compressor and pinion gear respectively), technicians noted that the internal retaining ring and flat washer from the No. 5 bearing were dislodged. The bearing remained in place, but was heavily damaged. The pinion oil nozzle that was mounted adjacent to the No. 5 bearing showed marks from impact with the retaining ring and/or washer. The power turbine rotating lab seal appeared to be worn. Technicians removed the bearing and associated components and placed them in a ziplock bag and transported to the Rolls-Royce Materials and Processes lab for further examination.

Technicians inspected both the N1 and N2 couplings. The N1 was unremarkable; the N2 was in good condition except for an approximate 120-degree section of the rear Teflo

Aircraft

Registration
N700TT
Reported as
Beech A36
Category
Airplane
Serial number
E-2361
Airframe hours
1,744.8
Engine
Allison 250 B17 F/2, 450 horsepower, turbo prop
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Lester Hill Trustee
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 10, 2003 · 5.2 hours before
Departed
FUL · Fullerton, CA
Destination
FAT · Fresno, CA
Airport
WJF · General Wm J Fox Airfield

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
59
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
September 1, 2001
Seat
Left
Flight hours
706 total · 267 in this make and model · 629 as pilot in command · 5 in the last 90 days · 2 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 34 °F
Altimeter
30.09 inHg
Observed at
WJF, 5 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.