LAX91LA358

NTSB accident investigation · Beech J35 · San Jose, CA · August 14, 1991

Accident · No injuriesLimited investigationFinal report
Date
August 13, 1991, 18:15 local (Aug 14, 1991, 01:15 UTC)
Place
San Jose, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3028CBeech J35
Weather
Visual (VMC) · Day
Status
Completed · report March 10, 1993
Report
Approved by Office Director
FAA report
19910813033929A
Case key
27327

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 failure of the crankshaft counterweight retaining clip due to improper maintenance installation of the part.

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
Eng assembly,crankshaft counterweights/vib damper - failure,totalCause
Maintenance,installation - improperOther maintenance personnelCause
Engine assembly,connecting rod cap - failure,total
Forced landingDescent - emergency
In flight collision with terrain/waterLanding
Terrain condition - rough/uneven

Analysis

The engine was overhauled and modified about six operating hours prior to the accident with a new type of cam shaft under the provisions of a supplemental type certificate. The pilot said he was in level cruise when he heard a loud bang emanate from the engine concurrently with it stopping. An initial inspection of the aircraft on site by FAA inspectors revealed that oil covered the wind shield. The number two cylinder rod was observed to be protruding from a hole in the top of the engine case. One counter weight assembly was found missing from the crankshaft counterweight blade. The missing counterweight, cover plates, retaining cir-clips, and associated bushings were found in the oil pan. Optical examination of the recovered pieces revealed that the retaining cir-clip failed, allowing the counter weight pin and the weight itself to separate from the crankshaft. The inspector determined that the cir-clip had been installed backwards.

Aircraft

Registration
N3028C
Reported as
Beech J35
Category
Airplane
Serial number
D-5693
Airframe hours
3,685
Engine
Continental IO-470-C, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Dtb Aviation
Registered owner
Dtb Aviation
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Annual · February 13, 1991 · 26 hours before
Destination
307 · Hollister, CA

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
33
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
676 total · 71 in this make and model · 572 as pilot in command · 30 in the last 90 days · 8 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 12 knots
Visibility
25 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 68 °F

FAA reports on this event · 1

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

Other investigations on N3028C · 2

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