LAX92LA042

NTSB accident investigation · Beech D18S · Hilo, HI · November 10, 1991

Accident · No injuriesLimited investigationFinal report
Date
November 10, 1991, 08:50 local (18:50 UTC)
Place
Hilo, HI
Injuries
11 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4193Beech D18S
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 1993
Report
Approved by Office Director
FAA report
19911110050039A
Case key
27501

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 aircraft's lack of single engine performance to maintain altitude after the engine lost power. Factors related to the accident were: displacement/mechanical interference within the accessory drive gear system of the left engine, failure of the left engine accessory drive gear shaft, and the faa's inadequate certification/approval of the operator, in order to assure compliance with 14 CFR 135 concerning the engine-out capability.

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
1 engine
Accessory drive assy,drive gear - binding(mechanical)Factor
Accessory drive assy,drive shaft - failure,totalFactor
Fuel system,pump - disengaged
Ignition system,magneto - disengaged
Forced landingDescent - emergency
Aircraft performance,engine out capability - inadequateCause
Inadeq certification/approval,operation/operatorFaa(organization)Factor

Analysis

Abt 45 mi fm lndg, the l eng RPM bgn to fluctuate, then at abt 15 mi fm lndo, it lost power altogether. The plt said the acft would not maint altitude. Unable to rch the rwy, he ditched the acft in Hilo bay abt 1/4 mi fm shore & 1.5 mi fm the arpt. After retrieval, the acft & l eng were examined. The accessory gear drive shaft was fnd to have failed in torsional overload. On the inside of the case, an area of gouging & abrasion was fnd drctly in fnt of the starter gear. (The left mag, fuel pump & prop governor were driven by the accessory drive gear.) Deep impressions were noted on abt 70% of the gear teeth, with mtrl displacement & gouging evident. There was evidence that the collector drive floating gear may have moved forward & had contacted the eng case. Also, there was evidence of mechanical interference within the accessory drive gear sys. The acft gross wt at the time of the acdnt was about 9108 lbs.

Aircraft

Registration
N4193
Reported as
Beech D18S
Category
Airplane
Serial number
A980
Airframe hours
19,936
Engine
P&W R-985-AN14B, 450 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Tomy International, doing business as Scenic Air Tours
Registered owner
Tomy International
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 28, 1991 · 35 hours before
Departed
HNL · Honolulu, HI
Destination
ITO · Hilo, HI
Flight plan
VFR
Airport
ITO · Hilo International, runway 8, 9,800 × 150 ft, macadam

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
56
Certificate
Airline transport
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
18,579 total · 323 in this make and model · 10,712 as pilot in command · 180 in the last 90 days · 59 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 10 knots
Visibility
15 statute miles
Lowest ceiling
28,000 ft broken
Temperature
79 °F, dew point 70 °F
Altimeter
30.00 inHg
Observed at
ITO, 1 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.

Other investigations on N4193 · 1

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