MIA04IA088

NTSB incident investigation · Beech A36 · Daytona Beach, FL · May 10, 2004

Incident · No injuriesIncident investigationFinal report
Date
May 10, 2004, 12:30 local (16:30 UTC)
Place
Daytona Beach, FL
Injuries
2 uninjured
Damage
No damage
Phase of flight
Enroute
Aircraft
N3670SBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2005
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20040510035179I
Case key
59309

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

Improper maintenance/installation by the propeller overhaul/repair facility, which resulted in stress related fatigue and the eventual separation of the propeller pitch change pin.

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.

Airframe/component/system failure/malfunctionClimb - to cruise
Maintenance,overhaul - improperOther maintenance personnelCause
Propeller system/accessories,pitch change mech - undertorqued
Propeller system/accessories,pitch change mech - fatigue
Propeller system/accessories,pitch change mech - separation

Analysis

The mechanic stated that he and the pilot were conducting a maintenance test flight, when the incident occurred. He further stated that after takeoff, and during climb to cruise, at an altitude of 1,000 feet AGL, as the pilot reduced power from 2,700 rpm to 2,500 rpm, all of a sudden there was a loud bang, and the airplane started to shudder and shake violently. He stated that the pilot reduced power, and returned for an otherwise uneventful landing. Examination of the airplane revealed that one blade of the three-bladed McCauley propeller appeared to be in negative pitch, and when moved, it revolved freely in the hub. Further examination revealed that the pitch change actuating pin for the No. 3 propeller blade had separated, with a threaded portion of the pin still remaining in the hub. On May 10, 2004, the incident McCauley propeller blade, and associated propeller parts, were examined at the NTSB Metallurgical Laboratory, Washington DC. The examination revealed that for the affected blade, the ferrule hole into which the fractured pitch change actuator pin had been inserted, had threads that did not extend into the hole as specified by the propeller manufacturer. The threads extended about one half the distance from the bottom of the hole, and fatigue cracking was found to be in the threads of the pin, and the fatigue crack had progressed about 95 percent of the way through the pin before it separated due to overstress. Records indicated that the propeller had last been overhauled on January 30, 1997,by a maintenance facility in Johnson City, New York, about 678 flight hours prior to the incident..

Factual narrative

On May 10, 2004, about 1230 eastern daylight time, a Beech A-36, N3670S, registered to and operated by a private individual as a Title 14 CFR Part 91 maintenance test flight, incurred a heavy vibration during climb to cruise, in the vicinity of Daytona Beach, Florida. Visual meteorological conditions prevailed, and no flight plan was filed. The airline transport-rated pilot and one passenger were not injured, and the airplane was not damaged. The flight was originating at the time of the incident.

The mechanic stated that he had performed maintenance on the airplane, and he and the pilot were engaged in a maintenance test flight, when the incident occurred. He further stated that after takeoff, and during climb to cruise, at an altitude of 1,000 feet AGL, as the pilot reduced power from 2,700 rpm to 2,500 rpm, all of a sudden there was a loud bang, and the airplane started to shudder and shake violently. He stated that the pilot reduced power, turned the airplane, and made an otherwise uneventful landing on runway 23. After shutting the airplane engine down, the airplane was then towed to the maintenance shop and examined. After checking various items, the mechanic said that he noticed that one blade of the three-bladed McCauley propeller appeared to be in negative pitch, and when moved, it revolved freely in the hub. The propeller had last received maintenance at another maintenance facility, about 678 flight hours prior to the incident.

An initial examination of the propeller showed that the pitch change actuating pin for the No. 3 propeller blade had separated, with a threaded portion of the pin still remaining in the hub. The hub and pitch change actuating pins for all three blades, along with the spacer for the incident blade, were retained and sent to the NTSB Metallurgical Laboratory, Washington, D.C., for a detailed examination.

On May 10, 2004, the incident McCauley propeller blade, and associated propeller parts, to include the ferrule, fractured pitch change actuator pin, along with the washer and spacer, were examined at the NTSB Metallurgical Laboratory, Washington DC. The examination revealed that for the affected blade, the ferrule hole into which the fractured pitch change actuator pin had been inserted, had threads that did not extend into the hole as specified by the propeller manufacturer. The threads extended only to about one half the way to the bottom of the hole, and fatigue cracking initiated in the threads of the pin and progressed through the pin before separation due to overstress. Records indicated that the propeller had last been overhauled on January 30, 1997, by a maintenance facility in Johnson City, New York, about 678 flight hours prior to the incident.

Aircraft

Registration
N3670S
Reported as
Beech A36
Category
Airplane
Serial number
E1702
Airframe hours
2,595
Engine
Teledyne Continental IO-550B, 300 horsepower, reciprocating
Damage
No damage
Flight
Flight test · Part 91
Registered owner
Flying B Enterprises LTD
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 2003 · 66 hours before
Departed
7FL6 · Daytona Beach, FL

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
68
Injuries
None
Certificates
Flight engineer, Airline transport
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
May 1, 2003
Seat
Left
Flight hours
20,000 total · 15,000 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 9 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 63 °F
Altimeter
30.21 inHg
Observed at
DAB

FAA reports on this event · 1

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