MIA95LA163

NTSB accident investigation · Beech A36 · Titusville, FL · June 27, 1995

Accident · No injuriesLimited investigationFinal report
Date
June 27, 1995, 06:30 local (10:30 UTC)
Place
Titusville, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N72016Beech A36
Weather
Visual (VMC) · Dawn
Status
Completed · report June 22, 1996
Report
Approved by Office Director
FAA report
19950627020709A
Case key
37788

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

failure of the No. 6 cylinder barrel due to corrosion fatigue, which resulted in a loss of power. A factor relating to the accident was: the lack of suitable terrain for an emergency landing.

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
Engine assembly,cylinder - corrodedCause
Engine assembly,cylinder - fatigueCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - none suitableFactor
Terrain condition - loose gravel/sandy
Terrain condition - rough/uneven

Analysis

While in cruise, the engine began running rough, and the pilot noted a loss of oil pressure. Shortly thereafter, he observed flames and oil coming from the engine area. He shut the engine down and executed a forced landing to a beach. During the landing, the airplane struck a sand dune. Examination of the engine revealed the No. 6 cylinder barrel had failed due to corrosion fatigue.

Factual narrative

On June 27, 1995, about 0630 eastern daylight time, N72016, a Beech A-36 operated by Harris Berman, crashed on the beach near Titusville, Florida, while on a 14 CFR Part 91 personal flight. Visual meteorological conditions prevailed at the time and no flight plan was filed. The airplane was substantially damaged and the pilot reported no injuries. The flight originated from Palm Beach, Florida, about 1 hour earlier.

The pilot noted a loss of oil pressure and engine roughness. He then saw oil on the airplane and sparks coming from the engine. He then shut down the engine and executed a forced landing to the beach. During the landing the airplane hit a sand dune. Initial examination of the engine revealed the No. 6 cylinder barrel was failed circumferentially.

The cylinder, piston, and connecting rod was removed from the airplane and shipped to the NTSB laboratory for examination. Examination of the cylinder revealed that the cylinder exhibited severe corrosion pitting on the cylinder barrel between the first and second cooling fins. Two fatigue origins were identified with the corrosion pits. Signatures consistent with progressive fatigue were observed through the barrel. All other failures noted were consistent with overload.

Aircraft

Registration
N72016
Reported as
Beech A36
Category
Airplane
Serial number
E-2172
Airframe hours
1,400
Engine
Continental IO-550-B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Harris Berman
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 26, 1994 · 100 hours before
Departed
PBI · Palm Beach, FL
Destination
CHS · Charleston, SC

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
55
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,600 total · 100 in this make and model · 1,550 as pilot in command · 30 in the last 90 days · 10 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dawn
Wind
220° at 5 knots
Visibility
8 statute miles
Lowest ceiling
25,000 ft broken
Temperature
73 °F, dew point 72 °F
Altimeter
30.00 inHg
Observed at
DAB, 25 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.