MIA98FA176

NTSB accident investigation · Mooney M-20E · Winston-Salem, NC · June 3, 1998

Accident · FatalField investigationFinal report
Date
June 3, 1998, 10:55 local (14:55 UTC)
Place
Winston-Salem, NC
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N9365VMooney M-20E
Weather
Visual (VMC) · Day
Status
Completed · report November 17, 1999
Report
Approved by Office Director
FAA report
19980603012109A
Case key
38400

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 NTSB’s determination of the probable cause, and any contributing factors.

The pilot's improper decision to conduct a maintenance test flight with a known unairworthy mechanical condition (unserviceable servo fuel injector), resulting in a partial loss of engine power on climb out, subsequent forced landing, and in-flight collision with trees and a private residence.

Analysis

The pilot/mechanic with inspection authority conducted a maintenance test flight with a known unairworthy servo fuel injector. During takeoff climb, he reported a partial loss of engine power, notified Air Traffic Control, and maneuvered the airplane in an attempt to return to the departure airport. He was unable to return to the airport. The airplane collided with trees, electrical wires, and a private residence during a forced landing. According to Title 14 CFR Section 91.7 (b) states, 'The pilot in command of a civil aircraft is responsible for determining whether the aircraft is in a condition for safe flight. The pilot in command shall discontinue the flight when unairworthy mechanical, electrical, or structural condition occur'.

Factual narrative

The factual narrative1,314 words

History of flight

On June 3, 1998, about 1055 eastern daylight time, a Mooney M-20E, N9365V, registered to two private owners, operated by Air Winston, as a 14 CFR Part 91 maintenance test flight, crashed into a house in a residential area while attempting to return to the Smith Reynolds Airport, Winston-Salem, North Carolina. Visual meteorological conditions prevailed and no flight plan was filed. The airplane was destroyed. The commercial pilot and one passenger were fatally injured. The flight originated from the Smith Reynolds Airport about 4 minutes before the accident.

Review of recorded transmissions between Smith Reynolds Tower and N9365V revealed N9365V took off from runway 33 at 1051. The pilot was cleared to depart to the northwest. At 1054, N9365V informed the tower, "uh power lost and uh we're just to the north." The tower informed N9365V to do whatever he needed to do, and cleared another airplane (Carolina) to turn left on course. The tower asked N9365V what kind of assistance he needed. N9365V replied, "straight in for runway one five." N9365V was initially cleared to land on runway 15, and was cleared to land on any runway, 28 seconds later at 1055. N9365V stated , "I don't believe we're gonna make it." There were no other recorded conversations with N9365V.

A witness located in the parking lot of Forsyth Technical Community College Wooddruff Center, observed the airplane about .45 miles from the northeast end of the Smith-Reynolds Airport. The witness stated, "A departing aircraft attracted my attention because the engine noise did not sound normal. I can only describe the noise as "spluttering" or not running smoothly. The sound at the time made me wonder if the aircraft had been fully warmed up on the ground before takeoff or if the mixture was off. I first observed the aircraft in what appeared to be a normal ascent in line with the runway at about 200-250' AGL. The aircraft continued to ascend to an estimated 400' AGL and made a sudden transition to level flight. The aircraft continued in level flight for a period that I estimate to be 3-5 seconds and made a sudden 90 degree left turn to a heading of approximately 300. The airplane appeared to gain airspeed and disappeared from view in a few seconds still in level flight."

Another witness who was standing in his front yard at 4214 Tise Avenue, located about 3/4 of a mile northwest of the Smith Reynolds Airport, stated he heard an engine sputtering, looked up, observed an airplane descending, and turning to the left towards the airport just above the trees. The airplane was in a 45-degree left bank. The airplane collided with a tree located to the left of a house at 4240 Tise Avenue. It continued forward across Tise Avenue, collided with the tops of some more trees and a house. He instructed his step son to call 911, and he ran to the house to assist.

Personnel information

According to the President of Air Winston, the 39-year-old pilot was the Director of Maintenance (DOM), and the passenger was a company mechanic. The Federal Aviation Administration Information Management Section records indicate the pilot held a commercial pilot certificate with ratings for airplane single and multiengine land instrument airplane. In addition, he held a mechanic certificate with ratings for airframe and powerplant. He was also issued an inspection authorization from the FAA on March 24, 1998. A review of the pilot's logbook indicated the pilot had 1,272.4 total hours with 107.6 hours in the Mooney M-20E. The pilot's last recorded flight was on April 15, 1998. (Additional information pertaining to First Pilot Information is found on page 3 of this report, and in NTSB Form 6120.1/2 Pilot Information).

Aircraft information

The aircraft airframe, propeller, and engine logbooks were requested from the operator. All logbooks were located except for the current engine logbook. Review of aircraft records on file at the FAA Aircraft Registration Branch, Oklahoma City, Oklahoma, revealed that N9365V was involved in a collapse of the left main landing gear on September 7, 1997, at Tri-Cities Regional Airport, Bristol-Johnson, Tennessee. The DOM for Air Winston, submitted a bid to the registered owner for repairs to the airplane on November 19, 1997. The bid was accepted by the registered owner and his insurance company. The engine assembly was removed by the DOM and two Air Winston company mechanics. The engine assembly was transported to Piedmont Aviation Services, Inc., Winston-Salem, North Carolina, for disassembly and inspection. The inspection was completed on January 16, 1998, and signed off on January 22, 1998. The engine was transported back to Bristol-Johnson by the DOM and two company mechanics, and installed on the airplane. The DOM obtained a ferry permit from the FAA Nashville Flight Standards District Office on February 9, 1998, to ferry N9365V from Tri-Cities to Winston-Salem. The ferry permit expired on February 19, 1998. The ferry flight was conducted on February 25, 1998, by the DOM.

According to the Vice President, Piedmont Aviation Services, Inc., and the Manager of Piston Engine and Accessory Services for Piedmont Aviation Services, the DOM for Air Winston brought a fuel injector to their facility to determine what was wrong with it. Examination of the unit by Piedmont Aviation Services, Inc., revealed that someone had installed an air scoop mount screw into the servo that was too long. The screw had penetrated into the servo cavity and caused a leak. In addition, a considerable amount of RTV sealant was evident on the mounting face for the air scoop in order to stop or control the leak. The DOM for Air Winston was informed that the servo was not repairable, and that it needed to be replaced. He was also informed that a replacement servo would cost $1,250.00. The servo was left at Piedmont Aviation Services, Inc., by the DOM. A couple of days later, the DOM returned and picked up the servo. He stated he had obtained a servo core from an after market company for $650.00. The registered owner of N9365V stated the DOM called him on the day of the accident and stated he was having a problem with the fuel injection system, but he could fix it. (Additional Aircraft Information is contained on page 2 of this report and in NTSB Form 6120.1/2 Aircraft Information).

Meteorological information

Visual meteorological conditions prevailed at the time of the accident. (For additional information see Weather Information).

Wreckage and impact information.

The wreckage of N9365V was located about 3/4 of a mile north-northwest of the Smith-Reynolds Airport. The wreckage came to rest in the northwest corner of a house located at 4233 Tise Avenue.

Examination of the crashsite revealed the airplane collided with a tree about 60 feet above the base of the tree in a descending left turn. The airplane continued across Tise Avenue, collided with two electrical power lines, treetops, and the northwest corner of a house roof and bedroom. The house was moved backwards about 19 inches off the foundation. The airplane came to rest on a heading of 095 degrees magnetic.

The left wing was resting on the ground. The right wing, right side of the engine compartment, and cockpit area were imbedded in the house in about a 45-degree left bank. The engine assembly was displaced to the left, downward, and remained partially attached to the engine mounts and firewall. The propeller assembly and spinner remained attached to the engine. One electrical power line was found in the vicinity of the right side of the engine compartment and cabin area. The right side of the engine compartment, and right wing root were compressed inward into the cockpit area. Roof joists were found imbedded in the cockpit area. There was no evidence of torsional twisting, "s" bending, or chordwise scarring on all three propeller blades. Two propeller blades had evidence of electrical a

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(partial) - nonmechanicalClimb - to cruise
Fuel injection control/system - previous damage
Planning/decision - improperPilot in commandCause
Fuel injection control/system - contamination
Fuel injection control/system - blocked(partial)
Forced landingManeuvering - turn to landing area (emergency)
In flight collision with objectDescent - emergency
Object - tree(s)
Object - wire,static
Object - residence

Aircraft

Registration
N9365V
Reported as
Mooney M-20E
Category
Airplane
Serial number
700012
Airframe hours
2,606
Engine
Lycoming IO-360-A1A, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Part 91
Operator
Air Winston
Registered owner
Bill Webster/Jim O'Steen
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 1997 · 41 hours before
Departed
INT · NC

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
39
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,272 total · 108 in this make and model · 1,149 as pilot in command · 92 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 10 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
90 °F
Altimeter
29.00 inHg
Observed at
INT

FAA reports on this event · 1

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