- Date
- November 30, 2000, 11:00 local (16:00 UTC)
- Place
- Hazard, KY
- Injuries
- 2 minor, 2 uninjured
- Damage
- No damage
- Phase of flight
- Enroute
- Aircraft
- N942TBMooney M20C
- Weather
- Visual (VMC) · Day
- Status
- Completed · report July 10, 2001
- Report
- Approved by Office Director
- FAA report
- 20001130022099I
- Case key
- 50707
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.
On this page
Probable cause
The incorrect routing of the cabin air scat tubing by an unknown person, which resulted in a carbon monoxide leak into the cabin, and subsequent pilot incapacitation.
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.
Analysis
During cruise flight, the pilot became incapacitated. The pilot rated passenger was able to fly the airplane toward an airport and wake the pilot. The pilot landed uneventfully, but suffered from toxic levels of carbon monoxide. Examination of the airplane revealed a hole in the cabin air scat tubing. The hole was in the vicinity of the joint that connected the number one cylinder to the exhaust manifold, and there was a visible gap in the joint. Further examination revealed that the sometime during the airplane's history, the scat tubing had been misrouted.
Factual narrative
On November 30, 2000, about 1100 Eastern Standard Time, a Mooney M20C, N942TB, was not damaged during a pilot incapacitation event near Hazard, Kentucky. The certificated private pilot and pilot rated passenger received minor injuries, and two passengers were not injured. Visual meteorological conditions prevailed for the flight that departed Lynchburg Regional Airport (LYH), Lynchburg, Virginia; destined for Kyle-Oakley Field (CEY), Murray, Kentucky. An instrument flight rules flight plan was filed for the personal flight conducted under 14 CFR Part 91.
The pilot stated that he was in cruise flight at 8,000 feet near Hazard, Kentucky. He began to feel ill, and requested a descent to 6,000 feet. The pilot then began to "go in and out of consciousness." The pilot rated passenger had not flown for over 25 years, but was able to fly the airplane to Big Sandy Regional Airport (K22), Prestonsburg, Kentucky. The pilot rated passenger successfully woke the pilot, and the pilot made an uneventful landing. The pilot stated that he remembered flying a left-hand traffic pattern at K22, but did not remember landing the airplane.
The pilot further stated that hospital tests revealed he and the pilot rated passenger had toxic levels of carbon monoxide in their blood. Carbon monoxide was present in the rear seat passengers, but the levels were not toxic.
Examination of the airplane revealed a hole in the cabin air scat tubing. The hole was next to the joint that connected the exhaust manifold to the exhaust from the number one cylinder. The joint was not secure, and a gap was visible.
Photographs of the engine were forwarded to the airplane manufacturer. The manufacturer stated that sometime during the airplane's history, the scat tubing was misrouted. The tube with the hole, connected the air inlet to the cabin. A second tube connected the air inlet to a heater exchange. The tube with the hole was suppose to be routed underneath the second tube, however, it was resting on top of it. The manufacturer added that the scat tubing was not clamped, but the clamps would only help if the tube was correctly routed.
The pilot stated that maintenance work was performed on his airplane prior to the day of the incident. Specifically, a fixed base operator replaced the alternator. However, a Federal Aviation Administration (FAA) inspector stated that the misrouting could have happened during any of several prior maintenance visits. The inspector could not confirm that the most recent maintenance work was the cause of the misrouting. Additionally, he could not confirm when the gap formed in the joint between the cylinder and exhaust manifold.
The airplane's last annual inspection was performed on October 28, 2000.
Aircraft
- Registration
- N942TB
- Reported as
- Mooney M20C
- Category
- Airplane
- Serial number
- 2587
- Airframe hours
- 1,404
- Engine
- Lycoming O-360, 180 horsepower, reciprocating
- Damage
- No damage
- Flight
- Personal · Part 91
- Registered owner
- Thomas R. Bailey
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · October 28, 2000 · 49 hours before
- Departed
- LYH · Lynchburg, VA
- Destination
- CEY · Murray, KY
- Flight plan
- IFR
- Airport
- K22 · Big Sandy Regional, runway 21, 5,000 × 100 ft, asphalt
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
- 46
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, Valid Medical--w/ waivers/lim
- Seat
- Left
- Toxicology
- Performed
- Flight hours
- 751 total · 50 in this make and model · 711 as pilot in command · 56 in the last 90 days · 18 in the last 30 days · 3 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- Calm
- Visibility
- 10 statute miles
- Lowest ceiling
- 1,900 ft overcast
- Temperature
- 34 °F, dew point 25 °F
- Altimeter
- 30.00 inHg
- Observed at
- JKL, 12 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.