NYC06LA219

NTSB accident investigation · Beech F33A · South Windsor, CT · September 7, 2006

Accident · Minor injuriesLimited investigationFinal report
Date
September 7, 2006, 13:45 local (17:45 UTC)
Place
South Windsor, CT
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3708BBeech F33A
Weather
Visual (VMC) · Day
Status
Completed · report September 27, 2007
Report
Approved by Office Director
Parties
FAA/FSDO, Teledyne Continental Motors
FAA report
20060907022159A
Case key
64486

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

A loosening of the fuel injector lines from the fuel manifold valve, which resulted in a partial loss of engine power.

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) - mech failure/malfDescent - normal
Fuel system,line - looseCause
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Object - tree(s)

Analysis

While leveling the airplane after a descent from 3,000 feet to 1,500 feet, the pilot increased the throttle to level the airplane; however, engine power did not return, and the airplane continued to descend. The airplane subsequently impacted trees and terrain during a forced landing attempt. Witnesses reported hearing the engine "popping" and "sputtering" as the airplane descended. Following the accident, the engine was removed from the airframe and test run. During the first test run the engine exhibited varying interruptions of power, and when the throttle was increased to full, it reached a maximum rpm of 1,450. Troubleshooting revealed that all six fuel injector lines were loosely attached to the fuel manifold valve. After all of the lines were tightened, the engine ran without any interruption of power, and reached a maximum rpm of 2,644. Examination of maintenance records revealed that significant maintenance had been performed on the engine 7 months, and 246 flight hours, prior to the accident flight. Additionally, four of the six fuel injector nozzles were replaced about 6 months before the accident flight.

Factual narrative

On September 7, 2006, at 1345 eastern daylight time, a Beech F33A, N3708B, was substantially damaged when it impacted trees and terrain during a forced landing near South Windsor, Connecticut. The certificated private pilot incurred minor injuries. Visual meteorological conditions prevailed, and no flight plan was filed for the flight, which departed Boire Field (ASH), Nashua, New Hampshire, destined for Hartford-Brainard Airport (HFD), Hartford, Connecticut. The personal flight was conducted under 14 CFR Part 91.

According to the pilot, while in cruise flight at 3,000 feet he set the engine rpm to 2,500, and reduced the mixture "lean of peak," which corresponded to a fuel flow of 17 gallons per hour. Shortly after he contacted the air traffic control tower at Hartford Airport, he began a descent to 1,500 feet by reconfiguring the engine controls to 18 inches of manifold pressure, and 2,300 rpm; however, he did not adjust the mixture control. Upon reaching 1,500 feet, the pilot increased the manifold pressure, but then realized that there was a problem because the airplane continued to descend. He then noted that the engine rpm had dropped to 2,000, so he advanced the propeller knob forward. He also set the throttle to the full forward position; however, there was no change in engine performance.

The airplane continued to descend and the pilot realized that he would have to land the airplane in the trees immediately in front of him, with no other suitable landing sites available. The pilot configured the airplane for a 100 knot descent. He had planned to turn off the fuel selector valve and the master switch, but the airplane then struck the trees.

Several witnesses were interviewed or provided written statements that depicted a similar series of events. The witnesses reported hearing and seeing the accident airplane as it descended. They described the engine sound as intermittent "sputtering," "popping," or "having trouble."

The pilot held a private pilot certificate with ratings for airplane single engine land, and instrument airplane. His most recent Federal Aviation Administration (FAA) third class medical certificate was issued on October 1, 2004. The pilot reported 2,134 total hours of flight experience, 1,419 hours of which were in the accident airplane make and model.

The accident airplane was manufactured in 1980. According to the pilot, the airplane had accumulated 2,229 total hours of operation at the time of the accident. According to aircraft maintenance records, the airplane was equipped with a Teledyne Continental Motors IO-520-BB engine, which had been modified by Ultimate Engines to an IO-550-B/UE. On October 28, 2004, at 1,620 total aircraft hours, the engine was fitted with a Tornado Alley Turbo-normalizing system. On February 1, 2006, at 1,983 total aircraft hours, the engine was disassembled, cleaned, inspected, and repaired. On March 10, 2006, at 2,017 total aircraft hours, the fuel injector nozzles for cylinders 1, 2, 5, and 6 were replaced. Since that date, there were seven additional entries in the engine maintenance logbook including a replacement of the alternator, five oil changes, and an entry on the date of the accident to adjust the oil pressure "up slightly."

The weather conditions reported at HFD, about 2 nautical miles east of the accident site, at 1353, included winds from 110 degrees at 3 knots, 10 statute miles visibility, few clouds at 4,200 feet, temperature 75 degrees Fahrenheit, dewpoint 55 degrees Fahrenheit, and an altimeter setting of 30.06 inches of mercury.

The engine was removed from the airframe and shipped to Teledyne Continental Motors to be test run under the supervision of an FAA inspector. Several components were fitted to the engine in order to allow it to run on the test stand, including a manual wastegate controller. The intake balance tube and intercooler assembly were also weld repaired. The engine subsequently started normally on the first attempt, without hesitation or stumbling. The engine rpm was then advanced in steps for warm up. The throttle was advanced to 1,200 rpm for 5 minutes, and the engine exhibited varying interruptions of power and stumbling. When the throttle was advanced to the full open position, the engine reached a maximum rpm of 1,450.

Subsequent troubleshooting revealed that all six fuel injector lines were loosely attached to the fuel manifold valve. The fuel lines were tightened, and the engine was started again. The engine ran at 1,600 rpm and 2,100 rpm for 5 minutes, before the throttle was advanced to the full open position. The engine sustained 2,644 rpm, and performed without any hesitation, stumbling, or interruption for the duration of the test run. Additionally, the engine was operated at idle and advanced to full throttle with no abnormalities noted.

Aircraft

Registration
N3708B
Reported as
Beech F33A
Category
Airplane
Serial number
CE-928
Airframe hours
2,229
Engine
Ultimate Engines IO-550-BB, 300 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · October 1, 2005 · 316 hours before
Departed
ASH · Nashua, NH
Destination
HFD · Hartford, CT

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
78
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
June 1, 2006
Seat
Front
Flight hours
2,134 total · 1,419 in this make and model · 2,134 as pilot in command · 74 in the last 90 days · 17 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 55 °F
Altimeter
30.05 inHg
Observed at
HFD, 2 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.