NYC91FA199

NTSB accident investigation · Beech C23 · Pleasantville, NJ · August 4, 1991

Accident · FatalField investigationFinal report
Date
August 3, 1991, 23:47 local (Aug 4, 1991, 03:47 UTC)
Place
Pleasantville, NJ
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N9375SBeech C23
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 27, 1993
Report
Approved by Office Director
FAA report
19910803031319A
Case key
36805

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 power loss due to a failed crankshaft, while operating over unsuitable terrain. Factors related to the accident were, the night conditions, the failure of maintenance personnel to detect the cracks using magnaflux inspections, the lack of adequate procedures/directions on detection of cracks, and the lack of qualifications/certification for operators conducting nondestructive testing.

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/malfClimb - to cruise
Maintenance,overhaul,major - improperOther maintenance personnelCause
Insufficient standards/requirements,manufacturerFaa(organization)Factor
Engine assembly,crankshaft - failure,totalCause
Single engine aircraft
Remedial action - not possiblePilot in command
Forced landingDescent - emergency
In flight collision with objectLanding - flare/touchdown
Object - utility poleCause
Terrain condition - none suitableFactor

Analysis

The pilot experienced a power loss shortly after takeoff while operating over a residential area at night. The airplane struck a telephone pole, and crashed and burned in a street. Records indicate the engine had a prop strike at 1828 hrs, was overhauled at 2164 hrs, and overhauled again at 3407 hrs. The accident occurred at 3486 hrs. No records were available for the first overhaul, however when examined at the 2nd overhaul the crankshaft was found to be undersized by .003 inch.. The crankshaft had failed at the rear of the number 3 crankpin. Metallurgical examination found the fracture originated subsurface in an area of stress. Nitriding residue was found in cracks which had not been detected by nondestructive testing. The FAA does not require the certification of nondestructive testing operators.

Aircraft

Registration
N9375S
Reported as
Beech C23
Category
Airplane
Serial number
M1673
Airframe hours
3,486
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Groton Navy Flying Club
Registered owner
Groton Navy Flying Club
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · April 11, 1991 · 75 hours before
Departed
AIY · Atlantic City, NJ
Destination
FRG · Farmingdale, NY
Flight plan
IFR

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
29
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Toxicology
Performed
Flight hours
278 total · 7 in this make and model · 228 as pilot in command · 17 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
210° at 7 knots
Visibility
10 statute miles
Lowest ceiling
13,000 ft broken
Temperature
77 °F, dew point 73 °F
Altimeter
29.00 inHg
Observed at
ACY, 4 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.