NYC98LA074

NTSB accident investigation · Beech A36 · Lynchburgh, VA · March 5, 1998

Accident · No injuriesLimited investigationFinal report
Date
March 5, 1998, 16:00 local (21:00 UTC)
Place
Lynchburgh, VA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N1559XBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report June 21, 2000
Report
Approved by Office Director
FAA report
19980305002719A
Case key
39539

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 number six connecting rod bolt due to improper maintenance.

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/malfTakeoff - initial climb
Engine assembly,connecting rod bolt - failure,totalCause
Maintenance - improperOther maintenance personnelCause
Maintenance,annual inspection - not performedOwner/builder
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - emergency
Terrain condition - ground

Analysis

Shortly after takeoff, the pilot heard a loud bang, felt a thump, and saw the engine cowling deflect upward. He reduced engine power, and turned towards the departure airport. After a second loud bang, followed by severe vibration the pilot shut down the engine, and performed a forced landing to a field. Examination of the wreckage revealed two holes in the top of the engine crank case which were over 8 inches in diameter. One of the engine's number six cylinder connecting rod bolts showed signs of a catastrophic failure, the other number six connecting rod bolt was intact and did not contain a nut. Examination of the number six connecting rod, and connecting rod bolts revealed severe mechanical impact damage to the threads of the intact bolt. The broken bolt had three different fracture features. One was consistent with failure in shear, a second was consistent with a tensile overstress separation, and the majority of the third had a rubbed appearance. The connecting rod bolts and nuts had been replaced 375 hours before the accident flight. The last annual inspection of the airplane was performed about 16 months prior to the accident.

Factual narrative

On March 5, 1998, about 1600 eastern standard time, a Beech A36, N1559X, was substantially damaged during a forced landing after takeoff from the Lynchburg Regional/Preston Glenn Field Airport (LYH), Lynchburg, Virginia. The certificated airline transport pilot and two passengers were not injured. Visual meteorological conditions prevailed, and no flight plan had been filed for the flight destined for Winston Salem, North Carolina. The personal flight was conducted under 14 CFR Part 91.

In a telephone interview, the pilot said the airplane was climbing through 2,500 feet, when he heard a loud bang, felt a "thump", and saw the engine cowling deflect upward. He reduced engine power and initiated a turn back toward LYH. The pilot determined the airplane would not reach the airport at his current rate of decent and he applied some power. He then heard a second loud bang, followed by severe vibration. He feathered the propeller, shut down the engine and performed a forced landing to a field, about 1 mile from LYH.

Examination of the wreckage performed by a Federal Aviation Administration Inspector revealed two holes in the top of the engine crank case which were over 8 inches in diameter. Three of the six connecting rods separated from the crankshaft throws. Two connecting rod throws exhibited signs of lack of lubrication and high temperature. The number six cylinder connecting rod throw was clean, polished, and exhibited signs of adequate oil. One of the number six cylinder connecting rod bolts showed signs of a catastrophic failure. The other number six connecting rod bolt was intact and did not contain a nut. The number six cylinder connecting rod, number six cylinder connecting rod cap with bolts, and material found in the crank case bay of cylinders three and four, were sent to the NTSB Materials Laboratory for examination.

The NTSB Materials Laboratory Factual Report stated:

"...One of the bolts from the # 6 connecting rod cap was fractured. The head of this bolt was trapped in the cap when received. The other bolt was intact but was also trapped within the cap. This intact bolt showed severe mechanical impact damage (mushroom deformation) to the threads. The connecting rod cap had multiple impact damage areas and deformation in the vicinity of the intact bolt...The material found in the crank case bay of cylinder #3 and # 4 showed signs of exposure to heat....All crack surfaces on these parts were damaged either by exposure to heat or by rubbing...."

Scanning electron microscope (SEM) examination of the broken bolt revealed three different fracture features. One feature was consistent with a failure in shear, one feature was consistent with a tensile overstress separation, and the majority of the other feature had a rubbed appearance.

A review of the airplane's engine log book revealed that on March 10, 1998, about 375 hours prior to the accident, work was performed on the engine which included the replacement of the connecting rod bolts, and nuts. The last annual inspection of the airplane was performed on November 12, 1996, at 263.1 total engine hours.

At the time of the accident, the airplane's engine had accumulated a total of 465 hours.

Aircraft

Registration
N1559X
Reported as
Beech A36
Category
Airplane
Serial number
E2476
Airframe hours
325
Engine
Continental IO-550B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
E B K Corporation
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 12, 1996 · 202 hours before
Departed
LYH
Destination
INT · Winston Salem, NC
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
51
Certificates
Flight instructor, Private, Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
3,500 total · 500 in this make and model · 3,300 as pilot in command · 45 in the last 90 days · 15 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 10 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 41 °F
Altimeter
30.00 inHg
Observed at
LYH, 1 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.