SEA06LA114

NTSB accident investigation · Beech A36 · Ennis, MT · June 6, 2006

Accident · No injuriesLimited investigationFinal report
Date
June 5, 2006, 19:00 local (Jun 6, 2006, 01:00 UTC)
Place
Ennis, MT
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N24BFBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report March 26, 2007
Report
Approved by Office Director
Parties
Continental Engines, FAA Helena, Montana, FSDO
FAA report
20060605013409A
Case key
63875

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The loss of engine power during takeoff due to an excessively lean fuel-to-air mixture ratio as a result of excessive mating surface wear between the mixture control arm and metering shaft. A factor was the improper installation of the new engine, which resulted in excessive wear and metering of fuel and loss of engine power. An additional factor was the rough, uneven terrain.

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 powerTakeoff
Maintenance,installation - improperCompany maintenance personnelFactor
Mixture control,linkage - failure,partialCause
Forced landingEmergency descent/landing
Wheels up landingEmergency landing
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - rough/unevenFactor

Analysis

The pilot reported that shortly after takeoff the airplane lost engine power and he elected to land in an open field south of the airport. Post accident evaluation and testing of the mixture control linkage revealed that the metering shaft rotated to the mechanical stop when actuated to the "idle cut-off" position; however, when the mixture control was actuated to the "full-rich" position, the metering shaft rotated approximately 40 percent of potential (full) travel and did not reach the mechanical stop. Further examination revealed the mixture control arm retaining nut was tight, however extensive wear to the serrated mating surfaces of the mixture control arm and metering shaft was observed. The serrated edges had worn smooth and fretting type damage was noted to both surfaces. Maintenance records showed that the airplane's original engine, a Continental IO-520, was removed and the airframe was retrofitted with a factory rebuilt (zero time) IO-550-B in accordance with a Supplemental Type Certificate (STC). The certified airframe and power plant (A&P) mechanic, who performed the maintenance on the airplane, stated the mixture control arm (which was shipped with the engine) was installed in conjunction with the engine conversion.

Factual narrative

On June 5, 2006, about 1900 mountain daylight time, a Beech A36 Bonanza, N24BF, sustained substantial damage following a loss of engine power and subsequent forced landing approximately two miles south of the Ennis - Big Sky Airport (KEKS), Ennis, Montana. The airplane, which was owned by the pilot, was being operated as a visual flight rules (VFR) cross-country flight under the provisions of Title 14, CFR Part 91, when the accident occurred. The certificated private pilot, and three passengers, were not injured. Visual meteorological conditions prevailed for the cross-country flight that originated from Ennis just before the accident. The pilot's planned destination was Hamilton, Montana.

The pilot reported that shortly after takeoff, the airplane lost engine power and he elected to land in an open field south of the airport. The airplane sustained substantial damage to the firewall during the landing.

On June 27, 2006, representatives from the Federal Aviation Administration (Helena, Montana, Flight Standards District Office) and Teledyne Continental Motors examined the airplane at a hangar facility in Belgrade, Montana.

Functional testing of the mixture control linkage revealed that the metering shaft rotated to the mechanical stop when actuated to the "idle cut-off" position; however, when the mixture control was actuated to the "full-rich" position, the metering shaft rotated approximately 40 percent of potential (full) travel and did not reach the mechanical stop.

Further examination revealed the mixture control arm retaining nut was tight, however extensive wear to the serrated mating surfaces of the mixture control arm and metering shaft was observed. The serrated edges had worn smooth and fretting type damage was noted to both surfaces.

Maintenance records showed that on March 9, 2006, the airplane's engine, a Continental IO-520, was removed and the airframe was retrofitted with a factory-rebuilt IO-550-B in accordance with Supplemental Type Certificate (STC) SA2200SW.

The mixture control arm was shipped with the factory-rebuilt engine. The certified airframe and power plant (A&P) mechanic, who performed the maintenance on the airplane, stated the mixture control arm was installed in conjunction with the engine conversion.

The airplane had accumulated approximately 35 hours since the conversion.

Aircraft

Registration
N24BF
Reported as
Beech A36
Category
Airplane
Serial number
E1736
Airframe hours
3,465
Engine
Continental IO-550B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
David A. Nicely
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · March 1, 2006 · 35 hours before
Departed
KEKS · Ennis, MT
Destination
6S5 · Hamilton, MT
Airport
KEKS · Ennis - Big Sky, runway 16, 4,694 × 75 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
50
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
May 1, 2006
Seat
Left
Flight hours
1,800 total · 700 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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