SEA08LA033

NTSB accident investigation · Beech A36 · El Centro, CA · November 14, 2007

Accident · No injuriesLimited investigationFinal report
Date
November 14, 2007, 15:50 local (23:50 UTC)
Place
El Centro, CA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N435MBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report April 30, 2008
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Inc., Federal Aviation Administration
FAA report
20071114828879A
Case key
67143

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

The NTSB’s determination of the probable cause, and any contributing factors.

The failure of maintenance personnel to properly secure the #2 cylinder through bolts. A contributing factor was the lack of suitable terrain for landing.

Analysis

During the initial climb through 5,500 feet, the engine had a total loss of power. The pilot subsequently landed in an alfalfa field, during which the nose gear collapsed, and both wings sustained substantial damage. A postaccident examination of the engine revealed that the #2 through bolts and deck studs were loose, allowing the #2 bearing half to shift and cover the oil transfer tubes on the bearing support. This sequence resulted in the #2 main bearing failure due to oil starvation, and subsequent separation of the #2 connecting rod, which resulted in the loss of engine power. The airplane's #2 cylinder had been replaced 24 hours prior to the loss of engine power.

Factual narrative

The factual narrative410 words

On November 14, 2007, about 1550 Pacific standard time, a Beech A36, N435M, sustained substantial damage following a forced landing as result of a loss of engine power while climbing to cruise altitude near El Centro, California. The certificated private pilot and his two passengers were not injured. Visual meteorological conditions prevailed for the personal cross-country flight, which was operated in accordance with 14 CFR Part 91, and a flight plan was not filed. The flight departed the Calexico Airport (CXL), Calexico, California, about 1540, and was destined for the Whiteman Airport (WHP), Los Angeles, California.

The pilot reported in a written statement that about 5 minutes after departing CXL and climbing through 5,500 feet mean sea level, the [engine] temperature began to increase, followed by "... the engine making a loud noise and we noticed oil on the windshield. That is when the engine quit." The pilot stated that after determining that he could not make the nearest airport, he elected to land in an alfalfa field. The pilot reported that after touching down and rolling out the airplane's nose landing gear collapsed. The airplane came to rest in an upright position and there was no fire.

A Federal Aviation Administration airworthiness inspector, who traveled to the accident site, reported that both wings had sustained substantial damage. It was also reported by a licensed FAA airframe and powerplant mechanic that the engine's number 2 cylinder had failed.

A post-accident examination of the engine revealed that the break-away torque of the #2 cylinder through bolts and deck studs were found loose. It was also observed that the bolts on the 7th studs were found loose and were not installed with the conical seated nuts. Additionally, the right side #2 main bearing half was damaged and had shifted aft approximately 3/8th of an inch, covering the oil transfer tubes on the bearing support. It was also observed that the #2 connecting rod had separated from the crankshaft and exhibited thermal and impact damage. The #2 connecting rod journal exhibited thermal damage and displaced material.

A review of maintenance records indicated that the airplane underwent its most recent annual inspection on August 3, 2007, at a tach time of 749.5 hours. On October 20, 2007, maintenance records revealed that the airplane's #2 cylinder was replaced due to low compression at a tach time of 808.6 hours. The pilot reported having flown the airplane 24 hours since the #2 cylinder had been changed.

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
Installation - improperOther maintenance personnelCause
Engine assembly,crankcase - undertorqued
Engine assembly,cylinder - undertorqued
Fluid,oil - starvation
Engine assembly,connecting rod - failure
Forced landingDescent - emergency
On ground/water encounter with terrain/waterEmergency descent/landing
Terrain condition - none suitableFactor
Terrain condition - ground

Aircraft

Registration
N435M
Reported as
Beech A36
Category
Airplane
Serial number
E-2726
Airframe hours
5,931.3
Engine
Continental IO-550, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Frank Gonzalez
Airworthiness certificate
Standard, Utility
Last inspection
Annual · October 1, 2007 · 24 hours before
Departed
CXL · Calexico, CA
Destination
WHP · Whiteman Airpor, CA

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
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
June 1, 2007
Seat
Left
Flight hours
439 total · 258 in this make and model · 273 as pilot in command · 80 in the last 90 days · 60 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 37 °F
Altimeter
29.88 inHg
Observed at
IPL, 8 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.