SEA93LA180

NTSB accident investigation · Beech C23 · Lakeview, OR · August 21, 1993

Accident · No injuriesLimited investigationFinal report
Date
August 21, 1993, 09:25 local (16:25 UTC)
Place
Lakeview, OR
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6547RBeech C23
Weather
Visual (VMC) · Day
Status
Completed · report August 1, 1994
Report
Approved by Office Director
FAA report
19930821029959A
Case key
41751

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 fractured exhaust valve. The rough terrain was a factor.

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/malfCruise
Engine assembly,valve,exhaust - fracturedCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - rough/unevenFactor

Analysis

During a cross country flight, while in cruise flight, the engine suddenly began to run rough. The RPM dropped and the airplane was unable to maintain altitude. The pilot initiated a forced landing to an open field where during the landing roll, the airplane collided with the rough terrain. During the post crash engine inspection, it was found that the number one exhaust valve head broke away at the neck.

Factual narrative

On August 21, 1993, at 0925 hours Pacific daylight time, a Beech C23, N6547R, experienced a partial loss of engine power while in cruise flight. The airplane was unable to maintain altitude and a forced landing was made to an open field, 30 miles west of Lakeview, Oregon. During the landing roll, the airplane collided with the rough terrain. Visual meteorological conditions prevailed at the time and a visual flight rules flight plan was filed. The airplane was substantially damaged and the certificated private pilot and her passenger were not injured. The flight had departed from Klamath Falls, Oregon, on August 21, 1993, at 0840 hours, and was en route to Boise, Idaho.

During a telephone interview, the pilot reported that the flight was cruising at about 4500 feet AGL when the engine rpm dropped 300-400 rpm. Unsuccessful attempts were made to try to regain full power. The airplane was unable to maintain altitude and a forced landing was made to an open field.

During the engine tear down inspection, it was found that the number one exhaust valve head broke away at the neck. There were no remains of the head present. The piston face was severely damaged, along with the bottom spark plug. Compression check of the number one cylinder indicated no compression. The valve stem remained in position in the guide. The broken end of the stem displayed severe heat damage and melting of the metal.

Aircraft

Registration
N6547R
Reported as
Beech C23
Category
Airplane
Serial number
M1588
Airframe hours
2,148
Engine
Lycoming O-360-A4J, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bullion, Dena L.
Registered owner
Mundlin, Ralph L.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 14, 1993 · 14 hours before
Departed
LMT · Klamath Falls, OR
Destination
BOI · Boise, ID
Flight plan
VFR

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
34
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
199 total · 20 in this make and model · 144 as pilot in command · 6 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 3 knots
Visibility
10 statute miles
Lowest ceiling
2,100 ft broken
Temperature
55 °F, dew point 48 °F
Altimeter
30.00 inHg
Observed at
LKV, 28 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.

Other investigations on N6547R · 1

Matched to the same aircraft by N-number and date.