SEA98LA133

NTSB accident investigation · Beech 23 · Oakville, WA · July 13, 1998

Accident · No injuriesLimited investigationFinal report
Date
July 12, 1998, 17:26 local (Jul 13, 1998, 00:26 UTC)
Place
Oakville, WA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8719MBeech 23
Weather
Visual (VMC) · Day
Status
Completed · report January 11, 2000
Report
Approved by Office Director
FAA report
19980712016549A
Case key
43222

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

Loss of power due to the failure of an exhaust valve, and overloading of the landing gear. Factors include the failure of maintenance personnel to verify proper compliance with an Airworthiness Directive related to the exhaust valve, and soft 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 powerCruise
Engine assembly,valve,exhaust - failureCause
Maintenance,compliance with ad - not verifiedOther maintenance personnelFactor
Information insufficientOther maintenance personnel
Forced landingDescent - emergency
Gear collapsedLanding - roll
Landing gear - overloadCause
Terrain condition - softFactor

Analysis

The engine began vibrating violently and losing power without warning while in cruise flight. Unable to maintain altitude, The pilot-in-command executed a forced landing in a soft, open field. During the roll-out, the nose landing gear separated and the left main landing gear collapsed. Post-crash engine examination revealed that the 7/16' exhaust valve on the number 3 cylinder had failed. Reconstructed log books (engine) noted that previous log books had been lost, and that the engine had been overhauled in 1966, about 978 hours before the accident. The Airworthiness Directives (AD) listing in the reconstructed log books for the engine noted that an AD requiring recurrent inspection and replacement of 7/16' valves and/or valve guides (depending upon which camshaft was installed) did not apply due to the serial number of the engine. The associated service bulletin did, however, list the serial number of the engine as requiring compliance. No record of compliance with this AD note prior to the reconstruction of the log books was found, and no record was found as to which camshaft was installed at the time of the reported overhaul.

Factual narrative

On July 12, 1998, approximately 1726 Pacific daylight time, a Beech 23, N8719M, registered to and being flown by a private pilot, was substantially damaged during an off airport forced landing following an abrupt loss of engine power three nautical miles northwest of Oakville, Washington. The pilot and his two passengers were uninjured. Visual meteorological conditions prevailed and a VFR flight plan had been filed. The flight, which was personal, and destined for Elma, Washington, was to have been operated under 14CFR91, and originated from Aurora, Oregon, approximately 1620

The pilot reported that while about ten miles southeast of Elma, the engine started vibrating violently and losing power without warning. He had no success at restoring power using emergency procedures. He stated that he declared an emergency and, unable to maintain altitude, he executed a forced landing in a soft open field of 12 inch high corn. During the roll-out, the nose landing gear separated and the left main landing gear collapsed.

The engine was inspected at a maintenance facility at Olympia, Washington. During teardown of the engine, it was determined that the exhaust valve on the number 3 cylinder had failed, with the valve head broken off just below the tulip. This valve was of the hollow sodium-filled type. The aircraft's engine logbook (kept with the airplane) contained a note dated September 11, 1995, at a tachometer reading of 1790 hours, and reporting that the previous log books had been lost. An annual inspection was performed that date, and there was a note that the O-320-D2B engine, serial number L-5772-39, was 790 hours past its major overhaul. A later log entry (May 7, 1996) indicated that this time since overhaul had been corrected from 790 hours to 867 hours at a tachometer reading of 1817. This log entry indicated that the engine was overhauled on December 2, 1966, by Flightcraft, Portland, Oregon.

The stem of the failed exhaust valve was dimensionally checked at .433 inches in diameter, or a nominal dimension for 7/16 inch valves (measured at the valve stem). The Airworthiness Directives (AD) listing in the reconstructed log books for the engine noted that AD 63-23-02 "Exhaust valves and guides DNA (does not apply) by SN (serial number)." AD 63-23-02 requires recurrent inspection and replacement of valves and/or valve guides at intervals of a maximum of 500 hours, depending upon the operational environment of the airplane, and depending upon the part number of the camshaft in the engine. That AD refers to Lycoming SB (service bulletin) 293B, which lists, in part, that the applicability of this AD included -D series engines with serial numbers of 5086-39 and up. No record of compliance with this AD note prior to the reconstruction of the log books was found, and no record was found as to which camshaft was installed at the reported overhaul.

Aircraft

Registration
N8719M
Reported as
Beech 23
Category
Airplane
Serial number
M-503
Airframe hours
1,928
Engine
Lycoming O-320-D2B, 160 lbs thrust, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Waggoner, David, F.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 5, 1998 · 8 hours before
Departed
AUO · Aurora, OR
Destination
WA22 · Elma, WA
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
48
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
533 total · 121 in this make and model · 443 as pilot in command · 8 in the last 90 days · 7 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 9 knots
Visibility
10 statute miles
Lowest ceiling
4,200 ft overcast
Temperature
64 °F, dew point 55 °F
Altimeter
30.00 inHg
Observed at
OLM, 17 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 N8719M · 1

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