Mechanical & Engine Failure · NTSB ERA09FA093
BEECH 36 — Louisville, KY
| Date | December 18, 2008 |
| Location | Louisville, KY |
| Aircraft | BEECH 36 |
| Purpose of flight | Personal |
| Conditions | Night · Instrument Meteorological Cond |
| Phase / occurrence | Prior to flight Powerplant sys/comp malf/fail |
| Pilot age | 25 |
| Pilot total time | 2,300 hrs · Experienced |
| Time in type | Unknown |
| Fatalities | 1 |
Probable cause
NTSB findings
- Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel - C
- Aircraft-Aircraft power plant-Engine (reciprocating)-Recip engine power section-Malfunction
- Personnel issues-Action/decision-Action-Incorrect action selection-Pilot - C
What happened
The pilot was cleared for the Area Navigation (RNAV) Global Positioning System (GPS) approach for runway 24 at his destine airport. The weather at the airport was reported as visibility, 6 statute miles; mist, overcast clouds at 800 feet. When the airplane was about 9 miles from the airport, the pilot reported an emergency; advising of an “engine failure”. A witness on the ground observed the airplane flying low over the golfing community. The witness reported the weather was cold, with little wind, cloudy, and misty at the time, and the street lights and a car dealership across the highway were the only illumination for the area that dark morning. The airplane was on an approximate course of 340 degrees and about a height of 30 feet above ground level (agl) when the right wing made contact with a tree at the beginning of the fairway, which was located between a row of residential homes and a row of tall trees. The right wing and the gear separated at the wheel well inboard section, the airplane contacted the ground inverted and came to rest 175 feet down the fairway from the initial contact point. Examination of the engine revealed the crankshaft and counterweight assembly was fractured through at the forward fillet radius of the number 2 main bearing journal. The number 2 main bearing journal exhibited scoring consistent with bearing rotation. The number 2 main bearings’ fragments were located in the oil sump. The number 3 main bearing journal was fractured at the rear fillet area. Examination of the crankcase halves, revealed the presence of silk thread patterns and gasket making material on the sealing surfaces of the main bearing bosses, which is not part of the engine’s manufacturer maintenance instructions that resulted in improper torque valves obtained during the crankcase halves assembly. The number 2 main bearing boss was severely damaged on both the left and right case halves. The damage included rotational mechanical gouging and deformation of the boss area behind the bearing, including mushrooming deformation of the boss. The engine was overhauled 58 hour before the accident. Witnesses reported the pilot mentioned having oil pressure problems with the overhaul engine prior to the accident.