Casualties unknown

2004-12-29: Beech A36 (N920GL) — Natchitoches, LA

Natchitoches, LA, US

On December 29, 2004, a Beech A36 (registration N920GL) was involved in an aviation accident near Natchitoches, LA. Investigators recorded the probable cause as: The installation of a turbo-normalizing system on an engine originally certificated as a normally aspirated model with high compression pistons, contrary to TCM Service Bulletin M64-18, which reduces the engine's detonation margins. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards

A commercial pilot experienced smoke, engine surge, and oil pressure loss, leading to a forced landing in a field. Examination revealed a turbo-normalizing system installation contrary to service bulletin.

Incident Description

A commercial pilot with 15,000 hours of flight experience was conducting an IFR cross-country flight at 12,000 feet mean sea level (msl) when he detected smoke and noticed the engine began to surge. He requested a lower altitude, and the air traffic controller provided the location of the nearest airport. During the descent, at approximately 9,000 feet msl, the engine lost oil pressure. The pilot shut down the engine using the mixture control. The engine continued to turn over, and the pilot heard several loud explosions and observed fireballs at the propeller hub before the propeller stopped rotating.

Unable to reach the intended airport, the pilot elected to land in a field located about half a mile south of the airport. He maneuvered the airplane under a set of power lines and landed in an open field.

Engine Examination

A detailed examination of the engine was performed at the engine manufacturer's facilities. The crankshaft and counterweights assembly exhibited lubrication distress of varying degrees on all connecting rod journals and bearings. The number six piston head showed evidence of detonation and pre-ignition damage.

Conclusion

The examination concluded that a turbo-normalizing system had been installed on the engine. The engine was originally certificated as a normally aspirated model and contained high compression pistons. According to the examination, the installation of a turbo-normalizing system on such an engine is contrary to the recommendations in TCM Service Bulletin M64-18 and can reduce the engine's detonation margins.

Probable cause

The installation of a turbo-normalizing system on an engine originally certificated as a normally aspirated model with high compression pistons, contrary to TCM Service Bulletin M64-18, which reduces the engine's detonation margins.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20050103X00001. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.