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October 7, 1990 · Mooney M20C · N1389W

Kissimmee, FL

Overview

Report Status
Probable Cause
Event Type
Accident
Date
October 7, 1990
Injury Outcomes
2 injuries (2 serious injuries)
Location
Kissimmee, FL
Aircraft
Mooney M20C
Tail Number
N1389W
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
MIA91FA008

THE PLT RPRTD THE ENG STARTED & RAN NORMALLY BEFORE TAKEOFF. HOWEVER, DURING FLT, IT BEGAN RUNNING ROUGH. THE PLT REDUCED THE POWER SETTING WHICH INITIALLY ELIMINATED THE ENG ROUGHNESS. HE CHECKED EACH MAGNETO & NOTED NO MALFUNCTION; HOWEVER, WHILE DIVERTING TO A NEARBY ARPT, THE ENG AGAIN BEGAN RUNNING ROUGH & A SEVERE LOSS OF POWER OCCURRED. ACCORDING TO WITNESSES, THE ACFT STRUCK A PALM TREE DURING A LEFT DESCENDING TURN AT LOW ALTITUDE & CRASHED. THE ENG WAS EQUIPPED WITH BENDIX MODEL S4LN-200 SERIES MAGNETOS. DURING A BENCH CHECK BOTH MAGNETOS BEGAN MISFIRING AFTER ABOUT 15 TO 20 MIN OF OPN. DISASSEMBLY OF THE MAGNETOS REVEALED THE NONCONDUCTIVE MATERIAL IN THE COILS WAS CRACKED & WAS BEGINNING TO LIQUEFY; THIS RESULTED IN MISDIRECTION OF THE HIGH VOLTAGE SPARK. THE MAGNETOS HAD APRX 2316 HRS IN SVC. ACCORDING TO AD 73-07-04, THE COILS IN THE MAGNETOS OF THIS ACFT SHOULD HAVE BEEN REPLACED AFTER ACCUMULATING APRX 2000 HRS OF OPN. THE ACFT HAD FLOWN 11 HRS SINCE THE LAST ANNUAL INSPN.

NTSB Probable Cause

MALFUNCTION OF BOTH MAGNETOS DUE TO DETERIORATION OF THE COILS, FAILURE OF MAINTENANCE PERSONNEL TO COMPLY WITH AN AIRWORTHINESS DIRECTIVE, AND FAILURE OF THE PILOT TO MAINTAIN ADEQUATE VISUAL LOOKOUT WHILE ON AN APPROACH FOR AN EMERGENCY LANDING. FACTORS RELATED TO THE ACCIDENT WERE: THE OBSTRUCTION (TREE) IN THE EMERGENCY LANDING AREA, AND DIVERSION OF THE PILOT'S ATTENTION WHILE APPROACHING TO LAND.

Full Narrative

THE PLT RPRTD THE ENG STARTED & RAN NORMALLY BEFORE TAKEOFF. HOWEVER, DURING FLT, IT BEGAN RUNNING ROUGH. THE PLT REDUCED THE POWER SETTING WHICH INITIALLY ELIMINATED THE ENG ROUGHNESS. HE CHECKED EACH MAGNETO & NOTED NO MALFUNCTION; HOWEVER, WHILE DIVERTING TO A NEARBY ARPT, THE ENG AGAIN BEGAN RUNNING ROUGH & A SEVERE LOSS OF POWER OCCURRED. ACCORDING TO WITNESSES, THE ACFT STRUCK A PALM TREE DURING A LEFT DESCENDING TURN AT LOW ALTITUDE & CRASHED. THE ENG WAS EQUIPPED WITH BENDIX MODEL S4LN-200 SERIES MAGNETOS. DURING A BENCH CHECK BOTH MAGNETOS BEGAN MISFIRING AFTER ABOUT 15 TO 20 MIN OF OPN. DISASSEMBLY OF THE MAGNETOS REVEALED THE NONCONDUCTIVE MATERIAL IN THE COILS WAS CRACKED & WAS BEGINNING TO LIQUEFY; THIS RESULTED IN MISDIRECTION OF THE HIGH VOLTAGE SPARK. THE MAGNETOS HAD APRX 2316 HRS IN SVC. ACCORDING TO AD 73-07-04, THE COILS IN THE MAGNETOS OF THIS ACFT SHOULD HAVE BEEN REPLACED AFTER ACCUMULATING APRX 2000 HRS OF OPN. THE ACFT HAD FLOWN 11 HRS SINCE THE LAST ANNUAL INSPN.

Flight

Event TypeAccident
Event Time12:30 EDT
Nearest Airport0nm N
Runway0
Runway Length0
Runway Width0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftMooney M20C
Tail NumberN1389W
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-360-A1D · Reciprocating · 180
Seats4

People & Injuries

Injury Summary2 injuries (2 serious injuries)
Fatal0
Serious2
Minor0
Uninjured0
Total2
Crew 1Age 47 · Third Class

Conditions

ConditionsVMC
LightDaylight
Wind80° @ 14 kt
Visibility15 sm
CeilingNone
Temperature / Dew Point66 F
Altimeter29.89 inHg
Observation Time16:50
Weather SourceWFAC

Appendix: Source Data