Premium research interface

The modern interface for aviation safety intelligence.

Search investigations, review source evidence, monitor watched reports, and trace long-term patterns from one calm, data-first workspace.

63k+
Reports indexed
1940-2026
Coverage
Recent
Last data refresh
Featured Report

Loading…

Loading featured report…

Loading…
Open Report

Safety trends by operating rule

Track fatal and non-fatal accident patterns across Part 91, Part 135, and Part 121 operations.

Loading trend charts…

Browse the aviation graph

Move quickly by aircraft, airport, operator, and time with indexes built for research, not wandering.

Last Data Update

By Decade

By Month

Aircraft Manufacturer

More manufacturers

Airports

More airports

Operators

More operators

About

Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

The goal is practical safety education: make it faster to find relevant investigations, compare similar events, review factual records, and understand the evidence behind probable-cause and preliminary reports.

The investigative work and source records belong to the National Transportation Safety Board and the published investigation record. This site is not affiliated with or endorsed by the NTSB.

FAQs

NTSB Report

May 12, 2005 · Beech C35 · N709D

Rancho Santa Fe, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
May 12, 2005
Injury Outcomes
No injuries (1 uninjured)
Location
Rancho Santa Fe, CA
Aircraft
Beech C35
Tail Number
N709D
Injuries
None
Aircraft Damage
Substantial
NTSB Number
LAX05LA166

Following a loss of engine power, the pilot made a forced landing in an open field and collided with two fences. The FAA inspector who responded to the accident site reported that fuel was in the fuel tanks. A visual inspection of the engine revealed no obvious mechanical failures. Investigators made unsuccessful attempts to run the engine; it would start, but would not remain running. The engine driven fuel pump was removed and investigators noted that the mating splines in the drive shaft were severely worn. A review of the engine logbook revealed that a field overhauled engine and an overhauled fuel pump had been installed on the airframe about a year prior to the accident; an annual inspection had been completed at the time of the engine installation. The owner reported a total of 149.38 hours of operation since the annual inspection. An FAA approved repair station had overhauled the fuel pump. The fuel pump was submitted to the Safety Board Materials Laboratory for further examination. A senior metallurgist observed wear and metal flow on the square key portion of the fuel pump shaft. There was no evidence of cracking or wear of the drive gear splined teeth. The metallurgist manually rotated the fuel pump and was able to achieve only intermittent engagement between the square key and corresponding slot. A Rockwell Hardness Test (C-scale; HRC) of the gear was conducted. The hardness specification for the gear was between 50-52 HRC. Initially the gear results for the HRC were below acceptable limits and a Rockwell B (B-scale; HRB) test was performed with an average hardness of 94.5 HRB. Laboratory personnel determined that the gear had a cadmium coat, and conducted another test after removal of the cadmium coat. The HRC tests were performed with an average gear hardness of 40 HRC. The FAA issued a suspected unapproved part notification (UPN No. 2004-00053) regarding the overhaul/repair procedure of the accident fuel pump. Teledyne Continental Motors issued a Service Instruction Letter (SIL) SIL06-2 notifying owners and operators of the FAA's issuance of UPN No. 2004-00053.

NTSB Probable Cause

failure of the engine driven fuel pump due to the improper overhaul procedure of the fuel pump by an overhaul facility, and the use of parts that did not meet hardness specification.

Full Narrative

On May 12, 2005, about 1650 Pacific daylight time, a Beech C35, N709D, experienced a loss of engine power and collided with a fence during a forced landing in an open field near Rancho Paseana, Rancho Santa Fe, California. The private pilot/owner operated the airplane under the provisions of 14 CFR Part 91. The airplane sustained substantial damage. The pilot, the sole occupant, was not injured. Visual meteorological conditions prevailed for the local area flight that departed Montgomery Field Airport (MYF), San Diego, California, about 1630. The flight was destined for Lake Riverside Estates Airport, Anza, California. No flight plan had been filed. In the pilot's written statement he reported that as he initiated the climb to 5,500 feet, he advanced the propeller and throttle controls to obtain 25 inches of manifold pressure and 2,500 rpm. When he checked the fuel flow gauge he noted that it read 10.9 gallons per hour (gph), when he expected to see between 16-17 gph. He checked the propeller and throttle controls believing that he had read the gauges incorrectly; he said they both indicated "25 square." He advanced the throttle and the engine immediately went to an idle condition coincident with the fuel pressure gauge dropping "dramatically." The pilot reduced the throttle to its previous position; however, the engine remained at idle. He then switched fuel tanks (3 times) and pumped the throttle "in [and] out on each tank." The pilot stated that there was only a small reaction. The pilot contacted Southern California Approach Control (SoCal) and began to look for a suitable landing area. He saw an open pasture, and noted that he was too low and the field had obstacles (trees) that he would have had to maneuver around had he been able to set up for the landing. The pilot stated that he "carried extra speed (80 kts) in case he got to low and needed to pop up over the tree line." He lowered the landing gear on the "base" turn and recalled that he airplane barely cleared the treetops. The pilot reported that because of the extra airspeed, the airplane floated in ground effect and he could not get the airplane stopped before it impacted two fences. The airplane came to rest in a nose down configuration; the nose landing gear had collapsed. The National Transportation Safety Board investigator-in-charge (IIC) interviewed the pilot. The pilot reported that after clearing Class B airspace, he initiated a climb, and the engine went to idle. He changed fuel tanks, and "pulled the power in and out." The pilot stated that he made a forced landing in an open area. The airplane went through a fence before coming to rest on its nose. According to a deputy from the San Diego Sheriff's Department, the fuel tanks were not compromised during the accident sequence. According to a Federal Aviation Administration (FAA) inspector who responded to the accident site, when he drained fuel out of the left, right, and center fuel tanks, there was water and debris mixed with the fuel. The pilot also informed the FAA inspector that he had a supplemental type certificate (STC) for auto fuel. The Safety Board IIC, and Teledyne Continental Motors, a party to the investigation, inspected the airframe and engine at Aircraft Recovery Service, Littlerock, California, on June 3, 2005. The visual examination of the engine revealed no preimpact anomalies and investigators determined that a ground run was possible. Investigators were able to start the engine, but it would not maintain power. Investigators used an alternate pressure source installed on the pressure-inlet side of the carburetor. An engine run was completed for approximately 30 seconds, with 1,400 rpm and 15 inches of manifold pressure. The engine driven fuel pump was disconnected and inspected. The engine manufacturer noted that the drive coupling was "worn excessively," and would not engage when manually rotated. He also noted that the retaining clip, disintegrated when removed. The engine driven fuel was retained and shipped to the Safety Board materials laboratory in Washington, D.C., for further examination. AIRCRAFT INFORMATION The airframe logbook revealed that an annual inspection had been completed on May 5, 2004. The engine logbook indicated that San Diego Airmotive, Ramona, California, had installed a field overhauled engine on May 5, 2004. Cruiseair Aviation in Ramona had completed the overhaul. The pilot reported that the airplane had flown 149.38 hours since the annual inspection. A Thompson TF-1900 engine driven fuel pump had been installed on the engine. During the engine field overhaul done by Cruiseair Aviation, the fuel pump had been shipped to Thunderbird Aircraft Parts, Inc., Bethany, Oklahoma, for an overhaul. Thunderbird disassembled and inspected the core fuel pump and exchanged it for an overhauled Thunderbird Aircraft Parts, Inc., fuel pump. The fuel pump was assembled using Thunderbird's TAP repair procedure TAP200. The invoice indicated that the repair procedure cancelled Beech and Continental Motors 300-hour mandatory inspection, overhaul, and test. According to the TAP200 repair procedure titled SPLINE DRIVER, in the NOTES section it indicated that the splined drive couple was heat treated to 50-52 HRC, which is the specification for the part. TEST AND RESEARCH Engine Driven Fuel Pump The senior metallurgist in the Safety Board's Materials Laboratory noted that the drive gear had splines on one end, a square key portion on the end inserted into the pump, and a reduced diameter round segment between the splined and square ends. The visual examination revealed that the square key portion showed evidence of wear and metal flow through most of the axial length. He noted that the spline teeth of the other end of the drive gear were intact and showed no evidence of cracking or wear. He assembled the square key portion of the drive gear and inserted it into a square slot located on the fuel pump. The surfaces of the square slot showed evidence of minor wear when compared to the square key portion of the drive gear. He manually rotated the assembly and noted no engagement between the square key and corresponding slot. He was able to achieve only intermittent engagement. Metallurgical Examination The fuel pump was submitted to an independent laboratory for a Rockwell Hardness Test (HR) of the gear. The laboratory used a specified hardness of 50-52 HRC (C-scale) as the baseline for the testing per the overhaul facilities FAA approved type data for repair specifications. The HRC test results were below the acceptable limits of the C-scale. A Rockwell B test was performed with an average gear hardness of 94.5 HRB (B-scale). The laboratory determined that the gear had a cadmium coat. Another hardness test was conducted after the cadmium coat was removed. Rockwell C tests were performed with an average gear hardness of 40 HRC. ADDITIONAL INFORMATION On February 13, 2006, the FAA released a suspected unapproved parts notification No. 2004-00053 regarding the overhaul/repair procedure utilized by Thunderbird Aircraft Parts, Inc., for the Thompson Fuel Pump TF-1900. At the request of the Safety Board IIC, TCM issued service instruction letter SIL06-2, on May 28, 2006, notifying owners and operators of the FAA's suspected unapproved parts notification regarding the fuel pump.

Flight

Event TypeAccident
Event Time16:50 PDT
Nearest Airport0nm
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech C35
Tail NumberN709D
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsTeledyne Continental · E-225-8 · Reciprocating · 225
Seats4

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 43 · Third Class · None

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point43 C / 41 C
Altimeter29.90 inHg
Observation Time00:53
Weather SourceWFAC

Appendix: Source Data