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Aviation safety reports, made easier to study

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August 1, 2012 · Beech H35 · N4684D

Holly Lake Ranch, TX

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
August 1, 2012
Injury Outcomes
1 injury (1 serious injury)
Location
Holly Lake Ranch, TX
Aircraft
Beech H35
Tail Number
N4684D
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
CEN12LA501

The airplane’s engine lost power during the descent to the destination airport, and the airplane struck trees during the ensuing forced landing attempt. A postaccident examination of the engine revealed that the idler gear pin was not in position and no retaining bolts were found. Additionally, the nuts from the forward left, lower through bolt on the crankcase half and the forward left engine mount bolt were missing. A logbook entry indicated that the engine had been reassembled and re-installed on the airplane about 1 week before the accident due to a previous propeller strike. Based on the available information, it is likely that the improper assembly of the engine, specifically the omission of the idler gear pin retaining bolts, resulted in the idler gear falling out of its position and a subsequent complete loss of engine power.

NTSB Probable Cause

The incomplete maintenance performed by maintenance personnel, which resulted in a total loss of engine power.

Full Narrative

On August 1, 2012, about 1120 central daylight time, a Beech H35 airplane, N4684D, sustained substantial damage when it struck trees following a loss of engine power near Holly Lake Ranch, Texas. The pilot received serious injuries. The aircraft was registered to an individual and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a business flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The flight originated from the Wood County Airport (JDD), Mineola, Texas, about 1100, and was destined for the Gilmer Municipal Airport (JXI), Gilmer, Texas. The pilot reported that he performed a pre-flight run-up with no anomalies noted. He then departed JDD and climbed to 7,500 feet altitude en route to JXI. During the descent to JXI, at 6,500 feet altitude, the engine experienced a total loss of engine power. The pilot reported that he turned the airplane toward the Holly Lake Ranch Airport (16TE), and attempted an engine restart to no avail. The airplane struck trees off the end of runway 27 at 16TE. Examination of the airplane’s engine after recovery from the accident scene revealed that the idler gear pin was missing from the rear of the engine, and both nuts and washers were missing from the idler gear pin attachment studs. The idler gear pin was found in a plastic trash bag that contained smaller parts recovered from the wreckage site. The idler gear had fallen in to the rear crankshaft gear and damaged the rear crankshaft gear teeth. The nut was missing from the forward left side lower through bolt on the crankcase half. The nut was also missing from the forward left side engine mount bolt. Examination of the maintenance records revealed a piece of paper attached to the log book indicating that the engine was disassembled and inspected after a propeller strike. The crankshaft was turned 0.010 inches undersize and the engine was re assembled. The entry was dated July 25, 2012 and was signed by the pilot, who also held a mechanic certificate with airframe and powerplant ratings issued by the Federal Aviation Administration. According to manufacturer drawings, the aft crankshaft gear engaged the idler gear which in turn engaged both magneto drive gears. Without the idler gear in place the magnetos would cease to operate.

Flight

Event TypeAccident
Event Time11:20 CDT
Nearest AirportHolly Lake Ranch Airport (0nm)
Runway27
Runway Length2700 ft
Runway Width30 ft
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech H35
Tail NumberN4684D
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsCont Motor · O-470 SERIES · Reciprocating · 230
Seats4

People & Injuries

Injury Summary1 injury (1 serious injury)
Fatal0
Serious1
Minor0
Uninjured0
Total1
Crew 1Age 63 · Third Class · Serious

Conditions

ConditionsVMC
LightDaylight
Wind210° @ 8 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point68 F
Altimeter29.97 inHg
Observation Time16:15
Weather SourceWFAC

Appendix: Source Data