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NTSB investigation record

ERA15LA286

Completed

Beech A36· N6677D

Date
July 25, 2015
Location
Poughkeepsie, NY
Conditions
VMC
Record
Published September 25, 2020

Primary finding

Probable cause

A leaking fuel discharge fitting, which resulted in a partial loss of engine power and an off-airport, gear-up landing.

Investigator assessment

Analysis narrative

The pilot landed the airplane at an intermediate airport to refuel before resuming his cross-country flight. After refueling and sumping the tanks, he taxied, performed an engine run-up, checked the magnetos, and cycled the propeller. During takeoff, the pilot noticed a vibration and unusual noise as the airplane rotated. He applied the brakes, as he thought the wheels were rotating and causing the vibration, and retracted the landing gear, but the vibration continued. The engine then lost partial power. He checked that the propeller, throttle, and mixture controls were full forward, but the airplane would not climb. He indicated that, due to the low airspeed, he could not return to the airport, so he pulled back on the control wheel to clear power lines, "forced the nose down" to prevent a stall, and landed gear-up, during which the airplane sustained substantial damage. Examination of the wreckage revealed no evidence of preimpact failures or malfunctions of the airplane or engine. Fuel was observed in both the left and right wing tanks. A postaccident engine test run was performed in a test cell. The engine started normally; accelerated normally without any hesitation, stumbling, or interruption in power; and produced rated horsepower. Testing of the auxiliary fuel pump, which was designed so that fuel would flow through it regardless of whether it was on or off, revealed that although it was operating within specifications, the discharge fitting was leaking, which allowed air into the fuel system. Disassembly of the discharge fitting revealed that it had likely been installed to the proper torque but that there were deep scratches on the O-ring boss on the pump side of the fitting and a piece of metal embedded in the O-ring, which indicates that it had been damaged before or during installation. After the fittings were replaced, no leaks were found.

Source record

Factual narrative

The recorded weather at POU, at 1047, about 7 minutes after the accident, included: calm winds, 10 miles visibility, clear skies, temperature 25° C, dew point 13° C, and an altimeter setting of 30.01 inches of mercury. According to Federal Aviation Administration (FAA) and pilot records, the pilot held a private pilot certificate with ratings for airplane single-engine land, airplane single engine sea, and instrument airplane. His most recent application for a FAA third-class medical certificate was dated August 5, 2014. The pilot reported that he had accrued approximately 8,954 total hours of flight experience, of which 6,311 hours were in the accident airplane make and model. Examination of the accident site revealed that the airplane had initially touched down on its belly in a grassy area, then traveled over the top of a large rock and came to rest. Examination of the airplane revealed that it had touched down with the landing gear in the up (stowed) position. All major parts of the airplane were on site, and the airplane had been substantially damaged when it struck and traveled over the rock. The outboard sections of all three blades of the propeller had been bent backwards, the right side nose wheel door had separated at the hinge line, the aft portion of the lower cowling had been buckled and crushed, the upper cowling had partially opened on impact. The nose landing gear wheel well had been crushed upward, and both right side engine mounts were fractured. The throttle body had one of the mount lugs fractured and two of the fuel fittings were fractured. The lower portion of the firewall was buckled, and the fuselage had buckled just aft of the firewall. The wing flaps were in the 15°position, and the inboard portion of the left wing flap was bent. Fuel was observable in both the left, and right, wing tanks. The accident airplane was a low wing, retractable single engine airplane, of conventional metal construction, equipped with retractable tricycle type landing gear. It was powered by an air cooled, 6-cylinder, horizontally opposed, 285 horsepower Continental IO-520-BB engine driving a McCauley 3-bladed, variable pitch, constant speed propeller. According to FAA and maintenance records, the airplane was manufactured in 1979. The airplane's most recent annual inspection was completed on December 17, 2014. At the time of the inspection, the airplane had accrued 6,796.6 total hours of operation. On July 25, 2015, about 1040 eastern daylight time, a Beech A36; N6677D, was substantially damaged during an emergency landing, after a partial loss of power during takeoff at Duchess County Airport (POU), Poughkeepsie, New York. The private pilot received minor injuries, and the passenger was uninjured. Visual meteorological conditions prevailed, and an IFR flight plan was filed for the flight, conducted under the provisions of Title 14 Code of Federal Regulations Part 91, destined for Burlington National Airport (BTV), Burlington, Vermont. According to the pilot, after arriving at POU from Lehigh Valley International Airport (ABE), Allentown, Pennsylvania, he purchased 15 gallons of fuel and then sumped the tanks in preparation for the next leg of the flight to BTV. After starting the engine he taxied out, did his engine runup, checked the magnetos, and cycled the propeller. Then during the takeoff from runway 24, he noticed a vibration and unusual noise as he rotated. He believed that it may have been from the wheels and applied the brakes to stop the wheels from rotating and retracted the landing gear but, the vibration continued. He was however unable to continue climbing, as the engine suddenly incurred a partial loss of power. He checked that the propeller, throttle, and mixture, was full forward but the airplane still would not climb. With the airspeed being low, he knew that he could not make it back to the airport without stalling the airplane. There were "trees everywhere" and a set of power lines directly ahead of him. He then pulled back on the control wheel, was able to clear the power lines, and then "forced the nose down" to prevent the airplane from stalling, and landed gear up about 300 feet from the power lines. POU was owned by Dutchess County and was a public use, tower-controlled airport. It was located four miles south of Poughkeepsie, New York. The airport elevation was 165 feet above mean sea level. There were two runways oriented in an 6/24 and 15/33 configuration. Runway 24, had a left-hand traffic pattern, was asphalt, grooved, and in excellent condition. The total length was 5,001 feet-long and 100 feet-wide. It was marked with precision markings in good condition and equipped with high intensity runway edge lights. Obstructions were present off the departure end of the runway in the form of 18 ft trees, located 380 ft from the runway, 300 ft right of centerline which took a 10:1 slope to clear. Review of Maintenance Records Review of maintenance records and the Pilot/Operator Accident/Incident Report submitted by the pilot, indicated that the factory rebuilt engine was installed on the airplane on February 23, 2012, at a recorded tachometer time of 6,103.9 hours. On June 14, 2013, at 279.1 hours after engine installation, maintenance personnel replaced the airplane's auxiliary fuel pump (fuel boost pump). On February 6, 2014, (tachometer and engine time not specified), maintenance personnel located in Fort Pierce, Florida, "bled fuel line, checked fuel strainer, cleaned injectors due to rough running engine." The engine was test run and returned to service. On February 7, 2014, at an unspecified tachometer and engine time, maintenance personnel located in Stuart, Florida, "removed all spark plugs, cleaned, gapped, and rotated upon reinstallation, removed all fuel injectors cleaned inspected and reinstalled, [and performed] aircraft operational and functional check" with no discrepancies noted. On December 17, 2014, at a recorded tachometer time of 6,796.6 hours, the engine underwent an annual inspection. On December 18, 2014 (same tachometer reading as annual inspection), the spark plugs were removed, cleaned, and reinstalled, and the ignition leads, and magnetos were checked with no anomalies noted. On May 11, 2015, at a tachometer time of 6,881 hours, the engine underwent an oil and oil filter change. According to the pilot, the engine had accumulated 790 hours at the time of the accident. Engine Test Run On November 2, 2015, in order to help determine why in the maintenance records the engine had been reported to have been running rough and why the loss of engine power had occurred, an engine test run was performed. Prior to the test run several airframe related items were removed in preparation for operation in the test cell. The removed items included: - Both fractured Engine mounts (right front and right rear) - Fuel fittings (the throttle body outlet and mixture return) - Cooling Baffles - Propeller Governor The following substitute or repaired parts were then installed for engine operation: - Engine Mount legs - Fuel fittings The magneto-to-engine timing which was specified to be 22° before top dead center (BTDC) was then checked, with the following results: - Left Magneto (21°BTDC) - Right Magneto (20°BTDC) The engine was not disassembled prior to the engine run. The crankshaft end-play was measured 0.010" and the run-out was 0.001". The engine was prepared for operation by installing the appropriate thermocouples, pressure lines and test pads for monitoring purposes. The engine was then moved to a test cell, mounted for operation, and then fitted with a club type propeller for testing. The engine experienced a normal start on the first attempt without hesitation or stumbling in observed RPM. The engine RPM was advanced in steps for warm-up in preparation for full power operation. The engine throttle was advanc

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