Aircraft Accident/Incident Report

Knoxville, Tennessee 37701
Sunday, January 12, 1992 14:02 EST

NTSB Narrative Summary Released at Completion of Accident

SHORTLY AFTER TAKEOFF, THE PILOT REPORTED A SEVERE VIBRATION IN THE AIRPLANE, FOLLOWED BY A COMPLETE LOSS OF ENGINE POWER. AN EMERGENCY LANDING WAS ATTEMPTED TO RUNWAY 24R AT MCGHEE TYSON AIRPORT, BUT THE AIRPLANE CRASHED A MILE SHORT OF THE RUNWAY. EXAMINATION OF THE ENGINE ASSEMBLY REVEALED THAT NUMBER 1 & 2 CYLINDERS HAD SEPARATED FROM THE ENGINE CASE. THE EXAMINATION ALSO DISCLOSED THAT THE CYLINDER HOLD DOWN STUDS WERE DAMAGED AND THE THREADS WERE BATTERED. THERE WAS AN ACCUMULATION OF METALLIC DUST ASSOCIATED WITH FRETTING ADJACENT TO THE CYLINDER FLANGE AND ENGINE CASE. SEVERAL HOLD DOWN NUTS WERE NOT RECOVERED FOR EXAMINATION. THE ENGINE MAINTENANCE LOG SHOWED THAT THE NUMBER 1 CYLINDER WAS REMOVED AND INSTALLED IN ACCORDANCE WITH CURRENT SERVICE INSTRUCTIONS 314 HOURS PRIOR TO THIS ACCIDENT. SUBSEQUENT TO THIS ACCIDENT CONTINENTAL MOTORS ISSUED A SERVICE BULLETIN INCREASING THE HOLD DOWN TORQUE NUT VALUES FROM 710 INCH POUND TO 810 INCH POUNDS, AND CHANGED EXISTING SIX POINT HOLD DOWN NUTS TO TWELVE POINT NUTS.

NTSB Probable Cause Narrative

THE MANUFACTURER'S FAILURE TO PROVIDE ADEQUATE TORQUE INFORMATION WHICH RESULTED IN THE LOSS OF TORQUE ON THE CYLINDER HOLD DOWN NUTS AND THE COMPLETE LOSS OF ENGINE POWER.

Event Information

Type of Event Accident
Event Date 1/12/1992
Event Day of the Week Sunday
Time of Event 1402
Event Time Zone Eastern Standard Time
Event City KNOXVILLE
Event State TENNESSEE
Event Country --
Zipcode of the event site 37701
Event Date Year 1992
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1410 Eastern Standard Time
Direction of event from weather observation facility (degrees) 360
Weather Observation Facility ID TYS
Elevation of weather observation facility 970
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 6500
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 4
Dew Point at event time (in degress fahrenheit) 0
Wind Direction (degrees magnetic) 250
Variable Wind Indicator Unknown
Wind Speed (knots) 6
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 950
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 215
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 46233
Date of most recent change to record Dec 11 2000 2:41PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N185Y
NTSB Number ATL92LA038
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model J-35
Aircraft Series Identifier J-35
Aircraft Serial Number D5333
Certified Max Gross Weight 3100
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Mar 9 1991 12:00AM
Airframe hours since last inspection 98
Airframe Hours 4510
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name WEBSTER, GORDON
Aircraft Owner Street Address 2741 GEORGIAN TERRACE
Aircraft Owner City MARIETTA
Aircraft Owner State GA
Aircraft Owner Country
Aircraft Owner Zipcode 30068
Operator is an individual? --
Operator Name WEBSTER, GORDON
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 2741 GEORGIAN TERRACE
Operator City MARIETTA
Operator State GA
Operator Country
Operator Zip code 30068
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 1400
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code RYY
Destination City MARIETTA
Destination State GA
Destination Country
Specific Phase of Flight Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --