Aircraft Accident/Incident Report

Strafford, Missouri 65757
Thursday, June 3, 2004 12:15 CDT

NTSB Narrative Summary Released at Completion of Accident

The airplane collided with a fence and a guy wire during a forced landing following a loss of engine power. The pilot reported he was flying at 8,500 feet mean sea level when the number 2 cylinder departed the engine resulting in a total loss of engine power. He reported that with no airports within gliding distance, he elected to land in a farmer's field where the airplane contacted a fence and a guy wire. The number 2 cylinder and the left magneto were not located after the accident. Half of the crankcase, two fractured cylinder through-bolts, two cylinder through-bolt nuts with pieces of bolts inside, four cylinder hold down nuts with pieces of studs inside, a connecting rod cap with the connecting rod cap bolt, and a connecting rod nut were submitted for a metallurgical examination. The studs and through-bolts were arbitrarily numbered clockwise starting at the upper forward stud. All of the studs and through-bolts that were examined exhibited fatigue cracking with stud 3 exhibiting the largest fatigue region. A lip was observed on the surface of the crankcase which corresponded to the forward edge of the cylinder barrel flange, adjacent to the through-bolts. Linear marks aligned with the axis of the cylinder were observed at the aft side of the cylinder hole corresponding to sliding contact with the cylinder barrel skirt. Sectioning of studs 3 and 4 revealed cracks and/or rolling laps at the thread roots. On stud 4, many of the cracks extended radially then turned. Two studs were removed from cylinder #4 and one of them also displayed sharp thread radii and cracking. This cylinder did not fail. The engine was overhauled on July 6, 2000, at a tach time of 2440.33 hours. The engine had accumulated 194.03 hours since the overhaul.

NTSB Probable Cause Narrative

The improper installation of the cylinder during the engine overhaul which resulted in the fatigue failure of the cylinder studs and through-bolts and the subsequent separation of the cylinder. Factors associated with the accident were the fence and the guy wire which the airplane contacted during the forced landing.

Event Information

Type of Event Accident
Event Date 6/3/2004
Event Day of the Week Thursday
Time of Event 1215
Event Time Zone Central Daylight Time
Event City Strafford
Event State MISSOURI
Event Country --
Zipcode of the event site 65757
Event Date Year 2004
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 371440N
Event Location Longitude 0932313W
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID SGF
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions --
Lowest Ceiling Height --
Lowest Non-Ceiling Height 39800
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 22
Dew Point at event time (in degress fahrenheit) 13
Wind Direction (degrees magnetic) 360
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.22
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 17693
NTSB Notification Source FAA
NTSB Notification Date Jun 3 2004 12:00AM
NTSB Notification Time 1417
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 8 2005 12:51PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Kansas City, MO FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N693V
NTSB Number CHI04LA144
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire --
Aircraft Explosion --
Aircraft Manufacturer's Full Name Beech
Aircraft Model M35
Aircraft Series Identifier --
Aircraft Serial Number D-6444
Certified Max Gross Weight 2950
Aircraft Category Airplane
Aircraft Registration Class --
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 Jul 9 2003 12:00AM
Airframe hours since last inspection 88
Airframe Hours 5778
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Bernard A. Armstrong
Aircraft Owner Street Address --
Aircraft Owner City --
Aircraft Owner State NM
Aircraft Owner Country USA
Aircraft Owner Zipcode --
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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 No
Departure Airport Code TEL
Departure City Tell City
Departure State IN
Departure Country USA
Departure Time 1005
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code TUL
Destination City Tulsa
Destination State OK
Destination Country USA
Specific Phase of Flight Landing - flare/touchdown
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record --
User who most recently changed record --
Since inspection or accident --
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --