Burlington Muni Airport
Aircraft Accident/Incident Report

Burlington, Wisconsin 53105
Thursday, September 30, 2004 16:30 CDT

NTSB Narrative Summary Released at Completion of Accident

The airplane was destroyed when it impacted terrain following a loss of control after takeoff. A witness observed the airplane takeoff and then make a right turn that increased in bank angle until the airplane impacted the ground. Examination of the airplane's control system revealed no pre-impact abnormalities. Examination of the left engine revealed no pre-impact abnormalities. An examination and subsequent test run of the right engine revealed that the engine would not operate continuously with the installed fuel servo. A flow test of the fuel servo showed that the fuel flow was not within the manufacturer's specifications. Disassembly of the fuel servo showed that the fuel regulator nuts were loose and not the same as those originally supplied by the manufacturer. The measured drag torque of the regulator nuts was below the manufacturer's minimum specifications. An overhaul tag indicated that the fuel servo had been previously overhauled. A search of the aircraft records for the previous 5 years showed no record of the fuel servo being overhauled.

NTSB Probable Cause Narrative

The improper maintenance of the fuel servo resulting in a loose adjustment nut and subsequent failure of the fuel injection servo which led to a complete loss of power on the right engine. Other causes were the pilot's failure to obtain or maintain minimum controllable airspeed which resulted in an uncommanded roll and subsequent impact with the ground.

Event Information

Type of Event Accident
Event Date 9/30/2004
Event Day of the Week Thursday
Time of Event 1630
Event Time Zone Central Daylight Time
Event City Burlington
Event State WISCONSIN
Event Country --
Zipcode of the event site 53105
Event Date Year 2004
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport BURLINGTON MUNI
Event Location Nearest Airport ID KBUU
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0.25
Degrees magnetic from airport --
Airport Elevation 779
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1636 Central Daylight Time
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID KBUU
Elevation of weather observation facility 779
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
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) 23
Dew Point at event time (in degress fahrenheit) 2
Wind Direction (degrees magnetic) 170
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.98
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 19624
NTSB Notification Source FAA
NTSB Notification Date Sep 30 2004 12:00AM
NTSB Notification Time 1700
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record May 30 2006 1:54PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Milwaukee, Wisconsin

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1703Y
NTSB Number CHI04FA290
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model B95A
Aircraft Series Identifier --
Aircraft Serial Number TD-498
Certified Max Gross Weight 4200
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 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Nov 1 2003 12:00AM
Airframe hours since last inspection 202.3
Airframe Hours 7934.7
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name GNS LLC
Aircraft Owner Street Address 1151 Turnberry Ct
Aircraft Owner City Lake Geneva
Aircraft Owner State WI
Aircraft Owner Country USA
Aircraft Owner Zipcode 53147
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 Yes
Departure Airport Code BUU
Departure City Burlington
Departure State WI
Departure Country USA
Departure Time 1630
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code WI10
Destination City WILMOT
Destination State WI
Destination Country USA
Specific Phase of Flight Takeoff
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Feb 24 2006 10:19AM
User who most recently changed record SULP
Since inspection or accident Last Inspection
Event Location Runway Number and Location 11
Runway Length 4300
Runway Width 75
Sight Seeing flight No
Air Medical Flight No
Medical Flight --