Aircraft Accident/Incident Report

Natchitoches, Louisiana 71457
Wednesday, December 29, 2004 17:35 CST

NTSB Narrative Summary Released at Completion of Accident

The 15,000-hour commercial pilot reported that while he was in cruise flight at 12,000 feet mean sea level (msl) during an IFR cross country flight, he began to smell smoke and noticed the engine began to surge. After requesting a lower altitude, the air traffic controller advised him of the nearest airport. During the descent, at an altitude of approximately 9,000 feet msl, "the engine lost oil pressure" and the pilot shut the engine down using the mixture control. The "engine continued to turn over" as he heard "several loud explosions and observed fireballs at the propeller hub" before the propeller stopped turning. After realizing he was unable to make it to the airport, the pilot elected to land in a field approximately 1/2 mile south of his intended airport. After maneuvering the airplane under a set of power lines, the pilot landed in an open field. A detailed examination of the engine was completed at the facilities of the engine manufacturer. The examination revealed that the crankshaft and counterweights assembly exhibited lubrication distress of a varying degree to all connecting rod journals and bearings. The number six piston head exhibited detonation and pre-ignition damage. The examination concluded that a turbo-normalizing system had been installed and the installation of a turbo-normalizing system on an engine originally certificated as a normally aspirated model containing high compression pistons is contrary to the recommendations in TCM Service Bulletin M64-18 and can reduce the engine's detonation margins.

NTSB Probable Cause Narrative

The loss of engine power due to pre-ignition and detonation. Contributing factors were the lack of suitable terrain available for the forced landing and the unapproved installation of a turbocharger.

Event Information

Type of Event Incident
Event Date 12/29/2004
Event Day of the Week Wednesday
Time of Event 1735
Event Time Zone Central Standard Time
Event City Natchitoches
Event State LOUISIANA
Event Country --
Zipcode of the event site 71457
Event Date Year 2004
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 314408N
Event Location Longitude 0930556W
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 Full
Investigator's weather source Pilot
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 5000
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) 19
Dew Point at event time (in degress fahrenheit) 9
Wind Direction (degrees magnetic) 150
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.27
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 4
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 19883
NTSB Notification Source FAA Operations Center
NTSB Notification Date Dec 29 2004 12:00AM
NTSB Notification Time 1800
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 28 2006 1:30PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Baton Rouge, Louisiana

Aircraft Involved

Aircraft #1

Aircraft Registration Number N920GL
NTSB Number DFW05IA048
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model A36
Aircraft Series Identifier --
Aircraft Serial Number E-2776
Certified Max Gross Weight 3750
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 6
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Michael F. Grossman
Aircraft Owner Street Address 5557 GOEHMANN LN
Aircraft Owner City FREDERICKSBURG
Aircraft Owner State TX
Aircraft Owner Country USA
Aircraft Owner Zipcode 78624
Operator is an individual? Yes
Operator Name Ronald Eugene Wilson
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 10072 SUNRISE WAY
Operator City Canyon Falls
Operator State MN
Operator Country USA
Operator Zip code 55009
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 66Y
Departure City Diamondhead
Departure State MS
Departure Country USA
Departure Time 1545
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code F17
Destination City Center
Destination State TX
Destination Country USA
Specific Phase of Flight Emergency landing
Report sent to ICAO? --
Evacuation occurred Yes
Date of most recent change to record Apr 10 2006 10:43AM
User who most recently changed record CASH
Since inspection or accident --
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --