Aircraft Accident/Incident Report

Fort Lauderdale, Florida 33309
Monday, June 13, 2005 15:50 EDT

NTSB Narrative Summary Released at Completion of Accident

The crew stated the airplane was hire by a private individual and had 220 gallons of fuel onboard, and was carrying 6 pieces of granite, weighing 3,200 lbs. The passenger was responsible for the granite during the flight. During takeoff, about 400 feet above the ground, a discrepancy with the left engine manifold pressure was noted, followed by a slight hesitation and mild backfire. Oil was seen leaking from the front nose section of the engine followed by an engine manifold pressure and rpm decrease. Smoke coming from the left engine was observed and reported by the airport controllers. The left engine's propeller failed to feather and the airplane wouldn't maintain altitude. The airplane impacted trees, vehicles, and the right wing struck a home before coming to a stop on the road. A fire ensued immediately after ground impact, all onboard exited without assistance. The fuselage from the cockpit to the tail section melted from the fire. The right wing was damaged by impact and fire, and the right engine remained intact on the wing. The left wing was separated 12 feet from the outboard and the engine separated from the firewall. Both engine's propellers were in the low pitch position. The flaps were full up and the landing gear were retracted. A weight and balance sheet was never furnished. The pieces of granite and limited cargo recovered from the wreckage weighed 3,140 lb. Examination of the airplane revealed all flight controls surface were present and flight control continuity was accounted for and established. No evidence of any pre-impact mechanical discrepancies with the airframe or its systems was found that wound have prevented normal operation of airplane. On December 09, 2004, the left engine's nose section assembly was found with six out of the ten retaining bolts broken. The section was inspected and all ten bolts were replaced with serviceable ones. The assembly of the dose dome section and installation to the engine was performed by the repair station mechanic. The remaining assembling of the engine was completed by the operator's mechanic/pilot. During the left engine post accident examination, the ten bolts securing the nose dome section flange to the stationary reduction gear were fractured with their respective safety wire still intact. The chamber for the propeller feathering oil system was not secured to the plate sections, producing a by-pass of the oil for the propeller feathering process. Metal flakes and pieces were observed deposited in the oil breather screen, consistent with the master rod bearing in an advance stage of deterioration. The silver plated master rod bearing had a catastrophic failure. Silver like metal flakes and particles were observed throughout the nose section, reduction gear section, main oil screen, and oil filter housing of the engine. An indication of propeller shaft housing movement was evident. Metal flakes with carbon build up were observed in the propeller shaft support and sleeve assembly. A metallurgical examination of the ten bolts securing the nose dome assembly indicated all were fractured though the threaded section of the shanks. The fatigue zones propagated from the opposite sides toward the center of the bolts consistent with reversed bending of the bolt.

NTSB Probable Cause Narrative

The inadequate maintenance inspection by company maintenance personnel/pilot and other maintenance personnel of the left engine resulting in a total failure of the master rod bearing, and nose case partial separation, which prevented the left propeller from feathering. This resulted in the airplane not able to maintain altitude and a subsequent forced landing in a residential area.

Event Information

Type of Event Accident
Event Date 6/13/2005
Event Day of the Week Monday
Time of Event 1550
Event Time Zone Eastern Daylight Time
Event City Fort Lauderdale
Event State FLORIDA
Event Country --
Zipcode of the event site 33309
Event Date Year 2005
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 261147N
Event Location Longitude 0800726W
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 5
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1553 Eastern Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID FXE
Elevation of weather observation facility 13
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 2600
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) 29
Dew Point at event time (in degress fahrenheit) 22
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 10
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29.88
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 3
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 21805
NTSB Notification Source News Media
NTSB Notification Date Jun 13 2005 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jul 25 2007 12:22PM
User who most recently changed record NTSB\lema
Basic weather conditions Visual Meteorological Cond
FAA District Office Fort Lauderdale FSDO 17

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3906J
NTSB Number MIA05FA123
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed VFR
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Douglas
Aircraft Model R4D-8
Aircraft Series Identifier --
Aircraft Serial Number 43344
Certified Max Gross Weight 29325
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 3
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Nov 1 2004 12:00AM
Airframe hours since last inspection --
Airframe Hours 19623
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name John Andrew
Aircraft Owner Street Address P.O. Box 4255
Aircraft Owner City Wichita Falls
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 76308
Operator is an individual? No
Operator Name CB Transit Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 1630 NW 121 Ave
Operator City Pembroke Pine
Operator State FL
Operator Country USA
Operator Zip code 33026
Operator Code XCOA
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) Business
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code FXE
Departure City Fort Lauderdale
Departure State FL
Departure Country USA
Departure Time 1550
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code MYAM
Destination City Marsh Harbour
Destination State --
Destination Country BF
Specific Phase of Flight Takeoff - initial climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jun 27 2007 12:57PM
User who most recently changed record KENJ
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --