Aircraft Accident/Incident Report

Whites Creek, Tennessee 37189
Monday, November 24, 2008 10:45 CST

NTSB Narrative Summary Released at Completion of Accident

During flight in instrument meteorological conditions, the left engine experienced a total loss of power due to the separation of the flexible fuel supply hose between the left engine firewall fitting and the engine-driven fuel pump inlet fitting due to an inadequately torqued B-nut. The pilot informed air traffic control of a discrepancy, although he was not specific in the nature of the problem. A momentary change in heading to the left occurred consistent with the pilot’s failure to maintain directional control of the airplane following the loss of left engine power. Radar data indicated that the airplane was allowed to decelerate, followed by a loss of lateral and directional control and a subsequent flat spin to the left. The stall warning horn was recorded during the pilot's comment to the controller that he was in a spin. The airplane descended uncontrolled and crashed into a wooded area behind a home and was destroyed by impact and a postcrash fire. No preimpact mechanical failure or malfunction of the airplane or of either engine was noted. Acoustic analysis of engine rpm signatures reflect a steadily decreasing rpm to 1,760, most likely from the left engine, which is below the normal operating range. The analysis indicated an rpm signature of 2,140, most likely from the right engine, which was in the normal operating range. The pilot neither feathered the left propeller nor secured the left engine following the total loss of power per the Pilot's Operating Handbook and Aircraft Flight Manual, and there were no mechanical discrepancies with the propeller or propeller governor that would have prevented him from doing so. Operational testing of the left engine with an exemplar flexible fuel hose that was finger-tight resulted in the separation of the line from the inlet fitting. The test runs determined that when finger-tight the B-nut loosened and tightened varying amounts with different power applications. Rebuilt engines were installed 9 months earlier and there was no entry indicating that the flexible fuel hoses were replaced at that time. There was no record that the left flexible fuel hose was ever replaced since the airplane was manufactured in 1978. Although the airplane manufacturer recommends that flexible fuel hoses be replaced when conditions warrant, at engine overhaul, or 5 years, whichever occurs first, there is no evidence to suggest that the age of the hose contributed to its separation from the engine-driven fuel pump inlet fitting.

NTSB Probable Cause Narrative

The pilot's failure to feather the left propeller and secure the left engine following the total loss of left engine power, and his subsequent failure to maintain airspeed, lateral, and directional control of the airplane. Contributing to the accident was the failure of maintenance personnel to properly tighten the fuel supply hose at the engine-driven fuel pump.

Event Information

Type of Event Accident
Event Date 11/24/2008
Event Day of the Week Monday
Time of Event 1045
Event Time Zone Central Standard Time
Event City Whites Creek
Event State TENNESSEE
Event Country --
Zipcode of the event site 37189
Event Date Year 2008
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 361723N
Event Location Longitude 0865035W
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 1036 Central Standard Time
Direction of event from weather observation facility (degrees) 141
Weather Observation Facility ID BNA
Elevation of weather observation facility 599
Distance of event from weather observation facility (units?) 13
Time Zone of the weather observation CST
Lighting Conditions Day
Lowest Ceiling Height 4500
Lowest Non-Ceiling Height 1600
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 3
Air Temperature at event time (in degrees celsius) 11
Dew Point at event time (in degress fahrenheit) 9
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 10
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 16
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) 27492
NTSB Notification Source FAA Southern Region ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Sep 24 2010 10:42AM
User who most recently changed record kenj
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N412ES
NTSB Number ERA09FA068
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name BEECH
Aircraft Model 95-B55 (T4
Aircraft Series Identifier --
Aircraft Serial Number TC-2198
Certified Max Gross Weight 5100
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 1
Cabin Crew Seats --
Passenger Seats 4
Total number of seats on the aircraft 5
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Nov 1 2007 12:00AM
Airframe hours since last inspection --
Airframe Hours 2803
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type C91-A
Aircraft Owner Name SECREST GREGORY L
Aircraft Owner Street Address --
Aircraft Owner City HOT SPRINGS
Aircraft Owner State AR
Aircraft Owner Country USA
Aircraft Owner Zipcode 71909-3021
Operator is an individual? No
Operator Name SECREST GREGORY L
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City HOT SPRINGS
Operator State AR
Operator Country USA
Operator Zip code 71909-3021
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 No
Departure Point Same as Event No
Departure Airport Code HOT
Departure City Hot Springs
Departure State AR
Departure Country USA
Departure Time 909
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code BNA
Destination City Nashville
Destination State TN
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 4 2011 1:19PM
User who most recently changed record broda
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --