Aircraft Accident/Incident Report

Louisville, Kentucky 40207
Thursday, December 18, 2008 3:55 EST

NTSB Narrative Summary Released at Completion of Accident

The pilot was cleared for the Area Navigation (RNAV) Global Positioning System (GPS) approach for runway 24 at his destine airport. The weather at the airport was reported as visibility, 6 statute miles; mist, overcast clouds at 800 feet. When the airplane was about 9 miles from the airport, the pilot reported an emergency; advising of an “engine failure”. A witness on the ground observed the airplane flying low over the golfing community. The witness reported the weather was cold, with little wind, cloudy, and misty at the time, and the street lights and a car dealership across the highway were the only illumination for the area that dark morning. The airplane was on an approximate course of 340 degrees and about a height of 30 feet above ground level (agl) when the right wing made contact with a tree at the beginning of the fairway, which was located between a row of residential homes and a row of tall trees. The right wing and the gear separated at the wheel well inboard section, the airplane contacted the ground inverted and came to rest 175 feet down the fairway from the initial contact point. Examination of the engine revealed the crankshaft and counterweight assembly was fractured through at the forward fillet radius of the number 2 main bearing journal. The number 2 main bearing journal exhibited scoring consistent with bearing rotation. The number 2 main bearings’ fragments were located in the oil sump. The number 3 main bearing journal was fractured at the rear fillet area. Examination of the crankcase halves, revealed the presence of silk thread patterns and gasket making material on the sealing surfaces of the main bearing bosses, which is not part of the engine’s manufacturer maintenance instructions that resulted in improper torque valves obtained during the crankcase halves assembly. The number 2 main bearing boss was severely damaged on both the left and right case halves. The damage included rotational mechanical gouging and deformation of the boss area behind the bearing, including mushrooming deformation of the boss. The engine was overhauled 58 hour before the accident. Witnesses reported the pilot mentioned having oil pressure problems with the overhaul engine prior to the accident.

NTSB Probable Cause Narrative

The pilot’s continued operation of the aircraft with known deficiencies. Contributing to this accident was the improper sealing of the engine case during overhaul.

Event Information

Type of Event Accident
Event Date 12/18/2008
Event Day of the Week Thursday
Time of Event 355
Event Time Zone Eastern Standard Time
Event City Louisville
Event State KENTUCKY
Event Country --
Zipcode of the event site 40207
Event Date Year 2008
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 381719N
Event Location Longitude 0853340W
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 353 Eastern Standard Time
Direction of event from weather observation facility (degrees) 234
Weather Observation Facility ID LOU
Elevation of weather observation facility 546
Distance of event from weather observation facility (units?) 7
Time Zone of the weather observation EST
Lighting Conditions Night
Lowest Ceiling Height --
Lowest Non-Ceiling Height 800
Sky/Lowest/Cloud Conditions Thin Overcast
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 6
Air Temperature at event time (in degrees celsius) 0
Dew Point at event time (in degress fahrenheit) -2
Wind Direction (degrees magnetic) 330
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.33
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 27289
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 14 2010 11:54AM
User who most recently changed record johb
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N7472N
NTSB Number ERA09FA093
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model 36
Aircraft Series Identifier --
Aircraft Serial Number E-32
Certified Max Gross Weight 3600
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 1
Cabin Crew Seats --
Passenger Seats 5
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 Feb 2 2008 12:00AM
Airframe hours since last inspection 58
Airframe Hours 6274
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type C91
Aircraft Owner Name TFB Aviation LLC
Aircraft Owner Street Address 105 EVERETT CIR
Aircraft Owner City MINGO
Aircraft Owner State IA
Aircraft Owner Country USA
Aircraft Owner Zipcode 50168-8671
Operator is an individual? Yes
Operator Name Evan Freeman
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Louisville
Operator State KY
Operator Country USA
Operator Zip code 40223
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code MDW
Departure City Chicago
Departure State IL
Departure Country USA
Departure Time 220
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code LOU
Destination City Louisville
Destination State KY
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 12 2010 9:27AM
User who most recently changed record kenj
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --