Accident Beechcraft A36 Bonanza N9410Q,
ASN logo
ASN Wikibase Occurrence # 276518
 
This information is added by users of ASN. Neither ASN nor the Flight Safety Foundation are responsible for the completeness or correctness of this information. If you feel this information is incomplete or incorrect, you can submit corrected information.

Date:Saturday 12 March 2022
Time:12:45 LT
Type:Silhouette image of generic BE36 model; specific model in this crash may look slightly different    
Beechcraft A36 Bonanza
Owner/operator:Hook Em LLC
Registration: N9410Q
MSN: E-286
Year of manufacture:1971
Total airframe hrs:8168 hours
Engine model:Continental IO-520-BB
Fatalities:Fatalities: 0 / Occupants: 3
Aircraft damage: Substantial
Category:Accident
Location:Heavener, OK -   United States of America
Phase: En route
Nature:Private
Departure airport:Bentonville Municipal-Louise M Thaden Field, AR (KVBT)
Destination airport:Mena Intermountain Municipal Airport, AR (KMEZ)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The pilot reported that he noticed the engine oil pressure dropped to 14 psi after he began the descent to his destination airport. He turned toward a nearby airport, but shortly thereafter the oil pressure dropped to 0 psi and the engine seized. The pilot executed a forced landing to a field and the airplane sustained substantial damage to its wings when it struck fences and livestock feeding troughs during the landing.
Postaccident examination of the airplane revealed several missing and loose bolts securing the engine valve covers. The No. 4 cylinder valve cover was completely off and its gasket was not located after the accident. The No. 6 cylinder valve cover was very loose and was only held on by 4 of the 8 bolts normally used to secure the cover. The No. 4 cylinder valve arm shaft bolt was missing. Metal shavings were observed throughout the valve assembly area as well as deposited on the cowling and airplane along with the lost engine oil.
Review of maintenance records did not reveal any recorded maintenance to the rocker covers since the most recent engine overhaul 6 years before the accident. Maintenance entries since the overhaul indicated routine maintenance, including annual/100-hour inspections and oil changes, with no leaks detected during post-maintenance engine runs. Attempts to discover when the rocker covers were last accessed for maintenance were unsuccessful.
Based on the available evidence the loss of engine power was due to oil exhaustion that resulted from improper installation of the engine valve covers. Determination of when the improper maintenance was performed could not be determined based on the maintenance entries that were available.

Probable Cause: A total loss of engine power due to oil exhaustion which resulted from improper engine maintenance.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: CEN22LA140
Status: Investigation completed
Duration: 1 year and 4 months
Download report: Final report

Sources:

NTSB CEN22LA140
https://flightaware.com/live/flight/N9410Q

Location

Revision history:

Date/timeContributorUpdates
14-Mar-2022 23:52 Captain Adam Added
28-Jul-2023 17:56 ASN Update Bot Updated

Corrections or additions? ... Edit this accident description

The Aviation Safety Network is an exclusive service provided by:
Quick Links:

CONNECT WITH US: FSF on social media FSF Facebook FSF Twitter FSF Youtube FSF LinkedIn FSF Instagram

©2024 Flight Safety Foundation

1920 Ballenger Av, 4th Fl.
Alexandria, Virginia 22314
www.FlightSafety.org