ASN Wikibase Occurrence # 364707
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Date: | Tuesday 13 August 1991 |
Time: | 18:15 LT |
Type: | Beechcraft J35 |
Owner/operator: | Dtb Aviation |
Registration: | N3028C |
MSN: | D-5693 |
Year of manufacture: | 1958 |
Total airframe hrs: | 3685 hours |
Engine model: | CONTINENTAL IO-470-C |
Fatalities: | Fatalities: 0 / Occupants: 1 |
Aircraft damage: | Substantial |
Category: | Accident |
Location: | San Jose, CA -
United States of America
|
Phase: | En route |
Nature: | Private |
Departure airport: | |
Destination airport: | Hollister, CA (307) |
Investigating agency: | NTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:THE ENGINE WAS OVERHAULED AND MODIFIED ABOUT SIX OPERATING HOURS PRIOR TO THE ACCIDENT WITH A NEW TYPE OF CAM SHAFT UNDER THE PROVISIONS OF A SUPPLEMENTAL TYPE CERTIFICATE. THE PILOT SAID HE WAS IN LEVEL CRUISE WHEN HE HEARD A LOUD BANG EMANATE FROM THE ENGINE CONCURRENTLY WITH IT STOPPING. AN INITIAL INSPECTION OF THE AIRCRAFT ON SITE BY FAA INSPECTORS REVEALED THAT OIL COVERED THE WIND SHIELD. THE NUMBER TWO CYLINDER ROD WAS OBSERVED TO BE PROTRUDING FROM A HOLE IN THE TOP OF THE ENGINE CASE. ONE COUNTER WEIGHT ASSEMBLY WAS FOUND MISSING FROM THE CRANKSHAFT COUNTERWEIGHT BLADE. THE MISSING COUNTERWEIGHT, COVER PLATES, RETAINING CIR-CLIPS, AND ASSOCIATED BUSHINGS WERE FOUND IN THE OIL PAN. OPTICAL EXAMINATION OF THE RECOVERED PIECES REVEALED THAT THE RETAINING CIR-CLIP FAILED, ALLOWING THE COUNTER WEIGHT PIN AND THE WEIGHT ITSELF TO SEPARATE FROM THE CRANKSHAFT. THE INSPECTOR DETERMINED THAT THE CIR-CLIP HAD BEEN INSTALLED BACKWARDS.
Probable Cause: THE FAILURE OF THE CRANKSHAFT COUNTERWEIGHT RETAINING CLIP DUE TO IMPROPER MAINTENANCE INSTALLATION OF THE PART.
Accident investigation:
|
| |
Investigating agency: | NTSB |
Report number: | LAX91LA358 |
Status: | Investigation completed |
Duration: | 1 year and 7 months |
Download report: | Final report |
|
Sources:
NTSB LAX91LA358
Location
Revision history:
Date/time | Contributor | Updates |
19-Mar-2024 17:57 |
ASN Update Bot |
Added |
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