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WPR13LA184 · Beech A36TC

6 Apr 2013 · Big Bear City, CA, United States

Beech A36TC · Accident: system/component malfunction/failure (non-power) on approach

From McClellan-Palomar Airport (CRQ) to Big Bear City Airport (L35)

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Event

NTSB case
WPR13LA184
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
Unknown
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Beech A36TC

Aircraft type
Beechcraft 36
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N36SG
Operator
Unknown
Onboard fatalities
Unknown
Route
From McClellan-Palomar Airport (CRQ), Carlsbad, CATo Big Bear City Airport (L35), Big Bear City, CA
Aircraft age
About 34 years (built 1979)
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Approach
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
System/component malfunction/failure (non-power)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Aircraft › Aircraft propeller/rotor

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

The pilot reported that, shortly after he began a letdown of the airplane from 9,500 ft mean sea level for landing at the airport, the airplane experienced a "very sudden" onset, high-frequency vibration. The pilot unsuccessfully attempted to diagnose and correct the problem. Although the pilot initially believed that the airplane could reach the airport, it was unable to maintain altitude. When the airplane was about 2 miles from the runway and over a lake, the pilot began a right 180-degree turn to land on an unobstructed portion of the shoreline. During the turn, the right wing struck the lake, and the airplane then came to rest inverted in about 2 ft of water.

Postaccident examination of the airframe and engine did not reveal any preimpact mechanical problems that would have precluded normal operation and continued flight. However, detailed examination of the three-bladed, controllable-pitch propeller revealed that one steel actuating pin, located inside the propeller hub and which controlled the pitch of one blade, had failed in fatigue. The pin's failure caused the pins to be torn from the other two propeller blades, which allowed the blades to rotate freely in the propeller hub and resulted in a loss of propeller thrust and the vibration that was felt by the pilot.

About 7 years before the airplane was manufactured, the propeller manufacturer changed the design of the component hole (the "propeller ferrule") from a through hole to a blind hole that only penetrated one surface of the ferrule. The ferrule accepted the threaded end of the pin, and the corresponding pin thread length was reduced so that the pin would not contact the bottom of the hole when installed. The postaccident examination indicated that the failed pin was likely the longer pin associated with the previous design as evidenced by the contact and deformation of the bottom of the ferrule hole, which resulted in visible ferrule damage. The manufacturer's guidance explicitly addressed and prohibited installation of the longer pins in the blind ferrule hole. Bottoming of the pin in ferrule hole and the hole's subsequent deformation during installation prevented the proper seating of the pin and permitted operational bending loads to be transmitted to the threaded portion of the pin, which was not designed for such bending loads. The bending loads on the threaded portion resulted in crack initiation in the pin thread valley and the eventual fatigue failure of the pin.

Review of the maintenance records indicated that multiple people had owned the airplane and that it had been continuously maintained in an airworthy condition through annual inspections and scheduled and unscheduled maintenance since at least 1998. However, the propeller was last overhauled more than 15 years before the accident, which exceeded the propeller manufacturer's recommended overhaul interval by a factor of three. The investigation could not determine why the owners or maintenance personnel did not comply with the propeller manufacturer's recommended overhaul interval. Further, the maintenance records did not provide sufficient detail to determine why the incorrect part was used or why its incorrect use and resulting damage were not detected during the overhaul. If the propeller had been overhauled in accordance with the propeller manufacturer's guidance, the improper pin installation likely would have been detected and the damaged, nonairworthy propeller would have been replaced with an airworthy unit.

Probable cause

The improper overhaul of the propeller, which resulted in the installation of an incorrect propeller actuating pin and deformation of the ferrule hole and led to the pin’s fatigue failure. Contributing to the accident was the failure of multiple owners and maintenance technicians to comply with the propeller manufacturer's recommended overhaul interval.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record WPR13LA184
Event ID
20130408X15138
Case number
WPR13LA184
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (5)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: f77c3db863dc1d8ebb0e169d1590485b21eece65966fa32198242c6c134eb17a; retrieved 2026-09-15T21:14:38.668Z.
  • Corrected after a review of the NTSB narrative, which states these values explicitly: departure. Transposed identifier; the airport serving Carlsbad, CA is CRQ (McClellan-Palomar).