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Accidents · NTSB ERA09FA093 · Final report

Beech 36 accident near Louisville, Kentucky, December 18, 2008

On December 18, 2008 at about 8:55 am local time, a Beech 36, registered N7472N, was substantially damaged in an accident during approach (IFR final approach) near Louisville, Kentucky. It was a personal flight under general aviation rules (Part 91). 1 person was killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

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.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
December 18, 2008 · about 8:55 am local time
Place
Louisville, Kentucky · map
Type
Accident
Injuries
1 person was killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Beech 36 · all 36s on the register
Registration
N7472N · no longer on the register · serial E-32
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

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.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Powerplant sys/comp malf/fail during prior to flight
  2. Loss of engine power (total) during approach (IFR final approach) defining event
  3. Off-field or emergency landing during emergency descent
  4. Collision with terrain or object (not controlled flight into terrain) during landing

The NTSB's findings

  • cause Personnel issues › Task performance › Maintenance › Installation › Maintenance personnel
  • Aircraft › Aircraft power plant › Engine (reciprocating) › Recip engine power section › Malfunction
  • cause Personnel issues › Action/decision › Action › Incorrect action selection › Pilot

Pilot

  • Certificate: commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane single-engine; instrument: airplane
  • Flight time: 2,300 hours in all
  • Medical certificate: Class 1 (without waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 6,274 hours
  • Last inspection: annual inspection, February 2, 2008; 58 hours since
  • Maximum gross weight: 3,600 lb
  • Seats: 6
  • Landing gear: retractable
  • Engine: Cont Motor IO 520 SERIES (piston); 0 hours total

The flight

  • Departed from: MDW Chicago IL at 7:20 am
  • Destination: LOU Louisville KY
  • Flight plan: IFR

Weather at the time

  • Light: night
  • Wind: from 330° at 3 knots
  • Visibility: 6 statute miles
  • Sky: ovct at 800 ft
  • Temperature: 32°F (0°C), dew point 28°F (-2°C)
  • Altimeter: 30.32 inHg
  • Observation at 8:53 am from LOU, 7 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.