NTSB CAROL · Event
Event WPR23LA283
Registry · N620D
FAA Aircraft Registry record.
Make / Model
BEECH C35
Year of manufacture
1951 · 72 years old at event
Engine
CONT MOTOR E185 SERIES (205 hp)
Seats / Engines
4 seats · 1 engine
Last airworthiness date
19560319
ADS-B equipped
Yes — Mode-S A81688
Registrant of record
RUBIN KENNETH
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
Maintenance personnel’s failure to properly secure the propeller pitch control rod castellated nut hardware, which resulted in an in-flight failure of the pitch control bearing and subsequent loss of engine RPM and thrust.
Factual narrative
On July 20, 2023, about 1255 mountain daylight time, a Beech C35 airplane, N620D, was substantially damaged when it was involved in an accident near Rock Springs, Wyoming. The pilot and passenger sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal cross-country flight. The pilot reported that during the flight he activated an instrument flight plan and climbed to 15,000 ft mean sea level (msl) to get above the clouds. During the climb the pilot and passenger heard a pop sound from the engine. The passenger thought he saw something fly up from the engine that subsequently stuck on the windshield. The passenger described it as five small black specs of a thick viscosity. The pilot checked all of the engine instruments, which were in the green. About 5 minutes later, the airplane could not maintain altitude and was cleared down to 14,000 ft msl. The engine rpm had a slight drop, and all the engine indications were still in the green. At this point the pilot decided to continue to his destination airport. After the airport was in sight, he cancelled the instrument flight plan and entered a straight-in approach for runway 3. About a mile from the airport, he noticed that he was too high for the approach and performed a slipping maneuver for about 3 seconds to decrease altitude. He stopped the maneuver before getting to his desired altitude because of the uncomfortable descent rate. The engine rpm was now 1,250 rpm, and he declared an emergency and announced that he was now landing on runway 27. His altitude had dropped considerably, and he decided to land on a taxiway but then saw an airplane holding short of the runway and opted to turn left for an off-field landing. The airplane impacted powerlines and subsequently impacted the ground. The powerlines were about 300 ft northeast of the main wreckage. The data from an onboard engine monitoring instrument was downloaded and revealed the entire accident flight. The data showed a drop of rpm from 2,500, while the airplane was at about 15,000 ft, and for the remaining flight the rpm remained between about 1,600 and 2,300. During the last 15 minutes of the flight, the rpm dropped then spiked about 3 minutes before the end of the data, along with an immediate rise in manifold pressure. A postaccident examination of the wreckage revealed that the propeller pitch control bearing forward cage and ball bearings had separated and were not found with the wreckage. The bearing inner and outer races were covered in a dark residue. The castellated nuts on the actuator bearing assembly remained attached to the pitch change bolts. One of the nuts was secured to the bolt with a cotter pin and the other nut was attached to the bolt and had mechanical damage. Threads were visible below the damaged nut and a cotter pin could not be identified. The damaged nut was positioned adjacent to the propeller pitch control bearing assembly. The actuator bearing assembly was positioned unevenly on the hub assembly. (See figure 1.) Figure 1. Actuator bearing assembly and the No. 1 pitch control bolt and nut. The brass-colored metallic material was removed from the damaged No. 1 pitch control rod castellated nut. (See figure 1.) The end of the pitch control bolt was visible halfway through the nut. The nut was removed, and the castellated side of the nut was damaged. The cotter pin was not found, and the bolt’s cotter pin hole was clear. The No. 2 pitch control rod castellated nut was secured with a cotter pin. The actuator bearing assembly was removed from the hub and the attachment hole and surrounding area for the No. 1 pitch control rod was covered in a dark oily residue. The No. 2 pitch control rod attachment hole showed clean surfaces. The No. 1 blade was removed from the hub and grease was noted throughout the interior. Both yoke lock nuts remained secured to the pitch control bolts and were safety-wired. The No. 1 pitch change block was undamaged. Both pitch change blocks had stamped numbers “1” and “2” but were found on opposite blade pitch assemblies. The No. 1 blade ball bearings and race halves were cleaned and their surfaces showed light spalling signatures. The No. 2 blade was removed from the hub. The pitch change block (blade bushing) remained attached to the hub end and the pitch change block, bolt, and yoke had impact damage. Grease was noted throughout. The No. 2 blade ball bearings and race halves were cleaned and their surfaces showed light spalling signatures. The propeller electric motor assembly was attached to an electrical source and operated normally. Figure 2. Operation and Service Instructions, 215 Propeller excerpt. Review of the airplane’s maintenance records revealed that the propeller overhaul had been completed on September 15, 2021, about 252 flight hours before the accident. The last inspections on the airplane, engine, and propeller had been completed on December 1, 2022, about 95 flight hours before the accident. No additional records documenting the overhaul were available for review, and the personnel who completed the overhaul could not be reached for interview. The pilot was conducting a personal cross-country flight in the single-engine airplane when the accident occurred. During the flight the pilot and passenger heard a pop sound from the engine. The passenger thought he saw something fly up from the engine and they subsequently saw some residue stuck on the windshield. The passenger described it as five small black specs of a thick viscosity. A few minutes later the airplane could not maintain altitude and the engine rpm had a slight drop even though all of the engine indications were still in the green. The pilot decided to continue to his destination airport. After maneuvering at the destination airport, the maximum engine rpm decreased to 1,250 rpm. The pilot declared an emergency and switched runways; however, due to airport ground traffic, he decided to land off-airport. The airplane contacted powerlines and the ground during the landing. Examination of the wreckage revealed that the propeller pitch control bearing forward cage and ball bearings had separated and were not found with the wreckage. The bearing inner and outer races were covered in a dark residue. The castellated nuts on the actuator bearing assembly remained attached to the pitch change bolts. However, the nut on the No. 1 pitch control rod had backed out of place and sustained mechanical damage. A cotter pin was not found in the nut. The nut on the No. 2 pitch control rod remained in place and a cotter pin was installed in the nut. The damaged nut was positioned adjacent to the propeller pitch control bearing assembly. The actuator bearing assembly was positioned unevenly on the hub assembly. Based on this evidence, the damaged castellated nut was likely not properly installed with a cotter pin. The missing cotter pin allowed the nut to back off to the end of the pitch change bolt, resulting in contact and catastrophic damage to the propeller pitch control bearing. It is likely that the unevenly positioned pitch control rods resulted in a reduction of RPM and thrust. The actuator bearing assembly was removed from the hub; the attachment hole and surrounding area for the No. 1 pitch control rod was covered in a dark oily residue. The No. 2 pitch control rod attachment hole showed clean surfaces. Therefore, the No. 1 pitch control rod was likely loose for some time, resulting in the dark oil residue in the attachment area. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- — Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel
- — Aircraft-Aircraft propeller/rotor-Propeller system-Propeller controlling system-Incorrect service/maintenance
Verbatim from NTSB's published report. Source file
NTSB_2023_WPR23LA283.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (stall, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2023 · Conference paper
The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
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