ANC13LA029

NTSB accident investigation · Cessna 207 · Bethel, AK · March 6, 2013

Accident · No injuriesLimited investigationFinal report
Date
March 6, 2013, 17:30 local (21:30 UTC)
Place
Bethel, AK
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1704UCessna 207
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report June 11, 2014
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Yute Air, Continental Motors, FAA, FAA FSDO-03
FAA report
20130306003259A
Case key
86380

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The failure of the engine’s No. 1 piston connecting rod retaining bolts due to fatigue fracturing, which resulted in a loss of engine power during cruise flight.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · FailureCessna 207: 1 caseAll aircraft: 373 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

Shortly after departure on the commercial passenger/cargo flight, the airplane's engine lost power. The pilot conducted a forced landing on a snow-covered, sparsely treed, tundra area. Just before touchdown, the left stabilizer struck treetops, and the airplane sustained substantial damage. A preliminary examination of the engine revealed a crack in the crankcase. A subsequent examination of the No. 1 piston assembly revealed fatigue fractures in both connecting rod retaining bolts. Additional internal engine damage was found to be consistent with damage caused by the release of the connecting rod from the crankshaft.

Factual narrative

On March 6, 2013, about 1730 Alaska standard time, a Cessna 207 airplane, N1704U, sustained substantial damage during a forced landing on snow-covered tundra about 16 miles northeast of Bethel, Alaska. The airplane was operated as Flight 595, by Yute Air Alaska, Anchorage, Alaska, as a visual flight rules, scheduled passenger/cargo flight under the provisions of 14 Code of Federal Regulations Part 135. The airline transport pilot and the two passengers were not injured. Visual meteorological conditions prevailed at the time of the accident, and the airplane was operating on a company VFR flight plan. The flight had departed Bethel about 1718, en route to Kalskag, Alaska. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge on March 6, the director of operations for Yute Air Alaska reported that the flight originally departed Bethel destined for Kalskag. The pilot reported that about 15 minutes after departure, the engine made a "very loud and unusual whining" noise, which was followed by a partial loss of engine power. He reported the problem to his dispatcher via the company radio frequency, and began a turn toward a frozen pond for an emergency landing. During the turn, all engine power was lost. He then selected a closer area of snow-covered terrain, with small trees, as a forced landing site. Just prior to touchdown, the left stabilizer struck the tops of the trees, resulting in substantial damage to the horizontal stabilizer. After touchdown, the nose tire and fork broke free of the airplane. The airplane was equipped with a Continental Motors IO-520 series engine. A preliminary examination of the engine by company maintenance personnel revealed a crack in the crankcase. The airplane was recovered to a company facility where the engine was removed and shipped to Alaska Aircraft Engines, Anchorage for further examination. The engine was subsequently crated and shipped to Continental Motors, Inc. Analytical Department, Mobile, Alabama for disassembly and inspection. On May 15, 2013 under the supervision of an FAA District Office MIDO Safety Inspector, the engine was disassembled and examined at Continental Motors. The examination revealed that most of the engine's major internal damage was associated with the number one piston assembly. According to a report prepared by the manufacturer's investigator, the number one piston was fractured at the piston pin bore, releasing the number one rod and piston pin assembly at the small end. The unsupported number one rod and piston pin assembly caused damage to the rear section of the crankcase and camshaft. The number one rod had released from the crankshaft, and exhibited extreme mechanical damage. The number one rod was found in the oil sump. There were no signs of lubrication distress. Portions of the piston skirt were recovered from the oil sump and inspected in the CMI lab. The number one cylinder, piston, rod, and sump contents were retainedin bonded storage. The number one piston assembly, connecting rod, and associated pieces were shipped to the National Transportation Safety Board Materials Laboratory, Washington, DC. An examination of the number one piston assembly at the NTSB laboratory on February 12, 2014, revealed fatigue fractures in both connecting rod retaining bolts. Damage to the piston and wrist pin were consistent with damage following the release of the connecting rod from the crankshaft. A copy of the NTSB laboratory report is in the public docket for this case.

Aircraft

Registration
N1704U
Reported as
Cessna 207
Category
Airplane
Serial number
20700304
Built
1975
Airframe hours
31,641
Engine
Cont Motor IO 520 SERIES, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Flight Alaska Inc., doing business as Yute Air Alaska
Registered owner
Maritime Sales & Leasing Inc
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
100 hour · January 29, 2013
Departed
PABE · Bethel, AK
Destination
PALG · Kalskag, AK
Flight plan
Company VFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 28, 2012
Seat
Left
Restraint
3-point
Flight hours
30,000 total · 20,000 in this make and model · 230 in the last 90 days · 102 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 11 knots
Visibility
10 statute miles
Lowest ceiling
16,000 ft broken
Temperature
30 °F, dew point 25 °F
Altimeter
28.43 inHg
Observed at
PABE, 16 nm away

Docket · 2

The files NTSB released with the investigation on May 16, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N1704U · 1

Matched to the same aircraft by N-number and date.