ANC18LA064

NTSB accident investigation · Cessna 207 · Iliamna, AK · August 7, 2018

Accident · No injuriesClass 3 · LimitedFinal report
Date
August 7, 2018, 12:15 local (20:15 UTC)
Place
Iliamna, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7379UCessna 207
Defining event
Initial climb: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
Continental Motors, Federal Aviation Administration
FAA report
20180807010599A
Case key
98036

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

A total loss of engine power due to detonation/preignition damage of the No. 2 cylinder and piston for reasons that could not be determined.

Findings · 2

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 · Damaged/degradedCessna 207A: 1 caseAll aircraft: 373 casesProbable cause
AircraftAircraft › Aircraft power plant · FailureCessna 207A: 1 caseAll aircraft: 151 cases

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

The pilot reported that shortly after takeoff, as he began to configure the airplane for cruise flight, the engine began to run rough and lose power, and he elected to immediately return to the airport. The engine subsequently lost total power and the pilot performed a forced landing on tundra-covered terrain, during which the airplane sustained substantial damage. Examination revealed that the No. 2 piston was eroded on the bottom side, and a hole was burned through. The No. 2 piston and cylinder head were mechanically damaged by loose piston ring debris. Closer examination of the No. 2 cylinder head revealed re-solidified molten metal around the bottom Heli-Coil tang notch. All damage discovered was consistent with a pre-ignition/detonation event; however, the cause of the pre-ignition and/or detonation could not be determined based on the available information.

Factual narrative

On August 7, 2018, about 1215 Alaska daylight time, a Cessna 207 airplane, N7379U, was substantially damaged when it was involved in an accident near Iliamna, Alaska. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 135 flight. The pilot reported that, after takeoff, he started a climbing left turn toward his destination. As the airplane reached his intended altitude of 1,000 ft mean sea level, and as he began to configure the airplane for cruise flight, the engine began to run rough and lose power, so he elected to immediately return to the departure airport. He switched fuel tanks and activated the auxiliary fuel pump in an effort to restore full engine power. He noted that the engine roughness improved momentarily, followed by a severe engine vibration and complete loss of engine power. The pilot selected a forced landing area on tundra-covered terrain, during which the airplane sustained substantial damage to the fuselage and wings. The airplane was subsequently recovered and returned to the operator’s base. A Federal Aviation Administration inspector reported that there was no obvious damage to the engine, and an engine run was attempted. Although the engine eventually started, it ran very rough and began to vibrate and the test was discontinued. The engine was sent to the manufacturer’s facility for further examination. The examination revealed that the No. 2 piston was eroded on the bottom side, and a hole was burned through. The No. 2 piston and cylinder head were mechanically damaged by loose piston ring debris. Closer examination of the No. 2 cylinder head revealed re-solidified molten metal around the bottom Heli-Coil tang notch. All damage discovered was consistent with a pre-ignition/detonation event. The cause of the preignition and/or detonation could not be determined. The Pilot's Handbook of Aeronautical Knowledge (FAA-H-8083-25B), states, in part: “Detonation is an uncontrolled, explosive ignition of the fuel/air mixture within the cylinder's combustion chamber. It causes excessive temperatures and pressures which, if not corrected, can quickly lead to a failure of the piston, cylinder, or valves. In less severe cases, detonation causes engine overheating, roughness, or loss of power.” “Preignition occurs when the fuel/air mixture ignites prior to the engine's normal ignition event. Premature burning is usually caused by a residual hot spot in the combustion chamber, often created by a small carbon deposit on a spark plug, a cracked spark plug insulator, or other damage to the cylinder that causes a part to heat sufficiently to ignite the fuel/air charge.”

Aircraft

Registration
N7379U
Reported as
Cessna 207
Category
Airplane
Serial number
20700427
Built
1978
Airframe hours
18,642.1
Engine
Continental IO 520 SERIES, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Iliamna Air Taxi Inc
Registered owner
Iliamna Air Taxi Inc
Airworthiness certificate
Standard, Normal
Destination
9K2 · Kokhanok, AK
Flight plan
Company VFR
Airport
PAIL · Iliamna Airport
Equipment
None

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
60
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
Seat
Left
Restraint
4-point
Flight hours
10,000 total · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 10 knots
Visibility
10 statute miles
Lowest ceiling
6,500 ft broken
Temperature
55 °F
Altimeter
29.75 inHg
Observed at
IlI, 1 nm away

Docket · 5

The files NTSB released with the investigation on March 16, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.7 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.