ANC94LA088

NTSB accident investigation · Cessna 206 · Anchorage, AK · July 18, 1994

Accident · No injuriesLimited investigationFinal report
Date
July 18, 1994, 12:45 local (20:45 UTC)
Place
Anchorage, AK
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4685FCessna 206
Weather
Visual (VMC) · Day
Status
Completed · report January 26, 1995
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19940718018719A
Case key
2526

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

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Probable cause

The failure of the throttle control lever arm as a result of the improper 100 hour inspection by company maintenance personnel.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(partial) - nonmechanicalCruise - normal
Throttle/power lever,push/pull rod - wornCause
Maintenance,100-hour inspection - improperCompany maintenance personnelCause
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - emergency

Analysis

The throttle control lever arm used to attach the ball bearing type throttle rod end to the carburetor wore completely through. The side walls of the lever that were adjacent to the bolt hole were scored and replicated the dimensions of the washers that were used on the bolt and nut side of the lever. The bolt and washers that were used to connect the cable end to the lever were not approved for the application. The plane was inspected 35 hours prior to the accident.

Factual narrative

On July 18, 1994, at 1245 Alaska daylight time, a float equipped Cessna P206A airplane, N4685F, owned and operated by the pilot-in-command, dba Mountain Air of Alaska, collided with terrain approximately 28 miles southeast of Anchorage, Alaska following a loss of engine power while in cruise flight. The commercial certificated pilot and his two passengers, the sole occupants, were not injured, and the airplane sustained substantial damage. The flight, which was being conducted under the on demand rules of 14 CFR Part 135 for the purpose of flight seeing the local area, last departed the Lake Hood float plane base in Anchorage at about 1215. The pilot reported that visual meteorological conditions prevailed in the area of the crash site and that a VFR flight plan was in effect with the Anchorage Flight Service Station (FSS).

A post accident inspection of the plane's powerplant assembly by an FAA Airworthiness Inspector revealed that the throttle control lever, Teledyne Continental PN: 632555-23, arm, used to attach the ball bearing type throttle rod end to the carburetor had worn completely through. This allowed the throttle cable attachment bolt to separate from the control lever. The lever is made of brass. The lever and cable attachment components were removed from the airplane and forwarded to the NTSB. An examination of the lever disclosed that the bolt hole was rectangularly elongated to the point that the wear pattern had traveled completely through the lever. The side walls of the lever that were adjacent to the bolt hole were scored. The scoring replicated the dimensions of the washers that were used on both sides of the lever. The parts used to attach the cable rod end to the lever consisted of a predrilled one inch long non AN stove bolt with a 3/4th inch grip, four washers having three different dimensions, and a castellated nut with cotter pin. The correct components are a predrilled 3/4th inch long by 3/16th inch diameter steel AN3-6 bolt with a 1/2 inch grip, three washers - two having similar dimensions, and a castellated nut with cotter pin. The aircraft was last inspected during a 100 hour inspection on July 7, 1994, 35.8 hours prior to the accident. During that inspection, the mixture control lever, also made of brass, was removed and replaced because it was found to have excessive wear at the cable attachment bolt hole. The circumstances surrounding the failure of the throttle control lever were entered into the FAA's (SDR) service difficulty reporting system.

In April 1979, Cessna issued Customer Care Service Information Letters SE79-6 and SE79-6A. The letters advised Cessna aircraft owners that the throttle, mixture, and propeller control cable ends should be secured to the engine with a predrilled AN bolt, castellated nut, and a cotter pin. Cessna recommended that, "this improved type attachment should be incorporated on all earlier aircraft at the next 100 hour or annual inspection". The fitting tolerance of the bolt/nut/washer assembly was not specified.

Effective January 7, 1987, the FAA issued Airworthiness Directive (AD) 86-2407. The AD made mandatory the recommendations found in Cessna Single-Engine Customer Care Service Information Letter SE79-6.

Aircraft

Registration
N4685F
Reported as
Cessna 206
Category
Airplane
Serial number
P206A-0285
Airframe hours
2,291
Engine
Continental IO-520A, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
Deleo, Dennis M.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 7, 1994 · 35 hours before
Flight plan
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
51
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,780 total · 458 in this make and model · 1,681 as pilot in command · 133 in the last 90 days · 69 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 7 knots, gusting 10
Visibility
35 statute miles
Lowest ceiling
5,000 ft broken
Temperature
55 °F
Observed at
ENA

FAA reports on this event · 1

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