ANC97LA112

NTSB accident investigation · Cessna 206 · Palmer, AK · July 26, 1997

Accident · Serious injuriesLimited investigationFinal report
Date
July 25, 1997, 17:15 local (Jul 26, 1997, 01:15 UTC)
Place
Palmer, AK
Injuries
1 serious, 2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9412ZCessna 206
Weather
Visual (VMC) · Day
Status
Completed · report May 4, 1998
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19970726019819A
Case key
3035

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

A fatigue failure of the engine crankshaft, and an inadequate engine cylinder replacement by maintenance personnel. A factor in the accident was unsuitable terrain for a forced landing.

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(total) - mech failure/malfCruise
Engine assembly,crankshaft - fatigueCause
Maintenance,replacement - inadequateOther maintenance personnelCause
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - none suitableFactor
Landing gear,float assembly - separation
Nose overEmergency descent/landing

Analysis

While in cruise flight at 3,000 feet MSL over remote terrain, the engine suddenly quit. The pilot selected a flat area for an emergency landing. After touchdown, the float assemblies were torn off the fuselage, and the airplane nosed over. During the postaccident examination of the engine, one cylinder bolt was found loose, and the engine case displayed evidence of fretting. The crankshaft was broken. A metallurgical examination of the crankshaft revealed a fracture pattern typical of fatigue cracking. The number one engine cylinder had been replaced about 585 service hours before the accident.

Factual narrative

On July 25, 1997, about 1715 Alaska daylight time, a float equipped Cessna 206 airplane, N9412Z, crashed during a forced landing in a remote area about 25 miles east-southeast of Palmer, Alaska. The airplane was being operated as a visual flight rules (VFR) local area personal flight when the accident occurred. The airplane, operated by the pilot, sustained substantial damage. The certificated commercial pilot, and one passenger received minor injuries. A second passenger received serious injuries. Visual meteorological conditions prevailed. The flight originated at Campbell Lake, a private lake in Anchorage, Alaska, about 1630.

On July 26, 1997, during a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the pilot reported he was in cruise flight about 3,000 feet mean sea level over the Knik Glacier when the engine suddenly quit. Emergency procedures failed to restore engine power. The pilot made a "Mayday" radio call, and selected an emergency landing area on flat, mud/gravel covered terrain between the glacier, and the shore line of Lake George. During the touchdown, both float assemblies were torn off the fuselage, and the airplane nosed over.

The airplane, and engine, had accrued 1,382.9 service hours since new. The most recent annual inspection of the engine was September 1, 1996, 32.6 service hours before the accident. On August 10, 1990, the number one engine cylinder was replaced by an airframe and powerplant mechanic. The cylinder had accrued about 585 service hours at the time of the accident.

After recovery, the engine, a Continental IO-520F, was examined at Sea Air Inc., Anchorage, Alaska, on August 21, 1997. The examination revealed the presence of oil around the base and underside of the number one cylinder. No torque paint was evident on the cylinder bolts. One of the cylinder bolts was not tight. The remaining cylinder bolts required little effort to loosen. Removal of the oil sump pan revealed the presence of metal shavings, and fractured portions of main engine crankshaft bearing material, Superior Part number SA642720. Examination of the oil filter revealed metal contamination. The interior surfaces of the oil pump housing exhibited light scoring.

The engine case exhibited fretting around the number one main journal mating surfaces. The number one main bearing was displaced slightly aft. The number two main bearing saddle was extensively deformed. The number two main bearing was destroyed.

The crankshaft was fractured at the number three short cheek, between the number two, and number three rod bearings.

The crankshaft was examined at the NTSB Materials Laboratory, Washington, D.C. The examination of the fracture site revealed heavy rubbing damage. The origin of the fracture displayed a crack arrest pattern typical of fatigue cracking. Multiple ratchet marks were noted in the fatigue origin area.

Aircraft

Registration
N9412Z
Reported as
Cessna 206
Category
Airplane
Serial number
U20606473
Airframe hours
1,383
Engine
Continental IO-520-F, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Raymond A. Powell
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 1996 · 33 hours before
Departed
Anchorage, AK

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
77
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
606 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 10 knots
Visibility
30 statute miles
Lowest ceiling
None
Temperature
61 °F

FAA reports on this event · 1

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