# NTSB ANC97LA112: Cessna 206, N9412Z, Palmer, AK, July 26, 1997 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Limited investigation · Final report - Date: July 25, 1997, 17:15 local (Jul 26, 1997, 01:15 UTC) - Place: Palmer, AK - Coordinates: 61.620243, -148.980133 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=61.6202&lon=-148.9801&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Serious injuries - Injuries: 1 serious, 2 minor - Status: Completed, report May 4, 1998 - Report: Approved by Office Director - NTSB office: Alaska Regional Office - NTSB case key (mKey): 3035 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ANC97LA112 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/3035/pdf - Page: https://openairdocs.org/ntsb/ANC97LA112 ## 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 In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - mech failure/malf, cruise - engine assembly,crankshaft - fatigue (cause) - maintenance,replacement - inadequate, other maintenance personnel (cause) - Forced landing, emergency descent/landing - In flight collision with terrain/water, emergency descent/landing - terrain condition - none suitable (contributing factor) - landing gear,float assembly - separation - Nose over, emergency 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](https://openairdocs.org/aircraft/N9412Z), registered now, S/N U20606473, built 1982 (OpenAirDocs) - Reported make and model: Cessna 206 - Registry model: [Cessna U206G](https://openairdocs.org/model/cessna-u206g) (registry code 2073356) (OpenAirDocs) - Registry engine: [Continental IO-520 series](https://openairdocs.org/engine/continental-io-520-series) (registry code 17032, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: U20606473 - Airframe hours: 1383 - Engines: 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 77; 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 (OpenAirDocs). - [Accident 19970726019819A](https://openairdocs.org/incident/19970726019819A), Jul 26, 1997: Cessna U206G, Palmer, AK, Substantial damage. Float equipped. Lost power. Floats torn off landing on shore line of a lake. Cyl installed loose. Fatigue cracks. From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.