ANC98LA099

NTSB accident investigation · Cessna 207 · King Salmon, AK · July 17, 1998

Accident · Minor injuriesLimited investigationFinal report
Date
July 16, 1998, 17:25 local (Jul 17, 1998, 01:25 UTC)
Place
King Salmon, AK
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1763UCessna 207
Weather
Visual (VMC) · Day
Status
Completed · report October 30, 2001
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19980716016679A
Case key
43068

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 disconnection of the mixture control cable from the mixture control arm. Factors associated with this accident were the inadequate 100 hour inspections performed by company mechanics.

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) - mech failure/malfCruise
Mixture control,cable - disconnectedCause
Maintenance,100-hour inspection - inadequateCompany maintenance personnelFactor
Miscellaneous,bolt/nut/fastener/clamp/spring - inadequateFactor
Loss of engine power(total) - mech failure/malfManeuvering - turn to landing area (emergency)
Forced landingDescent - emergency
Nose overEmergency landing
Terrain condition - tundra

Analysis

The pilot had leveled off in cruise and was leaning the fuel mixture when the mixture control ceased to have effect. The pilot stated that the engine began to lose power, then quit. The airplane nosed over during the forced landing in tundra. Postaccident inspection revealed the mixture control cable had unscrewed from the mixture control arm. The cable had been replaced 238 hours prior to the accident, and was inspected 142, and 44 hours prior to the accident. The service manual specified the jam nut that locked the cable to the arm be torqued to 15 +/- 2 inch-pounds. There was no safety wire requirement for this linkage. If disconnected, gravity would allow the mixture control arm to fail to idle-cutoff.

Factual narrative

On July 16, 1998, at 1725 Alaska daylight time, a Cessna 207 airplane, N1763U, sustained substantial damage when it nosed over during a forced landing 7 miles south of the King Salmon Airport, King Salmon, Alaska. The solo commercial pilot sustained minor injuries. The flight was operated under 14 CFR Part 135 by Yute Air Alaska, Inc., of Anchorage, Alaska, as a nonscheduled cargo flight. The flight departed King Salmon at 1720, transporting bypass mail to Egegik, Alaska. Visual meteorological conditions prevailed at the time of the accident, and a company VFR flight plan was filed.

The pilot told the NTSB investigator on July 16, 1998, that he leveled off to cruise at 700 feet msl, and began to lean the engine's mixture control. He said that about 10 miles south of King Salmon, the mixture control stopped having an effect on engine operation, and the engine began to lose power. While turning towards the airport, the engine lost total power, and he performed an emergency landing. During landing, the airplane nosed over.

Postaccident inspection revealed that the mixture control arm had unscrewed from the mixture control cable. The Cessna 207 Service Manual specifies the jam nuts which attach the cable to the control be torqued to 15 inch-pounds, plus or minus 2 inch-pounds. There is no safety wire required in the installation.

A review of the engine maintenance records indicated that the engine had received 100 hour inspections 44 hours, and 142 hours, prior to the accident. On both these occasions, Service Bulletin SEB95-15R1 (Throttle Control Lever Inspection) was performed. This lever is located next to the disconnected mixture control arm linkage. The mixture control cable was replaced 238 hours prior to the accident.

Inspection of a representative C-207 installation by the NTSB investigator-in-charge revealed that if the mixture control arm becomes disconnected, gravity allows the arm to fall to the lean / idle-cutoff position.

Aircraft

Registration
N1763U
Reported as
Cessna 207
Category
Airplane
Serial number
20700363
Airframe hours
14,529
Engine
Continental IO-520-F27B, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
Yute Air Alaska, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 3, 1998 · 44 hours before
Departed
AKN
Destination
EII · Egegik, 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
64
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
14,000 total · 4,000 in this make and model · 14,000 as pilot in command · 230 in the last 90 days · 105 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 6 knots
Visibility
10 statute miles
Lowest ceiling
3,200 ft broken
Temperature
61 °F, dew point 48 °F
Altimeter
29.00 inHg
Observed at
AKN, 10 nm away

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 N1763U · 4

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