CEN09LA447

NTSB accident investigation · Cessna A188B · Suring, WI · July 16, 2009

Accident · No injuriesLimited investigationFinal report
Date
July 16, 2009, 06:40 local (11:40 UTC)
Place
Suring, WI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N9747GCessna A188B
Defining event
Maneuvering-low-alt flying: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 11, 2010
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA-Milwaukee FSDO, Continental Motors
FAA report
20090716048299A
Case key
74325

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 loss of engine power resulting from the fatigue failure of the crankshaft due to the loss of engine case through-bolt torque. Contributing to the engine failure was the operator's failure to overhaul the engine in accordance with the manufacturer's recommended guidelines.

Findings · 5

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 engine power sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionCessna A188B: 3 casesAll aircraft: 233 casesProbable cause
Engine (reciprocating): recip engine power sectionAircraft › Aircraft power plant · Incorrect service/maintenanceCessna A188B: 3 casesAll aircraft: 233 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · Owner/builderCessna A188B: 5 casesAll aircraft: 1,386 casesProbable cause
MaintenancePersonnel issues › Task performance · Owner/builderCessna A188B: 2 casesAll aircraft: 143 casesProbable cause

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 the engine began to run very rough during a turn at low altitude. The engine suddenly seized so he made an emergency landing to a wheat field. During the landing, the left main gear collapsed and the left wing and nose of the aircraft dug into the soft soil, sustaining substantial damage. A teardown inspection of the engine revealed fretting wear scars on the crankcase backbone between the number two and three main bearing supports, and the number one, two, and three camshaft journal supports. The number one, two, three, four, and five main crankshaft main bearing supports exhibited fretting wear scars, and the number two and three supports exhibited mechanical damage from bearing shift and rotation. Additionally, the number two intermediate crankshaft main bearings had extruded from their crankshaft positions in the left and right case halves. An unapproved red sealant had been applied to the crankcase backbone. The above signatures are all consistent with an engine crankcase assembly that had lost its through-bolt torque. The crankshaft was fractured through at the number four short cheek between the number two main bearing journal and the number three connecting rod journal. A metallurgical examination of the fracture surface revealed crack arrest marks, which were indicative of a fatigue fracture which emanated from the surface of the number two main bearing journal. The heat treatment of the crankshaft met the manufacturer’s specifications. An examination of the engine logbooks revealed that the engine’s total time was about 1,778 hours and it had about 500 hours since the last major overhaul. The engine’s last overhaul was conducted on September 30, 1986, almost 23 years since the last major overhaul. The engine manufacturer recommends that when the aircraft is used in aerial spraying, the engine be overhauled after an accumulation of 1,200 hours or twelve (12) years, whichever occurs first.

Factual narrative

On July 16, 2009, at 0640 central daylight time, a Cessna A188B, N9747G, sustained substantial damage during a forced landing to a field near Suring, Wisconsin, after a loss of engine power. The pilot was not injured. The 14 CFR Part 137 aerial application flight had departed from a local field and was maneuvering when the loss of power occurred. Visual meteorological conditions prevailed at the time of the accident. No flight plan was filed. The pilot reported that the airplane was operating normally during the previous flights prior to the accident flight. He reported that on the accident flight, the engine began to run very rough during a turn at low altitude. The engine suddenly seized so he made an emergency landing to a wheat field. During the landing, the left main gear collapsed and the left wing and nose of the aircraft dug into the soft soil, sustaining substantial damage. The inspection of the engine confirmed that it had seized. The 300 horsepower Continental IO-520-D engine, serial number 572952, was shipped to the engine manufacturer for a teardown inspection. The teardown inspection revealed that the exterior crankcase exhibited minimal exterior damage. The number one, two, three, four, and five main bearing supports exhibited fretting. The number three main bearing support also exhibited main bearing shift. The crankcase backbone exhibited fretting between the number two and three main bearing supports. A red sealant had been applied to the crankcase backbone. The number one, two, and three camshaft journal supports exhibited fretting. The number two crankshaft main bearings had extruded from their crankshaft positions in the left and right case halves. The bearings exhibited mechanical damage that was consistent with bearing shift, rotation, and extrusion. Fragments of the bearing were found in the oil sump. The number three crankshaft main bearings exhibited mechanical damage that was consistent with bearing shift. The babbit was smeared, exposing the copper layer. The number three connecting rod exhibited mechanical damage and was fractured at the base of the I-beam. Fragments of the connecting rod cap exhibited mechanical damage. Fragments of connecting rod bolts and nuts were fractured through and exhibited mechanical damage consistent with overload signatures. The crankshaft was fractured through at the number four short cheek at the number two main journal. A metallurgical examination of the fracture surface revealed crack arrest marks, which were indicative of a fatigue fracture which emanated from the surface. An examination of the engine logbooks revealed that engine’s total time was about 1,778 hours and it had about 500 hours since the last major overhaul. The engine’s last overhaul was conducted on September 30, 1986. The last annual inspection was conducted on October 23, 2008. The Teledyne Continental Aircraft Engine, Service Information Letter, SIL98-9A, issued on November 17, 1998, recommended that an IO-520-Dengine be overhauled every 1,700 hours or at least every twelve (12) years. It recommended that aircraft used in aerial spraying should have the engine overhauled after the accumulation of 1,200 hours or twelve (12) years, whichever occurs first.

Aircraft

Registration
N9747G
Reported as
Cessna A188B
Category
Airplane
Serial number
18801587T
Airframe hours
2,211
Engine
Continental IO-520-D, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Nicolet Air LLC
Registered owner
Nicolet Air LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · October 23, 2008
Departed
Suring, WI
Destination
Private Field, WI

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
35
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2
Last flight review
February 5, 2009
Seat
Center
Flight hours
3,800 total · 50 in this make and model · 3,660 as pilot in command · 94 in the last 90 days · 18 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 52 °F
Altimeter
29.87 inHg
Observed at
GRB, 30 nm away

Docket · 4

The files NTSB released with the investigation on March 4, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.4 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.

Other investigations on N9747G · 1

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