CEN10LA123

NTSB accident investigation · Cessna 172N · Genoa City, WI · February 14, 2010

Accident · Minor injuriesLimited investigationFinal report
Date
February 13, 2010, 20:15 local (Feb 14, 2010, 02:15 UTC)
Place
Genoa City, WI
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N24CVCessna 172N
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Night
Status
Completed · report December 20, 2010
Report
Approved by Office Director
NTSB office
Central Region
Parties
Bowen Aviation LLC, G & N Aircraft, Inc., FAA-Milwaukee FSDO
FAA report
20100213027259A
Case key
75373

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 total loss of engine power due to the failure of the bolts that held in place the connecting rods to the engine's No. 3 and No. 4 cylinders as a result of the engine overhaul facility's improper installation of the bolts during a recent overhaul.

Findings · 3

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 eng cyl sectionAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 172N: 13 casesAll aircraft: 373 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelCessna 172N: 6 casesAll aircraft: 320 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 stated that during cruise flight he heard a “loud metallic clicking” sound, followed by a “bang” and a vibration. A few seconds later there was another “bang” and the propeller stopped rotating. He subsequently executed a forced landing to a corn field, where the airplane sustained damage to the firewall, nose landing gear, and wings. A postaccident examination on the engine revealed that the No. 3 and No. 4 engine connecting rod bolts had failed. Metallurgical examination determined that the bolts failed as a result of overstress fractures. No evidence of a fatigue fracture was observed. The teardown examination of the engine revealed that the nuts installed on the No. 1 and No. 2 connecting rod bolts were not tightened to the engine manufacturer’s specifications. Maintenance records indicated that the engine had been overhauled and the airplane returned to service about two weeks prior to the accident. At the time of the accident, the engine had been operated about 68 hours since the overhaul. The lack of proper torque on the intact rod bolts/nuts and the overstress failure of the remaining bolts indicates that the connecting rods were not installed properly during the overhaul procedure.

Factual narrative

On February 13, 2010, about 2015 central standard time, a Cessna model 172N, N24CV, piloted by a commercial pilot, was substantially damaged during a forced landing following a loss of engine power near Genoa City, Wisconsin. The personal cross-country flight was being conducted under 14 Code of Federal Regulations Part 91 without a flight plan. Night visual meteorological conditions prevailed. The pilot sustained minor injuries. The flight departed Aurora Municipal Airport (ARR), Aurora, Illinois, about 1945, with an intended destination of Austin Straubel International Airport (GRB), Green Bay, Wisconsin. The pilot stated that during cruise flight he heard a “loud metallic clicking” sound, followed by a “bang” and a vibration. He noted that a few seconds later there was another “bang” and the propeller stopped rotating. He subsequently executed a forced landing to a corn field. The airplane sustained damage to the firewall, nose landing gear, and wings. A post-accident examination of the engine revealed crankcase fractures in the area of the #3 and #4 cylinders. The engine sump contained approximately 5 quarts of oil at the time of the exam. The oil filter contained metallic fragments. Teardown examination of the engine revealed that the #3 and #4 connecting rod bolts had failed. All four bolts (two common to each connecting rod) failed above the threads, in the shank portion of the bolts. Two of the bolt fragments included the corresponding nuts; however, they were backed off to the end of the bolts. These bolt fragments appeared to have separated from the #3 connecting rod. The remaining two nuts had separated from their corresponding rod bolts. One of the nuts was deformed and scarred consistent with mechanical damage. The other was fragmented. The remaining two sets of connecting rod bolts appeared intact. However, the nuts securing the #1 connecting rod bolts were loosened by applying minimal torque from a wrench, and the nuts securing the #2 connecting rod bolts were finger tight. The #2 connecting rod and cap were not mated, but were separated approximately 1/8 inch. Metallurgical examination of the failed connecting rod bolts revealed features consistent with overstress failure. No evidence of a fatigue fracture was observed on any of the fracture surfaces. Maintenance records indicated that the engine was overhauled on January 12, 2010. It was subsequently installed on the accident airplane on January 28, 2010, at a recording tachometer time of 419.5 hours. The records noted three engine oil changes since overhaul. The most recent oil change was completed on February 11, 2010, at 48.4 hours operation since overhaul. The recording tachometer indicated 487.8 hours (68.3 hours since overhaul) at the time of the post-accident examination. Documentation provided by the engine manufacturer noted that the connecting rod nuts should be tightened to 480 inch-pounds at the time of installation. Overhaul records included a Build Up Check Sheet.The sheet included a line item entitled “Rod Nuts Torqued & Safetied.” For this line item, initials had been placed under both the “Technician” and the “Inspector” columns. A representative of the overhaul facility stated that all connecting rod bolts are replaced and installed as new bolts on overhauled engines. He added that rod bolts are procured directly from the engine manufacturer and not from any third-party manufacturers.

Aircraft

Registration
N24CV
Reported as
Cessna 172N
Category
Airplane
Serial number
17270186
Airframe hours
3,822
Engine
Lycoming O-320 SERIES, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bowen Aviation LLC
Registered owner
Bowen Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 28, 2010 · 68 hours before
Departed
ARR · Aurora, IL
Destination
GRB · Green Bay, 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
30
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
October 9, 2008
Seat
Left
Flight hours
1,599 total · 1,167 in this make and model · 1,484 as pilot in command · 209 in the last 90 days · 75 in the last 30 days · 9 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
250° at 5 knots
Visibility
10 statute miles
Lowest ceiling
3,600 ft broken
Temperature
14 °F, dew point 7 °F
Altimeter
29.89 inHg
Observed at
ENW, 18 nm away

Docket · 8

The files NTSB released with the investigation on September 2, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.0 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 N24CV · 1

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