CEN14LA486

NTSB accident investigation · Cirrus Design SR22 · Langola Township, MN · September 7, 2014

Accident · No injuriesLimited investigationFinal report
Date
September 7, 2014, 13:36 local (18:36 UTC)
Place
Langola Township, MN
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N22WXCirrus Design SR22
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report March 14, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors Inc, FAA, Cirrus Aircraft
FAA report
20140907016049A
Case key
90039

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

Maintenance personnel’s failure to apply sufficient torque on the throttle control lever nut, which resulted in a loss of throttle control and subsequent loss of engine power.

Findings · 4

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 fuel and control: fuel controlling systemAircraft › Aircraft power plant · Incorrect service/maintenanceCirrus Design SR22: 3 casesAll aircraft: 59 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · FailureCirrus Design SR22: 6 casesAll aircraft: 497 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelCirrus Design SR22: 5 casesAll aircraft: 371 casesProbable cause
Object/animal/substance: wireEnvironmental issues › Physical environment · Contributed to outcomeCirrus Design SR22: 2 casesAll aircraft: 588 cases

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 commercial pilot was conducting a cross-country personal flight. He reported that, during cruise flight, the airspeed began to decrease, and the engine began to lose power. The pilot attempted to restore engine power but was not successful. He then conducted a forced landing to a road. During the landing roll, the pilot maneuvered the airplane to miss an oncoming car, and the airplane subsequently struck a guy wire, which resulted in substantial damage to the left wing. A postaccident examination of the engine revealed that the throttle control lever nut was not torqued to factory specifications in accordance with an engine manufacturer service bulletin (SB). The knurl teeth of both the throttle control lever and shaft displayed signatures of machining with adhesive wear scars on the surfaces. In addition, the surface of the control lever that the nut was normally secured to displayed scoring wear scars. The surface signatures were consistent with the throttle control lever nut not having been properly torqued. A review of the engine logbook entries revealed that a rebuilt engine was installed on the airplane about 73.1 flight hours before the accident. The mechanics at the repair station who installed the engine, which would have included installing the throttle body and torqueing the throttle control lever nut, reported that they were knowledgeable of the manufacturer SB, and no discrepancies in their procedures were found. Even though the mechanics reported that they were familiar with the SB, it is likely that they did not apply sufficient torque on the throttle control lever nut during the installation of the engine.

Factual narrative

On September 7, 2014, at 1336 central daylight time, a Cirrus SR22 airplane, N22WX, conducted a forced landing near Langola Township, Minnesota. The commercial-rated pilot and three passengers were not injured. The airplane was substantially damaged. The airplane was registered to N22WX LLC and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. The flight originated from the Mankato Regional Airport, Mankato, Minnesota, at 1257 and was en route to the Breezy Point Airport, Breezy Point, Minnesota.According to the pilot, during cruise flight, about 4,500 feet mean sea level, the airplane's airspeed began to decay and the engine's exhaust gas temperatures began to decrease. The pilot attempted to restore power to the engine without success. About one minute later the engine stopped producing power. The pilot performed a forced landing to a rural road. During the landing roll the pilot maneuvered the airplane to miss an oncoming car and collided with a utility pole guy wire. Substantial damage was sustained to the airplane's left wing. A postaccident inspection of the airplane by an inspector from the Federal Aviation Administration (FAA) and representatives from Cirrus Aircraft and Continental Motors discovered that the throttle arm rotated freely on the engine's throttle body. The throttle body was removed from the airplane and a new factory throttle body was installed on the engine and a successful engine run was accomplished. The original throttle body was shipped to the National Transportation Safety Board laboratories for an examination. The throttle control lever exhibited free play relative to the shaft and nut when wiggled by hand. Using a manual torque wrench, the breakaway tightening torque was 21 inch-pounds force (in-lbf), the breakaway removal torque was 15 in-lbf, and the average running torque was 19 in-lbf. According to the Continental Motors' Critical Service Bulletin CSB08-0C, the nut is to be tightened between 100 in-lbf to 120 in-lbf. The nut and the throttle control lever were removed from the assembly. The crests of the throttle control lever's knurl teeth exhibited flat plateaus with adhesive wear scars on the surface of the plateaus. The side of the control lever that the nut is normally secured against displayed circumferential marks consistent with contact with the periphery of the nut flange on its surface. The crests of the throttle body valve shaft tapered knurl teeth exhibited flat plateaus with adhesive wear scars on the surface of the plateaus and accumulated wear debris along the teeth flanks. Both the throttle control arm and throttle shaft were constructed of stainless steel. The number of teeth, knurl pitch, and chamfer angle differed between the level and the shaft mating surfaces. According to representatives from Continental Motors, precise matching of the arm and shaft knurls is not crucial to proper operation. Instead, the knurls act as afriction surface and when the nut is torqued to factory specifications. For testing purposes, the company used mating surfaces that were as dissimilar as possible but still within tolerances, and found it would take significant force on the arm to compromise the set torque. A review of the FAA's Service Difficulty Report database did not find any similar circumstances to the accident airplane. A review of logbook entries found that the engine was a factory rebuilt IO-550-N7B. The rebuild was completed on March 20, 2014, and was installed on N22WX on April 10, 2014. The pilot reported that the engine had a history of problems when the engine was at idle. As a result, the engine's fuel pump was replaced on August 13, 2014, at an engine total time of 62.5 hours. The engine performed normally at idle, but two days prior to the accident it idled higher than normal. The accident occurred at an engine total time of 73.1 hours. An inspector from the FAA interviewed mechanics at the repair station that performed the installation of the throttle body. They were also knowledgeable of the manufacturer's instructions and no discrepancies in their procedures were found.

Aircraft

Registration
N22WX
Reported as
Cirrus Design SR22
Category
Airplane
Serial number
0281
Built
2002
Airframe hours
2,276.2
Engine
Cont Motor IO-550-N7B, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 10, 2014 · 73 hours before
Departed
MKT · Mankato, MN
Destination
8MN3 · Breezy Point, MN
Equipment
ADS-B, Stall warning system, Onboard weather, Airframe parachute, Electronic primary flight display, Electronic multifunction display, Auto-pilot, Angle of attack indicator

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
52
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
March 17, 2014
Seat
Left
Restraint
4-point
Flight hours
2,242 total · 1,390 in this make and model · 2,170 as pilot in command · 49 in the last 90 days · 21 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 55 °F
Altimeter
30.05 inHg
Observed at
KSTC, 16 nm away

Docket · 3

The files NTSB released with the investigation on January 28, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.4 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.