# NTSB CEN16LA107: Cessna P210N, N732FU, Bryan, TX, February 16, 2016 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Limited investigation · Final report - Date: February 16, 2016, 11:30 local (17:30 UTC) - Place: Bryan, TX - Coordinates: 30.773889, -96.454444 - Nearby events: https://openairdocs.org/map.md?lat=30.7739&lon=-96.4544&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Defining event: [Enroute: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) - Highest injury: Serious injuries - Injuries: 1 serious, 2 minor - Status: Completed, report March 6, 2017 - Report: Approved by Office Director - NTSB office: Central Region - Parties: FAA, Continental Motors, Textron Aviation - NTSB case key (mKey): 92736 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN16LA107 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/92736/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=92736 - Page: https://openairdocs.org/ntsb/CEN16LA107 ## Probable cause A failure of the crankshaft due to improper torque of the crankcase through bolts. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Engine (reciprocating): recip engine power section](https://openairdocs.org/ntsb-findings/01058520): Aircraft › Aircraft power plant · Failure (probable cause); cases with it: [Cessna P210N, 6 cases](https://openairdocs.org/ntsb-findings/01058520/cases.md?model=2073454), [All aircraft, 233 cases](https://openairdocs.org/ntsb-findings/01058520/cases.md) - [Maintenance](https://openairdocs.org/ntsb-findings/02062000): Personnel issues › Task performance · Maintenance personnel (probable cause); cases with it: [Cessna P210N, 2 cases](https://openairdocs.org/ntsb-findings/02062000/cases.md?model=2073454), [All aircraft, 143 cases](https://openairdocs.org/ntsb-findings/02062000/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Enroute: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) (defining event); cases with it: [Cessna P210N, 20 cases](https://openairdocs.org/ntsb-events/341/sequence.md?model=2073454), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md) - [Landing: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Cessna P210N, 31 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=2073454), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The private pilot reported that, 10 miles from the destination airport, the passengers heard a loud "clank" and smoke entered the cockpit. Shortly thereafter, the engine experienced a total loss of power and the propeller stopped turning. The pilot selected a field as a forced landing site, but the airplane impacted trees and terrain at the edge of the field. The pilot and passengers were able to extricate themselves through the right side passenger window. A postaccident engine examination revealed a catastrophic failure of the engine crankshaft between the No. 2 main bearing journal and the No. 2 connecting rod journal. The damage displayed on the No. 2 bearing was consistent with the bearing having shifted and spun. Several of the bearing supports displayed fretting near the through-bolt holes. An accurate measurement of the preaccident through-bolt torques could not be determined due to the loads subjected upon the crankcase when the crankshaft failed. Review of maintenance records indicated that the through bolts were properly torqued during the remanufacturing process nearly 1,000 flight hours before the accident and that there was no record of major work performed on the engine since that time; however, the wear signatures displayed on the bearing supports indicated that the crankcase halves were shifting in a manner consistent with improper torque of the through bolts. ## Factual narrative On February 16, 2016, at 1130 central standard time, a Cessna P210N, N732FU, collided with trees and the terrain during a forced landing in Bryan, Texas, following a loss of engine power. The private pilot and one passenger received minor injuries. The second passenger was seriously injured. The airplane sustained substantial damage. The airplane was registered to BIA Air LLC, and was being operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual flight rules (VFR) conditions prevailed for the flight which operated on a VFR flight plan. The flight originated from the Arlington Municipal Airport (GKY), Arlington, Texas, about 1030.The pilot reported that they were 10 miles from the destination airport when the passengers reported hearing a loud "clank" and smoke entered the cockpit. He contacted air traffic control and requested information regarding a closer airport at which to land. He stated the engine quickly lost power and the propeller stopped turning. He declared an emergency with air traffic control stating that he was not going to be able to make it to the closest airport. The pilot chose a field in which to land. The airplane contacted trees just before landing. The airplane descended to impact with the terrain in a wooded area at the edge of the selected field. The pilot and passengers were able to extricate themselves through the right side passenger window. A review of the engine logbook revealed the engine was factory remanufactured in September, 2005, and it was installed on the accident airplane on October 10, 2005. The last inspection was a 100-hour inspection conducted on January 6, 2016. The engine had accumulated 989 hours since being remanufactured. The records did not show any major work having been performed on the engine since it was installed. A postaccident examination of the engine was conducted on under NTSB supervision on May 3, 2016, at the Continental Motors facility in Mobile, Alabama. The engine was 310 horsepower, a six-cylinder, fuel injected, Continental Motors TSIO-520-P (7) engine, serial number 278936-R. Crankcase damage was observed just below one of the crankcase bolts above the #1 cylinder. The No. 4 stud on the No. 1 cylinder was loose and could be rotated with finger pressure. No torque putty was observed on this stud. A boroscope inspection of the pistons revealed all of the pistons were in the down position. The crankcase was cracked and a small portion of it was pushed out near the rear backbone bolts. Mechanical damage was visible on the No. 1 and No. 2 cylinder bays. The No. 1 bearing support displayed signatures consistent with minor movement of the bearing. The No. 2 main bearing support sustained damage consistent with a bearing shift and a spun bearing. The No. 1 and No. 2 main bearing supports were fretted near the through bolt holes. The No. 1 main bearings displayed normal lubrication signatures. The bearing damage wasconsistent with minor bearing shift. There was fretting on the bearing supports near the through bolt holes. The No. 2 main bearings were damaged consistent with a bearing shift event. Portions of the bearing were located in the oil sump. A portion of the right side of the bearing remained in the bearing saddle. The No. 3 bearings remained intact and in their bearing supports. The bearings displayed signatures of heat distress due to lack of lubrication and the copper layer was exposed. The No. 4 and No. 5 bearings were intact and displayed normal operating signatures. The crankshaft was broken into two pieces. The fracture was located at the crankshaft cheek between the No. 2 main bearing journal and the No. 2 connecting rod journal. The lock slot on the No. 2 main bearing journal was worn and fretting was noted on several of the bearing supports near the through bolt holes indicating that the crankcase halves were moving. The No. 3 main journal displayed heat discoloration and scratches consistent with particle passage. The No. 2 connecting rod journal could not be observed as the connecting rod was impinged in place on the journal. The remaining connecting rod and main journals displayed normal operating and lubrication signatures. Cylinder/Piston/Connecting Rod No. 1 The cylinder was attached to the crankcase. The cylinder hold down bolt in the No. 4 position was loose and could be turned by hand. There was no torque putty on this nut. The remainder of the nuts were tight with torque putty in place. Impact damage was noted on the cylinder skirt. The valves, rocker arms, and push rods were normal. The piston remained attached to its connecting rod and the piston skirt was damaged. The rear piston ring was broken and the forward 3 piston rings were intact. The piston displayed normal combustion signatures. No anomalies were noted with the connecting rod and connecting rod bearing. Cylinder/Piston/Connecting Rod No. 2 No anomalies noted with the cylinder, valves, rocker arms, and push rods. The piston remained attached to its connecting rod and the piston skirt was damaged. The rear piston ring was damaged and the forward 3 piston rings were intact. The piston displayed normal combustion signatures. The connecting rod remained attached to the journal. Some mechanical damage was visible. The connecting rod was impinged onto its journal by displaced crankshaft material at the crankshaft fracture. The bearing could not be observed due to the connecting rod impingement. Cylinder/Piston/Connecting Rod Nos. 3, 4, 5, and 6 No anomalies were noted with the cylinder, valves, rocker arms, push rods, pistons, or connecting rods. The camshaft was intact and no anomalies were noted. The No. 1 intake lifter was impinged and could not be removed. The remaining lifters displayed normal operating signatures. The torque on the through bolts and cylinder hold-down studs was measured during the engine disassembly. The measurements varied between 626 and 1,137inch-pounds to tighten, and between 697 and 1,087 inch-pounds to loosen. According to the remanufacture assembly specifications, the through bolts torque should have been either 625 or 800 inch pounds depending on the position of the bolt. The left magneto did not produce any sparks when placed on a test bench. The magneto was opened and rust was noted inside the magneto. The vent hole in the pressure vent plug was blocked with debris. The right magneto produced a spark when placed on the test bench. The oil pump was intact and remained attached to the engine. The pump housing contained scoring consistent with hard particle passage. The oil filter was opened and it contained metal particles. The oil sump contained several pieces of metal consistent with piston and bearing material. The oil pickup screen was clean. No other anomalies were noted that would have resulted in a loss of engine power. All of the Continental Motors engine component serial numbers, with the exception of the starter, matched the serial numbers of the components installed on the engine when it was remanufactured in 2005. The remanufacturing records indicated the through bolts and cylinder hold-down bolds were properly torqued during the built process. ## Aircraft - Registration: [N732FU](https://openairdocs.org/deregistered/N732FU-2018-06-08), registration cancelled 2018-06-08, S/N P21000576, built 1980 (OpenAirDocs) - Reported make and model: CESSNA P210N - Registry model: [Cessna P210N](https://openairdocs.org/model/cessna-p210n) (registry code 2073454) (OpenAirDocs) - Registry engine: [Continental TSIO-520 series](https://openairdocs.org/engine/continental-tsio-520-series) (registry code 17040, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: P21000576 - Year built: 1980 - Airframe hours: 3320 - Engines: CONT MOTOR TSIO-520-P7B 310 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Standard, Normal - Last inspection: Annual, January 6, 2016, 20 hours before - Departed: GKY, Arlington, TX - Destination: CLL, College Station, TX - Equipment: Electronic multifunction display, Auto-pilot, Stall warning system, Onboard weather ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 54; injuries: serious; private; airplane ratings: single-engine land; medical: class 3, with waivers/limitations; last flight review July 11, 2015; seat: left; restraint: lap only; flight hours: 220 total, 140 in this make and model, 220 as pilot in command, 30 in the last 90 days, 20 in the last 30 days ## Weather - Conditions: Visual (VMC), Day - Wind: 220° at 14 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 75 °F, dew point 32 °F - Altimeter: 29.98 inHg - Observed at: CLL, 14 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 (OpenAirDocs). - [Accident 20160216001289A](https://openairdocs.org/incident/20160216001289A), Feb 16, 2016: Cessna P210N, Benchley, TX, Destroyed. The aircraft, after declaring an emergency, was reported to have smoke in the cockpit and a loss of power. The aircraft and its occupants were found… ## Docket (9 files) The files NTSB released with the investigation on January 18, 2017, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=92736. 15.3 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448357&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF - Record of Interviews (item 2, .PDF, 448 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448358&FileExtension=.PDF&FileName=Record%20of%20Interviews-Master.PDF - Continental Motors Report (item 3, .PDF, 8.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448359&FileExtension=.PDF&FileName=Continental%20Motors%20Report-Master.PDF - Textron Aviation Report (item 4, .PDF, 248 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448360&FileExtension=.PDF&FileName=Textron%20Aviation%20Report-Master.PDF - Engine Logbook (item 5, .PDF, 3.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448361&FileExtension=.PDF&FileName=Engine%20Logbook-Master.PDF - Fuel Receipt (item 6, .PDF, 51 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448362&FileExtension=.PDF&FileName=Fuel%20Receipt-Master.PDF - Engine Remanufacturer Records (item 7, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448363&FileExtension=.PDF&FileName=Engine%20Remanufacturer%20Records-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 8, .PDF, 278 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448364&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Master.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 9, .PDF, 127 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40448365&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Master.PDF 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.