CEN16LA118

NTSB accident investigation · Cessna 150G · Simmesport, LA · March 2, 2016

Accident · No injuriesLimited investigationFinal report
Date
March 2, 2016, 15:00 local (21:00 UTC)
Place
Simmesport, LA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3339JCessna 150G
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report January 26, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors, Federal Aviation Administration
FAA report
20160302005739A
Case key
92804

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

The installation of an improper bearing and thrust washer during engine overhaul, which resulted in failure of the connecting rods and a subsequent total loss of engine power.

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 engine power sectionAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 150G: 1 caseAll aircraft: 233 casesProbable cause
Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomeCessna 150G: 3 casesAll aircraft: 442 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

During the cross-country flight, the engine experienced a total loss of power and the student pilot performed a forced landing to a field. The airplane nosed over during the landing and came to rest inverted. An examination of the engine revealed that the incorrect bearing and thrust washer had been used during the engine reassembly about 90 flight hours before the accident, resulting in the seizure and failure of the #1 and #2 connecting rods and the subsequent loss of engine power. The mechanic who performed the overhaul and reassembly used an outdated parts manual and installed the improper bearing and thrust washer assembly.

Factual narrative

On March 2, 2016, about 1500 central standard time, a Cessna 150G airplane, N3339J, was substantially damaged during a forced landing to a field near Simmesport, Louisiana. The student pilot was not injured. The instructional flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no Federal Aviation Administration (FAA) flight plan had been filed for the flight. The cross country flight departed Hammond Northshore Regional Airport (HDC), LA, about 1400 and was en route to Alexandria International Airport (AEX), Alexandria, Louisiana.According to the student pilot, while in cruise flight at 4,500 feet mean sea level the engine lost power and deposited engine oil all over the front windscreen. During the forced landing to a plowed field the airplane nosed over resulting in substantial damage to the fuselage. The Federal Aviation Administration inspector who responded to the accident noted a hole in the crank case directly aft of the #1 cylinder. The engine was secured and shipped to a laboratory for further examination. The examination was conducted under the auspices of the National Transportation Safety Board investigator-in-charge and with the assistance of Continental Motors investigators. The crank case was cracked in multiple locations and the hole in the crank case was approximately 2.5 inches by 2.5 inches. Oily reside was noted along the entire outer case and engine. Pieces of piston, piston rings, lifter, rod bolt, connecting rod, and a thrust washer were recovered from the engine oil sump. The #1 piston and rod assembly were jammed, wedged, and frozen in the cylinder and could not be disassembled. The rod assembly was fragmented and partially separated at the rod cap. The rod bolt broke at the split line of the rod and the rod cap. The #2 piston and rod assembly were also jammed, wedged, and frozen in the cylinder and could not be disassembled. A second thrust washer fell from the assembly after the #3 and #4 cylinders were removed. One thrust washer near the propeller flange on the crank shaft exhibited fretting. The front main crankshaft bearing (part #633398) with the separate thrust washer was removed from the engine. According to the most recent revision of the Continental Motors Overhaul Manual and Illustrated Parts catalogs (both dated 2011) the front main bearing (part #627246) with the thrust washer as part of the assembly should have been used (a one-piece assembly as opposed to three separate pieces). The engine had been disassembled and stored in that condition for about 2 years before being reassembled in May of 2015. In a telephone conversation with the mechanic who reassembled the engine, he stated many of the original components were not there for his reference. He utilized a parts catalog, dated March 1977, to reassemble the engine. He understood from these resources that all engines required the same bearing and thrust washer (three separatepieces and not one assembly). He stated further that while ordering kits for this reassembly the first three came incomplete. It was the fourth bearing kit that he received that came complete and included the main bearing with the separate thrust washer. The mechanic encountered difficulty while reassembling the engine – specifically with the thrust washer staying in place during the reassembly. He stated that the instructions in the manual to use grease to keep the thrust washer in place were ineffective. He called Continental Motors customer service and was instructed to torque the case down and then install the cylinders to ensure the thrust washer remained in place. He followed these instructions and installed the #3 cylinder last to ensure that the bearing and thrust washer stayed in place. There was no question from the customer service representative to ensure that the correct part was being used during the reassembly.

Aircraft

Registration
N3339J
Reported as
Cessna 150G
Category
Airplane
Serial number
15066039
Built
1966
Airframe hours
6,328
Engine
Cont Motor 0-200-A, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2015
Departed
HDC · Hammond, LA
Destination
AEX · Alexandria, LA
Equipment
Stall warning system, Handheld GPS

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
19
Injuries
None
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
57.2 total · 44.5 in this make and model · 35.9 in the last 90 days · 7.8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F, dew point 36 °F
Altimeter
30.12 inHg
Observed at
KHZR

Docket · 7

The files NTSB released with the investigation on December 7, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.2 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.