# NTSB CEN16LA118: Cessna 150G, N3339J, Simmesport, LA, March 2, 2016

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Limited investigation · Final report
- Date: March 2, 2016, 15:00 local (21:00 UTC)
- Place: Simmesport, LA
- Coordinates: 30.983612, -91.8125 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=30.9836&lon=-91.8125&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Defining event: [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341)
- Highest injury: No injuries
- Injuries: 1 uninjured
- Status: Completed, report January 26, 2017
- Report: Approved by Office Director
- NTSB office: Central Region
- Parties: Continental Motors, Federal Aviation Administration
- NTSB case key (mKey): 92804
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN16LA118
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/92804/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=92804
- Page: https://openairdocs.org/ntsb/CEN16LA118

## 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

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 150G, 1 case](https://openairdocs.org/ntsb-findings/01058520/cases.md?model=2071816), [All aircraft, 233 cases](https://openairdocs.org/ntsb-findings/01058520/cases.md)
- [Engine (reciprocating): recip engine power section](https://openairdocs.org/ntsb-findings/01058520): Aircraft › Aircraft power plant · Incorrect service/maintenance (probable cause); cases with it: [Cessna 150G, 1 case](https://openairdocs.org/ntsb-findings/01058520/cases.md?model=2071816), [All aircraft, 233 cases](https://openairdocs.org/ntsb-findings/01058520/cases.md)
- [Terrain: rough terrain](https://openairdocs.org/ntsb-findings/03021015): Environmental issues › Physical environment · Contributed to outcome; cases with it: [Cessna 150G, 3 cases](https://openairdocs.org/ntsb-findings/03021015/cases.md?model=2071816), [All aircraft, 442 cases](https://openairdocs.org/ntsb-findings/03021015/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341) (defining event); cases with it: [Cessna 150G, 14 cases](https://openairdocs.org/ntsb-events/341/sequence.md?model=2071816), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md)
- [Landing-landing roll: Nose over/nose down](https://openairdocs.org/ntsb-events/096); cases with it: [Cessna 150G, 13 cases](https://openairdocs.org/ntsb-events/096/sequence.md?model=2071816), [All aircraft, 2,287 cases](https://openairdocs.org/ntsb-events/096/sequence.md)

## 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](https://openairdocs.org/deregistered/N3339J-2018-01-23), registration cancelled 2018-01-23, S/N 15066039, built 1966 (OpenAirDocs)
- Reported make and model: CESSNA 150G
- Registry model: [Cessna 150G](https://openairdocs.org/model/cessna-150g) (registry code 2071816) (OpenAirDocs)
- Registry engine: [Continental 0-200 series](https://openairdocs.org/engine/continental-0-200-series) (registry code 17020, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 15066039
- Year built: 1966
- Airframe hours: 6328
- Engines: 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

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 19; injuries: none; 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

## 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 20160302005739A](https://openairdocs.org/incident/20160302005739A), Mar 2, 2016: Cessna 150G, Simmesport, LA, Substantial damage. The pilot was in cruise flight level at 4500 feet AGL when he noticed the engine operating roughly. Seconds later oil started discharging from the engine…

## Docket (7 files)

The files NTSB released with the investigation on December 7, 2016, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=92804. 3.2 MB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 683 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40447151&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF
- Record of Conversation - Mechanic (item 2, .PDF, 95 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40447152&FileExtension=.PDF&FileName=Record%20of%20Conversation%20-%20Mechanic-Master.PDF
- Parts Catalog Excerpt Used by Mechanic (item 3, .PDF, 77 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40447153&FileExtension=.PDF&FileName=Parts%20Catalog%20Excerpt%20Used%20by%20Mechanic-Master.PDF
- Maintenance Logbook Excerpts (item 4, .PDF, 383 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40447154&FileExtension=.PDF&FileName=Maintenance%20Logbook%20Excerpts-Master.PDF
- Continental Motors Parts Catalog and Manual Excerpts (item 5, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40447155&FileExtension=.PDF&FileName=Continental%20Motors%20Parts%20Catalog%20and%20Manual%20Excerpts-Master.PDF
- Report Photographs (item 6, .PDF, 5 photos, 719 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40447156&FileExtension=.PDF&FileName=Report%20Photographs-Master.PDF
- Statement of Party Representatives to NTSB Investigation (item 7, .PDF, 102 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40447157&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-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.

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