CEN18IA273

NTSB incident investigation · Cessna A188B · Rockford, OH · July 12, 2018

Incident · No injuriesIncident investigationFinal report
Date
July 12, 2018, 16:47 local (20:47 UTC)
Place
Rockford, OH
Injuries
1 uninjured
Damage
Minor damage
Phase of flight
Maneuvering
Aircraft
N2483JCessna A188B
Defining event
Maneuvering-low-alt flying: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report November 19, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
Columbus FSDO
FAA report
20180712017149A
Case key
97800

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

The total loss of engine power, which resulted from the separation of the No. 2 connecting rod due to oil starvation as a result of insufficient clamping force of the engine's through-bolts.

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 A188B: 3 casesAll aircraft: 233 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Fluid levelCessna A188B: 2 casesAll aircraft: 174 casesProbable cause
Engine (reciprocating): recip engine power sectionAircraft › Aircraft power plant · Damaged/degradedCessna A188B: 3 casesAll aircraft: 233 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 commercial pilot of the aerial application flight reported that the airplane was at 350 ft above ground level when the engine started running roughly and then lost total power. He executed a forced landing to a field, which resulted in minor damage to the right wing. A review of the engine maintenance logbooks indicated that the accident occurred 107.6 hours after all six cylinders were replaced. The engine teardown examination revealed a large hole in the crankcase near the No. 2 cylinder. The crankcase bearing supports exhibited signs consistent with bearing shift. The No. 2 and No. 3 lock tabs exhibited elongation, and all bearing support mating surfaces exhibited varying amounts of fretting, with the No. 2 and No. 3 surfaces displaying the most fretting. The No. 3 bearing had shifted a significant amount, and part of the bearing was separated. The No. 2 connecting rod bearings exhibited a significant amount of thermal damage consistent with heat distress. The No. 2 connecting rod was separated from its journal and exhibited damage consistent with lubrication distress. The No. 2 piston was separated from the connecting rod and remained in the cylinder. It is likely that, when all six cylinders were replaced, the engine's through-bolts did not have sufficient clamping force, which resulted in movement of the crankcase halves as evidenced by the fretting on the crankcase bearing supports. This led to the crankcase main bearings shifting, which resulted in oil starvation to the No. 2 connecting rod journal, failure of the No. 2 connecting rod, and the subsequent total loss of engine power.

Factual narrative

On July 12, 2018, about 1647 eastern daylight time, a Cessna A188B, N2483J, made a forced landing after a loss of engine power near Rockford, Ohio. The pilot was not injured; the airplane sustained minor damage. The airplane was owned and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 137 as an aerial-application flight. Visual meteorological conditions prevailed at the time of the flight, which was not on a flight plan. The airplane departed about 1620 from the Lakefield Airport (CQA), Celina, Ohio, on a local flight. The pilot reported that he was flying at 350 ft above ground level when the engine started running rough and then stopped producing power. He executed a forced landing to a bean field, which resulted in minor damage to the right wing. The examination of the engine revealed that there was a hole in the engine case near the No. 2 cylinder. The engine was a 300-horsepower six-cylinder Continental IO-550-D engine. A review of the engine maintenance logbooks indicated that the last major overhaul was performed on February 2, 2014 and was installed on the airplane on April 1, 2014. All six cylinders were replaced on September 9, 2017 at a tachometer time of 1,225.8 hours. The logbook entry did not provide a reason for why all six cylinders were replaced. The last annual maintenance inspection was performed on April 2, 2018, at a tachometer time of 1,262.0 hours. The last oil change was performed on July 8, 2018, at a tachometer time of 1,315.6 hours. The tachometer time at the time of the accident was 1,333.4 hours, which as 107.6 hours since all six cylinders were replaced. The engine was shipped to Continental Motors for an engine teardown examination under the oversight of the National Transportation Safety Board. There were no signs of external impact to the engine. All six cylinders remained attached to their cylinder bays and there was no damaged noted to the cylinders. The crankcase bearing supports exhibited signs consistent with bearing shift. The No. 2 and No. 3 lock tabs exhibited elongation, and all bearing support mating surfaces exhibited varying amounts of fretting with the No. 2 and No. 3 surfaces displaying the most fretting. The No. 3 bearing had shifted a significant amount and a portion of the bearing was separated. It was noted that the crankshaft gear was improperly safety wired. The No. 2 connecting rod was separated from its journal and exhibited damage consistent with lubrication distress, and portions of the connecting rod were in the sump. The No. 2 connecting rod bearings exhibited a significant amount of thermal damage consistent with heat distress. The No. 2 piston was separated from the connecting rod and remained in the cylinder. The induction system remained attached to the engine; however, several induction coupling clamps were missing, and all the induction riser bolts that go on the inside portion of the attach flange were not installed.

Aircraft

Registration
N2483J
Reported as
Cessna A188B
Category
Airplane
Serial number
18803467T
Built
1979
Airframe hours
7,641
Engine
Continental IO-550-D, 300 horsepower, reciprocating
Damage
Minor damage
Flight
Aerial application · Part 137
Operator
Trump Roger L
Registered owner
Trump Roger L
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · April 2, 2018
Departed
CQA · Celina, OH
Destination
CQA · Celina, OH

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
61
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Seat
Center
Restraint
4-point
Flight hours
7,200 total · 2,500 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 6 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
84 °F, dew point 61 °F
Altimeter
30.19 inHg
Observed at
FWA, 30 nm away

Docket · 2

The files NTSB released with the investigation on September 9, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 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.