CEN20LA123

NTSB accident investigation · Cessna 182 · Baxterville, MS · March 14, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 14, 2020, 13:15 local (18:15 UTC)
Place
Baxterville, MS
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N20847Cessna 182
Defining event
Enroute: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration, Textron Aviation
Case key
101085

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 failure of the No. 1 cylinder intake valve due to inadequate valve seating.

Findings · 1

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.

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 pilot and passenger were conducting a personal flight when the engine experienced a partial loss of power. The pilot was unable to maintain altitude and made a forced landing to a road. During the forced landing, while turning right to stay on the road, the airplane ground looped and collided with trees, sustaining substantial damage. Examination of the engine revealed that a portion of the No. 1 cylinder valve head was fractured due to the inward propagation of a radial rim fracture, and the initiation and propagation of a chordal fracture in the filet area perpendicular to the axis of the stem. The initial crack developed at the rim and propagated inward toward the center of the valve head as a radial rim crack. When the crack front reached the fillet region of the head, a second crack initiated and propagated in fatigue as a chordal fracture. A final overstress fracture occurred near the rim. This type of failure is likely due to cyclic uneven expansion and contraction stress cracks that propagate inward, as a result of inadequate valve seating. The engine maintenance records showed that a repaired No. 1 cylinder was installed on May 9, 2014. The partial maintenance release stated that the cylinder repair process included refaced valves and three angle cut valve seats. There were no other entries related to the No. 1 cylinder. The engine had accumulated about 598 hours since the cylinder was installed. Annual inspections were completed every year after this cylinder installation.

Factual narrative

On March 14, 2020, about 1315 central daylight time, a Cessna 182 airplane, N20847, was substantially damaged when it was involved in an accident near Baxterville, Mississippi. The pilot and two passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that about 10 minutes after departure and about 1,500 ft mean sea level, the engine experienced a “sudden reduction in power.” He reported that all instrument gauges appeared normal, and the engine was running smoothly, but it had a “different sound and didn’t have enough power to maintain altitude. While troubleshooting, he turned on the electric fuel pump and selected both the PRIME and ON positions; there was no change in engine performance. He completed a magneto check with only “a slight drop” per side. Since he was unable to maintain altitude, he attempted to divert to IH Bass Jr Memorial Airport (4R1), Lumberton, Mississippi, but continued to lose altitude. The pilot noted that the terrain in the area consisted of rolling hills and forest land. He selected a dirt road, which veered right, and was adjacent to a clear-cut field, for a forced landing. After landing and while trying to make the right turn to follow the road, the airplane ground looped and went backwards into a tree line. The airplane collided with numerous trees during the accident sequence and sustained substantial damage to the fuselage, empennage, and both wings. The tachometer time was 5,182.1 hours at the time of the accident. A postaccident examination of the engine revealed that a portion of the No. 1 cylinder intake valve head was missing, and the inside of the cylinder sustained impact damage. Figure 1 shows the inside of the cylinder and missing valve piece. The cylinder was removed from the engine and the intake valve was sent to the NTSB Materials Laboratory for metallographic examination. Figure 1. Inside of No. 1 Cylinder The metallographic examination revealed that the combustion face of the valve exhibited impact marks uniformly across the face. A portion of the valve head was fractured due to the inward propagation of a radial rim fracture, and the initiation and propagation of a chordal fracture in the filet area perpendicular to the axis of the stem. The initial crack developed at the rim and propagated inward toward the center of the valve head as a radial rim crack. When the crack front reached the fillet region of the head, a second crack initiated and propagated in fatigue as a chordal fracture. A final overstress fracture occurred near the rim. Adjacent to the keeper/collet groove, there were chafe marks around the circumference of the valve stem, which could be indicative of valve floating. Impact marks and rim damage on the valve seat were consistent with foreign object damage. The seat revealed impact wear scars and deformed machining marks. No indications of seat erosion were noted. A review of the engine maintenancerecords showed that a repaired No. 1 cylinder was installed on May 9, 2014, at tachometer time 4,584.1 hours. The partial maintenance release stated that the cylinder repair process included refaced valves and three angle cut valve seats. There were no other entries related to the No. 1 cylinder. Annual inspections were completed every year after this cylinder installation. Also, Nos. 2, 3, and 4 repaired cylinders were installed in 2015.

Aircraft

Registration
N20847
Reported as
Cessna 182 (P)
Category
Airplane
Serial number
18261254
Built
1972
Airframe hours
10,912.6
Engine
Continental IO-520-D (116), 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 22, 2019 · 43.8 hours before
Departed
0R0 · Columbia, MS
Destination
MJD · Picayune, MS
Equipment
Stall warning system, ADS-B, Auto-pilot, 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
56
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
May 4, 2019
Seat
Left
Restraint
3-point
Flight hours
1,887 total · 88 in this make and model · 1,887 as pilot in command · 26 in the last 90 days · 19 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
1,100 ft overcast
Temperature
70 °F, dew point 64 °F
Altimeter
30.21 inHg
Observed at
KBXA, 21 nm away

Docket · 10

The files NTSB released with the investigation on March 28, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 46.6 MB in all.