CEN20LA377

NTSB accident investigation · Stinson 108-3 · Coleman, MI · September 1, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 1, 2020, 11:00 local (15:00 UTC)
Place
Coleman, MI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N909CStinson 108-3
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20200901009449A
Case key
101913

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 pilot’s improper installation of the generator drive gear, which resulted in a 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.

Ignition system: magneto/distributorAircraft › Aircraft power plant · FailureStinson 108-3: 2 casesAll aircraft: 101 casesProbable cause
Inspection: post maintenance inspectionPersonnel issues › Task performance · Maintenance personnelStinson 108-3: 1 caseAll aircraft: 57 cases
Maintenance: installationPersonnel issues › Task performance · PilotStinson 108-3: 3 casesAll aircraft: 371 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 pilot had been flying for about 45 minutes when the airplane experienced a total loss of engine power. The pilot performed a forced landing onto a field. The airplane nosed over and sustained substantial damage to the fuselage and empennage. Postaccident examination of the engine revealed that the single generator drive gear for the ignition system had separated into several pieces. The drive gear shaft installation called for a castellated nut with a cotter pin to retain the drive gear, but the cotter pin had not been installed and allowed the nut to back off, which ceased ignition to the engine. The generator was installed by the pilot, who did not hold a mechanic certificate, during his overhaul of the engine. The pilot stated that he performed the overhaul of the engine and installation of the generator under the supervision of a mechanic with an airframe and powerplant ratings. No other mechanical anomalies with the engine were noted.

Factual narrative

On September 1, 2020, at 1100 eastern daylight time, a Stinson 108-3, N909C, was substantially damaged when it was involved in an accident near Coleman, Michigan. The pilot was uninjured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that the airplane had been flying for about 45 minutes before it experienced a total loss of engine power. The pilot then performed a forced landing to a soybean field, where it rolled for about 180 ft and nosed over resulting in substantial damage to the fuselage and empennage. Postaccident examination of the engine, by a Federal Aviation Administration representative, revealed the single generator drive gear for the ignition system had separated into several pieces. The drive gear shaft installation called for a castellated nut with a cotter pin to retain the drive gear, but the cotter pin had not been installed and allowed the nut to back off. The generator was installed by the pilot, who did not hold a mechanic certificate, during his overhaul of the engine. The pilot stated that he performed the overhaul of the engine and installation of the generator under the supervision of a mechanic with an airframe and powerplant ratings. No other mechanical anomalies with the engine were noted.

Aircraft

Registration
N909C
Reported as
Stinson 108-3
Category
Airplane
Serial number
108-3909
Built
1947
Airframe hours
1,804
Engine
Franklin 6A4165 SERIES, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Pilot
Airworthiness certificate
Standard, Normal; Standard, Utility
Departed
53W · Remus, MI
Destination
53W · Remus, MI

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
70
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
October 29, 2018
Seat
Left
Restraint
3-point
Flight hours
148 total · 16 in this make and model · 77 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Lowest ceiling
None

Docket · 3

The files NTSB released with the investigation on June 10, 2022, 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.