CEN23LA231

NTSB accident investigation · Cessna 207 · Harlingen, TX · June 6, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 6, 2023, 12:08 local (17:08 UTC)
Place
Harlingen, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N91157Cessna 207
Defining event
Initial climb: 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
Continental Aerospace Technologies, Federal Aviation Administration
FAA report
20230606006749A
Case key
192328

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 improper installation of the throttle control arm to the throttle control cable attachment end, which resulted in a failure of the control arm and a loss of engine power in flight.

Findings · 2

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.

Maintenance: installationPersonnel issues › Task performance · Maintenance personnelCessna 207: 1 caseAll 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 reported that shortly after takeoff on the fourth flight of the day, he leveled the airplane about 500 ft above ground level (agl), and set the engine controls for 2,500 rpm and 25 inHg manifold pressure. Immediately after adjusting the engine controls, the engine speed decreased to idle. The pilot made a forced landing to a field and the airplane sustained substantial damage to the left wing. A postaccident examination revealed that the throttle control lever had fractured, and the throttle control was no longer connected. The associated hardware remained attached to the throttle control cable attachment end. The engine and fuel control valve were recently overhauled, reinstalled in the airplane, and had accumulated 86.3 hours. A postaccident metallurgical examination revealed the throttle control lever attachment point exhibited wear and deformation on the surfaces of the areas that would have been in contact with the rod end attachment hardware. The throttle control lever attachment point also exhibited wear and a shallow impression of the splined collar on the inner surface of the attachment point bore, which was significantly worn. The splines on the collar were worn and uneven. The wear and deformation to the throttle control lever attachment point and the wear in the attachment point’s bore resulted in dimensions that no longer provided enough interference with the rod end attachment hardware to secure the connection. The throttle linkage hardware build-up on the accident airplane was different than specified by the airplane service manual and was missing a washer. The difference likely resulted in the hardware becoming loose over time and allowing excessive wear of the splined collar and lever arm, and ultimately the failure of the lever arm attachment point.

Factual narrative

On June 6, 2023, about 1208 central daylight time, a Cessna 207 airplane, N91157, was substantially damaged when it was involved in an accident near Valley International Airport (HRL), Harlingen, Texas. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 aerial application flight. The pilot stated that the purpose of the flight was to distribute sterile fruit flies in the area, and he had already completed three similar flights that morning. After the third flight, the fuel tanks were topped off and additional fruit flies were loaded into the airplane. The pilot departed, proceeded southeast about 500 ft agl, and set the engine controls for 2,500 rpm and 25 inHg manifold pressure. Immediately after adjusting the engine controls, the engine speed decreased to idle. He was unable to fly back to the airport, so he made a forced landing in a field. During the forced landing, the airplane sustained substantial damage to the left-wing spar. A postaccident examination revealed that the throttle control lever had fractured, and the throttle control was no longer connected. The associated hardware remained attached to the rod end. The engine and fuel control valve were overhauled and reinstalled on the airplane April 14, 2023. The engine had accumulated 86.3 hours since overhaul. The fractured throttle control lever and associated hardware were examined by the National Transportation Safety Board Materials Laboratory. The throttle control lever attachment point exhibited plastic deformation on the surfaces of the areas that would have been in contact with the rod end attachment hardware. This deformation resulted in a variable thickness across the attachment point. The throttle control lever attachment point also exhibited wear and a shallow impression of the splined collar on the inner surface of the attachment point bore, which was significantly worn. The splines on the collar were worn and uneven. The plastic deformation to the throttle control lever attachment point and the wear in the attachment point’s bore resulted in dimensions that no longer provided enough interference with the rod end attachment hardware to secure the connection. On January 26, 1996, the airplane manufacturer issued Service Bulletin SEB 95-15 Rev 1, Engine Throttle Control Lever Inspection. The SEB was issued due to wearing at the throttle control cable attachment end, where in some cases the wear progressed through the lever allowing the throttle control end to become disconnected from the lever. The SEB warned that failure to complete the inspection could result in the loss of engine throttle control and an incontrollable reduction in engine power to idle rpm in flight. The SEB and the airplane service manual provided a diagram of the proper throttle linkage hardware build up. The throttle linkage hardware build-up on the accident airplane was different than the service manual and was missing a washer.

Aircraft

Registration
N91157
Reported as
Cessna 207
Category
Airplane
Serial number
20700096
Built
1969
Airframe hours
4,850
Engine
Continental Motors IO-520-F, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 91
Operator
Garza Aircraft Inc
Registered owner
Garza Aircraft Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 17, 2023 · 86.3 hours before
Flight plan
Company VFR
Airport
HRL · Valley Intl, runway 17L, 5,949 × 150 ft, asphalt
Equipment
Stall warning system, ADS-B

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
28
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
October 3, 2022
Seat
Left
Restraint
Lap only
Flight hours
2,231 total · 74 in this make and model · 2,129 as pilot in command · 136 in the last 90 days · 51 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 73 °F
Altimeter
29.90 inHg
Observed at
KHRL
METAR
KHRL 061652Z 00000KT 10SM CLR 30/23 A2990 RMK AO2 SLP125 T03000228

Docket · 11

The files NTSB released with the investigation on August 29, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 100 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.

Other investigations on N91157 · 1

Matched to the same aircraft by N-number and date.