CHI07LA039

NTSB accident investigation · Cessna 140 · Vienna, MO · December 9, 2006

Accident · No injuriesLimited investigationFinal report
Date
December 9, 2006, 14:30 local (20:30 UTC)
Place
Vienna, MO
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N76379Cessna 140
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20061209029099A
Case key
65060

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

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Probable cause

The loss of engine power during cruise flight due to fatigued crankshaft cluster gear bolts and the inadequate major overhaul of the engine that was last performed by other maintenance personnel. An additional cause was a subsequent major engine overhaul not performed by the pilot after he purchased the airplane and operated it with an engine that exceeded the engine manufacturer's time between overhaul criteria.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise
Engine assembly,other - fatigueCause
Maintenance,overhaul,major - not performedPilot in commandCause
Maintenance,overhaul,major - inadequateOther maintenance personnelCause
Forced landingDescent - emergency
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - ground

Analysis

The airplane impacted terrain during a forced landing after a loss of engine power. The pilot recently purchased the airplane and had taken delivery of it on the day of the accident. Examination of the engine revealed three of the crankshaft cluster gear bolts were fractured completely through. The bolt fracture surface features were consistent with fatigue. Additionally, the crankshaft gear had a hole where a crankshaft dowel had been installed following a design change in 1948 and was reflected in subsequent maintenance manuals. The dowel is used as a reference in machining the crankshaft. During the disassembly, the tappets fell out when the engine was overturned during the disassembly. It was later noted that the tappets did not contain retaining hardware. The interior of the crankcase halves contained a black colored residue when the oil was drained. Logbook entries show that the engine was last overhauled on July 25, 1990, and accumulated a total time since overhaul of 257.5 hours. Teledyne Continental Service Information Letter, SIL98-9A, Time Between Overhaul Periods, states that engines are to be overhauled at least every twelve years.

Factual narrative

On December 9, 2006, at 1430 central standard time, a Cessna 140, N76379, owned and piloted by a private pilot, received substantial damage on impact with terrain during a forced landing on a farm field near Vienna, Missouri. The pilot stated that the engine lost power after he heard a "bang." Visual meteorological conditions prevailed at the time of the accident. The pilot reported no injuries. The flight last departed from Rolla National Airport (VIH) Rolla/Vichy, Missouri, at 1410.

The pilot purchased the airplane and had taken delivery of it at VIH on the day of the accident. The airplane was powered by a Continental C-85-12F engine, serial number 25578-6-12, which according to logbook entries, was last overhauled on July 25, 1990, and accumulated a total time since overhaul of 257.5 hours.

A disassembly examination of the engine at Teledyne Continental Motors, Mobile, Alabama, revealed three of the crankshaft cluster gear bolts were fractured through. The bolt fracture surface features were consistent with fatigue. Additionally, the crankshaft gear had a hole where a crankshaft dowel was later installed following a design change in 1948 and was reflected in subsequent maintenance manuals. The dowel is used as a reference in machining the crankshaft. During the disassembly, the tappets fell out when the engine was overturned during the disassembly. It was later noted that the tappets did not contain retaining hardware. The interior of the crankcase halves contained a black colored residue when the oil was drained.

Teledyne Continental Service Information Letter, SIL98-9A, Time Between Overhaul Periods, states that engines are to be overhauled at least every twelve years.

Aircraft

Registration
N76379
Reported as
Cessna 140
Category
Airplane
Serial number
10800
Airframe hours
3,154
Engine
Continental C85-12F, 85 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
100 hour · December 1, 2006 · 3.3 hours before
Departed
VIH · Rolla/Vichy, MO
Destination
K34 · Gardner, KS

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
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
July 1, 2006
Seat
Left
Flight hours
492 total · 6 in this make and model · 431 as pilot in command · 40 in the last 90 days · 28 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
46 °F, dew point 25 °F
Altimeter
30.22 inHg
Observed at
VIH, 13 nm away

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 N76379 · 1

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