DEN89LA082

NTSB accident investigation · Stinson 108-2 · Custer, SD · March 7, 1989

Accident · Serious injuriesLimited investigationFinal report
Date
March 6, 1989, 17:30 local (Mar 7, 1989, 00:30 UTC)
Place
Custer, SD
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N150CStinson 108-2
Weather
Visual (VMC) · Day
Status
Completed · report May 22, 1990
Report
Approved by Office Director
FAA report
19890306003129A
Case key
17678

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 improper maintenance by the pilot in command/owner in that the magneto drive gear retaining nuts were not safetied which resulted in them backing off, disconnecting the magnetoes and one of the gears falling into the engine.

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/malfTakeoff - initial climb
Ignition system,magneto - not safetiedCause
Ignition system,magneto - disengagedCause
Maintenance,installation - improperPilot in commandCause
Forced landingDescent - emergency
Hard landingLanding - flare/touchdown
Terrain condition - loose gravel/sandy

Analysis

The private plt was performing a flight following his installation of two magnetos. A witness and the plt reported that on climb out the engine quit. The plt said he heard something break in the engine. The plt attempted to land on a gravel driveway south of the runway. At impact, the main landing gear collapsed. The plane came to rest after sliding 150 ft. a post accident inspection revealed that both magnetos had been installed without cotter pins on the drive gear retaining nuts. This resulted in the nuts backing off, disconnecting the magnetos, and one of the gears falling into the engine, resulting in the reported stoppage.

Aircraft

Registration
N150C
Reported as
Stinson 108-2
Category
Airplane
Serial number
108-3150
Airframe hours
1,356
Engine
Franklin 6A4-165-B3, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
James R. Winter
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 27, 1989 · 3 hours before
Departed
SD01 · Custer, SD
Destination
SD01
Airport
SD01 · Custer County

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
600 total · 600 as pilot in command · 40 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Visibility
25 statute miles
Lowest ceiling
None
Temperature
50 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.