ERA09FA228

NTSB incident investigation · Cirrus Design SR22 · Northport, FL · April 3, 2009

Incident · No injuriesField investigationFinal report
Date
April 3, 2009, 18:53 local (22:53 UTC)
Place
Northport, FL
Injuries
3 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N509SRCirrus Design SR22
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report March 16, 2011
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
SATSair, FAA/FSDO, Cirrus Design Corporation, Teledyne Continental Motors
FAA report
20090403004829I
Case key
73594

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

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Probable cause

Inadequate torque on one of the No. 6 connecting rod bolt retaining nuts, which resulted in the connecting rod’s separation from the crankshaft and a subsequent total loss of engine power.

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.

Engine (reciprocating): recip engine power sectionAircraft › Aircraft power plant · Incorrect service/maintenanceAll aircraft: 233 casesProbable cause
Maintenance: fabricationPersonnel issues › Task performance · Owner/builderAll aircraft: 30 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

About 10 minutes after takeoff, when the airplane was in level cruise flight, the engine lost power. The pilot performed a forced landing to a road, which resulted in minor damage to the airplane when the right wing impacted a road sign. An initial examination of the engine revealed a hole in the upper deck in the vicinity of the Nos. 5 and 6 pistons. Further examination revealed that both of the No. 6 connecting rod bolts were fractured. One bolt was missing the self-locking nut, and fretting adjacent to the bolt hole on the split-line face of the connecting rod indicates that the bolt was probably not tightened with sufficient torque and backed off the bolt. The bolt then likely backed out of its hole on the connecting rod, enabling the cap to hinge open, and the loading of the other bolt in tension and bending to the point of overstress. The connecting rod then separated from the crankshaft and punched a hole in the crankcase.

Factual narrative

HISTORY OF FLIGHT On April 3, 2009, at 1853 eastern daylight time, a Cirrus SR22, N509SR, incurred minor damage during a forced landing, following an engine failure, in Northport, Florida. The certificated airline transport pilot and the two passengers were not injured. Visual meteorological conditions prevailed. The airplane was operating on an instrument flight rules flight plan from Page Field (FMY), Fort Myers, Florida, to St. Petersburg-Clearwater International Airport (PIE), St. Petersburg, Florida. The on-demand air taxi flight was conducted under the provisions of 14 Code of Federal Regulations Part 135. According to the pilot, about 10 minutes after takeoff, when the airplane was level at 6,000 feet, he noticed that the engine oil pressure had dropped to about 28 psi. About 2 minutes later, the engine began to run "real rough," and the oil pressure dropped to 10 psi. Shortly after that, the engine quit, and the pilot performed a forced landing to a road. During the landing rollout, the right wing hit a road sign. A download of flight data revealed that the airplane took off about 1841; at 1850, the engine failed; and at 1853, the airplane landed. AIRCRAFT INFORMATION The airplane was powered by a Teledyne Continental Motors (TCM) IO-550-N engine. According to maintenance records, total engine time was 1,707.7 hours since new. The build date was August 28, 2006. The latest phase inspection was completed on March 30, 2009, at 1,695.5 hours since new. There was no indication in the maintenance records that the number 6 connecting rod had been removed since the engine was new. WRECKAGE AND IMPACT INFORMATION An examination of the airplane revealed only minor damage to the right wing leading edge. An initial examination of the engine revealed that the upper deck was breached in the vicinity of the number 5 and number 6 cylinder positions. The engine was subsequently disassembled and examined under NTSB oversight at the manufacturer's facilities. Examination confirmed that the crankcase was breached above the number 5 and number 6 cylinder positions. The crankshaft and counterweight assembly exhibited lubrication distress, thermal damage, and mechanical damage. The number 2 and number 3 crankshaft main bearings exhibited thermal discoloration. The number 3, 5 and 6 connecting rods were separated from the crankshaft journal, and the number 1 through 5 connecting rod bearings exhibited thermal discoloration and damage. The number 6 connecting rod exhibited mechanical damage and was bent below the pin bushing. The connecting rod cap was distorted, and both cap bolts were fractured. The connecting rod bearing exhibited some mechanical damage, but no sign of thermal distress. One of the cap bolt self locking retaining nuts was missing. The oil galleys and passages in the left and right crankcase halves were clear and unrestricted. With agreement from the NTSB Materials Laboratory, the number 6 connecting rod, piston, piston pin, and connecting rodbolts were submitted to the TCM materials laboratory (M&P Laboratory) for analysis. According to the laboratory factual report, which was reviewed by the Chief, NTSB Materials Laboratory, one bolt exhibited separation consistent with ductile overload below the splitline location. The self locking retaining nut was still in its original position on the bolt. The fracture surface of the other bolt exhibited "extensive" post-separation damage to the fracture surface, which occurred above the split line location on the bolt. There was fretting adjacent to the bolt hole on the split line face of the connecting rod, indicating that the rod cap and rod were separating and hitting for a period of time. The bolt also showed "extensive" thread damage. The hardness of each bolt and the one nut conformed to the manufacturing requirements.

Aircraft

Registration
N509SR
Reported as
Cirrus Design SR22
Category
Airplane
Serial number
2180
Airframe hours
1,707
Engine
Cont Motor IO-550-N, 310 horsepower, reciprocating
Damage
Minor damage
Flight
Part 135
Operator
Satsair LLC
Registered owner
Satsair LLC
Airworthiness certificate
Standard, Normal
Departed
FMY · Fort Myers, FL
Destination
PIE · St. Petersburg, FL
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2
Seat
Left
Flight hours
5,077 total · 1,355 in this make and model · 4,526 as pilot in command · 148 in the last 90 days · 60 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 4 knots
Visibility
8 statute miles
Lowest ceiling
2,300 ft overcast
Temperature
73 °F, dew point 70 °F
Altimeter
30.00 inHg
Observed at
PGD, 15 nm away

Docket · 12

The files NTSB released with the investigation on November 19, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.5 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.