ERA09LA146

NTSB accident investigation · Cessna 152 · Wauchula, FL · January 18, 2009

Accident · No injuriesLimited investigationFinal report
Date
January 18, 2009, 14:00 local (19:00 UTC)
Place
Wauchula, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6566PCessna 152
Defining event
Enroute-change of cruise level: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report June 11, 2009
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Lycoming, FAA/FSDO
FAA report
20090118000579A
Case key
73293

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

A loss of engine power due to failure of the Number 3 connecting rod due to oil contamination. Contributing to the accident was the insufficient oil change time intervals performed by company personnel.

Findings · 6

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.

Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomeCessna 152: 6 casesAll aircraft: 442 cases
Engine (reciprocating): recip eng front sectionAircraft › Aircraft power plant · FailureCessna 152: 1 caseAll aircraft: 13 casesProbable cause
Maintenance/inspectionsAircraft › Aircraft handling/service · Incorrect service/maintenanceCessna 152: 2 casesAll aircraft: 103 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelCessna 152: 2 casesAll aircraft: 320 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Incorrect service/maintenanceCessna 152: 3 casesAll aircraft: 174 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Fluid conditionCessna 152: 3 casesAll aircraft: 174 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 was climbing to 7,500 feet mean sea level when the engine started vibrating. The engine temperature increased and the engine stopped. The pilot realized that he could not make an airport and made a forced landing to a phosphate field. Examination of the engine revealed that it contained 6 quarts of dark black oil. The oil filter was removed and contained metallic contamination. Disassembly of the engine revealed dirt particle embedment on the Numbers 1 and 2 cylinder connecting rod bearings. The Number 3 connecting rod bearing was found disconnected from the crankshaft, with only small steel fragments remaining. The No. 3 connecting rod cap and associated broken rod bolts displayed overload signatures. The Number 4 connecting rod remained attached to the crankshaft and displayed heavy heat damage consistent with oil starvation. The operator reported that its maintenance personnel were performing oil changes during the 100-hour inspections. Lycoming Mandatory Service Bulletin 480E states that engines with a full-flow filtration system are required to have the oil changed at 50-hour intervals.

Factual narrative

On January 18, 2009, at 1400 eastern standard time, a Cessna 152, N6566P, was substantially damaged during a forced landing near Wauchula, Florida, after experiencing a total loss of engine power. The certificated private pilot and the passenger reported no injuries. The airplane was registered to J.A. Mega Aircraft LLC, and operated by Dean International Inc., as a 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed, and no flight plan was filed. The flight originated from Brooksville, Florida, about 1315. The pilot stated he was climbing from 7,200 feet to 7,500 feet mean sea level, utilizing flight following with air traffic control (ATC). The engine started vibrating, the engine temperature was high, and the engine shut down. The pilot called ATC, reported the situation, and squawked the emergency code on the transponder. Air Traffic Control informed the pilot the nearest airport was located 10 miles from his position. The pilot realized he would not make the airport and made a forced landing to a phosphate field. The nose landing gear collided with a small grassy hill during landing roll out, and the airplane nosed over. A Federal Aviation Administration inspector and a representative from the engine manufacturer examined the engine assembly on February 3, 2009, at a local salvage company. The engine did not display any outward indication of a mechanical malfunction. High heat paint discoloration was present on the cylinder heads. The engine crankshaft was seized and would not rotate. Partial disassembly of the engine revealed about 6 quarts of dark black oil was present in the engine. The oil filter was removed, opened, and contained metallic contamination. Further examination of the engine revealed evidence of dirt particle embedment on the No. 1 and No. 2 cylinder connecting rod bearings (P/N AEL69373M006). The No. 3 connecting rod bearing was destroyed, with only small steel fragments remained as the connecting rod was found disconnected from the crankshaft. The separated No. 3-rod cap sustained secondary mechanical damage. The associated broken rod bolts (P/N SL78027G) of the No. 3 connecting rod assembly were retrieved and displayed overload signatures. The No. 4 connecting rod remained attached and displayed heavy heat damage consistent with oil starvation. Review of the maintenance logbooks revealed the engine was field-overhauled on March 18, 2008, and had accumulated 822 hours since the field-overhaul. Review of maintenance records revealed the operator performed regular 100-hour inspections. However, the maintenance records do not indicate the frequency of the oil changes. A representative of the operator stated oil changes are accomplished at the 100-hour inspection interval. Lycoming Mandatory Service Bulletin No. 480E states in Section I. C, that engines equipped with a full-flow filtration system requires the oil to be changed at 50-hour intervals.

Aircraft

Registration
N6566P
Reported as
Cessna 152
Category
Airplane
Serial number
15285034
Airframe hours
7,906
Engine
Lycoming O-235-L2C, 110 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Dean International Inc.
Registered owner
J.A. Megna Aircraft LLC
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · December 8, 2008 · 53 hours before
Departed
BKV · Brooksville, FL
Destination
TMB · Miami, FL
Flight plan
Unknown

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
31
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
September 30, 2008
Seat
Left
Flight hours
270 total · 245 in this make and model · 220 as pilot in command · 220 in the last 90 days · 150 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 8 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 41 °F
Altimeter
30.07 inHg
Observed at
BOW, 26 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 N6566P · 1

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