ERA09LA470

NTSB accident investigation · Cessna A188B · McRae, GA · August 20, 2009

Accident · No injuriesLimited investigationFinal report
Date
August 20, 2009, 16:00 local (20:00 UTC)
Place
McRae, GA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N4842RCessna A188B
Defining event
Maneuvering: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report October 6, 2011
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Teledyne Continental Motors
FAA report
20090820048389A
Case key
74562

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 total loss of engine power due to pre-ignition/detonation as a result of a fuel control malfunction.

Findings · 3

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 eng cyl sectionAircraft › Aircraft power plant · Damaged/degradedCessna A188B: 2 casesAll aircraft: 373 casesProbable cause
AircraftAircraft › Aircraft power plant · MalfunctionCessna A188B: 2 casesAll aircraft: 151 casesProbable cause
Engine fuel and controlAircraft › Aircraft power plant · MalfunctionCessna A188B: 1 caseAll aircraft: 49 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

During an aerial application flight, the pilot noticed the engine oil temperature rise and the oil pressure decrease. The oil pressure went to zero and the engine lost all power. The pilot initiated a forced landing into a soybean field. Examination of the engine found an abnormal fuel flow through the return fitting at full rich mixture setting and a leak at the mixture shaft. Additionally, the Nos. 1 and 4 piston heads exhibited thermal erosion consistent with a pre-ignition/detonation event. This type of piston damage would elevate crankcase pressure and allow oil loss through the crankcase breather system, decreasing oil pressure and increasing oil temperature.

Factual narrative

On August 20, 2009, about 1600 eastern daylight time, a Cessna A188B, N4842R, sustained substantial damage when it impacted a field during a forced landing in McRae, Georgia. The certificated commercial pilot was not injured. Visual meteorological conditions prevailed and no flight plan was filed for the local aerial application flight. The flight was operated under the provisions of 14 Code of Federal Regulations Part 137. The flight originated at Telfair-Wheeler Airport (MQW) McRae, Georgia, at 1545. According to the pilot, while spraying chemicals on a field, the engine oil temperature started rising while the oil pressure was dropping. He exited the field and noticed the engine was losing power rapidly. The oil pressure went to zero and the engine then lost all power. The pilot initiated an emergency dump of the spray solution and attempted to climb, but was unable to do so because of low airspeed. He initiated a forced landing into a soybean field. The nose and engine compartment came to rest in the dirt and the landing gear collapsed. The pilot stated that fuel leaked from the right fuel tank. Examination of the airplane by a Federal Aviation Administration (FAA) inspector found the airplane on its belly with substantial damage to the firewall, engine mounts, fuselage attachments, and the left wing. The airplane was recovered for further examination. Examination of the engine revealed that the engine remained attached to the airframe, and had light impact damage on the front of the oil sump. Some heat damage was observed on the crankcase vent tube. The top spark plugs were removed and the crankshaft was rotated using the propeller. Compression was confirmed on all of the cylinders, and continuity was confirmed to the rear of the engine and the magneto drives. Both magnetos were in place and not damaged. The magnetos were rotated at high speed and no spark was observed on any of the magneto terminals on either magneto. They were both disassembled and the points on both magnetos had severe wear and burning damage. The points would not separate when the drive shafts were rotated. Evidence of arcing was observed in the interiors of both magnetos. The top spark plugs had normal wear when compared to the Champion Check A Plug comparison chart. They all had dark deposits in the electrode areas. The oil filter had light impact damage. It was opened and metallic particulates were observed in the filter element. The engine was prepared for an attempted engine run. Both magnetos were replaced with operational Slick-6310 magnetos. Both sets of ignition harnesses were replaced and the spark plugs were replaced on the right side with Champion RHB-32E spark plugs. The oil filter was replaced with a champion oil filter, and after several start attempts the starter was replaced. The airplane battery was replaced for the run attempts. Numerous attempts were made to start the engine using two different starters and several different batteries. All of theattempts failed, and the engine was sent to the manufacturer for further examination. The examination found the throttle body and mixture control assembly was tested and found to have abnormal flow through the return fitting at full rich with a leak at the mixture shaft. The unit was disassembled and scoring was found on the interface surfaces of the mixture control shaft and fuel metering plug. Disassembly of the engine showed the numbers 1 and 4 piston heads exhibited thermal erosion consistent with a pre-ignition/detonation event. A review of the engine logbooks found that the engine was overhauled on May 3, 2006. The last 100 hour inspection was completed on October 3, 2008.The airplane flew 105 flight hours since this inspection.

Aircraft

Registration
N4842R
Reported as
Cessna A188B
Category
Airplane
Serial number
18802361T
Airframe hours
4,100
Engine
Cont Motor IO 520 SERIES, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Gilder Flying Service Inc.
Registered owner
Gilder Flying Service Inc.
Airworthiness certificate
Special, Restricted (Special); Standard, Utility
Last inspection
Annual · October 3, 2008 · 105 hours before
Departed
MQW · McRae, GA
Destination
MQW · McRae, GA

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
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
January 3, 2009
Seat
Center
Flight hours
3,994 total · 1,790 in this make and model · 36 as pilot in command · 112 in the last 90 days · 48 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
93 °F, dew point 72 °F
Altimeter
29.97 inHg
Observed at
VDI, 27 nm away

Docket · 9

The files NTSB released with the investigation on August 31, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.8 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 N4842R · 2

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