ERA12LA574

NTSB accident investigation · Cessna 150G · Corinth, MS · September 21, 2012

Accident · Minor injuriesLimited investigationFinal report
Date
September 21, 2012, 15:15 local (20:15 UTC)
Place
Corinth, MS
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8465JCessna 150G
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report September 12, 2013
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20120921023719A
Case key
85117

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 torque application on the crankshaft gear bolt by maintenance personnel during an engine overhaul, which resulted in the fatigue failure of the locking tab washer and gear alignment dowel and subsequent engine stoppage. Contributing to the accident was the operator’s exceedence of the engine overhaul calendar year limits recommended by the engine manufacturer.

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 rear sectionAircraft › Aircraft power plant · FailureCessna 150G: 1 caseAll aircraft: 42 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelCessna 150G: 2 casesAll aircraft: 371 casesProbable cause
Maintenance/inspections: time limitsAircraft › Aircraft handling/service · Not serviced/maintainedCessna 150G: 1 caseAll aircraft: 17 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

According to the pilot, after about 2 hours of uneventful flight, a loud noise came from the engine compartment, the engine cowling shook violently, and the engine experienced a total loss of power. During the subsequent descent, the pilot attempted to restart the engine. The propeller continued to windmill, but the engine did not restart. The pilot selected a field for a forced landing, and during the landing roll, the landing gear became entangled with the crop. The airplane then nosed over and came to rest inverted, and the pilot and his wife egressed with minor injuries. Examination of the engine revealed that the crankshaft gear bolt locking tab washer and the alignment dowel for the gear mounting flange were fractured due to fatigue. This allowed the gear to rotate on the crankshaft. The fatigue resulted from improper torque application on the crankshaft gear bolt during overhaul, which had been completed 26 years and 643 total airplane flight hours before the accident. In service bulletins and service instructions, the engine manufacturer warned that improper installation of the crankshaft gear may result in "complete engine stoppage" and recommended that engines be overhauled after 12 years in service, even if the engine had not accumulated the manufacturer-specified 2,000-hour time-between-overhaul during that period.

Factual narrative

On September 21, 2012, about 1515 central daylight time, a Cessna 150G, N8465J, was substantially damaged during a forced landing following a total loss of engine power in cruise flight near Corinth, Mississippi. The certificated commercial pilot and a passenger received minor injuries. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight, which was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the pilot/owner, the purpose of the flight was to return the airplane to his home in Oregon after he purchased it in Georgia. After receiving 2 hours of dual instruction in the airplane, the pilot and his wife departed Paulding Northwest Atlanta Airport (PUJ) and leveled the airplane in cruise flight at 4,500 feet. After approximately 2 hours of flight, with "everything perfect," a loud report came from the engine compartment, the engine cowling shook violently, and the engine experienced a total loss of power. During the subsequent descent, the pilot attempted to restart the engine. The propeller continued to windmill, but the engine did not restart. The pilot selected a soy bean field for a forced landing, and during the landing roll, the landing gear became entangled with the crop. The airplane then nosed over and came to rest inverted, and the pilot and his wife egressed with minor injuries. The pilot held a commercial pilot certificate with ratings for airplane single engine land and instrument airplane. He reported 960 total hours of flight experience, of which 60 hours were in the accident airplane make and model. The airplane was manufactured in 1967, and a review of the maintenance records by a Federal Aviation Administration (FAA) maintenance inspector revealed that the most recent annual inspection was completed April 12, 2012, at 3,968 total aircraft hours. A major overhaul on the engine was completed November 12, 1986, and the engine was installed in the airplane July 22, 1988. The engine had accrued 643 total hours since that date, and 5 hours since the annual inspection. On October 17, the engine was examined by an FAA inspector. The examination revealed that the crankshaft gear bolt locking tab washer and the alignment dowel for the gear mounting flange were fractured. The gear bolt and its associated components were examined in the NTSB Materials Laboratory in Washington, DC. The examination revealed that the locking tab and the alignment dowel displayed fracture surfaces consistent with fatigue. The bolt, the gear, and the gear mounting flange all displayed evidence of working and impact marks consistent with movement between the parts, indicative of insufficient clamping or pressure force at installation. According to Lycoming Service Bulletin 475C, "Damage to the crankshaft gear and the counterbored recess in the rear of the crankshaft, as well as badly worn or broken gear alignment dowels are the result of improper assembly techniques or thereuse of worn or damaged parts during reassembly. Since a failure of the gear or the gear attaching parts would result in complete engine stoppage, the proper inspection and reassembly of these parts is very important." According to Lycoming Service Instruction 1009AU, the recommended time between overhaul for the O-320 series engines was 2,000 hours. It further stated, "…all engines that do not accumulate the hourly period of time between overhauls specified in this publication are recommended to be overhauled in the twelfth year."

Aircraft

Registration
N8465J
Reported as
Cessna 150G
Category
Airplane
Serial number
15066365
Airframe hours
3,968
Engine
Lycoming O-320-E2A, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Ronald Noland
Registered owner
Ronald Noland
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 12, 2012 · 5 hours before
Departed
PUJ · Paulding NW ATL, GA
Destination
MO1 · Memphis, TN

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
63
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
960 total · 60 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 50 °F
Altimeter
30.02 inHg
Observed at
TUP, 40 nm away

Docket · 7

The files NTSB released with the investigation on June 13, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.9 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.