- Date
- July 17, 2013, 15:50 local (19:50 UTC)
- Place
- Tuftonboro, NH
- Injuries
- 2 minor
- Damage
- Substantial damage
- Phase of flight
- Enroute
- Aircraft
- N8721KUnivair 108-1
- Defining event
- Enroute-cruise: Loss of engine power (total)
- Weather
- Visual (VMC) · Day
- Status
- Completed · report August 11, 2015
- Report
- Approved by Office Director
- NTSB office
- Eastern Region Aviation
- Parties
- FAA/FSDO
- Case key
- 87519
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
Maintenance personnel’s failure to remove circumferential gouges in the aft radius of the R2 rod journal on the crankshaft during its last engine overhaul, which resulted in the fatigue failure of the crankshaft and a subsequent total loss of engine power.
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.
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 7 minutes after takeoff and while leveling off the airplane at 1,800 ft, the pilot leaned the fuel-to-air mixture, and the engine immediately began to run roughly. The more experienced right-seat pilot took control of the airplane and attempted to restore power, but his attempts were unsuccessful. The propeller continued to rotate briefly but then stopped. The pilot maneuvered the airplane for a forced landing in a field, and the airplane subsequently impacted a raised concrete culvert. Postaccident examination of the engine revealed that the crankshaft was fractured. Metallurgical examination of the crankshaft revealed evidence of fatigue cracking that had originated from circumferential gouges at the aft radius of the R2 rod journal. A review of engine records revealed that, about 45 years before the accident, the crankshaft was replaced during an engine overhaul and that the main and connecting rod bearing journals were ground 0.010-inch undersize. About 7 years before the accident, the engine was overhauled again, and the crankshaft main and connecting rod bearing journals were polished. The engine was installed in the accident airplane about 3 years before the accident; the engine failure occurred about 115 hours after the engine's last overhaul. It is likely that, if maintenance personnel had detected and removed the circumferential gouges at the aft radius of the R2 rod journal during the engine's last overhaul, the fatigue cracking would not have started and the crankshaft would not have failed.
Factual narrative
On July 17, 2013, about 1550 eastern daylight time, a Univair Aircraft Corporation (Stinson) 108-1, N8721K, registered to and operated by a private individual, was substantially damaged during a forced landing near Tuftonboro, New Hampshire. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91 personal flight from Moultonboro Airport (5M3), Moultonboro, New Hampshire, to Mountain View Field Airport (NH31), Wolfeboro, New Hampshire. The airline transport pilot and pilot-rated passenger sustained minor injuries. The flight originated about 1543, from 5M3.The pilot-in-command (PIC) stated that he was in the right seat and his daughter (a recently licensed pilot) was in the left seat. She initiated the takeoff and climbed to 1,800 feet while proceeding towards the destination airport only 12 minutes away. After leveling off she began to lean the fuel to air ratio and the engine immediately began to run rough. He (PIC) took the controls and moved the mixture control to full rich, but the engine began to run really rough. He switched tanks, and manipulated the throttle control but the engine quit. The propeller continued to rotate about 6 times then the engine seized and the propeller stopped. He maneuvered the airplane for a forced landing in a field and just before touchdown he noticed a 1 foot high by 3 foot wide raised concrete item that was obscured by tall weeds. He banked left in an attempt to avoid it but the left wing contacted the ground and the gear hit the concrete. The airplane cartwheeled and came to rest upright. The airplane was recovered for further examination. Following recovery of the airplane, the mechanic removed the top engine cowling, and noted the rear portion of the accessory case was cracked, and the right side of the engine crankcase was also cracked. A plate was removed from the engine, and the crankshaft was noted to be fractured. No connecting rods were separated. The crankshaft was removed from the engine and retained for further examination by the NTSB Materials Laboratory located in Washington, D.C. According to the NTSB Materials Laboratory Factual Report, the crankshaft fractured through the cheek, between rod journals "R1" and "R2." The surface of the rod and main bearing journals whose dimensions were consistent with 0.010 inch undersize contained no evidence of blue or black tint. Bench binocular microscope examination of the crankshaft revealed crack arrest marks typical of fatigue cracking emanating from the aft radius of rod journal "R2". Fatigue crack propagation was aft and through the thickness of the crank cheek. Scanning electron microscope (SEM) examination of the excised origin of the fatigue crack revealed the surface of the aft relief radius in the area of the fatigue origin contained evidence of circumferential gouge marks that were more severe when compared to the circumferential marks in the adjoining flat portionof the rod journal. The relief radius showed no evidence of ladder cracks. A copy of the NTSB Materials Laboratory Factual Report is contained in the NTSB public docket. A review of the engine logbooks and records dating to October 1951, revealed an entry dated June 1, 1968, indicating a major overhaul of the engine was performed. The entry further indicated, "Crankshaft replaced (ground .010/.010 undersize)." The engine was installed in an airframe other than the accident airframe, and a maintenance release yellow tag associated with the crankshaft dated August 30, 2005, indicates non-destructive testing was performed and no cracks were detected. A subsequent entry dated August 28, 2006, indicated the engine was disassembled for inspection, and the crankshaft was polished, ".010 mains .010 rods." The entry further indicates all work was performed in accordance with the Franklin engine overhaul manual. No determination could be made as to what facility polished the crankshaft. The engine was installed in another airplane on September 30, 2006, and the next entry dated May 23, 2007, indicates performing engine "break-in ground runs." The engine remained installed in that airplane until April 22, 2010, when it was removed for installation into the accident airplane. The engine at that time had accrued approximately 56 hours since major overhaul. The engine was installed into the accident airplane, and routine inspection entries were noted. The engine had accrued approximately 115 hours since overhaul in 2006 at the time of the accident. Excerpts from the engine maintenance records are contained in the NTSB public docket.
Aircraft
- Registration
- N8721K
- Reported as
- Univair 108-1
- Category
- Airplane
- Serial number
- 108-1721
- Airframe hours
- 1,523
- Engine
- Franklin 6A4150 SERIES, 165 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Operator
- Fawcett Walter L
- Registered owner
- Fawcett Walter L
- Airworthiness certificate
- Standard, Utility; Standard, Normal
- Last inspection
- Annual · January 14, 2013 · 10 hours before
- Departed
- 5M3 · Moultonboro, NH
- Destination
- NH31 · Wolfeboro, NH
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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 72
- Injuries
- Minor
- Certificates
- Airline transport, Commercial, Flight instructor
- Airplane ratings
- Single-engine land, Multi-engine land, Single-engine sea
- Instrument ratings
- Airplane
- Medical
- Class 3, With waivers/limitations
- Last flight review
- December 17, 2011
- Seat
- Right
- Restraint
- 3-point
- Flight hours
- 11,303 total · 90 in this make and model · 8,230 as pilot in command · 29 in the last 90 days · 22 in the last 30 days · 2 in the last 24 hours
- Role
- Pilot-rated passenger
- Age
- 43
- Injuries
- Minor
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Medical
- Class 3, With waivers/limitations
- Last flight review
- August 24, 2012
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 82 total · 26.7 in this make and model · 27.8 as pilot in command · 4.4 in the last 90 days · 2.9 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 230° at 10 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 91 °F, dew point 66 °F
- Altimeter
- 30.03 inHg
- Observed at
- LCI, 11 nm away
Docket · 12
The files NTSB released with the investigation on June 25, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.7 MB in all.
Other investigations on N8721K · 2
Matched to the same aircraft by N-number and date.