ERA16LA124

NTSB accident investigation · Cirrus Design SR22 · Hauppauge, NY · March 5, 2016

Accident · No injuriesLimited investigationFinal report
Date
March 5, 2016, 15:08 local (20:08 UTC)
Place
Hauppauge, NY
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N295ARCirrus Design SR22
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report December 14, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Continental Motors, Cirrus Aircraft, FAA/FSDO
FAA report
20160305024029A
Case key
92811

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

The total loss of engine power, which resulted from the failure of the camshaft gear due to fatigue. Contributing to the accident was the owner/operator's failure to comply with the engine manufacturer's recommended overhaul interval.

Findings · 4

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 · Fatigue/wear/corrosionCirrus Design SR22: 9 casesAll aircraft: 233 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Owner/builderCirrus Design SR22: 4 casesAll aircraft: 320 casesProbable cause
Use of equip/info: use of policy/procedurePersonnel issues › Task performance · Owner/builderCirrus Design SR22: 3 casesAll aircraft: 191 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 commercial pilot was conducting a personal cross-country flight. The pilot reported that, during cruise flight, the engine "sputtered" twice and then lost total power. He switched the fuel selector from the left tank to the right tank, but the engine would not restart, so he chose to activate the airframe parachute system. The parachute deployed normally, and the airplane touched down in a lawn adjacent to an industrial complex. An examination of the engine revealed that the camshaft gear had numerous missing or smeared teeth, and metal particles were found inside the oil filter element and oil sump. Additional metallurgical examination revealed that the first fractured tooth, located about 180° from the timing mark, failed due to fatigue. Most of the remaining broken or missing teeth exhibited overload signatures. Camshaft gear hardness was measured, and it met the manufacturer's specifications. In August 2005, the engine manufacturer issued a service bulletin (SB), which called for the replacement of the camshaft gear with an improved, wider gear design "at next engine overhaul or at camshaft gear replacement." The recommended overhaul time for this engine was 2,000 hours or 12 years, whichever occurred first. At the time of the accident, the engine was 15 years old, had accumulated 1,544 hours in service, and had never been overhauled. At the time of the accident, the SB had not been complied with and the improved camshaft gear had not been installed in the engine.

Factual narrative

On March 5, 2016, about 1508 eastern standard time, a Cirrus Design Corporation SR22, N295AR, was substantially damaged following a total loss of engine power and forced landing at Hauppauge, New York. The pilot and one passenger were not injured. The airplane was registered to Advance Wellness and was operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. Day, visual meteorological conditions prevailed, and no flight plan was filed. The flight from Groton, Connecticut (GON) to Farmingdale, New York (FRG) originated about 1430.According to the pilot, during cruise flight, at 2,200 feet mean sea level, the engine "sputtered" twice, then lost all power. The fuel selector was on the left tank, so he switched to the right tank and attempted a restart. The engine would not restart, so he elected to activate the Cirrus Airframe Parachute System (CAPS). The CAPS deployed normally and the airplane touched down in a lawn adjacent to an industrial complex near Hauppauge. The pilot and passenger exited the cockpit and first responders arrived to assist. An inspector with the Federal Aviation Administration responded to the accident site and examined the wreckage. Structural damage to fuselage was evident. The wing fuel tanks contained fuel. An initial inspection of the engine with a borescope revealed physical evidence of valve strikes to the top surfaces of all six pistons. The engine was removed from the airframe and sent to the manufacturer's facility for further examination. During the disassembly of the engine, the starter adapter was removed, and damage to the camshaft gear teeth was noted. The oil filter was removed and opened; metal particles were found inside the filter element. Several metal particles were found in the oil sump after removal. The cylinders were removed; each piston head exhibited valve strike signatures. The camshaft was removed from the engine case. The camshaft was intact; however, about 50% of the camshaft gear teeth were smeared or missing. Metallurgical examination of the failed camshaft gear teeth revealed that the first fractured tooth, located about 180º from the timing mark, failed from fatigue. The fracture surface exhibited beach marks and multiple initiation areas at the surface of the tooth. From the direction of the crack growth indicated by the arrest lines, the tooth separated in the direction of loading from engine operation by the mating crankshaft gear. Most of the remaining broken or missing teeth exhibited overload signatures. Camshaft gear hardness was measured with a diamond slim profile penetrator and met the manufacturer's specifications. The engine, model number IO-550-NB7, was built on February 25, 2001, and had accumulated 1,543.7 hours at the time of the accident. On August 9, 2005, Continental Motors Inc. issued Service Bulletin SB05-08, which called for the replacement of the camshaft gear with an improved gear, nominally 0.060" wider. Thebulletin compliance time was, "At next engine overhaul or at camshaft gear replacement." The recommended overhaul time for this engine was 2,000 hours or 12 years, whichever occurred first. At the time of the accident, the service bulletin had not been complied with and the accident airplane's engine did not have the improved camshaft gear installed.

Aircraft

Registration
N295AR
Reported as
Cirrus Design SR22 (NO SERIES)
Category
Airplane
Serial number
0028
Built
2001
Airframe hours
1,543
Engine
Cont Motor IO-550 SERIES, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 13, 2015 · 58 hours before
Departed
GON · Groton, CT
Destination
FRG · Farmingdale, NY
Equipment
Electronic multifunction display, Auto-pilot, Airframe parachute, Stall warning system

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
50
Injuries
None
Certificates
Commercial, Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
4-point
Flight hours
1,703 total · 1,500 in this make and model · 1,512 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 4 knots
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
37 °F, dew point 9 °F
Altimeter
30.15 inHg
Observed at
FRG, 9 nm away

Docket · 9

The files NTSB released with the investigation on October 23, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.6 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.