ERA17LA185

NTSB accident investigation · Cessna 182 · West Chester, PA · May 21, 2017

Accident · No injuriesLimited investigationFinal report
Date
May 21, 2017, 13:55 local (17:55 UTC)
Place
West Chester, PA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N378ESCessna 182
Defining event
Enroute: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20170521007149A
Case key
95206

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

An engine crankcase overpressurization and the subsequent loss of engine oil for reasons that could not be determined, which resulted in the failure of the No. 6 cylinder connecting rod due to a lack of lubrication.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCessna 182S: 1 caseAll aircraft: 2,247 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Not specifiedCessna 182S: 1 caseAll aircraft: 174 casesProbable cause
Object/animal/substance: poleEnvironmental issues › Physical environment · Contributed to outcomeCessna 182S: 1 caseAll aircraft: 142 cases

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 private pilot reported that, about 20 minutes into a cross-country, personal flight, he noticed a loss of oil pressure, Subsequently, he attempted to divert to a nearby airport. The pilot stated that, a few minutes later, the engine began to "shudder," making it difficult to control the airplane, and the oil temperature had increased, so he decided to shut down the engine. The pilot was unable to glide the airplane to the diversionary airport, so he conducted an off-airport landing at a nearby field, during which the airplane struck a utility pole, which resulted in the left wing separating from the airplane. Examination of the airframe revealed oil streaks along the fuselage belly aft of the engine breather tube. Metal fragments were found trapped in the oil suction screen. About 1/4 quart of oil was present in the sump. Examination of the engine revealed that the crankcase and oil sump were intact, and no indications of oil leaks from the crankcase were found. Thumb compression and suction were established on all cylinders except for the No. 6 cylinder. The No. 6 connecting rod was separated from the crankshaft, and the connecting rod journal and rod end were discolored, smeared, and had gouges, consistent with thermal damage. Remnants of connecting rod bearing material were found loose inside the crankcase. A borescope examination of the remaining cylinders did not reveal any damage or unusual marks. Based on this evidence, it is likely that an engine crankcase overpressurization occurred, which resulted in the ejection of nearly all the engine oil through the breather tube; the reason for the overpressurization could not be determined. The engine likely began to shudder after the overpressurizaton as a result of the No. 6 cylinder connecting rod failing due to a lack of lubrication.

Factual narrative

On May 21, 2017, about 1355 eastern daylight time, a privately owned and operated Cessna 182S, N378ES, was substantially damaged when it impacted a utility pole and terrain during a forced landing near West Chester, Pennsylvania. The private pilot was not injured. The flight departed Trenton Mercer Airport (TTN), Trenton, New Jersey at about 1330, and was destined for Montgomery County Airpark (GAI), Gaithersburg, Maryland. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the personal flight, which was conducted under the provisions of 14 Code of Federal Regulations Part 91.According to the pilot, about 20 minutes into the flight at an altitude of about 5,000 ft mean sea level, he noticed a loss of oil pressure, and the oil pressure warning light illuminated about 1 minute later. The cylinder head temperature and oil temperature indications were normal. He declared an emergency with air traffic control and received vectors to the Brandywine Airport (OQN), West Chester, Pennsylvania. A few minutes later the engine began to "shudder" making it difficult to control the airplane. At that time, the oil temperature was "high up on the gauge" and he decided to shut down the engine. About 3 miles from OQN, he determined the airplane would likely not reach the airport, and he prepared for an off-airport landing in a nearby field. During the approach to the field he noticed powerlines obstructing his path. Unable to climb above them, he descended and attempted to fly underneath the wires; however, the left wing stuck a utility pole. The airplane impacted the ground and came to rest about 200 ft beyond the pole. Examination of the airplane by a Federal Aviation Administrator (FAA) inspector revealed that the left wing was separated from the fuselage, the elevator and rudder were damaged. Oil streaks were observed along the fuselage belly, aft of the engine breather tube. An initial examination of the engine revealed that metal fragments were trapped in the oil suction screen. About 1/4 quart of oil was found in the sump. The No. 6 piston did not move when the engine was rotated by hand. According to FAA records, the pilot held a private pilot certificate with ratings for airplane single-engine land, helicopter, and instrument airplane. His most recent FAA third-class medical certificate was issued April 6, 2016. The pilot reported 2,100 hours of total flight experience of which 1,200 were in the same make and model as the accident airplane. The pilot reported that the airplane's most recent annual inspection was completed on September 9, 2016, about 25 flight hours prior to the accident. The engine had accrued 2,250 hours since new, and about 860 hours since overhaul. The engine was subsequently examined at a recovery facility. All major components accessories remained installed and intact. The crankcase and oil sump were intact with no punctures or other damage noted. There was no oil streaking orpooling on the engine or surrounding cowling. The spark plugs were removed, the No. 4 bottom spark plug and No. 6 top and bottom plugs were oil soaked. Thumb compression and suction were obtained on all cylinders with the exception of the No. 6 cylinder. The No. 6 cylinder was removed from the engine case. The No. 6 connecting rod was separated from the crankshaft. The connecting rod end and the crankshaft journal were discolored, smeared, and contained gouges, consistent with thermal damage. Remnants of connecting rod bearing material were found loose inside the crankcase. The crankshaft end of the connecting rod was spread open, discolored, and damaged. The rod end cap was separated from the rod, deformed, discolored and damaged. Both were consistent with thermal damage. The piston top had impact marks consisting with contact from both valves. The exhaust valve hydraulic lifter was fractured circumferentially. A borescope examination of the remaining cylinders did not reveal and damage or unusual marks. The engine oil pump was removed. The safety wire on the housing bolts was intact. The housing cover was removed. The drive coupling, gears, and housing were intact with no damage noted. The shaft turned freely by hand. An unmeasured amount of metal particles was noted inside the oil sump.

Aircraft

Registration
N378ES
Reported as
Cessna 182 (S)
Category
Airplane
Serial number
18280013
Built
1997
Airframe hours
2,450
Engine
Lycoming IO-540-AB1A5, 290 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 9, 2016 · 25 hours before
Departed
TTN · Trenton, NJ
Destination
GAI · Gaithersburg, MD
Flight plan
IFR
Airport
OQN · Brandywine
Equipment
Electronic flight bag or handheld device, Auto-pilot, ADS-B, Electronic multifunction display, Onboard weather, Electronic primary flight display, 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
67
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
April 15, 2016
Seat
Left
Restraint
3-point
Flight hours
2,100 total · 1,200 in this make and model · 2,100 as pilot in command · 15 in the last 90 days · 6 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 5 knots, gusting 11
Visibility
10 statute miles
Lowest ceiling
4,900 ft overcast
Temperature
66 °F, dew point 43 °F
Altimeter
30.29 inHg
Observed at
MQS, 10 nm away

Docket · 5

The files NTSB released with the investigation on October 25, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.6 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.