ERA19LA006

NTSB accident investigation · Cessna 205 · Wagoner, OK · October 4, 2018

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
October 4, 2018, 18:30 local (23:30 UTC)
Place
Wagoner, OK
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N8495ZCessna 205
Defining event
Maneuvering: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Continental Motors
FAA report
20181004019469A
Case key
98434

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 improper maintenance of the magnetos, which resulted in a loss of engine power.

Findings · 2

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.

Ignition system: magneto/distributorAircraft › Aircraft power plant · Not serviced/maintainedCessna 210-5A(205A): 1 caseAll aircraft: 101 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelCessna 210-5A(205A): 1 caseAll aircraft: 320 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 a post maintenance flight after the airplane's annual inspection, the pilot made about three circuits around the airport area before departing to continue flight maneuvers and performance checks. He started a left turn and then noticed a “very minor engine mis[fire]." As the pilot continued the turn, the "engine mis[fire]" began to increase and the engine began to shake. The airplane was unable to maintain altitude and was descending about 150-300 ft per minute. Although the pilot made multiple attempts to regain engine power, the engine lost total power. The airplane impacted trees and brush; during the landing sequence, the left and right wings buckled. Following the accident, an engine run was performed; after running for 13 minutes, the engine lost power. Troubleshooting of the magnetos found that the right magneto was firing erratically. The right magneto was replaced with a known-good magneto and the engine was subsequently successfully test run at full power. More detailed testing of both magnetos revealed that they failed the manufacturer’s acceptance test procedures due to excessive point gaps and secondary coil resistance. A review of the engine logbooks revealed the magneto points and condensers were replaced about 18 years and about 230 flight hours before the accident flight. Given the available information, it is likely that maintenance personnel did not perform proper maintenance of the magnetos.

Factual narrative

On October 4, 2018, about 1830 central daylight time, a Cessna 205A, N8495Z, was substantially damaged when it was involved in an accident near Wagoner, Oklahoma. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 flight test. According to the pilot, he was performing a post maintenance flight test. After a routine engine run-up with no abnormal indications, he departed Hefner-Easley Airport (H68), Wagoner, Oklahoma. The pilot climbed to about 2,500 ft mean sea level and made about three circuits around the airport area; he stated that the airplane climbed well and that all flight parameters were normal. The pilot announced his intentions of leaving the airport area and turned south to continue flight maneuvers and performance checks. The pilot started a left turn when a “very minor engine mis[fire]" occurred. He scanned the instrument panel, and all engine parameters appeared normal. As the pilot continued the turn, the "engine mis[fire]" began to increase and the engine began to shake. The airplane was unable to maintain altitude and was descending about 150-300 ft per minute. The pilot made multiple attempts to regain engine power, but the engine then lost total power. The pilot slowed the airplane to the minimum controllable airspeed and impacted trees and brush. During the landing sequence, the left and right wings buckled. A postaccident engine run was performed and revealed that, after running for 13 minutes, the engine lost power and the No. 6 cylinder began to significantly cool. Troubleshooting of the magnetos found that the right magneto was firing erratically. The right magneto was replaced with a known-good magneto and the engine was subsequently successfully test run at full power. The accident magnetos were removed for testing, and both magnetos failed the manufacturer’s acceptance test procedure due to excessive point gaps and secondary coil resistance. Additionally, both magnetos did not produce output until above 3,000 rpm. A review of the engine logbooks revealed the magneto points and condensers were replaced in both magnetos on September 20, 2000, at a tachometer time of 786.5 hours. There were no logbook entries detailing a magneto 500-hour inspection. Since the repair of the magnetos, the engine had accumulated about 233.3 hours prior to the accident flight.

Aircraft

Registration
N8495Z
Reported as
Cessna 205 (A)
Category
Airplane
Serial number
2050495
Built
1963
Airframe hours
3,862.74
Engine
Continental IO-470S, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 31, 2018 · 1 hours before
Departed
H68 · Wagoner, OK
Destination
H68 · Wagoner, OK
Airport
H68 · Hefner-Easley, runway 18, 3,401 × 60 ft, asphalt
Equipment
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
61
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
September 17, 2017
Seat
Left
Restraint
Lap only
Flight hours
1,450 total · 2 in this make and model · 1,377 as pilot in command · 26 in the last 90 days · 14 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 68 °F
Altimeter
29.95 inHg
Observed at
KTQH, 16 nm away

Docket · 6

The files NTSB released with the investigation on January 20, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.0 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 N8495Z · 1

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