ERA23LA372

NTSB accident investigation · Cessna 182P · Prospect, TN · September 14, 2023

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
September 14, 2023, 13:00 local (18:00 UTC)
Place
Prospect, TN · Soybean field
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8443MCessna 182P
Defining event
Enroute-cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20230914013969A
Case key
193069

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

A loss of engine power due to the fatigue failure of the No. 6 cylinder exhaust valve rocker boss.

Findings · 1

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 cyl sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionCessna 182P: 4 casesAll aircraft: 373 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 pilot was performing a cross-country flight whenthere was a “sudden severe engine vibration and loss of power.” He reduced the throttle in an attempt to lessen the engine vibration and elected to land the airplane in a soybean field since he was unsure if he could clear a large, forested area between him and the next closest airport. After touchdown, the nose landing gear struck a ditch, separated, and the airplane nosed over, coming to rest inverted. An examination of the engine after the accident revealed the No. 6 cylinder exhaust valve rocker boss was fractured and loose inside the rocker cover. The boss was fractured in two places. Metallurgical examination revealed one of the fractured bosses failed from fatigue that initiated at multiple sites along the bore surface that had been in contact with the rocker arm. A review of the maintenance logbooks revealed that the engine cylinders were removed, overhauled, and reinstalled about 3 years and 4 months before the accident, and the airplane had accrued about 154 hours total time since the cylinders were overhauled.

Factual narrative

On September 14, 2023, about 1300 central daylight time, a Cessna 182P airplane, N8443M, was substantially damaged when it was involved in an accident near Prospect, Tennessee. The private pilot and one passenger sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot was performing a cross-country flight from Tuscaloosa National Airport (TCL), Tuscaloosa, Alabama, to Lebanon Municipal Airport (M54), Lebanon, Tennessee. About 1 hour into the flight, at 3,500 ft mean sea level, there was a “sudden severe engine vibration and loss of power.” He reduced the throttle to lessen the engine vibration. He elected to land the airplane in a soybean field since he was unsure if he would clear a large, forested area between him and the next closest airport. After touchdown in the soybean field, the nose landing gear struck a ditch, separated, and the airplane nosed over, coming to rest inverted. He called 911 and was met by first responders. Federal Aviation Administration inspectors responded to the accident site and examined the wreckage. The wreckage was found inverted, in the soybean field. There was no fire. The fuselage and empennage were substantially damaged. After recovery of the wreckage, the engine was examined on the airframe. The rocker covers were removed to examine the cylinder heads and check valve action. The Nos. 1-5 cylinders were normal in appearance and the valve action was correct. When the rocker cover for the No. 6 cylinder was removed, pieces of the exhaust valve rocker boss, the rocker, washers, and the rocker shaft were loose inside. The exhaust valve was closed. The rocker boss was fractured in two places. The loose parts recovered from the No. 6 cylinder were sent to the National Transportation Safety Board Materials Laboratory for examination. One of the rocker boss fragments exhibited features consistent with fatigue that initiated at multiple sites along the bore surface that had been in contact with the arm. The other boss fragment was fractured from overstress, exhibiting features consistent with rapid fracture of an aluminum casting. A review of the engine logbook revealed that the engine cylinders were removed, overhauled, and reinstalled on May 18, 2020, at 2,609.8 hours total aircraft time. At the time of the accident, the airplane had accrued about 154 hours since the cylinders were overhauled.

Aircraft

Registration
N8443M
Reported as
Cessna 182P
Category
Airplane
Serial number
18264605
Built
1976
Airframe hours
2,764
Engine
Continental O-470-S, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 23, 2023 · 24 hours before
Departed
TCL · Tuscaloosa, AL
Destination
M54 · Lebanon, TN
Equipment
Auto-pilot, ADS-B, Stall warning system, Handheld GPS

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
75
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed, With waivers/limitations
Last flight review
October 1, 2022
Seat
Left
Restraint
3-point
Flight hours
554 total · 190 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 57 °F
Altimeter
30.04 inHg
Observed at
DCU, 21 nm away
METAR
METAR KDCU 141753Z AUTO 36008KT 330V040 10SM CLR 28/14 A3004 RMK AO2 SLP167 T02780144 10278 20172 58006

Docket · 6

The files NTSB released with the investigation on December 5, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 25.2 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.