LAX03LA164

NTSB accident investigation · Cessna T207A · Page, AZ · May 26, 2003

Accident · No injuriesLimited investigationFinal report
Date
May 26, 2003, 10:40 local (17:40 UTC)
Place
Page, AZ
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9317MCessna T207A
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030526021649A
Case key
57057

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 a oil starvation induced catastrophic internal failure of the engine caused by the rotation of the number 2 cylinder main bearing.

This narrative was modified on February 16, 2005.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfCruise
Engine assembly,bearing - shiftedCause
Fluid,oil - starvationCause
Engine assembly,connecting rod - failure,totalCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - rough/unevenFactor

Analysis

The pilot executed a forced landing after the airplane experienced a catastrophic engine failure. Approximately 20 minutes after takeoff, the engine started to violently shake. The pilot retarded the throttle to 15 inches of manifold pressure and reduced the rpm to 2300. White smoke was emitted from the top portion of the cowling and a small amount of smoke entered the cockpit. Also, a large amount of "very black" oil came from the front of the cowling. The pilot turned the airplane in the direction of the nearest airport. About 2 minutes later, the engine stopped completely. He turned a base leg for the highway below. While on final, the airplane was overtaking vehicles on the road so he elected to deviate to the side of the highway. During the landing roll, the nose gear was torn off. After securing the airplane, the pilot noted two large holes on the top, aft portion of the engine casing. Pieces of casing and piston were on and around the engine. A piston rod was located on top of the engine, and a third hole was located at the bottom of the engine casing. Disassembly of the engine revealed that the number 2 cylinder main bearing rotated and closed off the oil supply to the bearing. It had been 1464.5 hours since the engine's last overhaul. According to the engine manufacturer, the time between overhauls for this engine is 1,600 operating hours. An oil analysis on December 7, 2001, indicated that the wear metals appeared high for the oil time.

This narrative was modified on February 16, 2005.

Factual narrative

On May 26, 2003, about 1040 mountain standard time, a Cessna T207A, N9317M, executed a forced landing after it experienced a loss of power approximately 15 miles south of Page, Arizona. Westwind Aviation, Inc., was operating the airplane under the provisions of 14 CFR Part 91. The commercial pilot, the sole occupant, was not injured; the airplane sustained substantial damage. The positioning flight departed Page about 1030, en route to Grand Canyon, Arizona. Visual instrument meteorological conditions prevailed, and no flight plan had been filed.

In a written statement, the pilot reported that approximately 20 minutes after takeoff the engine started to violently shake. He retarded the throttle to 15 inches of manifold pressure and reduced the rpm to 2300. White smoke was emitted from the top portion of the cowling and a small amount of smoke entered the cockpit. Also, a large amount of "very black" oil came from the front of the cowling. The pilot turned the airplane in the direction of Page Airport and declared an emergency on the Page Unicom. About 2 minutes later, the engine stopped completely. He turned a base leg for the highway below. While on final, the airplane was overtaking vehicles on the road so he elected to deviate to the side of the highway. During the landing roll, the nose gear was torn off. After securing the airplane, the pilot noted two large holes on the top, aft portion of the engine casing. The left magneto was broken from its attachment point. Pieces of casing and piston were on and around the engine. A piston rod was located on top of the engine, and a third hole was located at the bottom of the engine casing.

Maintenance records indicated that the engine was installed on August 7, 2000. The last inspection on the engine was an annual, completed on May 2, 2003. At that time, the engine had accumulated 2955.7 hours total time. At the time of the accident, it had been 1464.5 hours since the last overhaul.

According to the engine overhauler Western Skyways, Inc., the engine meets the requirements of Continental Service Bulletin SIL98-9 for a 1,600-hour time between overhaul.

On December 7, 2001, an engine oil analysis was completed on an oil sample at Aviation Oil Analysis, Phoenix, Arizona. The results of the analysis indicated the following: check oil for chips (108); possible corrosion if aircraft not flown regularly (124); resample 25 hours to monitor wear trend (135); and wear metals appear high for oil time (196); the report is attached.

On April 3, 2003, the airplane discrepancy sheet indicated that the oil pressure was in the lower portion of the green arc during cruise. The oil pressure adjustment unit was removed and the valve face was cleaned. The oil pressure then tested within acceptable limits.

The National Transportation Safety Board investigator-in-charge (IIC) and a representative from Teledyne Continental, a party to the investigation, examined the engine on October 21, 2003. The examination revealed that an internal catastrophic failure of the engine had occurred. Disassembly of the engine revealed that the number 2 cylinder main bearing had rotated and blocked the oil supply to the bearing.

This narrative was modified on February 16, 2005.

Aircraft

Registration
N9317M
Reported as
Cessna T207A
Category
Airplane
Serial number
20700680
Airframe hours
10,684.7
Engine
Continental TSIO-520M, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
Westwind Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 15, 2003 · 26.2 hours before
Departed
PGA · Page, AZ
Destination
GCN · Grand Canyon, AZ
Flight plan
Company VFR

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
22
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
August 8, 2002
Seat
Left
Flight hours
2,200 total · 368 in this make and model · 2,142 as pilot in command · 133 in the last 90 days · 90 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 32 °F
Altimeter
29.95 inHg
Observed at
PGA, 15 nm away

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 N9317M · 1

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