LAX04LA100

NTSB accident investigation · Cessna 170B · Santa Rosa, CA · January 17, 2004

Accident · No injuriesLimited investigationFinal report
Date
January 17, 2004, 15:25 local (23:25 UTC)
Place
Santa Rosa, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N2502CCessna 170B
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040117001649A
Case key
58647

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

the failure of the number 2 cylinder barrel due to fatigue. The lack of suitable landing terrain was a factor in the accident.

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/malfClimb - to cruise
Engine assembly,cylinder - fatigueCause
Engine assembly,cylinder - separationCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterEmergency landing
Terrain condition - none suitable
Terrain condition - softFactor
Nose overLanding - roll

Analysis

The engine lost power and the airplane nosed over during a forced landing in a field. Post accident examination revealed that the number 2 cylinder separated from the engine. The engine had accumulated 900 hours since its last major overhaul 13 years prior to the accident; the cylinder had accumulated 1,212 hours since replacement in 1986. The hours on the cylinder prior to that time could not be determined. A metallurgical examination found that the barrel failed due to a fatigue crack. The barrel fractured circumferentially between the 11th and 13th fin from the head. The fracture initiated approximately 1.8 inches below the head and started from the inner diameter below a plated region. The initiation area was a small, flat, thumbnail-shaped region approximately 0.5-inch wide through the wall thickness, with signatures indicative of fatigue. Multiple crack initiation sites were observed in the origin area. From the initiation point, the fracture continued propagating in the circumferential direction with coarse arrest marks over approximately 45 percent of the barrel circumference. No material, manufacture, or plating defects were found. The metallurgical examination could not determine why the cracking occurred at the given location; however, it occurred below the chrome plating. From this, it is possible that the barrel exhausted the available fatigue life at that location, which was lowered by the presence of plating.

Factual narrative

On January 17, 2004, at 1525 Pacific standard time, a Cessna 170B, N2502C, force landed in a field 15 miles south of Santa Rosa Airport (STS), Santa Rosa, California, after a loss of engine power. The aircraft nosed over in soft ground during the landing rollout. The pilot, who was also the registered owner, was operating the airplane under the provisions of 14 CFR Part 91. The private pilot, the sole occupant, was not injured; the airplane sustained substantial damage. The flight departed Santa Rosa about 1505 for the local flight. Visual meteorological conditions prevailed, and no flight plan had been filed.

A Federal Aviation Administration (FAA) inspector examined the airplane. The number 2 cylinder separated from the engine, but remained inside the engine cowling. The engine had accumulated 900 hours since its last major overhaul.

The National Transportation Safety Board investigator-in-charge (IIC) reviewed maintenance records for the airplane. On September 4, 1986, the number 2 cylinder was replaced. On April 22, 2003, the number 2 cylinder was removed and resealed. The cylinder had accumulated 1,212 hours since replacement in 1986. The hours on the cylinder prior to that time could not be determined. On May 20, 1991, the engine was overhauled.

The IIC sent the outboard portion of the number 2 cylinder to the Safety Board Materials Laboratory for examination. According to the metallurgist, the barrel fractured circumferentially between the 11th and 13th fin from the head. Examination of the fracture surface showed that the fracture initiated approximately 1.8 inches below the head and started from the inner diameter below a plated region. The origin was on the intake valve side of the cylinder, at approximately the 9-o'clock position looking outward when the rocker arms are at the 6 o'clock position. The initiation area was a small, flat, thumbnail-shaped region approximately 0.5-inch wide through the wall thickness, indicative of fatigue. The metallurgist noted multiple initiation sites in the origin area. From this region the fracture continued propagating in the circumferential direction with coarse arrest marks. The total fatigue region consumed approximately 45 percent of the barrel circumference or approximately 5.5 inches. The remainder of the barrel failed in overstress.

Energy dispersive spectroscopy (EDS) analysis of the base metal showed a composition consistent with 4140 steel, a typical barrel material, and the plating was composed of chromium. The metallurgist made an as-polished cross-sectional metallographic mount through the origin area and no material defects were observed. At the inner diameter surface near the origin, he observed a secondary crack propagating adjacent to the main fracture. The etched microstructure was consistent with through-hardened quenched and tempered steel. The region on the surface unaffected by etching is the chromium plating, which contained multiple craze cracks. Sections of the plating adjacent to the fracture origin were staggered. The plating thickness was approximately 0.012 inch, whereas, the base metal thickness in the thinnest region in the fin root was approximately 0.073 inch.

The metallurgist stripped the barrel inner diameter surface of the chrome plating by immersing the part in a 50 percent solution of hydrochloric acid to determine the surface conditions adjacent to the fatigue origins. He observed no evidence of abusive machining marks, scratches, or corrosion pits in the origin areas, though some deeper machining marks were observed to have been removed from the origins. He observed additional areas of secondary cracking adjacent to the fracture surface.

The barrel had an average micro-hardness of 328 HK (32 HRC) in the base metal adjacent to the origin, consistent with typical barrel hardness. The chrome plating had an average hardness of 813 HK (63 HRC).

Aircraft

Registration
N2502C
Reported as
Cessna 170B
Category
Airplane
Serial number
26146
Airframe hours
5,228
Engine
Continental C-145-2, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
James Frazier
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · April 22, 2003 · 52.6 hours before
Departed
STS · Santa Rosa, CA

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
41
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
September 4, 2002
Seat
Left
Flight hours
171 total · 97 in this make and model · 108 as pilot in command · 20 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 45 °F
Altimeter
30.03 inHg
Observed at
KSTS, 7 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 N2502C · 1

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