LAX08LA153

NTSB accident investigation · Cessna P210N · Peach Springs, AZ · May 23, 2008

Accident · No injuriesLimited investigationFinal report
Date
May 23, 2008, 11:50 local (18:50 UTC)
Place
Peach Springs, AZ
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4753KCessna P210N
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report May 12, 2009
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Federal Aviation Administration
FAA report
20080523839819A
Case key
68088

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 induced catastrophic internal failure of the engine as a result of the displacement and rotation of the number 2 main bearing that resulted in a fatigue fracture of the crankshaft.

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.

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 an instrument flight rules cross-country flight at 16,000 feet msl, the pilot reported to air traffic control that he had a total loss of engine power and was attempting to land at an airport about 12 miles from his current position. The pilot was unable reach the airport, and while trying to land on the desert floor, one of the main landing gear wheels hit a cactus and the airplane nosed over. During the recovery of the airplane, internal components of the engine where found in the debris field. The time recorded on the engine at the last annual inspection was 978 hours since major overhaul. A review of the airplane logbooks revealed that a top overhaul was completed on March 21, 2007, which included all 6 cylinders being removed, overhauled, and replaced. The engine failure occurred 120 hours since completion of the top overhaul. During the engine examinations, thermal discoloration of the crankshaft main journals and damage to various other internal components were noted. The crankshaft was fractured just forward of the number 2 main bearing. The number 2 main bearing was not located; however, the bearing support exhibited evidence of bearing shift, tang slot elongation, and rotation. The crankshaft main bearings and the connecting rod bearings were also damaged as a result of oil starvation, due to the number 2 main bearing rotation. The crankcase itself had been compromised just above the numbers 3 and 4 cylinders. The crankshaft was metallurgically examined at a laboratory. The crankshaft chemistry, case depth, surface hardness, and core hardness met specifications. The fracture initiated at the surface adjacent to the number 2 main bearing and progressed toward the number 3 rod journal in fatigue.

Factual narrative

HISTORY OF FLIGHT On May 23, 2008, about 1150 mountain standard time (MST), a Cessna P210N, N4753K, experienced a total loss of engine power during cruise flight and collided with the terrain during the forced landing near Peach Springs, Arizona. The owner/pilot was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The certificated private pilot was not injured; the airplane sustained substantial damage to both wings by impact forces. The cross-country personal flight departed Grand Canyon National Park Airport, Grand Canyon, Arizona, about 1100, with a planned destination of Bullhead City, Arizona. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan had been filed. The pilot reported that while flying at 16,000 feet mean sea level (msl), the engine experienced a total loss of power. He reported to air traffic control (ATC) that he was going to try and land at Grand Canyon Caverns Airport (L37), about 12 miles from his current position. The pilot was unable to reach the airport. While trying to land on the desert, one of the main landing gear wheels hit a cactus, and the airplane nosed over. During the recovery of the airplane, it was observed that internal components of the engine where found in the debris field. The airplane was recovered for further examination. AIRCRAFT INFORMATION The airplane was a 1979 Cessna P210N, serial number 21000284. A review of the airplane's logbooks revealed that the airplane had a total airframe time of 2,950 hours at the last annual inspection. The logbooks contained an entry for the annual inspection dated October 4, 2007. The tachometer read 1,483.6 at the last inspection. The tachometer read 1,519.6 at the accident site. The engine was a Teledyne Continental Motors (TCM) TSIO-520-P5B, serial number 278661-R. Total time recorded on the engine at the last annual inspection was 978 hours since major overhaul. A review of the airplane logbooks revealed that on March 21, 2007, a field top overhaul was completed, which included removing all 6 cylinders, overhauling the cylinders, and reinstalling the cylinders on the engine. The tachometer reading was recorded in the logbook write-up as 1,399.2 hours. The engine failure occurred 120 hours after the overhaul. TESTS AND RESEARCH During the engine teardown inspection, thermal discoloration was noted to the main journals of the crankshaft, as well as damage to the counterweight hanger blade. The crankshaft separated forward of the number two main journal, and the number two main bearing was not found during the inspection. It was the decision of the Safety Board to continue the engine inspection at the TCM Analytical Department, Mobile, Alabama. During the inspection, it was noted that the crankshaft exhibited a fracture just forward of the number 2 main bearing journal. The crankshaft main bearings and connecting rod bearings exhibited signatures of lubrication distress. The number 2main bearing support exhibited signatures of bearing shift, tang slot elongation, and rotation. The crankcase exhibited an approximate 4- by 6-inch breach of the crankcase above both the number 3 and number 4 cylinders. The crankshaft fracture was sectioned and forwarded to the TCM Metallurgical Laboratory for further examination. On December 12, 2008, the TCM Metallurgical Laboratory conducted an examination of the crankshaft fracture. Hardness at the journal surface measured 70R30N, which met specification. The sectioned piece perpendicular to the surface showed a case depth of .020 and a core hardness of 35 HRC, both which meet specification. The fracture surface indicated the fracture initiated at the surface adjacent to the number 2 main bearing and progressed toward the number 3 rod journal in fatigue. Much of the fracture surface was damaged, presumably due to continued operation during and after separation.

Aircraft

Registration
N4753K
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000284
Airframe hours
2,950
Engine
Cont Motor TSIO-520 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 4, 2007 · 36 hours before
Departed
GCN · Grand Canyon, AZ
Destination
IFP · Bullhead City, AZ
Flight plan
IFR

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
52
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
July 25, 2007
Seat
Left
Flight hours
3,090 total · 2,018 in this make and model · 3,090 as pilot in command · 17 in the last 90 days · 7 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 20 knots
Visibility
20 statute miles
Lowest ceiling
8,000 ft broken
Temperature
45 °F, dew point 34 °F
Altimeter
29.76 inHg
Observed at
PRC, 54 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.