NYC06IA226

NTSB incident investigation · Cessna 206F · Matinicus Islnd, ME · September 1, 2006

Incident · No injuriesIncident investigationFinal report
Date
September 1, 2006, 12:30 local (16:30 UTC)
Place
Matinicus Islnd, ME
Injuries
3 uninjured
Damage
Minor damage
Phase of flight
Standing
Aircraft
N8411QCessna 206F
Weather
Visual (VMC) · Day
Status
Completed · report February 28, 2008
Report
Approved by Office Director
Parties
FAA/FSDO
Case key
64590

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

On this page

Probable cause

An engine kick back of undetermined origin during engine start.

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.

Miscellaneous/otherStanding - starting engine(s)
Reason for occurrence undetermined
Miscellaneous,engine - fracturedCause

Analysis

After engine start, the pilot heard "an abnormal engine mechanical noise." He shut down the engine and requested a mechanic. During a subsequent engine start, the mechanic confirmed the mechanical engine noise, and the engine was again shut down. Hand propping revealed that the engine would sometimes "mechanically jam," and further examination revealed the fracture of two crankshaft gear teeth. Both gear teeth exhibited signatures consistent with overload. Corresponding starter adapter gear teeth, that would have meshed with the crankshaft gear teeth during the startup, were cracked on the loaded side. All evaluated metallurgical requirements were met, including core hardness, surface hardness and case depth. Although a single "kick back" while cranking could cause the failure of components of the cranking system, there was no evidence as to why a kick back may have occurred.

Factual narrative

On September 1, 2006, about 1230 eastern daylight time, a Cessna 206F, N8411Q, operated by Waters Aero Marine, incurred minor damage during an engine start at Matinicus Island Airport (35ME), Matinicus Island, Maine. The certificated airline transport pilot and the two passengers were not injured. Visual meteorological conditions prevailed. The on-demand air taxi flight was operating on a company visual flight rules flight plan to Knox County Airport (RKD), Owls Head, Maine, under 14 Code of Federal Regulations Part 135.

According to the pilot, as soon as the engine began idling after start, he heard "an abnormal engine mechanical noise." He then shut down the engine and requested a mechanic.

During a subsequent engine start, the mechanic confirmed the mechanical engine noise, and the engine was again shut down. Hand propping revealed that the engine would sometimes "mechanically jam," and that the alternator drive pulley would turn freely at various points during engine rotation. Further examination revealed a damaged crankshaft gear with two teeth missing, and an "abnormal wear groove on an adjoining third tooth."

The Teledyne Continental IO-520-series engine was forwarded to the manufacturer for a teardown examination under National Transportation Safety Board oversight. Aside from the missing crankshaft gear teeth, no other gear damage was noted. The oil sump was removed and the two crankshaft gear teeth were recovered. The oil sump did not contain any additional debris or foreign material.

Magneto timing was found to be 25 degrees before top dead center on the left and 23 degrees before top dead center on the right. Both magnetos exhibited normal impulse coupling engagement when rotated in the normal direction of rotation. Installation of the magnetos on a test bench revealed that the left magneto impulse coupling would disengage at 350 rpm and the right magneto impulse coupling would disengage at 360 rpm.

A metallurgical examination of the crankshaft gear, the starter adapter gear, and the two fractured crankshaft gear teeth was performed by the engine manufacturer. According to the manufacturer's report, all evaluated metallurgical requirements were met, including core hardness, surface hardness, and case depth. Both crankshaft gear teeth exhibited signatures consistent with overload. Corresponding starter adapter gear teeth, that would have meshed with the crankshaft gear teeth during startup, exhibited "fine" cracking on the loaded side.

Teledyne Continental Motors (TCM) Mandatory Service Bulletin MSB94-8C required that magneto timing be performed in accordance with manufacturer instructions every 100 hours. It also noted: "CAUTION: A single 'kick back' while cranking can cause failure of components of the cranking system. Kick back can be caused by intermittent operation of the impulse couplings." The Bulletin also noted that for the IO-520-series engine, both magnetos should be set at 22 degrees before top dead center.

The engine had 167 hours since rebuild by TCM, and 10 hours since the annual/100 hour inspection.

No additional information was available to determine if any maintenance or pilot actions might have resulted in a kick back.

Aircraft

Registration
N8411Q
Reported as
Cessna 206F
Category
Airplane
Serial number
U206F03271
Airframe hours
7,198
Engine
Teledyne Continental IO-520-F, 300 horsepower, reciprocating
Damage
Minor damage
Flight
Part 135
Operator
Waters Aero-Marine, doing business as Penobscot Island Air
Registered owner
Telford Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 1, 2006 · 10 hours before
Departed
45ME · Maticus Island, ME
Destination
RKD · Owls Head, ME
Flight plan
Company VFR
Airport
35ME · Matinicus Island Airport

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
64
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2
Last flight review
September 1, 2005
Seat
Left
Flight hours
9,000 total · 2,000 in this make and model · 8,500 as pilot in command · 184 in the last 90 days · 71 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
20 statute miles
Temperature
64 °F, dew point 52 °F
Altimeter
30.00 inHg