WPR17LA137

NTSB accident investigation · Cirrus Design SR22 · Dixon, CA · June 30, 2017

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 30, 2017, 11:05 local (18:05 UTC)
Place
Dixon, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N744TCCirrus Design SR22
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Hartzell Propeller, Continental Aerospace, FAA FSDO, Cirrus Aircraft
FAA report
20170630023549A
Case key
95469

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 total loss of engine power for reasons that could not be determined due to extensive damage.

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCirrus Design SR22: 25 casesAll aircraft: 2,247 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 reported that, after he leveled off for the personal cross-country flight, he leaned the engine for cruise flight. The pilot noticed that the manifold pressure was lower than usual although the engine instruments indicated “in the green.” About 30 minutes later, the oil pressure reading rapidly dropped; the engine subsequently lost all power and made a loud bang, then oil sprayed on the wind screen, which impeded the pilot’s visibility. The pilot deployed the Cirrus Airframe Parachute System and the airplane descended into a vineyard. A main landing gear went through and substantially damaged the wing. Visual examination of the engine revealed a hole in the top of the engine case. A piece of connecting rod and connecting rod bolt was found on top of the left side baffling. Disassembly of the engine revealed that the numbers 3 and 4 connecting rods were fractured and separated from their connecting rod journals. Thermal discoloration to the connecting rod journals was consistent with oil starvation. The crankcase had fractured. Postaccident examination of the turbochargers revealed that the left turbocharger was functional. The right turbine was damaged, and its wheel head had separated from the turbine shaft and was not located. The right turbine shaft fractured circumferentially at a piston ring groove, but the type of fracture could not be determined due to the extensive damage. Postaccident examination did not show any evidence of preimpact mechanical malfunction or abnormalities that would have precluded normal operation. However, the extent of internal damage to the engine components during impact/the accident sequence and the missing right turbine wheel head precluded a detailed examination of the engine.

Factual narrative

On June 30, 2017, about 1105 Pacific daylight time, a Cirrus Design Corporation SR-22, N744TC, was substantially damaged when it was involved in an accident near Dixon, California. The private pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that after climb-out from San Jose, California, he leveled off at 7,500 ft, leaned the engine for cruise flight, and noticed that the manifold pressure was lower than usual. The engine sounded normal and all the engine instrumentation indicated “in the green.” About 30 minutes later, during the descent to land at Yolo County Airport (DWA), Davis, California, the oil pressure reading rapidly dropped. The engine subsequently lost all power and made a loud bang, then oil sprayed on the wind screen, which impeded the pilot’s visibility. The pilot then deployed the Cirrus Airframe Parachute System and descended into a vineyard. One main landing gear went through and substantially damaged a wing. Examination of the airplane on site revealed no mechanical anomalies that would have precluded normal operation of the airframe. Visual examination of the engine revealed a hole under the engine data plate on top of the engine case. A piece of connecting rod and connecting rod bolt was found on top of the left side baffling. Engine Examination Postaccident examination of the engine revealed that the numbers three and four connecting rods were fractured and separated from their connecting rod journals. The number four connecting rod, rod bearing, and journal displayed thermal discoloration consistent with oil starvation. The oil sump contained many pieces of debris, including fragments of the number three connecting rod and number four rod bearing. The crankcase had fractured; a section containing two of the mounting bolts for the oil sump screen separated, and the screen was displaced but clean and open. The oil pump exhibited rotational scoring; the scavenge pump was unremarkable. The governor screen was clean. The oil filter contained shiny metallic debris. The spark plugs were removed; all center electrodes were elliptical and clean with no mechanical deformation except the number four bottom plug, which was wet and contained debris. The spark plug electrodes were gray, which corresponded to normal operation. The magnetos were connected to a test stand, and both magnetos produced spark at all posts. Turbocharger Examination Left Turbocharger The left turbocharger compressor and turbine blades rotated freely by hand. The compressor blades were not discolored. The internal lubrication passages were present with no indication of an anomaly. The center housing assembly (nose only) exhibited moderate coking. The piston rings on the turbine wheel were present and in good condition, and the journal bearings’ radial holes were clear. The turbine bearing displayed signs of scoring on the outer diameter and contact damage, andthe oil chamfers’ hole was missing. The turbine housing displayed signs of excessive exhaust deposits. It was determined that the turbocharger was functional. Right Turbocharger The right turbocharger compressor vanes wobbled on the shaft and were not discolored, and the compressor housing displayed compressor wheel rub marks. The compressor blades were “smeared” due to contact with the compressor housing consistent with in the direction of rotation. The turbocharger turbine housing was white externally and displayed evidence of exhaust residue build up internally. The turbine wheel head was not present with the unit and there was little to no rub or contact damage noted on the turbine wheel housing or heat shield. The piston ring was still in place in the center housing seal bore. The turbine wheel head separated from the turbine shaft at the outboard edge of the piston ring groove and was not located. The shaft fractured circumferentially at a piston ring grove. The fracture surface was smeared when viewed through a microscope and the type of fracture could not be determined. The turbine wheel assembly’s time in service could not be determined. The compressor impeller and impeller housing displayed damage consistent with rotational contact. Examination of the unit revealed that the bearings’ oil holes contained displaced bearing material, and both the turbine and compressor bearings were worn. The bearing housing lubrication passages were clear. The turbine wheel piston rings were present and worn Overhaul Maintenance History On July 21, 2016, at a total time of 651.9 hours, the right turbocharger was removed and replaced with an overhauled unit. The last maintenance entry for the engine was a 50-hour inspection on May 18, 2017, at an engine total time of 771.9 hours. The flight meter at the time of the accident was 783.8 hours. Review of a work order dated July 19, 2016, revealed that the turbine wheel assembly was marked as serviceable without documenting any type of inspection. The Turbocharger Overhaul Manual, 400600-0000 Rev B, indicated removal of the turbine wheel assembly from the center housing and rotating assembly. The manual’s requirement to penetrant-inspect the turbine wheel assembly was also not documented.

Aircraft

Registration
N744TC
Reported as
Cirrus Design SR22
Category
Airplane
Serial number
3640
Built
2010
Airframe hours
1,008.8
Engine
Cont Motor IO-550-N60B, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 21, 2016 · 12 hours before
Departed
RHV · San Jose, CA
Destination
RNO · Reno, NV
Flight plan
Unknown
Equipment
Electronic primary flight display, Onboard weather, Stall warning system, Airframe parachute, Auto-pilot, Data recorder, Electronic multifunction display

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
48
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3
Seat
Left
Restraint
4-point
Flight hours
1,614 total · 967 in this make and model · 1,498 as pilot in command · 9 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 55 °F
Altimeter
29.92 inHg
Observed at
KEDU

Docket · 7

The files NTSB released with the investigation on March 11, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 56.9 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.