WPR19LA179

NTSB accident investigation · Stinson 108 · Caldwell, ID · June 27, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 27, 2019, 06:30 local (12:30 UTC)
Place
Caldwell, ID · Airport perimeter
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6116MStinson 108
Defining event
Approach-VFR pattern downwind: 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
FAA
FAA report
20190627008129A
Case key
99729

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 during approach due to a failed piston. The reason for the piston failure could not be determined based on the available information.

Findings · 2

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Unknown/Not determinedStinson 108-3: 2 casesAll aircraft: 373 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 was practicing takeoffs and landings in the airport traffic pattern when the engine lost all power as he was turning onto the base leg of the pattern. He turned the airplane toward final approach, but it landed hard short of the runway, struck an airport perimeter fence, and nosed over, coming to rest inverted. A postaccident examination of the airplane revealed metallic debris on the oil dipstick tube and cap, with significant oil residue on the belly of the airplane. The pilot, who performed the engine overhaul 25 hours before the accident flight, performed a cursory examination following the accident and found a broken piston and metal fragments in the intake tubes that caused the intake valves to stick open. The cause of the piston failure could not be determined based on the available information.

Factual narrative

On June 27, 2019, about 0630 mountain daylight time, a Stinson 108-3, N6116M was substantially damaged when it was involved in an accident near Caldwell, Idaho. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he was practicing takeoffs and landings in the airport traffic pattern. When the airplane was in the turn between the downwind and base legs with the flaps deployed, the engine ceased developing power. The pilot applied carburetor heat, switched fuel tanks, and attempted to restart the engine but was unsuccessful. He then maneuvered the airplane from base leg to final and the airplane landed hard in a field short of the runway. The airplane struck an airport perimeter fence, nosed over, and came to rest inverted. A review of the photographs furnished by the Federal Aviation Administration (FAA) revealed substantial damage to the fuselage and wings. An on-scene examination of the airplane by the FAA revealed that the flaps were in the up position and the carburetor heat was in the off position. The fuel tanks contained fuel, the engine had a supply of oil, and the air filter was not blocked from the outside. An examination of the engine revealed that the oil dip stick tube and cap had significant amounts of “ferrous and non-ferrous” debris and an automotive remote bypass oil filter system was installed. The inspector added that the pilot conducted his own preventative maintenance. The pilot was not a certificated airframe and powerplant mechanic. According to maintenance records, a certificated airframe and powerplant mechanic reinstalled the engine on March 27, 2019, with a total engine time of 2,500 hours. The mechanic added that the engine had been overhauled by the pilot 25 flight hours before the accident flight. He further remarked that he did not physically supervise the pilot during the overhaul and that the pilot used maintenance manuals to complete the overhaul. The logbook entry for the installation of the overhauled engine stated that the overhaul consisted of the following: - Magnafluxed crankshaft and other internal steel parts - Replaced camshaft, bearings, pistons, rings, valves, seals, and gaskets - Both magnetos were fitted with new points and condensers - Carburetor was fitted with new float and needle - Oil cooler hoses and oil pressure hoses were replaced A cursory postaccident examination of the engine performed by the pilot revealed that “a piston came apart, breaking into small pieces that made their way back into the intake tubes [subsequently] sticking the valves open.” No further information or pictures were provided by the pilot regarding his engine examination. Furthermore, the wreckage and the engine were no longer available for a follow-up examination.

Aircraft

Registration
N6116M
Reported as
Stinson 108 (3)
Category
Airplane
Serial number
108-4116
Built
1948
Airframe hours
2,481
Engine
Lycoming O-435 SERIES, 190 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 27, 2019 · 25 hours before
Departed
KEUL · Caldwell, ID
Airport
EUL · Caldwell Industrial
Equipment
None

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
51
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Waiver time limited special
Last flight review
March 1, 2018
Seat
Left
Restraint
3-point
Flight hours
300 total · 250 in this make and model · 300 as pilot in command · 25 in the last 90 days · 15 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 46 °F
Altimeter
29.93 inHg
Observed at
KEUL, 1 nm away
METAR
KEUL 271156Z AUTO 28008KT 10SM CLR 14/08 A2993 RMK AO2 SLP114 T01390083 10206 20139 53017=

Docket · 7

The files NTSB released with the investigation on March 1, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.8 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.

Other investigations on N6116M · 1

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