WPR20LA042

NTSB accident investigation · Cessna 182 · Carlsbad, CA · December 13, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
December 12, 2019, 19:00 local (Dec 13, 2019, 03:00 UTC)
Place
Carlsbad, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N182EFCessna 182
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA-FSDO, PPonk Engines, Mechanic
FAA report
20191212018529A
Case key
100689

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

The fatigue failure of the crankshaft. Contributing to the accident was the undocumented installation of the supercharger, which resulted in increased stress on the crankshaft.

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 superchargerAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 182P: 1 caseAll aircraft: 12 casesProbable cause
Engine (reciprocating)Aircraft › Aircraft power plant · FailureCessna 182P: 2 casesAll aircraft: 497 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 stated that during the flight, the airplane’s engine started to run rough. Despite troubleshooting, the engine roughness increased followed by “flash explosions” from the engine and the smell of oil in the cabin. The engine lost total power, and the pilot performed a forced landing to an interstate highway. The airplane landed hard, which resulted in substantial damage to the fuselage. A postaccident examination of the engine revealed that the Nos. 5 and 6 connecting rods separated from the crankshaft. The crankshaft separated into three sections. One of the separations was at the crankshaft cheek forward and adjacent to the No. 3 bearing journal, and the separation surfaces displayed beach marks consistent with fatigue cracking. Metallurgical examination revealed that the fracture appeared to initiate below the outer nitride layer near an oxide inclusion within the metal. The engine was overhauled and converted from the original Continental O-470-U engine to a PPA O-470-50 engine per a supplemental type certificate (STC). Additionally, a supercharger was installed on the engine, which was not part of the engine conversion STC. No logbook entries were found regarding the installation of the supercharger. It is likely that the installation of the supercharger contributed additional stress to the crankshaft during operation, which resulted in the separation of the crankshaft and subsequent catastrophic engine failure.

Factual narrative

On December 12, 2019, about 1900 Pacific standard time, a Cessna 182P airplane, N182EF, sustained substantial damage when it was involved in an accident near Carlsbad, 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 the engine started to run rough during the approach to McClellan-Palomar Airport (CRQ), Carlsbad, California. About a minute later, despite the pilot’s troubleshooting, the engine roughness increased. The pilot noticed the engine monitor showed normal operating indications; however, the alternator voltage light illuminated, and the engine continued to run rough. The pilot stated he saw two “flash explosions” from the left side of the engine and propeller area followed by the smell of oil in the cabin, and the engine lost total power. The pilot subsequently performed a forced landing to the southbound side of Interstate 5. The airplane landed hard, and the nose landing gear collapsed. Postaccident examination of the airplane revealed that the aft fuselage was buckled near the cabin door area, and oil covered the belly of the airplane. There were two holes in the engine crankcase between Nos. 5 and 6 cylinders, and it was noted that a supercharger was attached to the accessory section of the engine. Review of the engine logbook showed that the Continental O-470-U engine was overhauled and converted to a PPA O-470-50 engine per engine Supplemental Type Certificate (STC) SE4985NM by P. Ponk Aviation on December 20, 2018. The conversion changed the cylinders to those used on Continental IO-520 engines and increased engine displacement by 50 cubic inches. The PPA O-470-50 engine was shipped to the owner and installed on the airplane on February 15, 2019. At the time of the accident, the engine had accumulated about 150 hours since the overhaul and conversion. An engine logbook entry dated September 4, 2019, noted that the engine oil and supercharger fluid were changed about 50 hours of operation before the accident, and an entry dated November 4, 2019, noted that the engine oil was changed and the supercharger belt was checked about 2 hours of operation before the accident. Review of STC SE4985NM showed that a supercharger installation was not part of the modification, nor were maintenance procedures outlined for one. Additionally, no logbook entries or documentation regarding the installation of the supercharger were found. Disassembly of the engine revealed that the Nos. 5 and 6 connecting rods were separated from the crankshaft. Connecting rod parts and metal fragments were found in the oil sump. The crankshaft was found separated into three sections. One of the separations was at the crankshaft cheek forward and adjacent to the No. 3 bearing journal, and the separation surfaces displayed beach marks consistent with fatigue cracking. According to a metallurgical exam conducted by Continental AerospaceTechnologies (CAT), the fracture appeared to initiate below the outer nitride layer near an oxide inclusion within the metal.

Aircraft

Registration
N182EF
Reported as
Cessna 182 (P)
Category
Airplane
Serial number
18261392
Built
1972
Airframe hours
3,235.3
Engine
Continental O-470-50, 265 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 5, 2019
Departed
EMT · El Monte, CA
Destination
CRQ · Carlsbad, CA
Airport
KCRQ · McCellan
Equipment
Satellite tracking device, Onboard weather, Electronic flight bag or handheld device, ADS-B, Stall warning system

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
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
February 19, 2019
Seat
Left
Restraint
3-point
Flight hours
1,454 total · 1,430 in this make and model · 1,354 as pilot in command · 60 in the last 90 days · 20 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
260° at 10 knots
Lowest ceiling
None
Temperature
63 °F
Altimeter
30.14 inHg
Observed at
CRQ, 3 nm away

Docket · 10

The files NTSB released with the investigation on June 14, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 33.3 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.