Pilot Debrief

CESSNA U206G near Leverett, MA — 2010-12-05

Final reportERA11FA078
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Date
2010-12-05
Location
Leverett, MA, USA
Aircraft
CESSNA U206G
Registration
N9742Z
Category
Airplane
Highest injury
Fatal
Fatalities
2
Phase of flight
Cruise

Probable cause

A total loss of engine power due to the fatigue failure of the crankshaft, which resulted from improper tightening of the cylinder hold-down nuts.

NTSB narrative

The airplane was in cruise flight at 3,000 feet above ground level when the engine developed vibrations and, shortly after, lost total power. The pilot conducted a forced landing in an open field. The pilot cleared the trees adjacent to the field but did not see the electrical wires on the other side. The airplane’s main landing gear contacted the wires, and the airplane flipped and impacted the ground inverted. Examination of the engine revealed that several incorrect nuts for the cylinder hold-down studs were installed, and the breakaway torque values measured for the cylinder hold-down nuts were consistent with improper torque having been applied. Metallurgical examination revealed that the engine’s crankshaft fractured due to fatigue cracks that developed as a result of the No. 2 main bearing shifting in the crankcase saddle. The through-bolts that clamp the No. 2 crankcase saddle faces are secured with the hold-down nuts for the Nos. 2 and 3 cylinders. The engine had a reported total time in service of 6,629 hours with 1,475 hours since major overhaul. All six cylinders had been replaced since the overhaul, with the Nos. 2 and 3 cylinders having been replaced 692 and 549 hours before the accident, respectively.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Pilot could have performed engine troubleshooting before losing power.

NTSB coding

Evidence available

  • Photos
  • 16 docket documents
View NTSB final reportView NTSB docket

Docket documents16

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