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January 23, 1991 · Cessna P206 · N4626F

Cleveland, OH

Overview

Report Status
Probable Cause
Event Type
Accident
Date
January 23, 1991
Injury Outcomes
3 injuries (3 minor injuries)
Location
Cleveland, OH
Aircraft
Cessna P206
Tail Number
N4626F
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
NYC91LA062

AT APRX 1200' MSL, WHILE ON FINAL APCH TO RWY 23R, THE PLT & PSGR NOTED A 'DIFFERENT' SOUND FM THE PROP/ENG. THERE WAS A LOSS OF THRUST FM THE ENG. ALSO, A ROUGH OR OUT-OF-BALANCE COND WAS NOTED. THE PLT STATED HE WAS UNABLE TO MAINT ALT & WAS FORCED TO MAKE AN EMERG LNDG ABOUT 3/4 MI SHORT OF THE RWY. DRG THE LNDG, THE ACFT ENCTRD SOFT/UNEVEN TRRN & NOSED DOWN. NO PREIMPACT MECHANICAL PROBLEM WAS FND WITH THE ENG. A POST-ACDNT EXAM REVEALED THAT ALL 3 PROP BLADES WERE FREE TO ROTATE 360 DEG IN THEIR HUBS. FATIGUE FRACTURES WERE FND ON 2 OF THE 3 PROP BLADE ACTUATING PINS; FATIGUE STRIATIONS WERE FND ON 90 TO 95 PERCENT OF THE #2 PROP ACTUATING PIN & ABOUT 60 PERCENT ON THE #1 PROP PIN (B-3491 PINS). NEITHER OF THESE PINS HAD BEEN REWORKED TO SHORTEN THE THREADED END IAW AD 77-13-17, WHICH REFERENCED MCCAULEY SERVICE BULLETIN #99. DRG INSTLN, THE PINS HAD 'BOTTOMED OUT' IN THEIR RESPECTIVE TAPPED HOLES, WHICH PREVENTED PROPER SEATING. THE #3 PROP BLADE ACTUATING PIN WAS A CORRECT PIN (B-4460) & IT HAD NO PREIMPACT CRACK OR FAILURE.

NTSB Probable Cause

FATIGUE FAILURE OF THE NUMBER TWO PROPELLER BLADE ACTUATING PIN, DUE TO IMPROPER INSTALLATION OF THE PINS AND NON-COMPLIANCE WITH AN AIRWORTHINESS DIRECTIVE (AD 77-13-77).

Full Narrative

AT APRX 1200' MSL, WHILE ON FINAL APCH TO RWY 23R, THE PLT & PSGR NOTED A 'DIFFERENT' SOUND FM THE PROP/ENG. THERE WAS A LOSS OF THRUST FM THE ENG. ALSO, A ROUGH OR OUT-OF-BALANCE COND WAS NOTED. THE PLT STATED HE WAS UNABLE TO MAINT ALT & WAS FORCED TO MAKE AN EMERG LNDG ABOUT 3/4 MI SHORT OF THE RWY. DRG THE LNDG, THE ACFT ENCTRD SOFT/UNEVEN TRRN & NOSED DOWN. NO PREIMPACT MECHANICAL PROBLEM WAS FND WITH THE ENG. A POST-ACDNT EXAM REVEALED THAT ALL 3 PROP BLADES WERE FREE TO ROTATE 360 DEG IN THEIR HUBS. FATIGUE FRACTURES WERE FND ON 2 OF THE 3 PROP BLADE ACTUATING PINS; FATIGUE STRIATIONS WERE FND ON 90 TO 95 PERCENT OF THE #2 PROP ACTUATING PIN & ABOUT 60 PERCENT ON THE #1 PROP PIN (B-3491 PINS). NEITHER OF THESE PINS HAD BEEN REWORKED TO SHORTEN THE THREADED END IAW AD 77-13-17, WHICH REFERENCED MCCAULEY SERVICE BULLETIN #99. DRG INSTLN, THE PINS HAD 'BOTTOMED OUT' IN THEIR RESPECTIVE TAPPED HOLES, WHICH PREVENTED PROPER SEATING. THE #3 PROP BLADE ACTUATING PIN WAS A CORRECT PIN (B-4460) & IT HAD NO PREIMPACT CRACK OR FAILURE.

Flight

Event TypeAccident
Event Time09:00 EST
Nearest AirportCleveland-Hopkins Intl (0nm N)
Runway23R
Runway Length7095 ft
Runway Width150 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna P206
Tail NumberN4626F
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-520-A · Reciprocating · 285
Seats4

People & Injuries

Injury Summary3 injuries (3 minor injuries)
Fatal0
Serious0
Minor3
Uninjured0
Total3
Crew 1Age 65 · Third Class

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point16 C / 0 C
Altimeter29.00 inHg
Weather SourcePILO

Appendix: Source Data