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September 1, 2006 · Cessna 206F · N8411Q

Matinicus Islnd, ME

Overview

Report Status
Final with probable cause
Event Type
Incident
Date
September 1, 2006
Injury Outcomes
No injuries (3 uninjured)
Location
Matinicus Islnd, ME
Aircraft
Cessna 206F
Tail Number
N8411Q
Operator
Waters Aero-Marine
Injuries
None
Aircraft Damage
Minor
NTSB Number
NYC06IA226

After engine start, the pilot heard "an abnormal engine mechanical noise." He shut down the engine and requested a mechanic. During a subsequent engine start, the mechanic confirmed the mechanical engine noise, and the engine was again shut down. Hand propping revealed that the engine would sometimes "mechanically jam," and further examination revealed the fracture of two crankshaft gear teeth. Both gear teeth exhibited signatures consistent with overload. Corresponding starter adapter gear teeth, that would have meshed with the crankshaft gear teeth during the startup, were cracked on the loaded side. All evaluated metallurgical requirements were met, including core hardness, surface hardness and case depth. Although a single "kick back" while cranking could cause the failure of components of the cranking system, there was no evidence as to why a kick back may have occurred.

NTSB Probable Cause

An engine kick back of undetermined origin during engine start.

Full Narrative

On September 1, 2006, about 1230 eastern daylight time, a Cessna 206F, N8411Q, operated by Waters Aero Marine, incurred minor damage during an engine start at Matinicus Island Airport (35ME), Matinicus Island, Maine. The certificated airline transport pilot and the two passengers were not injured. Visual meteorological conditions prevailed. The on-demand air taxi flight was operating on a company visual flight rules flight plan to Knox County Airport (RKD), Owls Head, Maine, under 14 Code of Federal Regulations Part 135. According to the pilot, as soon as the engine began idling after start, he heard "an abnormal engine mechanical noise." He then shut down the engine and requested a mechanic. During a subsequent engine start, the mechanic confirmed the mechanical engine noise, and the engine was again shut down. Hand propping revealed that the engine would sometimes "mechanically jam," and that the alternator drive pulley would turn freely at various points during engine rotation. Further examination revealed a damaged crankshaft gear with two teeth missing, and an "abnormal wear groove on an adjoining third tooth." The Teledyne Continental IO-520-series engine was forwarded to the manufacturer for a teardown examination under National Transportation Safety Board oversight. Aside from the missing crankshaft gear teeth, no other gear damage was noted. The oil sump was removed and the two crankshaft gear teeth were recovered. The oil sump did not contain any additional debris or foreign material. Magneto timing was found to be 25 degrees before top dead center on the left and 23 degrees before top dead center on the right. Both magnetos exhibited normal impulse coupling engagement when rotated in the normal direction of rotation. Installation of the magnetos on a test bench revealed that the left magneto impulse coupling would disengage at 350 rpm and the right magneto impulse coupling would disengage at 360 rpm. A metallurgical examination of the crankshaft gear, the starter adapter gear, and the two fractured crankshaft gear teeth was performed by the engine manufacturer. According to the manufacturer's report, all evaluated metallurgical requirements were met, including core hardness, surface hardness, and case depth. Both crankshaft gear teeth exhibited signatures consistent with overload. Corresponding starter adapter gear teeth, that would have meshed with the crankshaft gear teeth during startup, exhibited "fine" cracking on the loaded side. Teledyne Continental Motors (TCM) Mandatory Service Bulletin MSB94-8C required that magneto timing be performed in accordance with manufacturer instructions every 100 hours. It also noted: "CAUTION: A single 'kick back' while cranking can cause failure of components of the cranking system. Kick back can be caused by intermittent operation of the impulse couplings." The Bulletin also noted that for the IO-520-series engine, both magnetos should be set at 22 degrees before top dead center. The engine had 167 hours since rebuild by TCM, and 10 hours since the annual/100 hour inspection. No additional information was available to determine if any maintenance or pilot actions might have resulted in a kick back.

Flight

Event TypeIncident
Event Time12:30 EDT
Nearest AirportMatinicus Island Airport (0nm)
Flight Plan FiledCvfr
Flight Plan ActivatedUnknown
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 206F
Tail NumberN8411Q
Aircraft CategoryAir
DamageMinor
OperatorWaters Aero-Marine
Operating RulePart 135
Engines1
Engine TypeReciprocating
Engine DetailsTeledyne Continental · IO-520-F · Reciprocating · 300
Seats4

People & Injuries

Injury SummaryNo injuries (3 uninjured)
Fatal0
Serious0
Minor0
Uninjured3
Total3
Crew 1Age 64 · Second Class · None

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility20 sm
CeilingNone
Temperature / Dew Point64 F / 52
Altimeter30.00 inHg

Appendix: Source Data