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NTSB Report

October 3, 2009 · Mateskon Fisher DAK · N359JM

Bozeman, MT

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
October 3, 2009
Injury Outcomes
1 injury (1 minor injury)
Location
Bozeman, MT
Aircraft
Mateskon Fisher DAK
Tail Number
N359JM
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
WPR10LA003

The pilot was departing on a local flight when the engine lost power; the pilot force-landed the airplane in a field. Post accident examination of the engine showed that the bolts securing the crankshaft gear cluster to the crankshaft were sheared. The crankshaft gear cluster is geared to the camshaft gear and rotates as the engine operates. Examination of the bolts showed that all four bolts had sheared between the crankshaft gear cluster and the attach point to the crankshaft. Two bolt heads, including a portion of the bolts’ lengths, were missing. The other portions of these bolts remained threaded to the crankshaft attach points. The two remaining bolt heads were still safety-wired and in place; however, they had sheared from the crankshaft. The lower threaded portions of all four bolts remained threaded at the crankshaft attach points. No pieces of the missing bolt heads or bolt portions were identified in the accessory case or the oil sump. Examination of the fracture surfaces on the threaded bolt portions showed that the surfaces of the sheared bolts with the missing heads appeared battered. The portions of the bolts still threaded in the crankshaft that belonged to the remaining bolt heads were not battered. The engine had not undergone a complete overhaul of the type that would have exposed the accessory gear section to inspection for over 35 years. According to Teledyne Continental Motors Service Instruction Letter 98-9A, the C-85 engine should be overhauled every 12 years or 1,800 hours.

NTSB Probable Cause

A loss of engine power due to shearing of the crankshaft gear cluster bolts. Contributing to the accident was the lack of regular overhaul periods as recommended by the engine manufacturer.

Full Narrative

HISTORY OF FLIGHT On October 3, 2009, at 0948 mountain daylight time, N359JM, a Mateskon Fisher Dakota Hawk, lost engine power during cruise and the pilot force-landed the airplane in a field approximately 5 miles southwest of Gallatin Field, Bozeman, Montana. During the landing, the right wing clipped a tree. The private pilot, who was also the registered owner of the airplane, operated it under the provisions of 14 Code of Federal Regulations Part 91. The pilot sustained minor injuries and the airplane was substantially damaged. Visual meteorological conditions prevailed and no flight plan was filed for the local area flight. The pilot reported that he had departed Gallatin Field about 10 minutes prior to the power loss. The power loss was sudden. He attempted to restart the engine but was unsuccessful. During his approach to a field, the right wing clipped a tree. AIRPLANE HISTORY The pilot had built the airplane over a period of three years. It had accrued approximately 141.4 hours. The pilot indicated that the engine, a Teledyne Continental Motors C-85-12, had been installed on another airplane in the 1980s. The previous engine owner was going to install it on another airplane but did not do so and the engine had been placed into storage. The pilot then purchased the engine for his airplane. The pilot did note that recently he had the piston rings changed due to a higher than normal oil burn. The pilot did not have any other problems with the engine. Review of the maintenance records for the engine showed that the last engine overhaul was a field overhaul that occurred on December 4, 1973. The engine was removed from another airplane in 1987, at 1085.8 hours since major overhaul, and 4,807.8 hours total time. It was in storage until the pilot/builder of the accident aircraft purchased it. The last top overhaul occurred on June 1, 2006. A typical top overhaul does not involve inspection of the accessory gear section. TESTS AND RESEARCH The engine was examined following the accident. The valve covers were removed and the propeller was rotated. No valve movement was evident. Investigators then removed the magnetos and starter from the accessory case and noted that none of the accessory gears turned when the propeller was rotated. Further examination revealed that the crankshaft gear cluster had separated from the crankshaft. The crankshaft gear cluster is geared to the camshaft gear and rotates as the engine operates. The crankshaft gear cluster is attached to the aft section of the crankshaft by four bolts. Examination of the bolts showed that all four bolts had sheared between the crankshaft gear cluster and the attach point to the crankshaft. Two bolt heads, including a portion of the bolts’ lengths, were missing. The other portions of these bolts remained threaded in the crankshaft attach points. The two remaining bolt heads were still safety wired and in place; however, they had sheared from the crankshaft. The lower threaded portions of all four bolts remained threaded at the crankshaft attach points. No pieces of the missing bolt heads or bolt portions were identified in the accessory case or the oil sump. Examination of the fracture surfaces on the threaded bolt portions showed that the surfaces of the sheared bolts with the missing heads appeared battered. The portions of the bolts still threaded in the crankshaft that belonged to the remaining bolt heads were not battered. ADDITIONAL INFORMATION According to TCM Service Instruction Letter 98-9A, the C-85 engine should be overhauled every 12 years or 1,800 hours.

Flight

Event TypeAccident
Event Time09:48 MDT
Nearest AirportGallatin Field (5nm)
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftMateskon Fisher DAK
Tail NumberN359JM
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsCont Motor · C85 SERIES · Reciprocating · 85
Seats2

People & Injuries

Injury Summary1 injury (1 minor injury)
Fatal0
Serious0
Minor1
Uninjured0
Total1
Crew 1Age 57 · Sprt · Minor

Conditions

ConditionsVMC
LightDaylight
WindCalm
Visibility10 sm
CeilingNone
Temperature / Dew Point43 C / 30 C
Altimeter29.90 inHg
Observation Time15:56
Weather SourceWFAC

Appendix: Source Data