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November 13, 2016 · Cessna 152 NO Series · N94292

Miami, FL

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
November 13, 2016
Injury Outcomes
No injuries (2 uninjured)
Location
Miami, FL
Aircraft
Cessna 152 NO Series (1982)
Tail Number
N94292
Operator
Dean International
Injuries
None
Aircraft Damage
Substantial
NTSB Number
ERA17LA044

The private pilot reported that, during the instructional flight to accumulate flight time, the airplane experienced a rough-running engine in cruise flight and that the engine subsequently experienced a total loss of power. The pilot tried to restart the engine to no avail. He then chose to conduct a forced landing to a road, during which the airplane touched down on soft, wet ground before reaching the road. It then nosed over and came to rest inverted. During recovery of the airplane, large cracks were noted in the engine crankcase near the No. 2 cylinder. Disassembly of the engine revealed that the crankshaft was fractured at the No. 3 connecting rod journal and exhibited signatures consistent with extreme heat. The No. 3 connecting rod bolts fractured at the point where the nuts contacted the connecting rod. Each connecting rod nut had a flat-face side and a raised-lip side. As found, the nuts were oriented with the raised-lip side touching the connecting rod despite the engine manufacturer's service instruction, which stated that "Nuts [were] to be assembled with flat face side touching the connecting rod." The caution associated with the orientation of the connecting rod nuts at installation stated that "the connecting rod bolt cannot be tightened correctly if the nut on the connecting rod is installed incorrectly." The operator's maintenance personnel likely installed the nuts incorrectly during an engine overhaul about 246 flight hours before the accident flight, which resulted in a loss of torque on the connecting rod's nuts and the subsequent fracture of the connecting rod's bolts and total loss of engine power.

NTSB Probable Cause

The loss of torque on the No. 3 connecting rod’s nuts, which resulted in the failure of the No. 3 connecting rod’s bolts and a subsequent total loss of engine power due to the operator's maintenance personnel’s improper installation of the connecting rod nuts.

Full Narrative

On November 13, 2016, about 1400 eastern daylight time, a Cessna 152, N94292, was substantially damaged during a forced landing following a total loss of engine power near Miami, Florida. The private pilots were not injured. Visual meteorological conditions prevailed, and a visual flight rules flight plan was filed for the instructional flight operated by Dean International, Inc which was destined for Miami Executive Airport (TMB), Miami, Florida. The flight originated at Lakeland Linder Airport (LAL), Lakeland, Florida about 1220, and was conducted under the provisions of Title 14 Code of Federal Regulations Part 91.Each pilot provided a written statement, and both statements were consistent throughout. The pilots described the flight as a "buddy" flight, the purpose of which was to build flight time for each. The airplane was in cruise flight over the Everglades about 2,000 feet when the crew noted some engine "roughness." They noted that the engine oil temperature was "normal" but the engine oil pressure indication was "low." The pilot on the controls turned the airplane towards the nearest airport, which was 18 miles from its position at that time. Approximately 1 minute later, the engine stopped producing power, and the crew selected a road for the forced landing. During the descent, an engine restart was attempted and was unsuccessful. The airplane touched down prior to the road on soft, wet ground, nosed over, and came to rest inverted. The pilots egressed the airplane uninjured. During recovery of the airplane, large cracks were noted in the engine crankcase near the number 2 cylinder. The pilot held a private pilot certificate with ratings for airplane single engine land and instrument airplane. His most recent first-class medical certificate was issued on September 8, 2015. The pilot reported 212.5 total hours of flight experience, all of which were in the accident airplane make and model. The copilot held a private pilot certificate with a rating for airplane single engine land. His most recent first-class medical certificate was issued on July 11, 2016. The copilot reported 128.3 total hours of flight experience, all of which were in the accident airplane make and model. The two-seat, single-engine, high-wing airplane was manufactured in 1982 and was equipped with a Lycoming O-235 series engine. Its most recent 100-hour inspection was completed November 3, 2016 at 10,955 total aircraft hours and the airplane had accrued 52 hours since that date. C&G Aircraft Maintenance, a Dean International company, completed engine overhaul 246 aircraft hours prior to the accident. On November 18, 2016, a detailed examination of the engine supervised by an FAA aviation safety inspector revealed the crankshaft was broken at the No. 3 rod journal and displayed signatures consistent with "extreme heat." The No. 3 connecting rod bolts fractured at the point where the nut contacts the connecting rod. Each connecting rod nut had a flat faced side, and a raised lip side. As found, the nuts were installed with the raised-lip side touching the connecting rod. According to Lycoming Service Instruction No. 1458G, "Nuts to be assembled with flat face side touching the connecting rod." The caution associated with the orientation of the connecting rod nuts at installation stated: CORRECT INSTALLATION OF THE NEW NUT ON EACH NEW CONNECTING ROD BOLT IS NECESSARY FOR CORRECT CONNECTING ROD ASSEMBLY. EACH CONNECTING ROD NUT HAS TWO DIFFERENT SURFACES, ONE SURFACE IS FLAT AND THE OTHER HAS A RAISED LIP. BE SURE TO INSTALL EACH NUT ON THE CONNECTING ROD BOLT WITH THE FLAT FACE TOUCHING THE ROD AS SHOWN IN FIGURE 2. THE RAISED LIP SURFACE IS AWAY FROM THE ROD. THE CONNECTING ROD BOLT CANNOT BE TIGHTENED CORRECTLY IF THE NUT ON THE CONNECTING ROD IS INSTALLED INCORRECTLY.

Flight

Event TypeAccident
Event Time13:00 EST
Nearest Airport0nm
Flight Plan FiledVFR
Flight Plan ActivatedYes
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 152 NO Series
Tail NumberN94292
Aircraft CategoryAir
DamageSubstantial
OperatorDean International
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-235 SERIES · Reciprocating · 110
Seats2

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 23 · First Class · None
Crew 2Age 20 · First Class · None

Conditions

ConditionsVMC
LightDaylight
Wind110° @ 8 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point59
Altimeter30.03 inHg
Observation Time19:53
Weather SourceWFAC

Appendix: Source Data