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Aviation safety reports, made easier to study

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NTSB Report

June 27, 2019 · Stinson 108 3 · N6116M

Caldwell, ID

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
June 27, 2019
Injury Outcomes
1 injury (1 minor injury)
Location
Caldwell, ID
Aircraft
Stinson 108 3 (1948)
Tail Number
N6116M
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
WPR19LA179

The pilot was practicing takeoffs and landings in the airport traffic pattern when the engine lost all power as he was turning onto the base leg of the pattern. He turned the airplane toward final approach, but it landed hard short of the runway, struck an airport perimeter fence, and nosed over, coming to rest inverted. A postaccident examination of the airplane revealed metallic debris on the oil dipstick tube and cap, with significant oil residue on the belly of the airplane. The pilot, who performed the engine overhaul 25 hours before the accident flight, performed a cursory examination following the accident and found a broken piston and metal fragments in the intake tubes that caused the intake valves to stick open. The cause of the piston failure could not be determined based on the available information.

NTSB Probable Cause

A total loss of engine power during approach due to a failed piston. The reason for the piston failure could not be determined based on the available information.

Full Narrative

On June 27, 2019, about 0630 mountain daylight time, a Stinson 108-3, N6116M was substantially damaged when it was involved in an accident near Caldwell, Idaho. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he was practicing takeoffs and landings in the airport traffic pattern. When the airplane was in the turn between the downwind and base legs with the flaps deployed, the engine ceased developing power. The pilot applied carburetor heat, switched fuel tanks, and attempted to restart the engine but was unsuccessful. He then maneuvered the airplane from base leg to final and the airplane landed hard in a field short of the runway. The airplane struck an airport perimeter fence, nosed over, and came to rest inverted. A review of the photographs furnished by the Federal Aviation Administration (FAA) revealed substantial damage to the fuselage and wings. An on-scene examination of the airplane by the FAA revealed that the flaps were in the up position and the carburetor heat was in the off position. The fuel tanks contained fuel, the engine had a supply of oil, and the air filter was not blocked from the outside. An examination of the engine revealed that the oil dip stick tube and cap had significant amounts of “ferrous and non-ferrous” debris and an automotive remote bypass oil filter system was installed. The inspector added that the pilot conducted his own preventative maintenance. The pilot was not a certificated airframe and powerplant mechanic. According to maintenance records, a certificated airframe and powerplant mechanic reinstalled the engine on March 27, 2019, with a total engine time of 2,500 hours. The mechanic added that the engine had been overhauled by the pilot 25 flight hours before the accident flight. He further remarked that he did not physically supervise the pilot during the overhaul and that the pilot used maintenance manuals to complete the overhaul. The logbook entry for the installation of the overhauled engine stated that the overhaul consisted of the following: - Magnafluxed crankshaft and other internal steel parts - Replaced camshaft, bearings, pistons, rings, valves, seals, and gaskets - Both magnetos were fitted with new points and condensers - Carburetor was fitted with new float and needle - Oil cooler hoses and oil pressure hoses were replaced A cursory postaccident examination of the engine performed by the pilot revealed that “a piston came apart, breaking into small pieces that made their way back into the intake tubes [subsequently] sticking the valves open.” No further information or pictures were provided by the pilot regarding his engine examination. Furthermore, the wreckage and the engine were no longer available for a follow-up examination.

Flight

Event TypeAccident
Event Time05:30 PDT
Nearest AirportCaldwell Industrial (1nm ESE)
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftStinson 108 3
Tail NumberN6116M
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-435 SERIES · Reciprocating · 190
Seats3

People & Injuries

Injury Summary1 injury (1 minor injury)
Fatal0
Serious0
Minor1
Uninjured0
Total1
Crew 1Age 51 · Third Class · None

Conditions

ConditionsVMC
LightDaylight
Wind280° @ 8 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point57 F / 46 F
Altimeter29.93 inHg
Observation Time11:56
Weather SourceWFAC

Appendix: Source Data