No fatalities

3 Aug 2019: Cessna A185 E (N5806J) — Saginaw, MI

Saginaw, MI, United States

On 3 Aug 2019, a Cessna A185 E (registration N5806J) was involved in an aviation accident near Saginaw, MI. No fatalities were reported. Investigators recorded the probable cause as: Maintenance personnel’s failure to properly align the crankshaft during an engine reassembly which led to a fatigue failure of the crankshaft and the loss of all engine power. This summary draws on records from NTSB; 12 related events involving the same aircraft type or operator are linked below.

SourcesNTSBPrimary reportUpdated 1778583330Data APIEditorial standards

On August 3, 2019, a Cessna 185 experienced a loss of engine power and struck a power pole during a forced landing, resulting in substantial damage and minor injuries. Examination revealed a broken crankshaft with fatigue cracking; the crankshaft was listed on a noncompliance list for a mandatory service bulletin.

Accident Details

On August 3, 2019, at about 1000 eastern daylight time, a Cessna 185 airplane, registration N5806J, was substantially damaged when it struck a power pole and electrical wires during a forced landing near Saginaw, Michigan. The pilot and three passengers sustained minor injuries. The flight was conducted under Title 14 Code of Federal Regulations Part 91 as a personal flight.

The pilot reported that during cruise flight, the engine lost power. He selected a road for a forced landing; however, the airplane impacted a power pole and electrical wires during the landing. The airplane came to rest inverted and incurred substantial damage to the fuselage and wings.

Post-Accident Examination

The wreckage was moved to an aircraft salvage facility near Springfield, Tennessee, where an examination was conducted by the NTSB Investigator-in-Charge and a technical representative from the engine manufacturer. At the time of the examination, the airplane’s tachometer read 1,556.34 hours.

The airplane was equipped with a factory-rebuilt Continental IO-520-D reciprocating engine, serial number 812972-R; the serial number on the crankshaft flange was F109804N. The examination noted that the engine could not be rotated by hand. Disassembly of the engine found a broken crankshaft.

Crankshaft Metallurgical Analysis

The broken crankshaft was sent to the NTSB Material Laboratory in Washington, DC, for detailed examination. The web fracture surface was examined using a scanning electron microscope (SEM) and revealed fatigue striations consistent with fatigue crack propagation. Examination of the fatigue crack initiation sites found that many were obliterated by post-fracture smearing; however, an undamaged site revealed no indications of material defects such as inclusions, corrosion pits, or voids. Some indications of streaks or microwear marks were present along the fracture surface edge, and some parallel microcracks were present in this initiation site.

Maintenance and Service Bulletin Compliance

In April 2000, Teledyne Continental Motors issued Mandatory Service Bulletin (MSB) 00-05D to address 11 crankshaft fractures due to manufacturing defects. The MSB provided instructions for obtaining crankshaft core samples for metallurgical evaluation. Crankshafts that did not meet material specifications were required to be replaced before further flight. The FAA subsequently issued Airworthiness Directive (AD) 2000-23-21, effective December 12, 2000, requiring compliance with the inspection specified in the MSB.

The crankshaft serial number for the accident engine appeared on the MSB page list of "Noncompliant affected service spare crankshaft by part number – no record of compliance with MSB-00-5 or AD 2000-23-21."

Review of the engine maintenance records revealed an entry dated May 10, 2010, stating "Continental Service Bulletin MSB00-5 DNA [Does Not Apply] by serial number." However, further review of the original MSB 00-5 in the table labeled "Affected engine models by engine serial number and crankshaft serial number" did not find any reference to the accident engine or crankshaft serial number. In the section labeled "Affected crankshafts by crankshaft part number and serial number," the accident crankshaft’s serial number was listed on page 14.

The maintenance records also contained an entry dated August 11, 2017, indicating that the Nos. 2 and 6 cylinder assemblies were replaced with new assemblies at a tachometer reading of 1,516.3 hours.

A section of the crankshaft’s propeller flange was sent to Continental for additional testing in accordance with MSB-00-5. The test sample did not pass the metallurgical exam; had testing been accomplished before the accident in accordance with the MSB, the crankshaft would have been required to be removed from service.

Contributing factors

Recip engine power section — FailureMaintenance personnel