NYC00FA239
NYC00FA239

HISTORY OF FLIGHT

On August 25, 2000, at 0615 Eastern Daylight Time, a Cessna 206H, N7269S, was destroyed after an in-flight explosion, and a subsequent forced landing to a field in Mayville, New York. The certificated commercial pilot was seriously injured. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed for the flight, between Chautauqua County Airport (DKK), Dunkirk, New York, and Port Meadville Airport (GKJ), Meadville, Pennsylvania. The business flight was conducted under 14 CFR Part 91.

The pilot reported that he departed Dunkirk at 0610. According to two Federal Aviation Administration (FAA) inspectors who interviewed the pilot while he was in the hospital, the pilot stated that, after takeoff, he climbed the airplane to 4,000 feet. Just after level-off, the pilot checked the gauges "and found them to be all in the green." His power setting was 2,500 rpm and 25 inches of manifold pressure, and "as he was accustomed, he backed the throttle a hair to 24/24." The pilot then engaged the autopilot, and the engine was running smoothly, with no vibrations. "All was fine for about 35 to 40 seconds. Then he heard a loud explosion ('Kaboom!!') followed by an increase in engine rpm."

During the explosion, the pilot saw the engine cowls "bow up". The cowl fasteners also blew out, and fire came out through the fastener holes.

The pilot started to turn the airplane towards a field he had seen earlier. Meanwhile, "blue and yellow flames were constantly coming from the engine compartment and coming right around the window." During the turn, there was a second explosion. The pilot thought the engine was still running until that time, and quit after the second blast. After the second explosion, the cabin became completely engulfed in smoke. The pilot cracked the left window, and found an area where he could "sip" fresh air. The view ahead of him was completely black due to the amount of smoke.

The pilot continued toward what he thought was the field, based on his available vision to the side. However, during the final approach, the airplane struck trees. The pilot was surprised, and pulled full back on the yoke. The airplane then stalled, and fell straight to the ground.

After the pilot was released from the hospital, he provided amplifying information to the Safety Board. In a telephone interview, he stated that during the preflight, he checked the oil cap three times to make sure it was in and locked.

The pilot also confirmed that there was no problem with the engine prior to the first explosion. "It was purring like a kitten." After he leveled off the airplane, he set the power and engaged the autopilot. Less than a minute later, it seemed like a stick of dynamite went off. Blue flames and fire came through the cowling. The engine continued to run smoothly, and may have even sped up a little. There were no "clanking" sounds emanating from the engine before the first explosion.

Immediately after the explosion, the pilot put the flaps down, and turned towards a field he had seen. During the turn, a second explosion occurred. The dash was blown in, and there was so much fire and smoke, that visibility within the cockpit was reduced to the blackness of night. The pilot couldn't breathe, and he couldn't see, except out the side window. After the second explosion, the engine quit running.

A witness to the accident stated that he was inside his house when he heard the sound of the airplane's engine, then a "pop sound." He looked outside, and saw the airplane "about treetop high, and the right front side was on fire...near the engine." He saw the airplane make several left turns, then lost sight of it behind the trees, and eventually located the wreckage by following rising smoke.

The accident occurred during civil twilight, about 20 minutes before sunrise.

PILOT INFORMATION

The pilot held a commercial pilot certificate with ratings for single engine land and multi-engine land airplanes. He reported that he had about 3,135 hours of flight time, and 100 hours in make and model. His latest second class medical certificate was issued on February 16, 2000.

AIRPLANE INFORMATION

The airplane was manufactured in May 1999, and according to the operator, had about 340 hours of operating time. The engine was a Textron Lycoming IO-540-AC1A5.

According to maintenance records, the "New Reciprocating Engine Certificate" was dated January 1, 1999. The engine was serviced with mineral oil for the first 50 hours. An annual inspection was completed on November 26, 1999, at 100.0 hours. On March 7, 2000, a Tanis engine preheater system was installed. Another annual inspection was completed on March 17, 2000, at 201.7 hours. On May 22, 2000, all six of the cylinder assemblies were removed and replaced due to high oil consumption. On July 28, 2000, another annual inspection was completed, at 300.0 hours.

WRECKAGE INFORMATION

On the day of the accident, an on-scene examination was conducted by a Rochester Flight Standards District Office (FSDO) FAA inspector, who was joined by the operator. According to the FSDO inspector, there were broken limbs in tree line near the wreckage. There was also a gash in the ground, from the tree line, about 50 feet, to the wreckage. The wreckage had been sprayed with water and foam by a local fire company. The airplane's cockpit, instrument panel, and fuselage were destroyed by fire. All three landing gear were collapsed. The right engine cowling was found on the left side of the airplane, near the propeller, while the left engine cowling was still attached. Removal of the left cowling revealed a 5-inch crack in the engine case, in the vicinity of the number 6 cylinder.

The engine was subsequently moved to a hangar owned by the operator, and the airframe was moved to a different location, belonging to a salvage company.

On August 28, 2000, arrangements were made to have representatives from Cessna Aircraft Company and Textron Lycoming, along with another FSDO inspector and an FAA inspector from the Wichita Aircraft Certification Office, join the FSDO inspector in examining the wreckage on the following day.

On August 29, 2000, the group proceeded to operator's hangar for an engine examination. The oil suction screen was pulled, and metal particles and debris were found on it. The oil sump plug was removed and a mixture of water and a small amount of oil were drained out.

Fire damage was noted to the accessory case and the firewall, with fire damage more severe on the left side of the engine. The bottom of the engine-driven fuel pump was missing. The oil filler tube and the top portion of the oil dipstick were missing.

The engine was prepared for shipment to Textron Lycoming, Williamsport, Pennsylvania, for a teardown examination.

On August 30, 2000, the group stopped at Dunkirk Airport to examine the ramp area and the airplane's parking spot. No oil was noted in either place. The group then proceeded to the salvage yard, and found the remainder of the wreckage still on the flatbed truck that had transported it.

Examination of the airframe remnants revealed that there was oil on the bottom surfaces of the wings and the empennage. The right engine cowling had oil on it in the vicinity of the oil filler cap. The left engine cowling exhibited evidence consistent with heat damage.

On August 31, 2000, the engine underwent the teardown examination under Safety Board supervision at Textron Lycoming. The examination revealed that the engine's rear accessory section was fire-damaged, and both the right and left magnetos were melted. The oil filler tube was missing; however, the dipstick was still inserted into the engine. The oil filter was fire-damaged, and the bottom of the engine driven fuel pump was burned away. The fuel boost pump was intact. Externally, the engine oil pump was rusted and fire-damaged. There was light scoring on the internal body walls, but no damage to the impellers.

The engine would not rotate; however, engine continuity was confirmed, with the exception of the separated number 6 connecting rod. There was metal contamination in the oil sump. Internal timing could not be verified due to heat and rust damage to the accessory drive gears. All spark plugs were gray in color, with the exception of an oil/water-wet number 2 bottom plug, and a corroded number 4 top plug.

The connecting rod bearings had an appearance consistent with oil starvation and wiping. The number 6 connecting rod bearing was in pieces, in the sump. No damage was noted to any of the main bearings. The crankcase oil galley and oil holes were open and free of debris.

TESTS AND RESEARCH

The number 3, 5, and 6 connecting rod assemblies were forwarded to the Safety Board Materials Laboratory for examination. According to the metallurgist's factual report, the pieces from the number 6 rod were darkly discolored, "as if severely overheated." Further examination revealed that "mechanical damage completely obliterated fracture features on the smaller separated pieces of the connecting rod and cap."

One of the number 6 connecting rod bolts was separated. "The separated ends of the bolt were deformed by bending." The facture face of the head portion was completely destroyed by "post-separation damage," while the fracture face on the shank had "cup and cone features, typical of tensile overload. The 'intact' bolt from the connecting rod...was also deformed by bending."

The report also stated:

"The crankshaft ends of connecting rods numbers 5 and 3 also had evidence of heat discoloration; however, significantly less severe than in rod number 6. The connecting rod bolts in both rods were intact but the bearing shells were deformed and heavily scored."

ADDITIONAL INFORMATION

Photographic evidence of the interior side of the right cowling revealed oil residue on the aft, bottom quadrant. The residue appeared generally to be unburned; however, there were specks of soot on, or imbedded in, the residue. There was also some light sooting on the aft, top quadrant of the interior side of the cowling, with heavy sooting near the cowling's aft, top edge.

Photographic evidence of the interior side of the left engine cowling revealed heavy sooting on the aft, upper quadrant. There was also scorching within the aft, upper part of that quadrant.

In a September 12, 2000, email, another Cessna 206H owner stated that the dipstick/oil filler cap on his airplane's engine required a "real firm" tightening, or it would back itself out. The owner also noted that two or three times he came back from flights, and the cap was "completely open." However, even though the cap was open, there was "no oil loss or indications of oil spewing out."

On February 20, 2001, Textron Lycoming issued Mandatory Service Bulletin number 545, which required oil filler tube and clamp replacement on certain IO-540-AC1A5 engines. The serial number of the oil filler tube adapter determined which engines were affected; however, the accident engine was not one of them.

On August 25, 2000, the FAA inspector in charge released the airframe to the operator. On September 1, 2000, the Safety Board investigator released the engine to the engine manufacturer.

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