Individually Owned: 150,657
Corporate Owned: 137,281
Aircraft Accident/Incident Report
Rochester, Minnesota 55906
Sunday, March 6, 2005 13:46 CST
NTSB Narrative Summary Released at Completion of Accident
The airplane was substantially damaged when it impacted a tree and the ground during a forced landing following a loss of engine power. Subsequent to the accident, the engine was found to have a broken connecting rod, and the oil level was below the bottom of the dipstick. According to the pilot and maintenance records, the airplane had recently undergone an annual inspection. The annual inspection included an overhaul of the propeller governor. Examination of the governor installation revealed that the mounting nuts did not have the proper stack up of washers and were not torqued to specifications. In addition, the aircraft maintenance manual for the airplane indicated the use of a single gasket between the governor and the engine accessory housing. An aircraft maintenance manual for later year models of the airplane and an engine manufacturer's Service Instruction indicated the use of 2 gaskets and a plate between the propeller governor and the engine accessory housing. The engine manufacturer’s Service Instruction stated that the 2 gaskets and plate are necessary "to eliminate the possibility of oil leakage between the propeller governor and the accessory housing."
NTSB Probable Cause Narrative
The loss of engine power due to oil starvation and the subsequent failure of a connecting rod. Additional causes were the improper maintenance due to under-torqued fasteners, and inadequate airframe manufacturer maintenance procedures resulting in an improper oil gasket installation. The tree encountered during the forced landing was a factor.
Event Information
| Type of Event | Accident |
| Event Date | 3/6/2005 |
| Event Day of the Week | Sunday |
| Time of Event | 1346 |
| Event Time Zone | Central Standard Time |
| Event City | Rochester |
| Event State | MINNESOTA |
| Event Country | -- |
| Zipcode of the event site | 55906 |
| Event Date Year | 2005 |
| Event Date Month | 3 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 435426N |
| Event Location Longitude | 0922956W |
| Event Location Airport | -- |
| Event Location Nearest Airport ID | -- |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | -- |
| Degrees magnetic from airport | -- |
| Airport Elevation | -- |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 1354 Central Standard Time |
| Direction of event from weather observation facility (degrees) | 195 |
| Weather Observation Facility ID | KRST |
| Elevation of weather observation facility | 1317 |
| Distance of event from weather observation facility (units?) | 15 |
| Time Zone of the weather observation | CST |
| Lighting Conditions | Day |
| Lowest Ceiling Height | -- |
| Lowest Non-Ceiling Height | -- |
| Sky/Lowest/Cloud Conditions | Clear |
| Sky Condition for Lowest Ceiling | None |
| Visibility Runway Visual Range (Feet) | -- |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 10 |
| Air Temperature at event time (in degrees celsius) | 14 |
| Dew Point at event time (in degress fahrenheit) | -1 |
| Wind Direction (degrees magnetic) | 220 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 16 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 29.57 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | -- |
| METAR weather report | -- |
| Event Highest Injury | Serious |
| On Ground, Fatal Injuries | -- |
| On Ground, Minor Injuries | -- |
| On Ground, Serious Injuries | -- |
| Injury Total Fatal | -- |
| Injury Total Minor | 1 |
| Injury Total None | -- |
| Injury Total Serious | 1 |
| Injury Total All | 2 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 19947 |
| NTSB Notification Source | FAA |
| NTSB Notification Date | Mar 6 2005 12:00AM |
| NTSB Notification Time | 1609 |
| Fiche Number and/or location -used to find docket information | DMS |
| Date of most recent change to record | Jul 31 2006 10:47AM |
| User who most recently changed record | NTSB\JOHB |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | Minneapolis, Minnesota |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N2019Q |
| NTSB Number | CHI05LA076 |
| Missing Aircraft Indicator | -- |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | No |
| Damage | Substantial |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | Cessna |
| Aircraft Model | 177RG |
| Aircraft Series Identifier | -- |
| Aircraft Serial Number | 177RG0419 |
| Certified Max Gross Weight | 2800 |
| Aircraft Category | Airplane |
| Aircraft Registration Class | -- |
| Aircraft is a homebuilt? | No |
| Flight Crew Seats | -- |
| Cabin Crew Seats | -- |
| Passenger Seats | -- |
| Total number of seats on the aircraft | 4 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Mar 1 2005 12:00AM |
| Airframe hours since last inspection | 0 |
| Airframe Hours | 3113 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | Carlton E. Johnson |
| Aircraft Owner Street Address | 2210 County Rd. 121 NE |
| Aircraft Owner City | Rochester |
| Aircraft Owner State | MN |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 55906 |
| Operator is an individual? | No |
| Operator Name | -- |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | -- |
| Operator City | -- |
| Operator State | -- |
| Operator Country | -- |
| Operator Zip code | -- |
| Operator Code | -- |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | -- |
| Certified for Part 133 or 137 Operation | -- |
| Operator Certificate Number | -- |
| Indicates whether an air carrier operation was scheduled or not | -- |
| Indicates Domestic or International Flight | -- |
| Operator carrying Pax/Cargo/Mail | -- |
| Type of Flying (Per_Bus / Primary) | Personal |
| Second Pilot on Board | No |
| Departure Point Same as Event | Yes |
| Departure Airport Code | RST |
| Departure City | Rochester |
| Departure State | MN |
| Departure Country | USA |
| Departure Time | 1330 |
| Departure Time Zone | CST |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | -- |
| Destination City | -- |
| Destination State | -- |
| Destination Country | -- |
| Specific Phase of Flight | Maneuvering |
| Report sent to ICAO? | No |
| Evacuation occurred | No |
| Date of most recent change to record | May 8 2006 7:40AM |
| User who most recently changed record | SULP |
| Since inspection or accident | Last Inspection |
| Event Location Runway Number and Location | NA |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |