ATL92LA038
1992-01-12 · KNOXVILLE, Tennessee, United States · None · 1 aircraft · Status: Completed
N185Y has since been reassigned. It is now registered to a different aircraft (CESSNA A185F), which was not involved in this event.
Aircraft involved
Probable cause & findings
THE MANUFACTURER'S FAILURE TO PROVIDE ADEQUATE TORQUE INFORMATION WHICH RESULTED IN THE LOSS OF TORQUE ON THE CYLINDER HOLD DOWN NUTS AND THE COMPLETE LOSS OF ENGINE POWER.
Factual narrative
SHORTLY AFTER TAKEOFF, THE PILOT REPORTED A SEVERE VIBRATION IN THE AIRPLANE, FOLLOWED BY A COMPLETE LOSS OF ENGINE POWER. AN EMERGENCY LANDING WAS ATTEMPTED TO RUNWAY 24R AT MCGHEE TYSON AIRPORT, BUT THE AIRPLANE CRASHED A MILE SHORT OF THE RUNWAY. EXAMINATION OF THE ENGINE ASSEMBLY REVEALED THAT NUMBER 1 & 2 CYLINDERS HAD SEPARATED FROM THE ENGINE CASE. THE EXAMINATION ALSO DISCLOSED THAT THE CYLINDER HOLD DOWN STUDS WERE DAMAGED AND THE THREADS WERE BATTERED. THERE WAS AN ACCUMULATION OF METALLIC DUST ASSOCIATED WITH FRETTING ADJACENT TO THE CYLINDER FLANGE AND ENGINE CASE. SEVERAL HOLD DOWN NUTS WERE NOT RECOVERED FOR EXAMINATION. THE ENGINE MAINTENANCE LOG SHOWED THAT THE NUMBER 1 CYLINDER WAS REMOVED AND INSTALLED IN ACCORDANCE WITH CURRENT SERVICE INSTRUCTIONS 314 HOURS PRIOR TO THIS ACCIDENT. SUBSEQUENT TO THIS ACCIDENT CONTINENTAL MOTORS ISSUED A SERVICE BULLETIN INCREASING THE HOLD DOWN TORQUE NUT VALUES FROM 710 INCH POUND TO 810 INCH POUNDS, AND CHANGED EXISTING SIX POINT HOLD DOWN NUTS TO TWELVE POINT NUTS. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1992_ATL92LA038.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (stall, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2023 · Conference paper The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- NASA NTRS 2026 · Conference Paper Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.