ATL92LA063
1992-03-15 · MT. PLEASANT, Tennessee, United States · Serious · 1 aircraft · Status: Completed
Airport MRC
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
WHILE CRUISING THE ENGINE DEVELOPED A VIBRATION AND STARTED RUNNING ROUGHLY. THE PILOT REDUCED POWER AND ESTABLISHED A TRACK FOR AN EMERGENCY LANDING TO A NEARBY COUNTY AIRPORT; THE AIRPLANE CRASHED ABOUT ONE MILE SHORT OF THE AIRPORT. EXAMINATION OF THE ENGINE ASSEMBLY DISCLOSED THAT A PIECE OF THE CRANKCASE WAS BROKEN ABOVE NUMBER 2 CYLINDER AND THE CYLINDER WAS PARTIALLY SECURED BY ONE HOLD DOWN NUT ON THE BOTTOM LEFT SIDE. FURTHER EXAMINATION REVEALED FRETTING BETWEEN THE CYLINDER FLANGE AND THE ENGINE CASE. ALL CRANKCASE FRACTURES SHOWED SIGNS OF OVERLOAD FAILURE. THE ENGINE MAINTENANCE LOGS DISCLOSED THAT THE ENGINE'S CRANKCASE HAD BEEN REPLACED ON 10/24/90; THIS ENGINE MALFUNCTION OCCURRED 258 HOURS LATER. SUBSEQUENT TO THIS ACCIDENT, CONTINENTAL MOTORS ISSUED A SERVICE BULLETIN WHICH INCREASED THE TORQUE VALUE FOR THE CYLINDER HOLD DOWN NUTS, AND INSTRUCTED THAT THE STANDARD SIX POINT HOLD DOWN NUTS BE REPLACED WITH TWELVE POINT NUTS DURING OVERHAUL. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1992_ATL92LA063.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 (maintenance). All research papers
- 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…
- 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.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…