CEN10LA498
2010-08-24 · Traverse City, Michigan, United States · Minor · 1 aircraft · Status: Completed
Airport TVC
Aircraft involved
Probable cause & findings
A loss of engine power due to the improper torquing of the number one cylinder's spark plug as a result of inadequate maintenance.
Factual narrative
On August 24, 2010, about 1110 eastern daylight time, an experimental amateur-built Freeman Super Koala airplane, N220FF, owned and piloted by a commercial pilot, was substantially damaged when it impacted terrain during a forced landing following a loss of engine power during cruise flight near Traverse City, Michigan. Visual meteorological conditions prevailed at the time of the accident. The personal flight was being conducted under the provisions of Title 14 Code of Federal Regulations Part 91 without a flight plan. The pilot sustained minor injuries. The local flight originated from the Cherry Capital Airport, near Traverse City, Michigan, about 1050. The pilot reported that during the climb he reduced power to 6,000 rpm about three to four minutes after takeoff. The pilot switched the fuel tank selector from the main tank to the auxiliary tank. The engine’s rpms subsequently dropped from 6,000 to 2,000 rpm. He switched the fuel tank selector back to the main tank and the engine’s rpms did not increase. He applied the choke and no increase in engine rpms was observed. According to the pilot, he attempted to execute a forced landing to the “only open space available.” The area which the pilot picked to perform the forced landing had rising terrain. He said that the left wing dropped and the airplane turned about 55 degrees to the left before impact. The pilot stated that the airplane Hobbs meter accumulated 0.4 hour since the start of the flight. According to the pilot, the airplane had accumulated 49.5 hours of total airframe time at the time of the accident. The airplane’s airworthiness was maintained by the owner/pilot under a conditional maintenance program and the last conditional inspection was performed on February 18, 2010. The airplane was powered by a two cylinder, two-stroke, 50-horsepower Rotax 503 UL engine with serial number 360-5697. The engine was sold to the airplane's kit manufacturer in March of 1986 and according to the pilot, it had not been overhauled. A Federal Aviation Administration inspector examined the wreckage. Engine control continuity was established. The engine’s fuel filters were clean. The number one cylinder exhaust port exhibited an accumulation of carbon. The number one cylinder’s spark plug could be loosened by hand and it exhibited a fouled appearance when it was removed. The engine’s maintenance manual included an itemized maintenance plan that listed a "general overhaul of the engine" as planned and necessary maintenance. A supplemental note indicated that the overhaul is to be carried out every 5 years or every 300 hours, whichever comes first. The maintenance manual further indicated that the spark plugs are to be tightened on a cold engine to 240-inch pounds of torque. The pilot reported a loss of engine power during cruise flight. He elected to land in the only open space available, which was comprised of rising terrain. During the approach to the field, the left wing dropped and the airplane turned to the left before impact. A postaccident examination of the number one cylinder exhaust port revealed an accumulation of carbon. The number one cylinder’s spark plug could be loosened by hand in indication that it was not properly secured prior to impact; removal of that plug revealed that it exhibited a fouled appearance. The engine's maintenance manual indicated that the spark plugs are to be tightened on a cold engine to 240-inch pounds of torque. The airplane’s airworthiness was maintained by the owner/pilot under a conditional maintenance program. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- F Aircraft-Aircraft power plant-Ignition system-Spark plugs/igniters-Incorrect service/maintenance - F
- — Environmental issues-Physical environment-Terrain-Sloped/uneven-Contributed to outcome
Verbatim from NTSB's published report. Source file
NTSB_2010_CEN10LA498.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…