DEN04LA107
2004-07-20 · Douglas, Wyoming, United States · None · 1 aircraft · Status: Completed
Airport DGW
Current FAA registration · N7736K
- Make / Model
- CESSNA P210N
- Year of manufacture
- 1979 · 25 years old at event
- Engine
- CONT MOTOR TSIO-520 SER (300 hp)
- Seats / Engines
- 6 seats · 1 engine
- Last airworthiness date
- 19791205
- ADS-B equipped
- Yes — Mode-S AA7760
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
the failure of the engine's crankshaft due to the rotation of the engine's number two bearing, which resulted in the oil starvation of the crankshaft's number 2 main journal. Contributing factors include the engine's improper maintenance, and the in-flight collision with a fence post during a forced landing.
Factual narrative
On July 20 2004, at 1600 mountain daylight time, a Cessna P210N, N7736K, operated by a commercial pilot, was substantially damaged during a forced landing at Converse County Airport (DGW), Douglas, Wyoming. Visual meteorological conditions prevailed at the time of the accident. The personal cross-country flight was being conducted under the provisions of Title 14 CFR Part 91 on an instrument flight rules (IFR) flight plan. The pilot and three passengers were not injured. The flight to Provo, Utah, originated at Rapid City, South Dakota, approximately 1400. According to the pilot, while in cruise flight at 22,000 feet msl, the engine "quit." The pilot stated that the propeller continued to "windmill," and at that time he noted approximately 50 gallons of fuel remaining. The pilot's attempts to restart the engine were unsuccessful. He declared an emergency and was diverted to Douglas. He broke out of the clouds at approximately 14,000 feet agl. On final approach to runway 28, the airplane's left main landing gear struck a fence post and the airplane impacted terrain approximately 200 feet short of the runway threshold. The airplane drifted to the left of the runway centerline and came to a stop in the grass. The impact collapsed the airplane's left main landing gear assembly, and buckled the left wing tip and left horizontal stabilizer. On February 14, 2005, the engine was examined at Teledyne Continental Motors, Inc., in Mobile, Alabama. The examination revealed a 7/8-inch by 3/8-inch hole in the top of the crankcase, just forward of the number 1 cylinder. Further examination revealed that the number 2, 3, 4, 5, and 6 piston rods were fractured. The engine crankshaft was fractured at the number 2 rod journal. The crankshaft exhibited thermal discoloration and impact marks at the number 2, 3, 4, and 5 rod journals. Rotational scoring and thermal discoloration was observed on each main bearing. The crankshaft's number 2 main bearing was fragmented. Fretting was observed on the crankcase halves at the number 2 bearing through bolts. Fretting was also observed on the number 3 and 4 bearing through bolts. According to the airplane's engine maintenance records, on May 31, 2000, at an airframe total time of 2,380.0 hours, a top overhaul was completed on all 6 cylinders. On November 17, 2003, at 2,845.0 hours, during the airplane's most recent 100-hour inspection, the engine's number 2 cylinder was replaced. At the time of the accident, the total airframe time was 3,083.0 hours. According to the pilot, while in cruise flight at 22,000 feet msl, the engine "quit." The pilot stated that the propeller continued to "windmill," and at that time he noted approximately 50 gallons of fuel remaining. The pilot's attempts to restart the engine were unsuccessful. He declared an emergency and was diverted to a nearby airport. On final approach to runway 28, the airplane's left main landing gear struck a fence post. The airplane landed approximately 200 feet short of the runway threshold and its left main landing gear collapsed. The airplane veered left of the runway centerline and came to a stop in the grass. The impact buckled the left wing tip and left horizontal stabilizer. An examination of the engine revealed a 7/8-inch by 3/8-inch hole in the top of the crankcase, just forward of the number 1 cylinder. Further examination revealed the engine crankshaft was fractured at the number 2 rod journal. The crankshaft exhibited thermal discoloration and impact marks at the number 2, 3, 4, and 5 rod journals. Rotational scoring and thermal discoloration was observed on the crankshaft's number 2 main bearing. The number 2 bearing was fragmented and fretting was observed on the crankcase halves at the number 2 bearing through bolts. The engine maintenance records indicated on November 17, 2003, at 2,845.0 hours, during the airplane's most recent 100-hour inspection, the number 2 cylinder was replaced. At the time of the accident, the total time was 3,083.0 hours. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2004_DEN04LA107.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…