NTSB CAROL · Event
Event ERA19LA006
Aircraft involved
Probable cause & findings
Maintenance personnel’s improper maintenance of the magnetos, which resulted in a loss of engine power.
Factual narrative
On October 4, 2018, about 1830 central daylight time, a Cessna 205A, N8495Z, was substantially damaged when it was involved in an accident near Wagoner, Oklahoma. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 flight test. According to the pilot, he was performing a post maintenance flight test. After a routine engine run-up with no abnormal indications, he departed Hefner-Easley Airport (H68), Wagoner, Oklahoma. The pilot climbed to about 2,500 ft mean sea level and made about three circuits around the airport area; he stated that the airplane climbed well and that all flight parameters were normal. The pilot announced his intentions of leaving the airport area and turned south to continue flight maneuvers and performance checks. The pilot started a left turn when a “very minor engine mis[fire]" occurred. He scanned the instrument panel, and all engine parameters appeared normal. As the pilot continued the turn, the "engine mis[fire]" began to increase and the engine began to shake. The airplane was unable to maintain altitude and was descending about 150-300 ft per minute. The pilot made multiple attempts to regain engine power, but the engine then lost total power. The pilot slowed the airplane to the minimum controllable airspeed and impacted trees and brush. During the landing sequence, the left and right wings buckled. A postaccident engine run was performed and revealed that, after running for 13 minutes, the engine lost power and the No. 6 cylinder began to significantly cool. Troubleshooting of the magnetos found that the right magneto was firing erratically. The right magneto was replaced with a known-good magneto and the engine was subsequently successfully test run at full power. The accident magnetos were removed for testing, and both magnetos failed the manufacturer’s acceptance test procedure due to excessive point gaps and secondary coil resistance. Additionally, both magnetos did not produce output until above 3,000 rpm. A review of the engine logbooks revealed the magneto points and condensers were replaced in both magnetos on September 20, 2000, at a tachometer time of 786.5 hours. There were no logbook entries detailing a magneto 500-hour inspection. Since the repair of the magnetos, the engine had accumulated about 233.3 hours prior to the accident flight. During a post maintenance flight after the airplane's annual inspection, the pilot made about three circuits around the airport area before departing to continue flight maneuvers and performance checks. He started a left turn and then noticed a “very minor engine mis[fire]." As the pilot continued the turn, the "engine mis[fire]" began to increase and the engine began to shake. The airplane was unable to maintain altitude and was descending about 150-300 ft per minute. Although the pilot made multiple attempts to regain engine power, the engine lost total power. The airplane impacted trees and brush; during the landing sequence, the left and right wings buckled. Following the accident, an engine run was performed; after running for 13 minutes, the engine lost power. Troubleshooting of the magnetos found that the right magneto was firing erratically. The right magneto was replaced with a known-good magneto and the engine was subsequently successfully test run at full power. More detailed testing of both magnetos revealed that they failed the manufacturer’s acceptance test procedures due to excessive point gaps and secondary coil resistance. A review of the engine logbooks revealed the magneto points and condensers were replaced about 18 years and about 230 flight hours before the accident flight. Given the available information, it is likely that maintenance personnel did not perform proper maintenance of the magnetos. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- — Aircraft-Aircraft power plant-Ignition system-Magneto/distributor-Not serviced/maintained
- — Personnel issues-Task performance-Maintenance-Scheduled/routine maintenance-Maintenance personnel
Verbatim from NTSB's published report. Source file
NTSB_2018_ERA19LA006.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2015 · Conference paper
International Air Transport Association Vision 2050 Report Assessment
The International Air Transport Associations report Vision 2050 report addresses how the aviation industry members participating in the Vision 2050 will work towards meeting combined established goals…
- Embry-Riddle Scholarly Commons 2002 · Journal article (JAAER)
A Fanciful Look at Air Carrier Operations in the Year 2050
Captain Lance Boyle smiled as he felt the smooth rippling thunk of the landing gear tires meeting the runway. Now that was how aircraft should land, not this vertical takeoff and landing nonsense empl…
- 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 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.
- 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…
- 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.
Browse the full corpus — academia portal ↗