Of the 5 bolts, I haven't seen the one hidden behind the gear part of the cam gear coming loose. I use the wrench to tighten it, but it has never been real loose. Especially after around 1996, Cummins put some kind o sealer on the bolts and they are less likely to fall out. The looseness comes from the mounting gasket taking a set, mostly. I do remove, clean the bolts and holes, blow dry, and loctite the other 4. The two out in the open are perhaps the worst offenders, and if the flange gets caught between gear teeth, you will lock up the engine, breaking expensive parts.