ANC19LA032

NTSB accident investigation · Cessna 172 · Newport, OR · July 8, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
July 7, 2019, 17:00 local (Jul 8, 2019, 00:00 UTC)
Place
Newport, OR
Injuries
1 serious, 2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9919VCessna 172
Defining event
Enroute-cruise: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
FAA report
20190708009429A
Case key
99813

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The pilot's improper verification of the fuel quantity during the preflight inspection, which resulted in fuel exhaustion and a subsequent total loss of engine power.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The pilot and two passengers were returning from a sightseeing flight. While cruising at an altitude of about 1,200 ft, the engine began to surge between 2,100 and 2,600 rpm. To correct for the surging engine, the pilot switched fuel tanks, enriched the fuel mixture, and applied full throttle, to no avail. Unable to maintain altitude and to avoid undue harm to persons on the ground, he selected an area of hilly, sand-covered terrain for an emergency landing. During the emergency landing, the airplane sustained substantial damage to the wings and fuselage. The pilot stated that, the day before the accident, the left and right fuel gauges indicated about 3/4 full and 1/4 full respectively; however, he said it was possible that he had run out of fuel. The airplane had not undergone an annual inspection in 4 years. Postaccident examination revealed that the main fuel line to the carburetor had separated at the carburetor casing and the strainer cable had stretched, releasing any contents that may have been present in the gascolator during the accident sequence. The carburetor half screws were in and safetied but loose and did not appear to be torqued. Brown deposits were observed on the exterior of the carburetor emanating from the carburetor half seam. Although it is evident that the carburetor had been leaking for an undetermined time, blue streaking would have been more likely if a significant and recent fuel loss had occurred. No fuel was found in the remainder of the fuel system, including the wing tanks, associated lines, and carburetor bowl. Based on the lack of fuel present in the fuel system, it is likely that the pilot miscalculated the amount of fuel onboard before the flight, which resulted in fuel exhaustion and a subsequent loss of engine power.

Factual narrative

The factual narrative859 words

On July 8, 2019, at about 1700 Pacific daylight time, a Cessna 172 airplane, N9919V, sustained substantial damage during a forced landing following a loss of engine power while in cruise flight near Newport, Oregon. The private pilot and one passenger sustained minor injuries and one passenger sustained serious injuries. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight departed Newport Municipal Airport (KONP), Newport, Oregon for a local whale watching flight. According to the pilot, after locating and circling a pod of whales for viewing, they had decided to return to KONP. While in level cruise flight about 1,200 ft above mean sea level (MSL) the engine began to surge with the rpm fluctuating between 2,100 and 2,600 rpm. In an effort to correct for the surging engine, the pilot switched fuel tanks, enrichened the fuel mixture and applied full throttle, to no avail. Unable to maintain altitude, and in an effort to avoid undue harm to persons on the ground, he selected an area of hilly, sand covered terrain for an emergency landing. During the emergency landing the airplane sustained substantial damage to the wings and fuselage. In a telephone conversation with a Federal Aviation Administration (FAA) aviation safety inspector (ASI), the pilot stated that the airplane had not had an annual inspection in about 3 years, he had not had a biennial flight review in 5 or 6 years and he did not have a current medical certificate. A review of FAA records revealed that the pilot's most recent third-class medical was issued July 30, 2004 with the limitation that he must wear corrective lenses and would have expired on July 31, 2006. Title 14 Code of Federal Regulations Part 61.23 – Medical Certificate; requirement and durations, states in part: (a) Operations requiring a medical certificate. Except as provided in paragraphs (b) and (c) of this section, a person (3) Must hold at least a third-class medical certificate - (i) When exercising the privileges of a private pilot certificate, recreational pilot certificate, or student pilot certificate, except when operating under the conditions and limitations set forth in §61.113(i); Title 14 Code of Federal Regulations Part 61.56 – Flight Review, states in part: (c) Except as provided in paragraphs (d), (e), and (g) of this section, no person may act as pilot in command of an aircraft unless, since the beginning of the 24th calendar month before the month in which that pilot acts as pilot in command, that person has - (1) Accomplished a flight review given in an aircraft for which that pilot is rated by an authorized instructor and (2) A logbook endorsed from an authorized instructor who gave the review certifying that the person has satisfactorily completed the review. According to the National Transportation Safety Board's (NTSB)Pilot/Operator Aircraft Accident/Incident Report submitted by the pilot the airplane's last annual inspection was completed on June 2, 2015. Title 14 Code of Federal Regulations Part 91.409 Inspections, states in part: (a) Except as provided in paragraph (c) of this section, no person may operate an aircraft unless, within the preceding 12 calendar months, it has had— (1) An annual inspection in accordance with part 43 of this chapter and has been approved for return to service by a person authorized by §43.7 of this chapter; or (2) An inspection for the issuance of an airworthiness certificate in accordance with part 21 of this chapter. Wreckage recovery personnel independently confirmed that no fuel was recovered from the airplane's wing tanks, or fuel lines that were removed for recovery. In a conversation with the NTSB investigator-in-charge (IIC) the pilot stated that the carburetor float had been replaced, and previous mechanical problems with the airplane included a fuel drain on the engine that was difficult to close, and the carburetor leaking fuel. In addition, he stated that he had visually verified two days before the accident that the airplane had about ½ tanks and the day before the accident the fuel gauges indicate about ¾ full and ¼ full respectively; however, it was possible he had run out of fuel. An examination of the airplane by an ASI with the FAA revealed that the main fuel line to the carburetor had separated at the carburetor casting during the accident sequence, and the strainer cable had stretched releasing any contents that may have been present in the gascolator. However, no fluid was discovered in the remainder of the fuel system including the carburetor bowl. In addition, during removal of the carburetor bowl it was discovered that the carburetor half screws were in and safetied but loose and did not appear to be torqued, with evidence of fuel leakage at the carburetor half seem. The closest weather reporting facility is Newport Municipal Airport (KONP), Newport, Oregon. At 1750, a METAR from KONP was reporting in part: wind, 310 at 8 knots; visibility, 10 statute miles; sky condition, clear; temperature, 62° F; dew point 57° F; and an altimeter setting of 30.02 inches of mercury.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N9919V
Reported as
Cessna 172 (M)
Category
Airplane
Serial number
17264555
Built
1974
Engine
Lycoming O-320 SERIES, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 2, 2015
Departed
Newport, OR
Destination
Newport, OR
Equipment
Unknown

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
66
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
1,105 total · 985 in this make and model · 1,105 as pilot in command · 1 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 57 °F
Altimeter
30.02 inHg

Docket · 4

The files NTSB released with the investigation on April 21, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.3 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.