ANC21LA061

NTSB accident investigation · Cessna 172 · Skwentna, AK · July 16, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
July 16, 2021, 12:30 local (20:30 UTC)
Place
Skwentna, AK
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N7137TCessna 172
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20210716010789A
Case key
103517

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

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Probable cause

A partial loss of engine power due to detonation/preignition damage to the No. 2 cylinder. The reason for the detonation/preignition damage could not be determined based on the available evidence.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · FailureCessna 172: 2 casesAll aircraft: 373 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that during takeoff from an off-airport gravel bar on a river, the airplane experienced a partial loss of engine power. The pilot rejected the takeoff, and the airplane subsequently encountered a “bump,” which pitched the nose down. The pilot then made a hard right turn to avoid going into the water, and the airplane nosed down and impacted the ground with the left wing, which resulted in substantial damage to the left wing. Postaccident examination revealed that the No. 2 cylinder would not produce compression. Removal of the No. 2 cylinder revealed damage, including a hole in the piston that was consistent with detonation and/or preignition. The reason for the detonation and/or preignition could not be determined based on the available evidence.

Factual narrative

On July 16, 2021, about 1230 Alaska daylight time, a Cessna 172, N7137T, sustained substantial damage when it was involved in an accident near Skwentna, Alaska. The pilot and one passenger received minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that while enroute, the engine experienced a partial loss of power. He ran emergency checks with everything checking “good” according to the check list. He opted to make a precautionary off-airport landing on a gravel bar in the Yetna River. After an uneventful landing, he proceeded to perform more checks according to the check list. He verified all control movements and checked the fuel levels and fuel sumps. The pilot made several run-ups to confirm the engine was making appropriate power, found the power to be within the limits, and setup for takeoff. During takeoff from the gravel bar, as the nose of the airplane lifted from the surface, the pilot applied additional flap to allow the airplane to become airborne. At this point, the engine experienced a partial loss of power. He then rejected the takeoff, reduced power to idle, retracted the flaps, and applied maximum brakes. The airplane subsequently encountered a “bump,” which pitched the nose down. Subsequently, the pilot made a hard right turn to avoid going into the water, and the airplane nosed down. The airplane’s left wing impacted the ground, and the airplane came to rest upright. The pilot and passenger were able to exit the airplane without further incident. The airplane sustained substantial damage to the left wing. A postaccident engine run was completed by a mechanic under the supervision of a Federal Aviation Administration (FAA) inspector, and the mechanic noted that the engine was running rough. The mechanic reported that the engine was leaking significant oil and that the appearance of the exhaust system was consistent with the engine “burning” significant oil. During start up the oil pressure immediately reached 35 pounds per square inch. The engine was run-up to 1,700 rpm, and it was “not smooth” but otherwise normal. The magneto check and the carburetor heat check were normal. Another mechanic further examined the engine at a later date under the supervision of a National Transportation Safety Board investigator and performed a compression check. Compression was obtained on all cylinders with the exception of the No. 2 cylinder, which indicated 0 compression. The No. 2 cylinder was removed, and the cylinder, piston, and rings were found damaged. A hole in the piston was observed behind the rings, and a portion of the piston head was fractured. The combustion dome of the No. 2 cylinder exhibited a slight sandblasted like appearance. The FAA’s Pilot’s Handbook of Aeronautical Knowledge states that “an overly lean mixture causes detonation, which may result in rough engine operation, overheating, and/or a loss of power.” The Handbook further explainsdetonation and preignition as follows: Detonation is an uncontrolled, explosive ignition of the fuel-air mixture within the cylinder’s combustion chamber. It causes excessive temperatures and pressures which, if not corrected, can quickly lead to failure of the piston, cylinder, or valves. In less severe cases, detonation causes engine overheating, roughness, or loss of power. Detonation is characterized by high cylinder head temperatures and is most likely to occur when operating at high power settings. Common operational causes of detonation are: - Use of a lower fuel grade than that specified by the aircraft manufacturer - Operation of the engine with extremely high manifold pressures in conjunction with low rpm - Operation of the engine at high power settings with an excessively lean mixture - Maintaining extended ground operations or steep climbs in which cylinder cooling is reduced Detonation may be avoided by following these basic guidelines during the various phases of ground and flight operations: - Ensure that the proper grade of fuel is used. - Keep the cowl flaps (if available) in the full-open position while on the ground to provide the maximum airflow through the cowling. - Use an enriched fuel mixture, as well as a shallow climb angle, to increase cylinder cooling during takeoff and initial climb. - Avoid extended, high power, steep climbs. - Develop the habit of monitoring the engine instruments to verify proper operation according to procedures established by the manufacturer. Preignition occurs when the fuel-air mixture ignites prior to the engine’s normal ignition event. Premature burning is usually caused by a residual hot spot in the combustion chamber, often created by a small carbon deposit on a spark plug, a cracked spark plug insulator, or other damage in the cylinder that causes a part to heat sufficiently to ignite the fuel-air charge. Preignition causes the engine to lose power and produces high operating temperature. As with detonation, preignition may also cause severe engine damage because the expanding gases exert excessive pressure on the piston while still on its compression stroke. Detonation and preignition often occur simultaneously and one may cause the other. Since either condition causes high engine temperature accompanied by a decrease in engine performance, it is often difficult to distinguish between the two. Using the recommended grade of fuel and operating the engine within its proper temperature, pressure, and rpm ranges reduce the chance of detonation or preignition.

Aircraft

Registration
N7137T
Reported as
Cessna 172
Category
Airplane
Serial number
46737
Built
1959
Airframe hours
4,652
Engine
Cont Motor O-300 D, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2021
Destination
SKW · Skwentna, AK
Equipment
Stall warning system

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
41
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 1, 2021
Seat
Right
Restraint
4-point
Flight hours
2,300 total · 1,000 in this make and model · 2,100 as pilot in command · 110 in the last 90 days · 45 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 52 °F
Altimeter
30.03 inHg
Observed at
PATK, 35 nm away
METAR
PATK 161953Z 31003KT 10SM CLR 21/11 A3003 RMK AO2 SLP169 T02110111

Docket · 5

The files NTSB released with the investigation on November 4, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.7 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.

Other investigations on N7137T · 1

Matched to the same aircraft by N-number and date.