ANC98LA131

NTSB accident investigation · Cessna 172 · Palmer, AK · August 15, 1998

Accident · No injuriesLimited investigationFinal report
Date
August 15, 1998, 14:15 local (22:15 UTC)
Place
Palmer, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7966BCessna 172
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2000
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19980815038059A
Case key
43873

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

Fatigue of the forward end of the engine crankshaft resulting in separation of the propeller assembly, and the operator's failure to comply with a required maintenance procedure. A factor was uneven terrain.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Propeller failure/malfunctionTakeoff - initial climb
Engine assembly,crankshaft - fatigueCause
Maintenance,inspection - not complied withCompany/operator managementCause
Propeller system/accessories - separation
Forced landingEmergency landing after takeoff
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - rough/unevenFactor

Analysis

The student pilot was departing on runway 15, on his first solo flight. He stated that during the initial climb, the engine developed a severe vibration followed by a 'very loud bang'. He made a forced landing on a golf course at the southeast end of the airport. During the landing roll, the airplane's right wing struck a small hill, and sustained substantial damage. After landing, the pilot discovered that the entire propeller, propeller flange, and the forward end of the engine crankshaft were missing. They were later located near the midpoint of the departure runway. An FAA airworthiness inspector's review of the engine log book discovered that the accident engine had previously sustained two propeller strikes. He reported that the log book failed to reflect any inspection following the prop strikes. An NTSB metallurgical examination of the propeller flange assembly revealed multiple clamshell marks, typical of fatigue cracking. The engine is the subject of a Lycoming Engine Service Letter, L163C, that recommends that any engine involved in a sudden stoppage event be removed, dissembled, and inspected prior to returning the engine to service.

Factual narrative

On August 15, 1998, about 1415 Alaska daylight time, a wheel equipped Cessna 172 airplane, N7966B, sustained substantial damage during an emergency landing after takeoff from the Palmer Municipal Airport, Palmer, Alaska. The airplane was being operated as a visual flight rules local area instructional flight under Title 14, CFR Part 91, when the accident occurred. The airplane is registered to, and operated by, Mustang Air, Inc., Palmer. The solo student pilot was not injured. Visual meteorological conditions prevailed, and company flight following procedures were in effect. The flight originated at the Palmer Municipal Airport, about 1413.

In his written statement to the National Transportation Safety Board (NTSB), the student pilot reported that he was conducting his first solo flight. He said that while departing runway 15, about 450 feet above the runway, the engine developed a severe vibration followed by a "very loud bang". The pilot stated that he made an emergency landing on a golf course at the southeast end of the airport. During the landing roll, the airplane's right wing struck a small hill, and sustained substantial damage.

The pilot's postaccident inspection revealed that the entire propeller, propeller flange, and the outboard end of the engine crankshaft were missing from the engine. The missing propeller components were later located near the midpoint of the departure runway.

A Federal Aviation Administration (FAA) airworthiness inspector, Anchorage Flight Standards District Office (FSDO), reviewed the engine and airplane log books. He reported that the engine had accumulated a total time in service of 1,737.0 hours, and that no major overhaul had been accomplished since being installed in the accident airplane.

The FAA inspector added that the accident airplane's engine had sustained two propeller strikes since being installed in the accident airplane. He said that the engine log books failed to document any postaccident inspection or corrective maintenance following the propeller strikes.

The propeller flange assembly was retained by the NTSB investigator-in-charge, and sent to the NTSB Materials Laboratory for examination. A Safety Board metallurgist reported that a stereo microscope examination revealed multiple clamshell marks, typical of fatigue cracking.

The engine is the subject of a Lycoming Engine Service Letter, L163C, dated May 20, 1991. The service letter addresses the inspection criteria for an aircraft engine that has been involved in a sudden stoppage accident or incident. The service letter states, in part: "...in the case of a sudden engine stoppage, propeller strike, loss of propeller blade or tip, the safest procedure is to remove and dissemble the engine and completely inspect the reciprocating and rotating parts including crankshaft gear and dowel parts. Any decision to operate an engine which was involved in a sudden stoppage incident/accident without such an inspection must be responsibility of the agency returning the aircraft to service."

Aircraft

Registration
N7966B
Reported as
Cessna 172
Category
Airplane
Serial number
29766
Airframe hours
5,645
Engine
Lycoming O-360-A1A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Gary W. Baker
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 25, 1998 · 58 hours before
Departed
PAQ
Airport
PAQ · Palmer Municipal Airport, runway 15, 6,000 × 100 ft, asphalt

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
51
Certificate
Student
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
12 total · 9 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F

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 N7966B · 1

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