BFO94LA044

NTSB accident investigation · Cessna 172 · East Newport, ME · February 20, 1994

Accident · No injuriesLimited investigationFinal report
Date
February 20, 1994, 14:21 local (19:21 UTC)
Place
East Newport, ME
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N100DFCessna 172
Weather
Visual (VMC) · Day
Status
Completed · report May 10, 1995
Report
Approved by Office Director
Case key
8893

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

Improper engine maintenance by the operator resulting in oil exhaustion and subsequent internal engine damage.

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.

Loss of engine power(total) - mech failure/malfCruise - normal
Engine assembly - wornCause
Maintenance,overhaul,major - not performedCompany maintenance personnelCause
Engine assembly,connecting rod - fracturedCause
Maintenance - improperCompany maintenance personnelCause
Fluid,oil - exhaustionCause
Forced landingEmergency descent/landing
Nose overEmergency descent/landing
Terrain condition - softFactor

Analysis

The flight had departed pittsfield earlier in the day on a cross-country flight. After about 3-1/2 hrs of flight, the pilot diverted to bangor because of high oil temp and low oil press indications. Four quarts of oil were put in the engine, and no maintenance was performed. No oil leaks were visible. Soon after takeoff the engine seized. A forced landing was made in a soft field, and the airplane nosed over. Examination of the engine revealed that the #4 connecting rod had fractured. No oil was found in the engine, and the engine components were severely worn. Examination of the logbooks revealed that the engine had accumulated over 3,153 hrs of operating time, and had never been overhauled.

Factual narrative

On February 19, 1994, about 1421 hours eastern standard time, a Cessna 172, N100DF, operated by the Maine Flight Center, Pittsfield, Maine, nosed over during landing roll at the termination of a forced landing near East Newport, Maine. The airplane was substantially damaged. The forced landing was precipitated by a loss of engine power during cruise flight. The certificated private pilot and his two passengers were not injured. Visual meteorological conditions prevailed and a flight plan was not filed. The personal flight originated from Bangor, Maine, about 1400 hours, and was conducted under 14 CFR 91.

The pilot stated that he departed from Pittsfield, Maine, earlier in the day on a cross country flight. One quart of oil was placed into the engine prior to departure. Later during the flight, after about 3.5 hours of flight time, the pilot diverted to Bangor, Maine, because of low oil pressure and high oil temperature indications. After arriving in Bangor, the pilot requested oil for the airplane and a mechanic to inspect it. Four quarts of oil were placed into the engine and no maintenance was performed. The pilot examined the ground and the underside of the airplane and found no visible leaks. The mechanic told the pilot that "...low oil was normal on 172s."

Deciding to continue the flight, the pilot started the engine, ran it up and determined that engine operation was "normal." He then departed Bangor en route to Pittsfield. About three minutes after reaching a cruising altitude of 4,500 feet mean sea level (msl), the engine temperature again rose rapidly with a concurrent drop in oil pressure. About one minute later, the engine seized. The pilot performed a forced landing into a soft, muddy field. The airplane nosed over onto its back during landing rollout.

An examination of the airplane by an FAA aviation safety inspector revealed substantial damage to both wings and the fuselage. A hole about one inch in diameter was found in the engine crankcase near the no. 4 cylinder. The no. 4 connecting rod was fractured.

The engine was disassembled and inspected by the FAA inspector on March 1, 1994, at the airport in Pittsfield. A report of the inspection is attached. According to the report:

...it was noted that this engine had experienced extensive wear to the piston pin plugs; (some were egg shaped), one was broken, the piston pin boss holes were badly worn, two lobes on the camshaft were severely pitted and the crankshaft bearings were worn considerably. The oil pump gears were virtually impossible to rotate by hand (gear striking the housing, which did not appear to be accident related) and the housing had considerable wear. Most noteworthy, during the investigation, was that an unauthorized piece of sheet metal had been installed on the front of the right rear engine baffle to block the flow of cooling air to the engine oil cooler.... No explanation ...can be given as to why the oil temperature did not "peg" flying many hours with the oil cooler air flow blocked, especially on a 45-degree day.

A review of the engine maintenance logbook revealed that the engine had logged a total of 3153.3 hours without ever receiving a major or top overhaul.

The FAA inspector stated, "...cause of this engine failure ...was due to high engine time ...resulting in excessive wear of internal parts."

Aircraft

Registration
N100DF
Reported as
Cessna 172
Category
Airplane
Serial number
17259479
Airframe hours
2,697
Engine
Lycoming O-320-E2D, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Hurt, Robert, doing business as Maine Flight Center
Registered owner
Hurt, Robert
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · October 13, 1993 · 92 hours before
Departed
BGR · Bangor, ME
Destination
2B7 · Pittsfield, ME

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
39
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
107 total · 49 in this make and model · 69 as pilot in command · 15 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
13 statute miles
Lowest ceiling
25,000 ft broken
Temperature
45 °F, dew point 28 °F
Altimeter
30.00 inHg
Observed at
BGR, 16 nm away

Other investigations on N100DF · 1

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