CEN09IA172

NTSB incident investigation · Cessna 150 · Grayslake, IL · February 17, 2009

Incident · No injuriesIncident investigationFinal report
Date
February 17, 2009, 16:30 local (22:30 UTC)
Place
Grayslake, IL
Injuries
2 uninjured
Damage
No damage
Phase of flight
Maneuvering
Aircraft
N747KACessna 150
Defining event
Maneuvering: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report August 13, 2009
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20090217002169I
Case key
73381

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

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Probable cause

The failure of the number 1 cylinder intake valve which resulted in a partial loss of engine power. Contributing to the incident was the failure of the operator to maintain the engine per manufacturer's recommendations.

Findings · 3

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.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelCessna 150L: 2 casesAll aircraft: 320 casesProbable cause
Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Not serviced/maintainedCessna 150L: 6 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 rented the airplane for a local flight with the passenger. While maneuvering, the airplane experienced a partial loss of engine power and the pilot could not maintain altitude. The pilot elected to perform a precautionary landing to a frozen lake and landed uneventfully. Examination of the engine revealed that the Number 1 cylinder intake valve had fractured. The cause of the failure could not be determined. The operator exceeded the engine manufacturer's recommended time between overhaul by over 1,600 hours. However, because the operator operated under Part 91, they were not subject to the Federal regulations that require compliance with manufacturers' recommended maintenance instructions.

Factual narrative

On February 17, 2009, approximately 1630 central standard time, a Cessna 150L single-engine airplane, N747KA, experienced a partial loss of engine power while maneuvering near Grayslake, Illinois. The airplane was not damaged. The airline transport pilot and passenger were not injured. The airplane was operated by Palwaukee Flyers and registered to Flight Center at Service Aviation, Inc., Wheeling, Illinois. Visual meteorological conditions prevailed, and a flight plan was not filed for the Title 14 Code of Federal Regulations Part 91 personal flight. The local flight departed Chicago Executive Airport (PWK), Wheeling, Illinois, at 1610. According to the local authorities and the pilot, the pilot rented the airplane from Palwaukee Flyers at PWK. While maneuvering near Grayslake, the airplane experienced a partial loss of engine power and the pilot could not maintain altitude. The pilot elected to perform a precautionary landing to a frozen lake. The airplane landed uneventfully on the frozen lake. The operator stated that the Continental O-200A48 engine experienced a problem with the number one cylinder. The airplane was recovered for further examination. A review of the engine logbooks revealed that the engine underwent its most recent 100-hour inspection on February 6, 2009, at a tachometer time of 9,584.1 hours. At the time of the incident, the engine had accumulated 3,429.2 hours since major overhaul. Teledyne Continental Service Information Letter SIL98-9 listed the time between overhaul for the O-200A engine, of 1,800 hours, or 12 years. Teledyne Continental Motors records revealed the engine was remanufactured at the factory in 1993. Because Palwaukee Flyers operates under Part 91, they were not subject to the Federal regulations that require compliance with manufacturers' recommended maintenance instructions. Examination of the engine by an engine repair facility revealed that the number 1 cylinder intake valve fractured. The cause of the failure could not be determined. The following incident was reported to another NTSB investigator during an investigation of another accident with the operator. This incident was not reported to the Federal Aviation Administration and/or the NTSB. On August 11, 2008, a student pilot and a flight instructor reportedly experienced the effects of carbon monoxide poisoning during an instructional flight in N747KA. An engine logbook record for N747KA, dated August 14, 2008, showed that the left front exhaust stack riser was removed and replaced at a tachometer time of 9,457.8 hours.

Aircraft

Registration
N747KA
Reported as
Cessna 150 (L)
Category
Airplane
Serial number
15073454
Airframe hours
9,597
Engine
Continental O-200, 100 horsepower, reciprocating
Damage
No damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 6, 2009 · 13 hours before
Departed
PWK · Wheeling, IL
Destination
PWK · Wheeling, IL

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
44
Injuries
None
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
March 18, 2008
Seat
Right
Flight hours
14,808 total · 700 in this make and model · 6,240 as pilot in command · 184 in the last 90 days · 51 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
39 °F

Docket · 3

The files NTSB released with the investigation on June 17, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 467 KB 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.