CEN09IA456

NTSB incident investigation · Cessna 172R · West Chicago, IL · July 19, 2009

Incident · No injuriesIncident investigationFinal report
Date
July 19, 2009, 12:30 local (17:30 UTC)
Place
West Chicago, IL
Injuries
2 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N77AFCessna 172R
Defining event
Approach: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report October 19, 2009
Report
Approved by Office Director
NTSB office
Central Region
Case key
74343

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

A partial loss of engine power due to the detachment of the throttle control cable from the throttle assembly during a landing approach. Contributing to the accident was the lack of a redundant means to preclude the detachment of the cable from the throttle assembly.

Findings · 2

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 controls: power leverAircraft › Aircraft power plant · MalfunctionCessna 172R: 1 caseAll aircraft: 95 casesProbable cause
Misc hardwareAircraft › Fluids/misc hardware · Not specifiedCessna 172R: 1 caseAll aircraft: 41 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

A previous maintenance entry in the airplane logbook indicated that the firewall was replaced and the airplane returned to service. The airplane had been operated for about 63 hours when the throttle control cable became unscrewed from the rod end of the throttle assembly during an instructional flight. The flight instructor and student pilot lost throttle control during an approach to a destination airport when engine speed increased to about 2,200-2,300 rpm. The flight instructor landed the airplane without further incident. The throttle control assemblies for the airplane do not have a key way at the throttle control knob to prevent rotation of the cable and unscrewing of the cable from the rod end should the jamnut become loose. The operator recommended that a safety device and not just a jamnut be installed to prevent the throttle control from disconnecting from the rod end.

Factual narrative

On July 19, 2009, at 1230 central daylight time, a Cessna 172R, N77AF, experienced a loss of throttle control during a practice instrument approach to Dupage Airport (DPA), West Chicago, Illinois. The instructional flight landed without further incident. Visual meteorological conditions prevailed at the time of the incident. The flight instructor and commercial pilot were uninjured. The 14 CFR Part 91 instructional flight was not operating on a flight plan. The local flight originated at 1000. The flight instructor, who was seated in the left seat, and a commercial pilot who had been receiving instruction towards a flight instructor instrument rating completed several practice approaches at a nearby airport and returned for an approach to DPA. During the approach, the flight instructor intentionally maintained an increased airspeed to determine if the commercial pilot would tell him to reduce airspeed. The commercial pilot told the flight instructor to reduce airspeed, but when the flight instructor retarded the throttle, the airspeed did not decrease, and the engine speed continued to indicate 2,200-2,300 rpm. The engine speed did not change with additional throttle control movements from full forward to full aft. The flight instructor informed the DPA Air Traffic Control Tower that the airplane experienced a loss of throttle control and he then overflew the airport. The flight instructor stated that he discussed with the commercial pilot a plan to attempt an approach and landing on the longest runway at DPA, runway 2L (7,571 feet by 100 feet, concrete). They performed the approach and landing without further incident. The flight instructor held an airline transport pilot certificate with single-engine land, multiengine land, and instrument airplane ratings. He also held type ratings in Cessna 500, Boeing 737, Boeing 757, Boeing 767, and Beech 1900 airplanes. He held a flight instructor certificate with airplane single-engine, multiengine, and instrument airplane ratings. He accumulated a total flight time of 11,888 hours, of which 2,142 hours were in single-engine airplanes. The commercial pilot held airplane single-engine landing and instrument airplane ratings. He accumulated a total flight time of 549 hours, all of which were in single-engine airplanes. An airframe maintenance logbook entry, by non operator maintenance personnel, dated June 30, 2008, shows that a new lower firewall was installed and “all other undamaged parts transferred from removed firewall to new” at a tachometer time of 1,403.7 hours. There were no entries after this date indicating engine removal or engine control removal. Following the incident, the operator’s maintenance personnel had found the throttle control disconnected at the rod end of the throttle control assembly with two jamnuts in place on the threaded portion of the assembly that connects to the rod end. The operator’s maintenance personnel at DPA replaced the Cablecraft 40-02-50 throttle cable, partnumber 565-549-021, replaced the throttle cable end, part number S1103, and inspected the throttle cable jam nuts. The Cessna 172R depicts two jamnuts, but the parts catalog specifies one nut per assembly. According to a Cessna representative, the depicted second jamnut is the rod end itself. Another one of the operator’s airplanes, a Cessna 172R, N53AF, had two jamnuts installed but one of these jamnuts was later removed during inspections of the remaining airplanes used by the operator. Inspection of the cable revealed that all threads along the assembly were in place including the cable and jamnut. The second nut was not retained by the operator after its removal. The throttle control assemblies for the Cessna 172R do not have a key way at the throttle control knob to prevent rotation of the cable and unscrewing of the cable from the rod end should the nut become loose. Some other models of Cessna airplane do have such a key way to prevent rotation of the throttle control knob. The operator recommended that a safety device and not just a jamnut be installed to prevent the throttle control from disconnecting from the rod end.

Aircraft

Registration
N77AF
Reported as
Cessna 172R
Category
Airplane
Serial number
17280071
Airframe hours
11,880
Engine
Lycoming IO-360-L2A, 160 hp, reciprocating
Damage
No damage
Flight
Instructional · Part 91
Operator
American Flyers Inc
Registered owner
Ameriflyers of Texas Inc
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
100 hour · May 26, 2009 · 63 hours before
Departed
DPA · West Chicago, IL
Destination
DPA · West Chicago, IL
Airport
DPA · Dupage Airport, runway 02L, 7,571 × 100 ft

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
46
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
May 16, 2008
Seat
Left
Flight hours
11,888 total · 1,419 in this make and model · 9,677 as pilot in command · 9 in the last 90 days · 9 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
37
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
July 5, 2008
Seat
Right
Flight hours
549 total · 255 in this make and model · 513 as pilot in command · 12 in the last 90 days · 12 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 5 knots
Visibility
10 statute miles
Lowest ceiling
7,000 ft overcast
Temperature
70 °F, dew point 54 °F
Altimeter
30.14 inHg
Observed at
DPA

Docket · 3

The files NTSB released with the investigation on August 25, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 929 KB in all.