CEN14LA134

NTSB accident investigation · Cessna 172K · Milan, IL · January 26, 2014

Accident · No injuriesLimited investigationFinal report
Date
January 26, 2014, 17:17 local (23:17 UTC)
Place
Milan, IL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4VNCessna 172K
Defining event
Approach-VFR pattern final: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report September 24, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration; DuPage FSDO
FAA report
20140126000979A
Case key
88792

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

On this page

Probable cause

The pilot’s delayed use of carburetor heat while operating the airplane in atmospheric conditions conducive to carburetor icing, which resulted in a total loss of engine power due to carburetor icing during a short final approach.

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.

Action: delayed actionPersonnel issues › Action/decision · PilotCessna 172K: 5 casesAll aircraft: 894 casesProbable cause
Engine fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Incorrect use/operationCessna 172K: 1 caseAll aircraft: 195 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentCessna 172K: 2 casesAll aircraft: 435 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 the airplane experienced a total loss of engine power when he applied carburetor heat during a 1-mile final approach to the destination airport. The pilot then performed a forced landing to a field. Although the pilot stated that the engine rpm decreased when he actuated the carburetor heat during the preflight run-up, postaccident examinations revealed no mechanical anomalies with the carburetor or its heat system that would have precluded normal operation. Atmospheric conditions at the time of the accident were conducive to the accumulation of carburetor icing at glide and cruise power. It is likely that the pilot's delayed use of carburetor heat resulted in a total loss of engine power due to carburetor icing.

Factual narrative

On January 26, 2014, at 1717 central standard time, a Cessna 172K, N4VN, experienced a total loss of engine power when the pilot applied carburetor heat during a visual approach to Quad City International Airport (MLI), Moline, Illinois. The pilot performed a forced landing to a field near Milan, Illinois. The airplane sustained substantial damage to the right wing. The commercial pilot and passenger were uninjured. Visual meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 personal flight was not operating on a flight plan. The flight originated from Davenport Municipal Airport, Davenport, Iowa, at 1615 and was destined to MLI. The pilot stated that he applied carburetor heat after the MLI air traffic control tower issued a landing clearance for runway 31 after receiving a special visual flight rules clearance to the airport. When he applied carburetor heat about one mile from the runway, the engine quit. He performed a forced landing to a field and touched down at 10-15 mph. The Federal Aviation Administration (FAA) Dupage Flight Standard District Office, West Chicago, Illinois, did not send an FAA maintenance inspector to examine the airplane on-scene following the accident. The National Transportation Safety Board Investigator-In-Charge (IIC) then requested that the airplane owner provide the carburetor and maintenance logbook copies for examination, which were provided by the owner. The airplane owner stated the mechanic who had performed that last annual inspection also installed the carburetor and then removed it for the post-accident examination. The airplane owner stated that during the post-accident removal of the carburetor, there were no mechanical anomalies with the carburetor heat system. The pilot stated that there was an engine rpm decrease when he checked the operation of carburetor heat during an engine run-up prior to departing on the accident flight. The MLI Automated Surface Observing System (ASOS) recorded the following observation: At 1715; special (unscheduled) report; wind – 340 degrees at 11 knots, gust - 21 knots; visibility – 1 statute mile; runway 9 runway visual range – 6,000 feet; weather phenomena - light frozen precipitation; sky condition - broken at 2,700 feet mean sea level, broken at 4,000 feet, overcast at 4,900 feet; temperature - -1 degree Celsius; dew point - -5 degrees Celsius; altimeter – 29.55 inches of mercury. The pilot stated that the airplane did not enter any of the snow showers that were approaching MLI during the accident flight. He said that the snow showers arrived at MLI about 30 minutes after the accident. Special Airworthiness Bulletin, CE-09-35, Carburetor Icing Prevention, includes a graph that shows the probability of carburetor icing for various temperature and relative humidity conditions. At a temperature and dew point as recorded by the MLI ASOS, there was a probability of icing in glide and cruise power. The received carburetor was a Marvel ScheblerMA-4-5, part number 10-3676, serial number MS820601, carburetor. Logbook copies included an Authorized Release Certificate, FAA Form 8130-3, which stated the carburetor was overhauled by Marvel-Schebler Aircraft Carburetors, LLC. The date of FAA Form 8130-3 was July 25, 2013. Copies of logbook entry dated June 25, 2013, at a tachometer time of 4,571 hours, stated that an annual inspection was performed. An entry dated October 21, 2013, at a tachometer time of 4,626 hours, stated that the carburetor was [removed and replaced] with an overhauled carburetor, referencing Form 8130-2. The airplane owner said that the tachometer time at the time of the accident was 4,669 hours. Post-accident disassembly examination of the airplane under the supervision of the IIC and an FAA inspector from Dupage Flight Standard District Office revealed that the fuel screen did not contain contaminant, the idle screw was extended about 2 ½ turns, and the throttle valve and float had clearances from the carburetor body that were within service manual specifications. All of the carburetor retaining hardware was in place and secure.

Aircraft

Registration
N4VN
Reported as
Cessna 172K
Category
Airplane
Serial number
17258242
Airframe hours
4,571
Engine
Lycoming O-360-A1a L-14253-36A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Pilot
Registered owner
Aaxiom Consulting LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 25, 2013 · 98 hours before
Departed
DVN · Davenport, IA
Destination
MLI · Milan, IL
Airport
MLI · Quad City International Airpor, runway 31, 7,301 × 150 ft, asphalt
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
65
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
October 23, 2013
Seat
Left
Restraint
Lap only
Flight hours
16,180 total · 663 in this make and model · 16,180 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 13 knots, gusting 21
Visibility
8 statute miles
Lowest ceiling
4,600 ft overcast
Temperature
30 °F, dew point 23 °F
Altimeter
29.51 inHg
Observed at
MLI, 2 nm away

Docket · 5

The files NTSB released with the investigation on May 21, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.3 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.