CEN15IA230

NTSB incident investigation · Cessna 152 · Pilot Point, TX · April 30, 2015

Incident · No injuriesIncident investigationFinal report
Date
April 30, 2015, 11:15 local (16:15 UTC)
Place
Pilot Point, TX
Injuries
2 uninjured
Damage
Minor damage
Phase of flight
Maneuvering
Aircraft
N49158Cessna 152
Defining event
Maneuvering: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report April 26, 2016
Report
Approved by Office Director
NTSB office
Central Region
FAA report
20150430005559I
Case key
91164

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

On this page

Probable cause

The loss of engine power due to the separation of the distributor gear arm on the left magneto.

Findings · 1

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.

Ignition system: magneto/distributorAircraft › Aircraft power plant · FailureCessna 152: 4 casesAll aircraft: 101 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 flight instructor and student pilot were conducting a training flight. After the student completed some maneuvers, the engine started running roughly. The flight instructor made several attempts to correct the problem without success. The airplane was unable to maintain altitude, so the flight instructor performed a forced landing to a field, which resulted in minor damage to the airplane. An examination of the engine revealed that the Nos. 2 and 4 lower sparkplugs were lead-fouled and inoperative and that the Nos. 1 and 3 lower sparkplugs were lead-fouled but still operational. Further examination revealed that the distributor gear arm on the left magneto had separated and that the distributor gear arm on the right magneto was loose. Following the incident, the operator examined its fleet and found an additional 19 magnetos with loose distributor gear arms. The magneto manufacturer reported that it had seen 16 magnetos that exhibited similar failures. The manufacturer subsequently issued a service bulletin recommending that distributor gear assemblies in the affected magneto, which included the incident magneto, be removed and replaced at the "earliest convenient maintenance time, not to exceed the next 50 hours" with a replacement gear assembly.

Factual narrative

On April 30, 2015, about 1115 central daylight time, a Cessna 152 airplane, N49158, sustained minor damage during a forced landing near Pilot Point, Texas. The flight instructor and student pilot were not injured. Visual meteorological conditions prevailed at the time of the incident. The instructional flight was operated by U.S. Aviation Group, LLC., under the provisions of 14 Code of Federal Regulations Part 91 without a flight plan. The local flight departed Denton Enterprise Airport (KDTO), Denton, Texas, about 1100. The student had just completed steep turns when the engine started running rough; however, the roughness soon stopped. Following another steep turn, the engine started running rough again. The flight instructor went through several procedures and checklists to troubleshoot or diagnose the engine roughness including a magneto check. The rpms fluctuated between 1,200 and 2,000 and the flight instructor was unable to maintain altitude or correct the rough-running engine. He elected to land in a nearby field which resulted in minor damage to the nose landing gear and engine mount. An examination of the engine revealed that the number 2 and number 4 lower sparkplugs were lead-fouled and inoperative and the number 1 and number 3 lower sparkplugs were lead-fouled but still operational. Further examination revealed that the distributor gear finger (part number 510406) on the left magneto (Slick Magneto, serial number 14040289/model number 4381) separated. The distributor gear finger (510406) on the right magneto (Slick Magneto, serial number 14040835/model number 4381) was loose. The magnetos had 478.8 hours total time. Following the incident, U.S. Aviation Group, LLC., examined the remainder of their fleet and discovered an additional 19 magnetos with loose distributor gear fingers. The model numbers were 4381 (same as the incident magnetos), 4370, 4371, 4372, and 4374. Total time on these magnetos varied from 48 hours to 2,168.5 hours. These magnetos were installed new at engine overhaul or as a replacement during maintenance. The Director of Maintenance at U.S. Aviation Group LLC. commented that the method of attaching the finger to the gear was different than in the past. According to the manufacturer, Slick by Champion Aerospace, they had seen 16 magnetos that exhibited similar failure modes: 9 with the separation of the distributor finger and 7 with loose fingers. They added that there was no design change. Controls used in the insertion of the finger into the gear and an additional inspection of this procedure had since been added. On July 2, 2015, Slick by Champion Aerospace issued Service Bulletin 1-15. This service bulletin called for the distributor gear assembly to be removed and replaced on certain Slick Magnetos, at the "earliest convenient maintenance time, not to exceed the next 50 hours." The magnetos involved in this incident were included in the models affected outlined in the service bulletin.

Aircraft

Registration
N49158
Reported as
Cessna 152
Category
Airplane
Serial number
15281171
Built
1977
Airframe hours
10,204
Engine
Lycoming O-235-L2C, 115 horsepower, reciprocating
Damage
Minor damage
Flight
Instructional · Part 91
Operator
US Aviation Group LLC
Registered owner
US Aviation Group LLC
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · March 25, 2015
Departed
KDTO · Denton, TX
Destination
KDTO · Denton, TX
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Student pilot
Age
24
Injuries
None
Certificate
Student
Medical
Class 1, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
39 total · 39 in this make and model · 22 in the last 90 days · 6 in the last 30 days · 1 in the last 24 hours
Role
Flight instructor
Age
20
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
February 28, 2014
Seat
Right
Restraint
3-point
Flight hours
1,229 total · 262 in the last 90 days · 84 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 54 °F
Altimeter
30.02 inHg
Observed at
KDTO

Docket · 4

The files NTSB released with the investigation on March 9, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.