CEN16LA032

NTSB accident investigation · Cessna 177RG · Red Oak, IA · October 8, 2015

Accident · No injuriesLimited investigationFinal report
Date
October 8, 2015, 13:20 local (18:20 UTC)
Place
Red Oak, IA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1542HCessna 177RG
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report March 6, 2017
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration; DSM FSDO
FAA report
20151008017859A
Case key
92201

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 improper torque of the engine’s No. 3 cylinder intake pipe bolts, which resulted in the separation of the pipe and a partial loss of engine power.

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 177RG: 6 casesAll aircraft: 373 casesProbable cause
Maintenance: installationPersonnel issues › Task performance · Maintenance personnelCessna 177RG: 3 casesAll aircraft: 371 casesProbable cause
Object/animal/substanceEnvironmental issues › Physical environment · Effect on equipmentCessna 177RG: 1 caseAll aircraft: 224 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 private pilot stated that, during an en route climb to cruise altitude, the engine began to vibrate and the engine fuel flow decreased. The pilot initiated a return to the departure airport during which the airplane was unable to maintain altitude. The pilot performed a forced landing to a cornfield, resulting in substantial damage. Postaccident examination of the engine revealed that the No. 3 cylinder intake pipe was loose and missing its attachment bolts. Review of maintenance logbooks showed that the No. 3 engine cylinder intake pipe gasket was replaced about 400 flight hours before the accident. It is likely that the bolts were improperly torqued at the time of replacement.

Factual narrative

On October 8, 2015, at 1320 central daylight time, a Cessna 177RG, N1542H, experienced a loss of engine power during cruise flight after departure from Red Oak Municipal Airport (RDK), Red Oak, Iowa. The pilot performed a forced landing to a field during an attempted return to RDK. The airplane sustained substantial damage on impact with terrain during the forced landing. The private pilot and a passenger were uninjured. The airplane was registered to and operated by the pilot under 14 Code of Federal Regulations Part 91 as a personal flight that was not operating on an instrument rules flight plan that had been filed but not activated. Visual meteorological conditions prevailed at the time of the accident. The flight originated from RDK and was destined to Jonesboro Municipal Airport (JBR), Jonesboro, Arkansas. The pilot stated that after departing from RDK the airplane began to vibrate while climbing through 3,000 feet mean sea level (msl) for a filed cruise altitude of 7,000 feet msl. The pilot leveled the airplane at 3,000 feet msl and the indicated fuel flow was 12 gallons per hour (gph) when it should have been 16 gph. The fuel flow was "diminishing rapidly" so the pilot attempted to return to RDK but the airplane was losing altitude and had "minimal power" while flying at the airplane best glide speed. At 1,500 feet above ground level he lowered the landing gear, extended full flaps, and turned into the wind so as to land on a cut bean field that was below the airplane. The airplane touched down and then rolled into a corn field. Damage to the airplane included inward crushing of the right wing leading from mid-span, outward, and the left horizontal stabilizer leading edge. The airplane was powered by a Lycoming IO-360-A1B6D, serial number L-13859-51A, engine. Examination of the airplane by Federal Aviation Administration Inspectors from the Des Moines Flight Standards District Office revealed the number three engine cylinder intake pipe came loose and was completely missing bolts. Also, seven of the eight bolts holding number three cylinder on were broken loose. The number three engine cylinder intake bolts were unable to be located for examination. An engine logbook entry dated February 9, 2012, at a tachometer time of 3,070 hours and an engine time since major overhaul (SMOH) of 957.2 hours, stated, "…Replaced #3 intake gasket." The engine underwent its last annual inspection dated April 5, 2015, at a tachometer time of 3,377 hours and an engine time SMOH of 1,258.2 hours. The last engine logbook entry was dated August 19, 2015, at a tachometer time of 3,430.3 hours, for an engine oil and engine filter change. All of these maintenance entries were signed by the same airframe and powerplant mechanic.

Aircraft

Registration
N1542H
Reported as
Cessna 177RG
Category
Airplane
Serial number
177RG0716
Built
1975
Airframe hours
3,452
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Pilot
Registered owner
Pilot
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 5, 2015 · 3,377 hours before
Departed
RDK · Red Oak, IA
Destination
JBR · Joneboro, AR
Flight plan
IFR
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
34
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
February 7, 2015
Seat
Left
Restraint
3-point
Flight hours
600 total · 500 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 12 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 55 °F
Altimeter
30.00 inHg
Observed at
RDK, 8 nm away

Docket · 4

The files NTSB released with the investigation on January 19, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.2 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.