CEN16LA309

NTSB accident investigation · Cessna 172K · Neenah, WI · August 2, 2016

Accident · No injuriesLimited investigationFinal report
Date
August 2, 2016, 18:30 local (23:30 UTC)
Place
Neenah, WI
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N46459Cessna 172K
Defining event
Enroute-cruise: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report December 12, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA
FAA report
20160802013759A
Case key
93785

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

A loss of engine power due to oil starvation, which resulted from the pilot, who was not a certified airframe and powerplant mechanic, removing the vacuum pump from the engine, and his misconception that he could operate the airplane without the pump.

Findings · 6

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.

Experience/qualifications: qualification/certificationPersonnel issues › Experience/knowledge · PilotCessna 172K: 1 caseAll aircraft: 280 casesProbable cause
Maintenance: unauthorized maint/repairPersonnel issues › Task performance · PilotCessna 172K: 1 caseAll aircraft: 14 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PilotCessna 172K: 5 casesAll aircraft: 1,386 casesProbable cause
Fluids: oilAircraft › Fluids/misc hardware · Fluid levelCessna 172K: 1 caseAll aircraft: 174 casesProbable cause
Perception/orientation/illusion: perceptionPersonnel issues › Psychological · PilotCessna 172K: 1 caseAll aircraft: 61 casesProbable cause
Object/animal/substance: sign/markerEnvironmental issues › Physical environment · Contributed to outcomeCessna 172K: 2 casesAll aircraft: 214 cases

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 was conducting the first flight in the airplane after having removed a failed vacuum pump from the engine; the pilot was not a certified airframe and powerplant mechanic. During the flight, the engine lost power, and the pilot subsequently landed the airplane on a highway, and the left wing contacted a road sign, which resulted in substantial damage. The pilot reported that he had recently had a mechanic remove a failed vacuum pump on a different airplane that he owned and that he was able to fly that airplane without the pump. As a result, he thought he could also fly the accident airplane without a vacuum pump. However, the vacuum pumps were mounted on each airplane differently, and the pilot's removal of the vacuum pump on the accident airplane allowed oil to exit the engine through the drive gear opening on the accessory case, which resulted in oil starvation.

Factual narrative

On August 2, 2016, at 1830 central daylight time, a Cessna 172K, N46459, collided with a road sign during an off airport forced landing on Highway 10 in Neenah, Wisconsin, following a loss of engine power. The private pilot and two passengers were not injured. The airplane received substantial damage to the left wing. The airplane was registered to and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The local flight originated from the Brennand Airport (79C), Neenah, Wisconsin, at 1815. The pilot reported that he owned another airplane, an RV7 that was equipped with a Jabiru 5100 engine. The vacuum pump on that engine recently failed so a mechanic removed it until a new one was received. The vacuum pump on the Jabiru 5100 is fitted to the alternator mounting flange and the drive pad is dry. The pilot was told that he could fly the airplane without the vacuum pump installed which he did uneventfully for about 6 hours. While flying the accident airplane, a Cessna 172, three days prior to the accident, the pilot noted the directional gyro and attitude indicator where not working. Because of the past experience with a vacuum pump failure on the RV7, he identified the problem as being a vacuum pump failure. The pilot held a Repairman Experimental Aircraft Builder certificate for the RV7, and stated that because he was comfortable working on that airplane, he decided to remove the vacuum pump from the accident airplane himself. He did not install a cover plate over the vacuum pump mounting pad. In addition, since he was able to fly the RV7 without a vacuum pump, he believed he could also fly the accident airplane without a vacuum pump installed. During the first flight after removing the vacuum pump, the airplane sustained a loss of engine power. The pilot landed the airplane on a highway, and while traveling up an exit ramp, the left wing contacted a road sign. The airplane spun around and came to rest in a ditch. A postaccident examination of the engine revealed the engine suffered oil exhaustion when the oil exited the engine through the vacuum pump mount in the accessory case.

Aircraft

Registration
N46459
Reported as
Cessna 172K
Category
Airplane
Serial number
17257282
Built
1969
Airframe hours
4,640.6
Engine
Lycoming O-320 SERIES, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 20, 2016
Departed
79C · Neenah, WI
Destination
79C · Neenah, WI
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
64
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 11, 2015
Seat
Left
Restraint
Lap only
Flight hours
1,610 total · 1,262 in this make and model · 1,610 as pilot in command · 9 in the last 90 days · 7 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 63 °F
Altimeter
30.03 inHg
Observed at
ATW, 3 nm away

Docket · 1

The files NTSB released with the investigation on August 25, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.1 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.

Other investigations on N46459 · 1

Matched to the same aircraft by N-number and date.