CEN18LA329

NTSB accident investigation · Cessna 150 · Madison, SD · August 14, 2018

Accident · No injuriesLimited investigationFinal report
Date
August 14, 2018, 08:00 local (13:00 UTC)
Place
Madison, SD
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N6341KCessna 150
Defining event
Maneuvering: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report September 27, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
Rapid City FSDO
FAA report
20180814015209A
Case key
98066

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

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Probable cause

A stuck No. 3 cylinder exhaust valve, which resulted in failure of the associated rocker arm, a partial loss of engine power, and the subsequent forced landing into tall vegetation.

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 · MalfunctionCessna 150M: 8 casesAll aircraft: 373 casesProbable cause
Terrain: high elevationEnvironmental issues › Physical environment · Contributed to outcomeCessna 150M: 1 caseAll aircraft: 16 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 student pilot reported that he was flying north of the departure airport when the airplane's engine began running roughly. He attempted to return to the airport but was unable to reach the airport and landed in a cornfield. The airplane nosed over in the 7-ft-tall corn and sustained substantial damage to both wings. Examination of the airplane revealed that the engine's No. 3 cylinder exhaust valve was stuck in its valve guide, and the No. 3 exhaust valve rocker arm was fractured. A maintenance record entry indicated that the Nos. 1, 3, and 4 cylinders had experienced valves sticking and had been sent back to the overhaul vendor for service. The cylinders were reinstalled 3 days before the accident. Based on the available evidence, the partial loss of engine power was likely due to the No. 3 cylinder exhaust valve becoming stuck, which resulted in a secondary overload failure of the associated rocker arm and a substantial reduction in engine power output.

Factual narrative

On August 14, 2018, about 0800 central daylight time, a Cessna 150M, N6341K, sustained substantial damage during a landing to a corn field near Madison, South Dakota, following a loss of engine power during cruise flight. The student pilot was not injured. The aircraft was registered to an individual and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a solo instructional flight. Visual meteorological conditions prevailed for the flight, which was not operated on a flight plan. The local flight originated from the Madison Municipal Airport (MDS), Madison, South Dakota, about 0710. The student pilot reported he was flying north of MDS when the airplane's engine began running rough. He attempted to return to MDS but was unable to reach the airport and landed in a corn field. The airplane nosed over during the forced landing and sustained substantial damage to both wings. The airplane came to rest inverted in corn standing about 7 ft tall. Due to the location of the airplane in the middle of the corn field, the airplane was not recovered until 6 weeks after the accident after the crop had been harvested. Examination revealed that the engine's No. 3 cylinder exhaust valve was stuck in its valve guide and the No. 3 exhaust valve rocker arm was fractured. Maintenance records showed that the airplane engine's most recent overhaul was completed on March 12, 2018. The most recent engine maintenance record entry dated August 11, 2018, indicated that the Nos. 1, 3, and 4 cylinders had been removed and sent back to the vendor that had completed the engine overhaul due to sticking valves. The cylinders were then reinstalled on the engine. According to the tachometer times noted in the maintenance entries, the engine had accumulated 207 hours since the overhaul as of the maintenance entry.

Aircraft

Registration
N6341K
Reported as
Cessna 150 (M)
Category
Airplane
Serial number
15077654
Built
1975
Engine
Continental O-200A, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · July 10, 2018 · 7 hours before
Departed
MDS · Madison, SD
Destination
MDS · Madison, SD
Airport
MDS · Madison Muni
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
38
Injuries
None
Certificate
Student
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 70 °F
Altimeter
29.95 inHg
Observed at
MDS

Docket · 2

The files NTSB released with the investigation on February 20, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.0 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 N6341K · 1

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