CEN19LA258

NTSB accident investigation · Cessna R172 · North Garden, VA · August 8, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
August 8, 2019, 09:55 local (13:55 UTC)
Place
North Garden, VA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1609VCessna R172
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20190808013489A
Case key
100021

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 total loss of engine power due to the failure of the oil pump drive gear.

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 oil sysAircraft › Aircraft power plant · FailureCessna R172K: 3 casesAll aircraft: 130 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleCessna R172K: 1 caseAll aircraft: 1,310 cases
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Ability to respond/compensateCessna R172K: 2 casesAll aircraft: 313 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 pilot was on a cross country flight when an oil pressure warning displayed on the airplane’s flight display. The pilot diverted toward another airport but the engine seized enroute. The pilot performed a forced landing to a field, where the airplane hit obstacles and flipped over. Both wings, the empennage, and the fuselage sustained substantial damage. After the accident the engine was examined and determined to have failed due to an oil starvation event. The oil pump drive gear was found failed and had separated from the shaft portion of the gear assembly. The fracture surfaces were examined, and multiple fracture origins were identified. Improvements to the oil pump drive gear were made and a service bulletin was released in 1996 which required the replacement of the drive gear at the next engine overhaul. The engine examination determined that this service bulletin had not been complied with. The maintenance records that were provided only went back two years and covered two annual inspections of the engine. The most recent annual inspection record indicated that the engine had been overhauled and had accumulated 1,975 hours since overhaul. The record of the overhaul was not in the maintenance records received by investigators.

Factual narrative

On August 8, 2019, at 0955 eastern daylight time, a Cessna R172K airplane, N1609V, was substantially damaged when it was involved in an accident near North Garden, Virginia. The pilot received minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he was flying at 9,500 ft mean sea level (msl) when an "Oil Pressure" warning displayed on the primary flight display (PFD). The pilot diverted toward Charlottesville-Albemarle Airport (CHO), Charlottesville, Virginia, about 20 miles away. Shortly thereafter, the engine lost total power and the pilot performed a forced landing to a field. During the landing, the airplane impacted a fence and a large round hay bale, and the airplane nosed over and came to rest inverted. Both wings, the empennage, and the fuselage sustained substantial damage. The pilot did not observe any oil leaks during the emergency. A postaccident examination of the engine revealed damage consistent with an oil starvation event. The oil pump drive gear had separated and was found loose inside the accessory case. The engine crankcase accessory cover, oil pump drive gear and shaft, and the oil pump cover were sent to the National Transportation Safety Board Materials Laboratory for examination. The oil pump drive gear had separated from the shaft portion of the gear assembly near the transition radius where the driven gear and the drive gear meet. The fracture initiation point was identified on the outside diameter of the shaft and features near the shaft outside diameter were consistent with multiple fracture origins. Teledyne Continental Aircraft Engine Service Bulletin SB96-4 was issued April 12, 1996, to inform customers of the availability of improved oil pump gears and require the replacement of the oil pump drive gear and oil suction screens at the time of the next overhaul or anytime the subject parts require replacement. The examination of the engine determined that this service bulletin had not been complied with. Maintenance records for the engine were recovered during the investigation dating back to December 2017 and included annotations for the last two annual inspections. The most recent annual inspection was completed August 23, 2018, and indicated a time since overhaul of 1,975.6 hours. Whether the most recent overhaul occurred before or after the issuance of SB96-4 could not be determined.

Aircraft

Registration
N1609V
Reported as
Cessna R172 (K)
Category
Airplane
Serial number
R1722205
Built
1976
Airframe hours
3,982
Engine
Continental IO-360-KB, 210 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 23, 2018 · 112 hours before
Departed
HKY · Hickory, NC
Destination
HWY · Warrenton, VA
Airport
VA18 · Bundoran
Equipment
Electronic flight bag or handheld device, Auto-pilot, Angle of attack indicator, ADS-B, Stall warning system, Electronic primary flight display, Electronic multifunction display

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
61
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
July 12, 2018
Seat
Left
Restraint
3-point
Flight hours
246 total · 171 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
20 statute miles
Lowest ceiling
None
Observed at
KCHO, 19 nm away

Docket · 7

The files NTSB released with the investigation on February 7, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 41.4 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.