CEN20LA043

NTSB accident investigation · Cessna 172 · Harrison, OH · December 19, 2019

Accident · No injuriesClass 3 · LimitedFinal report
Date
December 18, 2019, 19:10 local (Dec 19, 2019, 00:10 UTC)
Place
Harrison, OH
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N5406RCessna 172
Defining event
Approach-VFR pattern final: Fuel related
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20191219020059A
Case key
100724

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 during approach to land due to carburetor icing during a simulated engine failure, which resulted in impact with trees.

Findings · 4

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 172F: 1 caseAll aircraft: 435 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 172F: 3 casesAll aircraft: 1,391 casesProbable cause
Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleCessna 172F: 5 casesAll aircraft: 809 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeCessna 172F: 3 casesAll aircraft: 933 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 pilot were conducting simulated instrument training when, following a missed approach, the flight instructor simulated an engine failure. The pilot responded by entering a power-off approach to the nearest runway and applied the carburetor heat as part of his loss-of-engine-power procedure. About 200 ft above ground level, the flight instructor advanced the throttle to clear the engine; however, the engine lost all power. The flight instructor took control of the airplane but was unable to avoid impacting trees during the approach. The airplane touched down momentarily on a road before becoming airborne again and landing on the runway. After inspecting the airplane and observing no damage to the landing gear or propeller, the flight instructor started the engine and taxied to the hangar. The engine started without difficulty and seemed to run normally during the taxi. The left wing sustained substantial damage during the impact with trees and the fence. A postaccident engine examination did not reveal any anomalies consistent with an inability to produce rated power. FAA guidance regarding carburetor icing indicated the possibility of icing at glide power given the atmospheric conditions at the time of the accident. The airplane owner's manual did not include a specific emergency checklist for a loss of engine power. The before landing checklist noted that the carburetor heat should be applied before reducing power. Although there was only a slight possibility of carburetor icing, the delay from the time the flight instructor reduced engine power to idle to the time that the pilot applied the carburetor heat likely allowed some level of carburetor icing to accumulate, which resulted in a loss of engine power when power was applied during the approach.

Factual narrative

On December 18, 2019, about 1910 eastern standard time, a Cessna 172 airplane, N5406R, impacted trees and a fence during a forced landing following a loss of engine power at the Cincinnati West Airport (I67), Harrison, Ohio. The pilot and flight instructor were not injured. The airplane sustained substantial damage. The airplane was registered to and operated by the flight instructor as a Title 14 Code of Federal Regulations Part 91 instructional flight. Night visual meteorological conditions prevailed, and the flight was not operated on a flight plan. The local flight originated from I67 about 1730. The flight instructor and pilot were conducting instrument training at the time of the accident. The pilot had initiated a missed approach following a practice instrument approach to runway 19 at I67. During the climb out, the flight instructor simulated an engine failure. The pilot responded by entering a power-off approach to runway 1 and applied the carburetor heat as part of his loss of engine power procedure. About 200 ft above ground level, the flight instructor advanced the throttle in order to clear the engine; however, the engine stopped producing power. The flight instructor took control of the airplane from the pilot at that time. The airplane struck trees during the approach before landing on the runway. After inspecting the airplane on the runway and observing no damage to the landing gear or propeller, the flight instructor started the engine and taxied to the hangar. The engine started without difficulty and appeared to run normally during the taxi. An examination of the runway environment by Federal Aviation Administration (FAA) inspectors indicated that the airplane struck trees and a 3-ft high wire fence about 400 ft short of the runway. Skid marks on a two-lane road running immediately adjacent to the fence were consistent with the airplane touching down momentarily before becoming airborne again. Additional skid marks on the paved stopway/overrun preceding the runway 1 displaced threshold were consistent with the airplane contacting the pavement at this point. A postaccident engine examination conducted by the FAA inspectors did not reveal any anomalies consistent with an inability to produce rated power. Engine control continuity was confirmed. The airplane sustained substantial damage to the outboard portion of the left wing. The temperature and dew point recorded by the I67 Automated Weather Observing System (AWOS) at 1915, were -5° Celsius and -10° Celsius, respectively. Information published by the FAA regarding carburetor icing indicated the possibility of icing at glide power existed under those conditions. Although, the temperature/dew point combination was on the cusp of the region for icing at glide power on the probability chart. A review of an owner's manual applicable to the airplane revealed that there was not a specific emergency checklist for a loss of engine power. The descent (let-down) checklist noted,"Carburetor Heat – As required to prevent carburetor icing." The before landing checklist noted, "Carburetor Heat – Apply before closing throttle."

Aircraft

Registration
N5406R
Reported as
Cessna 172 (F)
Category
Airplane
Serial number
17252945
Built
1965
Airframe hours
3,186.8
Engine
Continental O-300-D, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 25, 2019 · 35 hours before
Departed
I67 · Harrison, OH
Destination
I67 · Harrison, OH
Airport
I67 · Cincinnati West, runway 01, 2,808 × 60 ft, asphalt
Equipment
Stall warning system, ADS-B

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
Flight instructor
Age
47
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
March 7, 2019
Seat
Right
Restraint
4-point
Flight hours
14,898 total · 786 in this make and model · 6,019 as pilot in command · 47 in the last 90 days · 7 in the last 30 days · 2 in the last 24 hours
Role
Pilot
Age
19
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1, Without waivers/limitations
Last flight review
June 3, 2019
Seat
Left
Restraint
4-point
Flight hours
147 total · 126 in this make and model · 50 as pilot in command · 25 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
23 °F, dew point 14 °F
Altimeter
30.37 inHg
Observed at
I67, 1 nm away

Docket · 8

The files NTSB released with the investigation on February 28, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.4 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.