CEN20LA360

NTSB accident investigation · Cessna 180 · St Louis, MO · August 22, 2020

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
August 22, 2020, 11:51 local (16:51 UTC)
Place
St Louis, MO
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7620ACessna 180
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
Textron Aviation, Flight Standards District Office, Continental Motors
FAA report
20200822017349A
Case key
101851

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 improper maintenance of the mixture control cable and attachment hardware, which led to a forced landing into a congested area.

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 fuel and control: fuel control/carburetorAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 180: 1 caseAll aircraft: 195 casesProbable cause
TerrainEnvironmental issues › Physical environment · Contributed to outcomeCessna 180: 1 caseAll aircraft: 267 cases
MaintenancePersonnel issues › Task performance · Maintenance personnelCessna 180: 2 casesAll aircraft: 143 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

While in cruise flight, the pilot reported hearing a loud “pop,” and the engine suddenly lost power. The pilot executed a forced landing toward a lacrosse field surrounded by residences. The airplane impacted terrain in a nose-down attitude, which substantially damaged both wings and seriously injured the pilot. A postaccident examination revealed that the carburetor mixture control cable was disconnected from the carburetor control lever at the carburetor, with the attachment hardware (bolt, nut, and washer stack) still attached to the carburetor. No other anomalies were found that would have precluded normal operation. Laboratory analysis of the mixture control cable and attachment hardware (bolt, nut, and washer stack) determined that the hardware was used repeatedly in numerous configurations, and the cable did not have a kink at the end indicating it had not been bent. The maintenance manual specified that the cable was to be bent 90 degrees after being threaded through the bolt hole to help secure the cable, and not doing so likely contributed to the cable becoming disconnected from the carburetor control lever inflight.

Factual narrative

On August 22, 2020, about 1151 central daylight time, a Cessna 180 airplane, N7620A, was substantially damaged when it was involved in an accident near St. Louis, Missouri. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that while en route about 5 minutes after takeoff, he heard a loud "pop" followed by a sudden loss of engine power. The pilot executed a forced landing toward a lacrosse field surrounded by residences. The airplane subsequently impacted terrain short of the field in a nose-low attitude, which resulted in damage to both wings and fuselage. Postaccident examination of the flight controls, fuel system, and muffler revealed no anomalies. Fuel collected from the gascolator was observed to have normal color and smell, with no signs of visual contamination. The engine crankshaft was rotated, and all cylinders showed evidence of compression. No anomalies were noticed with the magnetos or spark plugs. The carburetor mixture control cable was found disconnected from the control lever at the carburetor, with the attachment hardware (bolt, nut, and washer stack) still attached to the carburetor. The carburetor mixture control lever, which was not spring loaded toward a particular direction, was found at the cut-off position. The cockpit mixture control lever was about 2 inches from the full rich position. The carburetor was examined at a repair facility. No anomalies were observed that would have led to a fuel stoppage of the engine. A section of the carburetor mixture cable and attachment hardware were examined at the National Transportation Safety Board (NTSB) Materials Laboratory. The central wire of the mixture control cable had multiple flat areas around the outer diameter. The attachment hardware bolt had bands of wear on the outer diameter consistent with rub damage from the washers, and the washer faces had circumferential wear marks consistent with rub damage. The engine maintenance manual specified that the carburetor mixture control wire was to be bent 90º after being threaded through the bolt hole to help secure the wire. No evidence of a kink or sharp bend was observed at the wire end.

Aircraft

Registration
N7620A
Reported as
Cessna 180 (UNDESIGNAT)
Category
Airplane
Serial number
32517
Built
1956
Airframe hours
4,446
Engine
Continental O-470-K, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Casement Llc
Registered owner
Casement Llc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 1, 2020 · 10 hours before
Departed
1H0 · St Louis, MO
Destination
H88 · Fredericktown, MO
Equipment
ADS-B, Handheld GPS

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
63
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
April 18, 2020
Seat
Left
Flight hours
1,200 total · 105 in this make and model · 14 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
84 °F, dew point 64 °F
Altimeter
29.96 inHg
Observed at
KSUS, 6 nm away

Docket · 11

The files NTSB released with the investigation on May 12, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 34.7 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.