CEN22LA194

NTSB accident investigation · Cessna 172S · Traverse City, MI · May 10, 2022

Accident · No injuriesClass 3 · LimitedFinal report
Date
May 10, 2022, 17:26 local (21:26 UTC)
Place
Traverse City, MI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N184NWCessna 172S
Defining event
Approach: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20220510006809A
Case key
105062

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

The failure of maintenance personnel to properly torque a fuel line “B” nut, which resulted in a total loss of engine power.

Findings · 2

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.

Maintenance: installationPersonnel issues › Task performance · Maintenance personnelCessna 172S: 2 casesAll aircraft: 371 casesProbable cause
Engine fuel and controlAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 172S: 1 caseAll aircraft: 49 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 pilot receiving instruction was on a visual approach to the runway during an instructional flight, at which time the engine lost total power. The flight instructor took control of the airplane and made multiple attempts to restart the engine, which were unsuccessful. The flight instructor declared an emergency and executed a forced landing to a park area about 1 mile north of the runway. During the forced landing, the airplane impacted terrain and a perimeter fence. Postaccident examination of the airplane revealed substantial damage to the right wing and engine mount. Examination of the engine and fuel system revealed a loose “B” nut fitting on the fuel line between the fuel injector and fuel manifold. The engine had recently been installed by maintenance personnel; the airplane had flown about 2.7 hours after the installation and before the accident. There was no visible impact damage to the “B” nut on the line or the fitting. Given this evidence, the “B” nut on the fuel line was likely not properly tightened during engine installation, which allowed the nut to loosen with normal engine vibration and allowed air to enter the system which resulted in total loss of engine power.

Factual narrative

On May 10, 2022, about 1726 eastern daylight time, a Cessna 172S airplane, N184NW, was substantially damaged when it was involved in an accident near Cherry Capital Airport (TVC), Traverse City, Michigan. The flight instructor and the pilot receiving instruction were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. According to Northwestern Michigan College (NMC) representatives, the pilot receiving instruction was operating the airplane as part of the college flight school program. When the flight was on a visual approach to runway 18 at TVC the engine lost total power. The flight instructor took control of the flight and made multiple attempts to restart the engine, which were unsuccessful. The flight instructor declared an emergency and executed a forced landing to a park area about 1 mile north of the runway. During the forced landing, the airplane impacted terrain and a perimeter fence. Postaccident examination of the airplane revealed substantial damage to the right wing and engine mount. Examination of the engine and fuel system revealed a loose “B” nut fitting on the fuel line between the fuel injector and fuel manifold (see the figure below). There was no visible impact damage to the “B” nut or the fitting. Figure. Loose “B” nut with fuel leaking from the fuel line (Source: Federal Aviation Administration). NMC representatives stated that the airplane had flown for about 2.7 hours since the time that the engine was installed by NMC maintenance personnel.

Aircraft

Registration
N184NW
Reported as
Cessna 172S
Category
Airplane
Serial number
172S11085
Built
2010
Airframe hours
6,589
Engine
Lycoming IO-360-L2A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Northwestern Michigan College
Registered owner
Northwestern Michigan College
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 5, 2022 · 3 hours before
Departed
GLR · Gaylord, MI
Destination
Same as departure
Airport
TVC
Equipment
Electronic multifunction display, Electronic flight bag or handheld device, Auto-pilot, ADS-B, Stall warning system, Onboard weather, Electronic primary flight 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
24
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
March 31, 2021
Seat
Right
Restraint
3-point
Flight hours
490 total · 477 in this make and model · 424 as pilot in command · 84 in the last 90 days · 42 in the last 30 days
Role
Pilot
Age
20
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
March 4, 2022
Seat
Left
Restraint
3-point
Flight hours
194 total · 183 in this make and model · 92 as pilot in command · 38 in the last 90 days · 25 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 11 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
6,000 ft broken
Temperature
90 °F, dew point 64 °F
Altimeter
29.99 inHg
Observed at
KTVC, 1 nm away
METAR
KTVC 102153Z 16011G18KT 10SM BKN060 BKN070 32/18 A2999 RMK AO2 SLP151 T03220183

Docket · 5

The files NTSB released with the investigation on August 15, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 28.9 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.