CEN24LA036

NTSB accident investigation · Textron 172S · Erie, CO · November 9, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
November 9, 2023, 09:30 local (16:30 UTC)
Place
Erie, CO · 7CO0
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N1817ETextron 172S
Defining event
Maneuvering: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report October 22, 2025
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO, Lycoming Engines
FAA report
20231109019089A
Case key
193374

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 partial loss of engine power while maneuvering at a low altitude due to a stuck exhaust valve.

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · MalfunctionTextron 172S: 1 caseAll aircraft: 373 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelTextron 172S: 1 caseAll aircraft: 320 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 flight instructor started the engine for the instructional flight, and it began to shake. The flight instructor shut down the engine, inspected it, and the alternator belt. Everything appeared to be normal, so he decided to restart the engine. After engine start, all indications were “in the green” and the engine no longer shook. All systems during the run-up appeared normal, and the instructor and student pilot departed. After completing several maneuvers, the flight instructor gave the student pilot a simulated emergency. The student pilot addressed the simulation with the appropriate steps and the airplane descended to about 700 ft above ground level (agl). As the student pilot applied full power to recover from the simulated emergency, the engine started to shake again. The flight instructor took the flight controls and observed that the engine rpm started to drop. The flight instructor maneuvered the airplane to land in a field. During the landing, the airplane rolled nose-first into a culvert and sustained substantial damage to the right wing and engine firewall. During the engine examination, no compression was observed at the No. 4 cylinder. Further examination revealed that the No. 4 exhaust valve was stuck open, and the No. 4 push rod was bent. No other anomalies were noted with the engine or systems that would have resulted in a loss of engine power. A review of the maintenance records revealed that a service bulletin (SB) to examine the exhaust valve and guide condition was not completed, nor was it required to be. The SB suggested that an inspection should be performed at every 1,000 hours of operation for engines equipped with Hi-Chrome exhaust valve guides, as the accident engine was. The partial loss of engine power was likely due to the stuck exhaust valve. Compliance with the engine manufacturer’s SB, although not required, may have prevented the stuck valve.

Factual narrative

On November 9, 2023, about 0930 mountain daylight time, a Textron Aviation Inc. 172S, N1817E, was substantially damaged when it was involved in an accident near Erie, Colorado. The flight instructor and the student pilot were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. After a thorough pre-flight inspection, the flight instructor started the engine and the engine began to shake; also, the alternator was not charging the battery. The flight instructor shut the engine down and inspected both the engine and alternator belt. Everything appeared to be normal, so he decided to restart the engine. After the second engine start, all indications were “in the green” and the engine no longer shook. All systems during the run-up appeared normal. The flight instructor and student pilot departed and, after completing several maneuvers, the instructor gave the student a simulated engine fire. After completing the appropriate checklists, they entered a simulated emergency descent starting about 7,000 ft msl. The flight instructor reported that they transitioned into a simulated emergency landing and the student pilot chose a field, taking the simulated emergency descent down to about 700 ft agl. As the student pilot applied full power to recover from the simulated emergency, the engine started to shake again. The flight instructor took the flight controls and observed that the engine rpm started to drop. Since the engine was still running, and they were near an airport, the flight instructor maneuvered the airplane toward the airport. He set up to land on the runway, but the airplane was too high and fast. Engine rpm reduced to about 1,900, and the flight instructor decided to land the airplane in a field to avoid houses near the airport. The flight instructor maneuvered the airplane to land in a field, and the touchdown was uneventful. However, the field where the airplane landed sloped downward and during the landing roll the airplane rolled nose-first into a culvert. During the impact with the culvert, the airplane sustained substantial damage to the right wing and engine firewall. During the engine examination, compression was observed at cylinder Nos. 1, 2, and 3. However, no compression was observed in the No. 4 cylinder. Further examination revealed that the No. 4 exhaust valve was stuck open and the No. 4 push rod was bent. A borescope examination revealed no additional anomalies. Both magnetos produced sparks at all leads when the engine was rotated by hand at the propeller flange. The spark plugs appeared normal as compared to the Champion Aviation Check-a-Plug Chart AV-27. All the fuel injectors were found clear. A review of the maintenance records revealed that Lycoming Mandatory Service Bulletin 388C, Procedure to Determine Exhaust Valve and Guide Condition, had not been complied with, as suggested by the engine manufacturer. The SB stated that an inspection should be performed atevery 1,000 hours of operation if Hi-Chrome exhaust valve guides are installed. The inspection is intended to identify excessive carbon build up between the valve stem and the valve guide to prevent sticking valves or valve failure. The Hi-Chrome exhaust valve guides were installed on the accident airplane, as identified by the letter "C" stamped inside a circle on the engine cylinders.

Aircraft

Registration
N1817E
Reported as
Textron 172S
Category
Airplane
Serial number
172S12169
Built
2018
Airframe hours
4,111
Engine
Lycoming IO-360-L2A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Atp Aircraft 6 LLC
Registered owner
Atp Aircraft 6 LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 21, 2023
Departed
BKBJ · Broomfiled, CO
Equipment
Stall warning system, ADS-B, Electronic flight bag or handheld device, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
26
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Waiver time limited special
Last flight review
July 11, 2023
Seat
Right
Restraint
3-point
Flight hours
493 total · 389 in this make and model · 416 as pilot in command · 204 in the last 90 days · 34 in the last 30 days · 1 in the last 24 hours
Role
Student pilot
Age
32
Injuries
None
Certificate
Student
Medical
Class 1, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
88 total · 88 in this make and model · 10 as pilot in command · 75 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 28 °F
Altimeter
30.28 inHg
Observed at
KEIK, 3 nm away
METAR
KEIK 091615Z AUTO 02003KT 10SM CLR 03/M02 A3028 RMK AO2 T00321016

Docket · 6

The files NTSB released with the investigation on October 22, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.6 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.