ERA09LA372

NTSB accident investigation · Cessna 172D · Shepherdsville, KY · June 27, 2009

Accident · No injuriesLimited investigationFinal report
Date
June 27, 2009, 10:10 local (14:10 UTC)
Place
Shepherdsville, KY
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N172TJCessna 172D
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report September 10, 2009
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20090627011559A
Case key
74159

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 mechanic's improper inspection of the mixture control cable.

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.

Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelCessna 172D: 1 caseAll aircraft: 320 casesProbable cause
Engine controls: mixture controlAircraft › Aircraft power plant · Inadequate inspectionCessna 172D: 1 caseAll aircraft: 41 casesProbable cause
Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomeCessna 172D: 1 caseAll aircraft: 442 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 in cruise flight between 1,700 and 2,200 feet mean sea level when the engine rpms decreased. He applied throttle with negative results. The airplane continued to descend and he performed a forced landing to a soybean field. Review of the airplane logbooks revealed that the airplane had flown 2.29 hours since the last annual inspection. Postaccident examination of the airframe and flight controls revealed no anomalies; however, the mixture control cable was found to be separated from the mixture control arm. The mixture cable wire tip was not bent 90 degrees to prevent it from being withdrawn if the attaching nut should become loose, as required by the maintenance manual. The cable did not exhibit any signs of damage or stretching, and it was not broken at the attach point to the attaching bolt in the mixture control arm of the carburetor. The mechanic who performed the last annual inspection stated that he did not remember if he did or did not bend the cable 90 degrees.

Factual narrative

On June 27, 2009, at 1010 eastern daylight time, a Cessna 172D, N172TJ, registered to and operated by a private owner, as a Title 14 Code of Federal Regulations Part 91 personal flight, lost engine power while in cruise flight in the vicinity of Shepherdsville, Kentucky. Visual meteorological conditions prevailed and no flight plan was filed. The airplane received substantial damage and the private pilot reported no injuries. The flight originated at Lick Airport, Louisville, Kentucky, at 0945. The pilot stated the engine was set at 2,400 rpm and the airplane was between 1,700 feet to 2,200 feet mean sea level, when the engine rpm decreased. He applied throttle with negative results. The airplane continued to descend and he performed a forced landing to a soybean field. The nose landing gear separated on landing roll out, the nose pitched down, and both wings received structural damage. Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed the forward cabin area was not damaged. The throttle was in the full forward position and the carburetor heat was in the off position. The fuel selector valve was in the “Off” position. Continuity of the flight controls was confirmed from the flight controls aft to all flight control surfaces. The right main landing gear remained attached to the airframe and the wheel pant cover was damaged. The left main landing gear remained attached to the airframe and was not damaged. The left and right main fuel tanks were observed and visually found to contain considerable amount of fuel. The fuel caps had a tight seal and the fuel vent line was clear of obstructions. The left wing fuel sump was checked and approximately 3.25 ounces of water was removed. The right wing fuel sump was checked and approximately 2 ounces of water was removed. A fuselage low point drain under the aircraft was not installed. The fuel inlet supply line was removed and fuel was present to the carburetor and no evidence of water was noted. The inlet screen was removed from the carburetor and was observed to have a small amount of a white sludgy substance on the screen, but it did not obstruct the screen. The empennage exhibited minor skin wrinkling behind the main landing gear attachment points. The horizontal stabilizers, vertical fin and rudder were not damaged. Examination of the engine revealed the carburetor had separated from its mounting pad. The fuel inlet supply line was attached and not damaged. The carburetor heat cable was attached and operated. The throttle cable and throttle arm of the carburetor remained attached to the engine case and the throttle operated freely. The mixture control cable was separated from the mixture control arm, the cable did not exhibit any signs of damage or stretching, and it was not broken at the attach point to the attaching bolt in the mixture control arm of the carburetor. The mixture cable wire tip was not bent 90 degrees to prevent it from being withdrawn if theattaching nut should become loose. The FAA inspector noted, "The mixture control cable attaching bolt to the mixture control arm was not damaged. The mixture control cable attaching bolt was observed to have what appears to be a newly installed self locking steel nut instead of a castellated nut. The steel locking nut appears to have been relatively recently installed. The mixture control cable was able to be pushed into the hole in the mixture control cable attaching bolt with very little restriction." The crankshaft was rotated by hand. Valve and drive train continuity were confirmed, and continuity was established with all accessory gears. Suction and compression were obtained. Test for spark was conducted and spark was observed. Both impulse couplings of the magnetos were heard to be functional. Examination of the aircraft logbooks revealed the last annual inspection was conducted on October 3, 2008. The tachometer reading at the time of the annual inspection was 1636.9 hours. The tachometer reading at the accident site was 1638.68 hours. The airplane had flown 2.29 hours since the annual inspection. The Cessna Aircraft Company Service Manual 100 Series, Section 12, Powerplant, page 12-23, paragraph 12-62, MIXTURE CONTROL RIGGING, f. states, "Bend the wire tip 90 degrees to prevent it from being withdrawn if the attaching nut should become loose." The mechanic who performed the annual inspection stated, "he did not remember if he did that or not."

Aircraft

Registration
N172TJ
Reported as
Cessna 172D
Category
Airplane
Serial number
17249552
Airframe hours
1,636
Engine
Continental O-300-D, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Joseph L. Tapay
Registered owner
Joseph L. Tapay
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 3, 2008 · 2 hours before
Departed
07KY · Louiosville, KY
Destination
BRY · Bardstown, KY

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
64
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 23, 2008
Seat
Left
Flight hours
318 total · 290 in this make and model · 305 as pilot in command · 2 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 70 °F
Altimeter
29.87 inHg
Observed at
LOU, 17 nm away

Docket · 13

The files NTSB released with the investigation on July 23, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.0 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.