ERA09LA407

NTSB accident investigation · Cessna 120 · Morristown, TN · July 16, 2009

Accident · Minor injuriesLimited investigationFinal report
Date
July 16, 2009, 13:15 local (17:15 UTC)
Place
Morristown, TN
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N7227ECessna 120
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report June 17, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20090716013239A
Case key
74308

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 partial loss of engine power for undetermined reasons.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCessna 120: 7 casesAll aircraft: 2,247 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

An adequate quantity of fuel was on-board at the beginning of the instructional flight. No discrepancies were reported during the preflight inspection or engine run-up. After takeoff, the student pilot performed airwork, then flew to a nearby airport where he performed a low pass over the runway. At the completion of the low pass, he applied power to climb, but the engine "popped" and experienced a loss of power. The flight instructor took the controls and maneuvered the airplane to a golf course and landed on a fairway. During the landing roll, the airplane rolled onto an area of vegetation and nosed over, coming to rest inverted. Postaccident fuel leakage was noted from both fuel tanks and the carburetor was broken off from its attach point to the engine. All engine controls remained attached to the carburetor. Only a cursory examination of the engine was performed and no discrepancies were noted that would have precluded engine operation.

Factual narrative

On July 16, 2009, about 1315 eastern daylight time, a Cessna 120, N7227E, registered to a private individual, nosed over during a forced landing on a golf course near Moore-Murrell Airport (MOR), Morristown, Tennessee. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91 instructional flight from New Tazewell Municipal Airport (3A2), Tazewell, Tennessee. The airplane was substantially damaged and the certified flight instructor (CFI) sustained minor injuries, while the certificated airline transport pilot (ATP) was not injured. The flight originated from 3A2 about 1150. The ATP/airplane owner stated that the purpose of the flight was for him to get a flight review because his last one was greater than 2 years ago. A total of 8 gallons of 100 low lead fuel were added equally, divided between the two fuel tanks before departure, bringing the total fuel load to 12.5 gallons. No discrepancies were noted during the preflight inspection or engine run-up. The flight departed with the fuel selector positioned to the left tank and the owner performed airwork, then proceeded to MOR, where the CFI asked him to perform a low pass over the runway. At the completion of the low pass, he applied power to climb, but the engine "popped" and experienced a loss of power. The owner told the CFI to take the controls because the CFI was more familiar with the area. The CFI reported that he took the controls and maneuvered the airplane to a golf course and landed on a fairway. During the landing roll, the airplane rolled onto an area of vegetation and nosed over, coming to rest inverted. Examination of the airplane by a Federal Aviation Administration (FAA) inspector, before recovery, revealed evidence of fuel leakage from the right wing. During recovery, fuel leakage was noted from the left wing. The airplane was recovered for further examination. Only a cursory external visual inspection of the engine was performed by an FAA. The examination revealed all engine controls remained attached at their respective attach point. Impact damage to the engine precluded an engine run due to impact damage to the carburetor. The pilot provided a copy of FAA Special Airworthiness Information Bulletin (SAIB) CE-09-35, dated June 30, 2009. The subject of the bulletin pertains to carburetor ice prevention. Page 2 of the SAIB contains a chart indicating the temperature and dew point range where carburetor ice can exist. Based on the pilot reported temperature and dew point at the time of the accident (75 and 65 degrees Fahrenheit respectively), the conditions were favorable for serious carburetor icing at glide power.

Aircraft

Registration
N7227E
Reported as
Cessna 120
Category
Airplane
Serial number
9454
Airframe hours
8,547
Engine
Cont Motor O-200, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Boeck Lothar S
Registered owner
Boeck Lothar S
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 15, 2008
Departed
3A2 · Tazewell, TN
Destination
3A2 · Tazewell, TN

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
76
Injuries
Minor
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Multi-engine sea, Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 1, 2009
Seat
Right
Flight hours
27,250 total · 25 in this make and model · 14,150 as pilot in command · 25 in the last 90 days · 1 in the last 30 days · 1 in the last 24 hours
Role
Pilot
Age
69
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
August 1, 2004
Seat
Left
Flight hours
22,000 total · 52 in this make and model · 11,000 as pilot in command · 1 in the last 90 days · 1 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 66 °F
Altimeter
30.01 inHg
Observed at
1A6, 31 nm away

Docket · 6

The files NTSB released with the investigation on May 3, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.0 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.