ERA11LA103

NTSB accident investigation · Cessna 152 · Wimauma, FL · December 31, 2010

Accident · No injuriesLimited investigationFinal report
Date
December 31, 2010, 14:00 local (19:00 UTC)
Place
Wimauma, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N28BACessna 152
Defining event
Initial climb: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report August 11, 2011
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20101231055099A
Case key
78082

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/pilot's failure to detect a visible exhaust gas leak and cracked cylinder head immediately prior to the accident flight, which resulted in a partial loss of engine power during initial climb. Contributing to the accident was an inadequate 100-hour maintenance inspection, which also failed to detect a visible exhaust gas leak.

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.

Power plantAircraft › Aircraft power plant · FailureCessna 152: 3 casesAll aircraft: 198 cases
InspectionPersonnel issues › Task performance · Maintenance personnelCessna 152: 1 caseAll aircraft: 29 casesProbable cause
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelCessna 152: 1 caseAll aircraft: 167 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

During initial climb from the airstrip, about 300 feet above ground level, the mechanic/pilot heard a loud noise, followed by a partial loss of engine power. He leveled the nose and verified that the throttle lever was in the full forward position; however, he was unable to maintain altitude. During the subsequent forced landing to a field, the airplane struck a fence. According to the pilot, another pilot who flew the airplane previously reported a rough running engine and had to perform an uneventful precautionary landing to an airstrip. Examination of the wreckage revealed that the No. 2 top spark plug and its associated heli-coil had separated from the cylinder. Further examination revealed that the spark plug and cylinder threads were worn and an approximate 2-inch crack originated near the cylinder head threads. Additionally, the area around the top and bottom spark plug holes exhibited evidence of exhaust gas leakage, which would have most likely been visible during the most recent maintenance inspection. At the time of the accident, the airplane had been operated about 77 hours since its most recent 100-hour inspection, which was completed about 3 months prior to the accident. The No. 2 overhauled cylinder had been operated for 832 hours since it was installed, about 4 years prior to the accident.

Factual narrative

On December 31, 2010, about 1400 eastern standard time, a Cessna 152, N28BA, operated by Cirrus Aviation Inc., was substantially damaged during a forced landing after takeoff from Wimauma Airport (FD77), Wimauma, Florida. The certificated private pilot was not injured. The maintenance flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the planned flight to Sarasota/Bradenton International Airport (SRQ), Sarasota, Florida. During a previous flight in the accident airplane, another pilot reported a rough running engine and performed a precautionary landing to FD77. After the landing, the other pilot thought water in the fuel caused the rough running engine. The accident pilot was also an airframe and powerplant mechanic. He advised the other pilot not to attempt to fly the airplane back to SRQ. Rather, the mechanic would fly to FD77 in another airplane and trade airplanes with the other pilot. Subsequently, the mechanic performed a thorough inspection and troubleshooting of the engine and fuel system, and did not find any problems. He also performed a thorough run-up of the engine, with no anomalies noted. The pilot/mechanic then departed FD77. When the airplane was about 300 feet above ground level, the pilot/mechanic heard a loud "bang," followed by a partial loss of engine power. He leveled the nose and verified that the throttle lever was in; however, he was unable to maintain altitude. The pilot/mechanic felt he was too low to return to FD77 and elected to land in a field ahead of the airplane. During the landing, the airplane struck a fence and a pole, slid across a road, and came to rest upright in a ditch. Examination of the wreckage by a Federal Aviation Administration inspector revealed damage to the nose landing gear, firewall, and forward fuselage. The inspector also noted that the No. 2 top spark plug and its associated heli-coil had separated from the cylinder. Further examination revealed that the spark plug and cylinder threads were worn and an approximate 2-inch crack originated near the cylinder head threads. Additionally, the area around the top and bottom spark plug holes exhibited visual evidence of exhaust gas leakage. Review of maintenance records revealed that at the time of the accident, the airplane had accrued approximately 9,858 total tachometer hours and the engine had accrued about 1,955 tachometer hours since major overhaul. The engine was last overhauled on November 15, 2006. The No. 2 cylinder was subsequently removed and replaced with an overhauled cylinder on May 15, 2009, at 1123.4 tachometer hours since the last major overhaul. The engine had been operated for and additional 832 tachometer hours since the replacement of the No. 2 cylinder, until the accident. The airplane's most recent 100-hour inspection was completed on October 8, 2010, and it had been operated for approximately 77 tachometer hourssince that inspection, until the accident.

Aircraft

Registration
N28BA
Reported as
Cessna 152
Category
Airplane
Serial number
15285381
Airframe hours
9,781
Engine
Lycoming O-235, 115 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Cirrus Aviation Inc
Registered owner
Cirrus Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 8, 2010 · 77 hours before
Departed
FD77 · Wimauma, FL
Destination
SRQ · Sarasota, FL
Airport
FD77 · Wimauma Air Park, runway 09, 3,000 × 100 ft, grass/turf

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
35
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
May 29, 2008
Seat
Left
Flight hours
236 total · 103 in this make and model · 125 as pilot in command · 6 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 59 °F
Altimeter
30.12 inHg
Observed at
MCF, 12 nm away

Docket · 9

The files NTSB released with the investigation on June 13, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.5 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.