ERA17LA242

NTSB accident investigation · Cessna 172 · Key Biscayne, FL · July 14, 2017

Accident · Minor injuriesLimited investigationFinal report
Date
July 13, 2017, 23:20 local (Jul 14, 2017, 03:20 UTC)
Place
Key Biscayne, FL
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N80457Cessna 172
Defining event
Enroute: Fuel starvation
Weather
Visual (VMC) · Night
Status
Completed · report November 6, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20170713009089A
Case key
95569

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 nearly complete blockage of the right fuel tank strainer with organic material, which resulted in fuel starvation and the subsequent total loss of engine power. Contributing to the fuel starvation was the pilot receiving instruction’s and the flight instructor’s failure to identify that the fuel was burning unevenly during the flight.

Findings · 6

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.

Fuel system: fuel filter-strainerAircraft › Aircraft systems · InoperativeCessna 172M: 1 caseAll aircraft: 52 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelCessna 172M: 12 casesAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of available resourcesPersonnel issues › Task performance · Student/instructed pilotCessna 172M: 1 caseAll aircraft: 41 casesProbable cause
Use of equip/info: use of available resourcesPersonnel issues › Task performance · Instructor/check pilotCessna 172M: 1 caseAll aircraft: 41 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeCessna 172M: 16 casesAll aircraft: 933 cases
Object/animal/substance: poleEnvironmental issues › Physical environment · Contributed to outcomeCessna 172M: 4 casesAll aircraft: 142 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 stated that, during the preflight inspection, he visually inspected both fuel tanks and checked the fuel level using a dipstick and that each tank contained about 15 gallons. Subsequently, the flight instructor and private pilot receiving instruction departed for an instrument training flight with the fuel selector positioned to the "both" position. The pilots flew to two different airports to practice instrument approaches and holding. About 2 hours 25 minutes after the airplane originally departed, the flight instructor chose to return to the departure airport. The instructor stated that, while east of the airport, the engine "sputtered" for about 2 to 3 seconds and then lost all power; the engine rpm then increased briefly to 1,500, followed by the loss of all engine power again. The pilot reported that, at that time, the left and right fuel gauges were in the lower red arc between 1/4 and 1/2 capacity, respectively. The pilots attempted to restore engine power by moving the fuel selector to each fuel tank position and checking the magnetos in each respective position to no avail. The instructor maneuvered the airplane for a forced landing on a road, during which it collided with trees and a light pole before landing hard. During postaccident examination of the airplane, less than 1 gallon of fuel was drained from the left fuel tank, and about 10 gallons of fuel were drained from the right fuel tank; the tanks were not breached, and no evidence of leakage was found. Further examination of the right fuel tank supply system revealed that the strainer was nearly completely blocked by organic material, which prevented the remaining fuel in the right fuel tank from feeding to the engine and likely resulted in the loss of all engine power due to fuel starvation. If either the flight instructor or the pilot had scanned the fuel quantity gauges periodically throughout the flight, they could have noticed the uneven fuel burn and performed a precautionary landing before the engine lost power.

Factual narrative

On July 13, 2017, about 2320 eastern daylight time, a Cessna 172M, N80457, was substantially damaged during a forced landing to a road near Key Biscayne, Florida. The flight instructor was not injured and the private pilot receiving instruction sustained minor injuries. The airplane was being operated under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Night visual meteorological conditions prevailed at the time and no flight plan was filed for the flight which originated from Miami Executive Airport (TMB), Miami, Florida, about 2055.The flight instructor stated that during the preflight inspection, both fuel tanks were visually inspected and also checked using a dipstick, and each tank contained about 15 gallons. The flight departed TMB with the fuel selector on the "both" position, and flew to Fort Lauderdale Executive Airport (FXE), Fort Lauderdale, Florida, where the private pilot, who was receiving instruction for an instrument rating, executed a practice instrument approach that terminated with a full-stop landing. The airplane remained on the ground for about 15-18 minutes with the engine operating, then departed and flew to Palm Beach International Airport (PBI), West Palm Beach, Florida, where the private pilot executed another practice instrument approach, which terminated with a missed approach, and holding practice. About 2215, the flight instructor elected to return to TMB and requested visual flight rules flight following from air traffic control (ATC). The flight proceeded south, east to the coast, and then south along the shoreline. While flying near Key Biscayne with the engine operating between 2,300 and 2,350 rpm, the mixture control full rich, and the fuel selector on the same position it had been since the initial takeoff (both), the engine sputtered for about 2-3 seconds, lost power, then increased briefly to 1,500 rpm, before losing power again. The private pilot reported the left and right fuel gauges at that time were indicating in the lower red arc and between 1/4 and 1/2 capacity, respectively. Attempts to restore engine power consisted of moving the fuel selector to each fuel tank position, and checking the magnetos on each respective position, but engine power was not restored. The flight instructor declared an emergency with the ATC controller and requested assistance from emergency equipment. While descending for a forced landing to a road, the airplane collided with tree branches, and then a light pole, and came to rest within 25 to 30 ft of the touchdown point on the road. According to a Federal Aviation Administration inspector, there was no evidence of fuel leakage or a breach of either fuel tank. Less than 1 gallon of fuel was drained from the left fuel tank, while about 10 gallons of fuel were drained from the right fuel tank. The airplane was recovered for further examination at a later date. Examination of the airplane following recovery revealed the right fuel tankstrainer, part number 0422130 was nearly completely blocked by organic material.

Aircraft

Registration
N80457
Reported as
Cessna 172 (M)
Category
Airplane
Serial number
17266596
Built
1976
Airframe hours
5,547.8
Engine
Lycoming O-320-E2D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Dean International, Inc., doing business as Dean International Flight School
Registered owner
C & G Aircraft Parts, Inc.
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
100 hour · June 30, 2017
Departed
PBI · West Palm Beach, FL
Destination
TMB · Miami, FL
Equipment
ADS-B, Stall warning system

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
30
Injuries
None
Certificates
Airline transport, Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
July 27, 2016
Seat
Right
Restraint
Lap only
Flight hours
2,800 total · 510 in this make and model · 2,750 as pilot in command · 300 in the last 90 days · 75 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Age
23
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1, Without waivers/limitations
Last flight review
April 8, 2017
Seat
Left
Restraint
Lap only
Flight hours
164 total · 21 in this make and model · 127 as pilot in command · 111 in the last 90 days · 55 in the last 30 days

Weather

Conditions
Visual (VMC) · Night
Wind
100° at 10 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
82 °F, dew point 77 °F
Altimeter
30.07 inHg
Observed at
MIA, 9 nm away

Docket · 5

The files NTSB released with the investigation on July 15, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.7 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.

Other investigations on N80457 · 1

Matched to the same aircraft by N-number and date.