ERA19LA079

NTSB accident investigation · Cessna 172 · Fort Lauderdale, FL · December 24, 2018

Accident · No injuriesLimited investigationFinal report
Date
December 24, 2018, 13:44 local (18:44 UTC)
Place
Fort Lauderdale, FL
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3015ECessna 172
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report April 13, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA
FAA report
20181224022369A
Case key
98856

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 total loss of engine power due to the fatigue fracture of the No. 2 exhaust rocker arm stud.

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 · Fatigue/wear/corrosionCessna 172N: 13 casesAll aircraft: 373 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

According to the flight instructor, he and a student pilot were conducting a local, instructional flight. The instructor reported that, while flying about 800 ft above a shoreline, the engine started to vibrate, and it then lost all power. He tried to restart the engine twice to no avail. On the third attempt, the engine started, but it would not produce more than 1,200 rpm. The instructor saw people on the beach and decided to land on the water. When the main landing gear touched down on the water, the airplane immediately flipped over, which resulted in substantial damage to the vertical stabilizer and rudder. Examination of the engine revealed that the No. 2 exhaust rocker arm stud was fractured. Metallurgical examination of the fracture surfaces on the rocker arm stud revealed that it had fractured due to fatigue. The fatigue fracture of the No. 2 exhaust rocker arm stud likely led to the loss of engine power.

Factual narrative

On December 24, 2018, about 1344 eastern standard time, a Cessna 172N, N3015E, was substantially damaged during a forced landing near Fort Lauderdale, Florida. The flight instructor, student pilot, and two passengers were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the local instructional flight. The airplane was owned by Air Con LLC, and operated by Airplanes 4 Rent, under the provisions of Title 14 Code of Federal Regulations Part 91. The flight originated from Fort Lauderdale Executive Airport (FXE), Fort Lauderdale, Florida, about 1330. According to the flight instructor, they were flying along the shoreline at 800 ft above ground level (agl). The engine started to vibrate and then experienced a complete loss of power. The flight instructor tried to restart the engine twice, but the engine did not start. He set up for an emergency landing on the beach. At 200 ft. agl, he noticed a pier and knew he had to fly over the pier to make a safe landing on the other side. He tried to restart the engine for a third time and the engine restarted but did not produce power over 1,200 rpm. Once over the pier, he saw people on the beach and decided to land in the ocean. When the main landing gear touched the water, the airplane immediately flipped over. All four occupants egressed the airplane. During the landing, the vertical stabilizer and rudder were damaged. Examination of the engine by a NTSB investigator revealed that the No. 2 exhaust rocker arm stud fractured. Engine continuity was established by rotating the propeller by hand and visually verifying that the pistons and push rods moved on all cylinders. No other anomalies were noted. The rocker arm stud was sent to NTSB Materials Laboratory, Washington, DC, for examination. The examination of the fracture surface revealed characteristics consistent with a fatigue fracture. Review of maintenance records did not reveal if and when the stud was ever replaced or inspected during the major overhaul. The four-seat, single-engine, high-wing airplane was built in 1978, and equipped with a Lycoming O-320-series engine. The most recent annual inspection was completed on December 19, 2018. At the time of the inspection, the airframe total time was 5,295.0 hours and the engine had 1,568.7 hours since major overhaul. The major overhaul was completed on May 10, 2006. According to the airplane owner, he purchased the airplane in February 2018 from AIG insurance as a salvage purchase. The airplane was located in Belize City, Belize. The airplane was damaged by a trolley that rolled into it and damaged the left-wing strut, rudder, and elevator. He flew down, repaired the airplane, and flew it back to Fort Lauderdale. He performed an annual inspection in May 2018 and put it into rental service at that time. The airplane flew for 218 hours before the accident. The flight instructor held a commercial pilot certificate, with a rating for airplane single-engine land, andinstrument airplane. His most recent Federal Aviation Administration first-class medical certificate was issued on October 26, 2017. He reported 1,580.5 total hours of flight experience at the time of the accident.

Aircraft

Registration
N3015E
Reported as
Cessna 172 (N)
Category
Airplane
Serial number
17271404
Built
1978
Airframe hours
5,295
Engine
Lycoming O-320 SERIES, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 19, 2018 · 20 hours before
Departed
FXE · Fort Lauderdale, FL
Destination
FXE · Fort Lauderdale, FL
Equipment
Onboard weather, Stall warning system, Electronic primary flight display, ADS-B

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
25
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
November 13, 2017
Seat
Right
Restraint
3-point
Flight hours
1,580.5 total · 1,500 in this make and model · 1,567.4 as pilot in command
Role
Student pilot
Age
27
Injuries
None
Certificate
Student
Medical
Class 1, Without waivers/limitations
Seat
Left
Restraint
3-point

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 8 knots
Visibility
10 statute miles
Temperature
72 °F, dew point 57 °F
Altimeter
30.10 inHg
Observed at
KOPF, 9 nm away

Docket · 9

The files NTSB released with the investigation on October 1, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.9 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 N3015E · 2

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