ERA20LA047

NTSB accident investigation · Cessna 172 · Potts Camp, MS · December 4, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
December 3, 2019, 21:30 local (Dec 4, 2019, 03:30 UTC)
Place
Potts Camp, MS
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N2876QCessna 172
Defining event
Enroute-cruise: Fuel related
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20191203022159A
Case key
100652

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot’s delayed use of carburetor heat, which resulted in carburetor icing and a subsequent total loss of engine power.

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.

Action: delayed actionPersonnel issues › Action/decision · PilotCessna 172L: 2 casesAll aircraft: 894 casesProbable cause
Ice/rain protection system: intake anti-ice, deiceAircraft › Aircraft systems · Not used/operatedCessna 172L: 1 caseAll aircraft: 108 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentCessna 172L: 1 caseAll aircraft: 435 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

The pilot was conducting a flight at night when, about 20 minutes after departure, there was a total loss of engine power. He declared an emergency with air traffic control and was given radar vectors by the controller to a nearby airport, which was directly ahead of the airplane and 17 miles away. After the pilot established best glide speed and performed the emergency checklist, which included activating carburetor heat, the engine briefly restarted but lost total power a second time. The pilot then maneuvered the airplane for a forced landing on a highway. During touchdown, the airplane bounced, flipped over, and came to rest inverted, which resulted in the pilot’s serious injuries and substantial damage to the airplane. Postaccident examination of the engine and associated components revealed no mechanical malfunctions or failures that would have precluded normal operation; adequate fuel was onboard, and no contamination was discovered. The carburetor heat control was found in the ON position. The weather conditions at the time of the accident were conducive to the accumulation of serious carburetor icing at cruise power. Although the pilot reported performing the emergency checklist, which included applying carburetor heat, it was applied sometime after the initial loss of power. The accumulation of ice in the carburetor was likely sufficient to prevent the continued operation of the engine. The loss of engine power may have been prevented had the pilot preemptively activated carburetor heat.

Factual narrative

On December 3, 2019, about 2130 central standard time, a Cessna 172L N2876Q, was substantially damaged when it was involved in an accident near Potts Camp, Mississippi. The private pilot sustained serious injuries. The airplane was registered to and operated by the pilot under the provisions of Title 14 Code of Federal Regulations as a Part 91 personal flight. The pilot reported that he conducted an instructional flight with a flight instructor earlier during the day and flew 1.5 hours from Olive Branch Airport (OLV) Olive Branch, Mississippi, to Tupelo Regional Airport (TUP) Tupelo, Mississippi. He then returned to OLV, where they landed about 1400 and “topped off” the fuel tanks with 12.8 gallons of 100 low-lead aviation fuel, which brought the total to about 40 gallons. The previous flight was unremarkable with no engine indications or anomalies noted. Several hours later, the pilot conducted a night solo flight about 1900. After departure, he flew to McKellar-Sipes Regional Airport (MKL), Jackson, Tennessee, and conducted some sightseeing; then he proceeded to TUP, where he performed a touch-and-go landing before returning to OLV at a cruise altitude of 3,000 ft mean sea level. There were no indications or anomalies noticed during the flight until the engine experienced a total loss of power about 20 minutes after departing TUP and about 2 hours since departing from OLV. He declared an emergency with Memphis air traffic control. The pilot successfully restarted the engine by establishing best glide speed and performing the emergency checklist, which included activating carburetor heat; the responding controller provided heading and distance to Holly Springs-Marshall County Airport (M41) Holly Springs, Mississippi, which was at 12 o’clock and 17 miles. The pilot acknowledged and informed the controller that he would head to M41 if his engine continued to operate, but it failed a second and final time about 5 minutes after restart. The controller asked the pilot if he was familiar with highway 78, which the pilot acknowledged and reported the highway was in sight. He also informed the controller that his carburetor heat was “all the way out.” During approach to the highway, the airplane cleared a bridge, but the airspeed was degrading, and he was not sure if he would clear the second bridge. He decided to land on the left side of the road prior to the second bridge and attempted to avoid a concrete structure; however, during the landing, the airplane bounced then struck terrain before flipping over and coming to rest inverted. Examination by a Federal Aviation Administration (FAA) inspector revealed that the airplane was substantially damaged during the impact. Both wings were deformed, and the right wing was folded down about 12 inches outboard of the wing strut, damaging the wing spar. The nose landing gear was sheared off and there was damage to the bottom of the engine compartment and multiple buckles in the airframe. The two-blade metalpropeller was undamaged, and the spinner was crushed uniformly. In addition, about 18 gallons of fuel was recovered from the airplane (13 gallons in the left tank and 5 gallons in the right tank and fuel was observed in the fuel bowl). A more comprehensive examination confirmed crankshaft continuity through 720° of rotation, with observed thumb compression on all cylinders. All spark plugs were removed and examined; they all exhibited normal wear and were light gray in color when compared to the Champion Check-A-Plug Chart. About 6 quarts of oil was observed in the engine and the oil filter presented no evidence of foreign material or blockages. Both left and right magneto input drives were rotated and produced spark on all towers. Fuel was observed in the gascolator and carburetor and no anomalies were observed in the functionality of the carburetor or fuel accelerator pump. No water was detected in any of the systems. The fuel selector functionality was confirmed. The carburetor heat control was in the ON position and remained attached to the carburetor heat box. The examination of the wreckage and engine revealed no evidence of any preimpact mechanical anomalies that would preclude normal engine operation or airplane performance. According to the FAA Special Airworthiness Information Bulletin (SAIB) CE-09-35 Carburetor Icing chart, weather conditions at the time of the accident were conducive to the formation of serious carburetor icing at cruise power settings. Special Airworthiness Information Bulletin (CE-09-35) – Carburetor Icing Prevention, stated that: …pilots should be aware that carburetor icing doesn't just occur in freezing conditions, it can occur at temperatures well above freezing temperatures when there is visible moisture or high humidity. Icing can occur in the carburetor at temperatures above freezing because vaporization of fuel, combined with the expansion of air as it flows through the carburetor, (Venturi Effect) causes sudden cooling, sometimes by a significant amount within a fraction of a second. Carburetor ice can be detected by a drop in rpm in fixed pitch propeller airplanes and a drop in manifold pressure in constant speed propeller airplanes. In both types, usually there will be a roughness in engine operation.

Aircraft

Registration
N2876Q
Reported as
Cessna 172 (L)
Category
Airplane
Serial number
17259876
Built
1971
Airframe hours
3,778.4
Engine
Lycoming O-320-E2D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · October 13, 2019 · 10 hours before
Departed
TUP · Tupelo, MS
Destination
OLV · Olive Branch, MS
Flight plan
VFR
Equipment
Onboard weather, Electronic flight bag or handheld device, Auto-pilot, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
60
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed, Without waivers/limitations
Last flight review
October 3, 2019
Seat
Left
Restraint
Lap only
Flight hours
530 total · 348 in this make and model · 450 as pilot in command · 32.2 in the last 90 days · 16.1 in the last 30 days · 4.1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
41 °F, dew point 37 °F
Altimeter
29.91 inHg
Observed at
OLV, 31 nm away
METAR
METAR KOLV 040255Z AUTO 00000KT 10SM CLR 05/03 A2991 RMK A01=

Docket · 9

The files NTSB released with the investigation on March 28, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 380 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.