ERA21LA359

NTSB accident investigation · Cessna 172S · Venice, FL · September 9, 2021

Accident · No injuriesClass 4 · LimitedFinal report
Date
September 9, 2021, 09:30 local (13:30 UTC)
Place
Venice, FL · Past departure end rwy 23 at VNC
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N782JACessna 172S
Defining event
Approach-IFR final approach: Powerplant sys/comp malf/fail
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20210909013089A
Case key
103865

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

Maintenance personnel’s failure to use the correct throttle linkage hardware when reinstalling the engine, resulting in a disconnection of the throttle during flight.

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 fuel and control: fuel controlling systemAircraft › Aircraft power plant · Incorrect service/maintenanceCessna 172S: 1 caseAll aircraft: 59 casesProbable cause
Maintenance: replacementPersonnel issues › Task performance · Maintenance personnelCessna 172S: 1 caseAll aircraft: 70 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 reported that, during the descent for landing, the engine did not respond when he attempted to level off and increase power. Further attempts to adjust the throttle were unsuccessful and engine rpm remained at 1,900. As the airplane was over the runway, the pilot was unable to slow it down, so he forced the nose down onto the grass that was beyond the runway end. After the airplane touched down, it bounced twice, collided with a fence, and nosed over. The airplane was substantially damaged and the pilot and passenger were unhurt. The Federal Aviation Administration inspector who responded to the scene confirmed the substantial damage and found that the connecting hardware for the linkage between the fuel injector servo and the throttle cable were missing. The missing bolt, washer, and nut were subsequently found loose, inside the engine cowling; however, the nut was inconsistent with the nut required by the aircraft illustrated parts manual. The engine had been overhauled and reinstalled about 50 operating hours before the accident.

Aircraft

Registration
N782JA
Reported as
Cessna 172S
Category
Airplane
Serial number
172S10560
Built
2007
Airframe hours
11,298
Engine
Lycoming IO-360-L2A, 180 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Florida Flight Training Center
Registered owner
Florida Flight Training Center
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 16, 2021 · 50 hours before
Flight plan
IFR
Airport
VNC · Venice Muni, runway 05/23, 5,000 × 150 ft, asphalt
Equipment
Electronic primary flight display, Electronic multifunction display, Electronic flight bag or handheld device, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
22
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
April 6, 2021
Seat
Left
Restraint
3-point
Flight hours
149 total · 86 in this make and model · 86 as pilot in command · 21 in the last 90 days · 18 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 11 knots
Visibility
8 statute miles
Lowest ceiling
3,900 ft broken
Temperature
86 °F, dew point 77 °F
Altimeter
29.98 inHg
Observed at
KVNC
METAR
KVNC 091355Z AUTO 24011KT 8SM SCT022 SCT029 BKN039 30/25 A2998 RMK AO2

Docket · 4

The files NTSB released with the investigation on April 28, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.8 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.