ERA23LA197

NTSB accident investigation · Cessna 177RG · Crestview, FL · April 14, 2023

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
April 14, 2023, 14:40 local (19:40 UTC)
Place
Crestview, FL · Clearing in Forest
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7542VCessna 177RG
Defining event
Approach-IFR initial approach: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA / FSDO, Textron Aviation, Lycoming Engines
FAA report
20230414014609A
Case key
107067

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 total loss of engine power due to the loosening and separation of the No. 1 connecting rod cap nuts in flight, resulting in catastrophic internal engine damage. Contributing to the accident was the pilot/owner’s failure to comply with the engine manufacturer’s service instruction on engine overhaul intervals.

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Not serviced/maintainedCessna 177RG: 6 casesAll aircraft: 373 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · PilotCessna 177RG: 2 casesAll aircraft: 320 casesProbable cause
Misc hardware: fastenersAircraft › Fluids/misc hardware · Not inspectedCessna 177RG: 1 caseAll aircraft: 58 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 pilot reported that, during a flight in visual conditions, he heard a “boom” from the propeller hub. The propeller immediately began to oscillate and shudder violently, accompanied by severe engine vibration and oil loss. He shut the engine down and executed a forced landing to a field that resulted in structural damage to the airplane. The pilot sustained serious injuries. A teardown examination of the engine after recovery of the wreckage revealed that the No. 1 connecting rod cap separated from the rod during flight, resulting in catastrophic engine damage. Damage to the rod cap bolts and nuts was consistent with the nuts loosening and backing out over time. There was no evidence of heat distress on the affected parts. A review of the aircraft maintenance logbooks revealed that the last overhaul of the engine was performed more than 30 years before the accident. A service instruction issued by the engine manufacturer instructs all engine models to be overhauled within twelve calendar years of the date they first entered service or of the last overhaul.

Factual narrative

On April 14, 2023, about 1440 eastern daylight time, a Cessna 177RG, N7542V, was substantially damaged when it was involved in an accident near Crestview, Florida. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he departed Destin Executive Airport (DTS), Destin, Florida, to practice RNAV and ILS approaches in visual flight rules conditions at the Bob Sikes Airport (CEW), Crestview, Florida. The airplane departed DTS and flew toward CEW without incident; however, shortly after the pilot was cleared for his first practice approach, he heard a “boom” from the propeller hub. The propeller immediately began to shudder violently and oscillate in a semi-oval pattern. The fuselage also began to vibrate intensely, and the pilot observed oil on the propeller hub, which subsequently coated the windshield and impaired visibility. The pilot elected to shut down the engine and identified a field for a forced landing; however, as he approached the field he noticed obstacles and a marsh. He kept the landing gear retracted and landed in an area of cut trees. After touchdown, the airplane slid approximately 100 ft before coming to a stop. An inspector with the Federal Aviation Administration responded to the accident site and examined the wreckage. The engine firewall was buckled, with complete structural failure at the engine mounts. The left, outboard wing section was bent upward, and the vertical stabilizer leading edge and horizontal stabilator were buckled. There was damage to the lower fuselage and the landing gear was completely retracted. Oil was present in the engine; however, the engine was tilted forward in the mount so an accurate quantity could not be established. There was evidence of oil leakage on the right side of the aircraft. The wreckage was recovered to a storage facility where an additional examination was performed. During the engine examination, the propeller was rotated manually through 90° of travel before it stopped and could not be rotated further. The oil suction screen contained about a teaspoon of metallic flakes, and metal particles were present throughout the pleats of the oil filter element. The No. 3 cylinder was removed and the No. 3 connecting rod beam was cut to gain access to the rear portion of the engine interior. Damage to the cylinder skirts of the Nos. 1, 2, and 4 cylinders prevented their removal. The No.1 cylinder barrel was cut and the cylinder removed from the engine. The No.1 connecting rod was found separated from the No.1 crankshaft rod journal and damaged from impact with the internal engine components. The No.1 rod cap was found to be damaged and found inside the engine crankcase. Two portions of the No.1 connecting rod were also found inside the crankcase with rod bolt holes. Both rod bolt threaded ends were found in the crankcase. No rod nuts were observed on the threaded ends. A portion of a threaded rodnut was observed inside the crankcase. Fragments of the No.1 rod bearings were found inside the crankcase. The No.1 crankshaft rod journal did not exhibit scoring or discoloration consistent with overheating. No indications of overheating of the other rod journals or crankshaft journals were observed. A review of the aircraft maintenance logbooks revealed that, as of the last annual inspection on September 16, 2022, the engine had accumulated 1,624.61 hours since its last overhaul. The pilot, who owned the airplane, purchased it on September 10, 2021. That overhaul was completed on February 28, 1993, more than 30 years before the accident. According to Lycoming Service Instruction No. 1009BE, dated April 24, 2020, “all engine models are to be overhauled within twelve (12) calendar years of the date they first entered service or of last overhaul. This calendar year time period TBO is to mitigate engine deterioration that occurs with age, including corrosion of metallic components and degradation of non-metallic components such as gaskets, seals, flexible hoses and fuel pump diaphragms.”

Aircraft

Registration
N7542V
Reported as
Cessna 177RG
Category
Airplane
Serial number
177RG0839
Built
1976
Airframe hours
3,596.54
Engine
Lycoming IO-360-A1B6D, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 16, 2022 · 60 hours before
Departed
DTS · Destin, FL
Destination
CEW · Crestview, FL
Equipment
Onboard weather, Heads up display, Electronic primary flight display, Electronic multifunction display, Satellite tracking device, Electronic flight bag or handheld device, Stall warning system, Auto-pilot, Angle of attack indicator, 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
54
Injuries
Serious
Certificates
Commercial, Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
February 5, 2023
Seat
Left
Restraint
3-point
Flight hours
467 total · 86 in this make and model · 379 as pilot in command · 26 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 55 °F
Altimeter
29.91 inHg
Observed at
KCEW, 4 nm away
METAR
KCEW 141953Z AUTO VRB05KT 10SM CLR 26/13 A2991 RMK AO2 SLP124 T02610128

Docket · 11

The files NTSB released with the investigation on May 8, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 17.2 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.