ERA24LA198

NTSB accident investigation · Cessna 172 · Palatka, FL · April 29, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 29, 2024, 16:45 local (20:45 UTC)
Place
Palatka, FL · In a logged field
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N99442Cessna 172
Defining event
Approach: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Lycoming Engines
FAA report
20240429004359A
Case key
194187

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 failure of the nose oil seal to remain secure in the engine crankcase, which resulted in a loss of engine oil and partial 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.

Engine (reciprocating): recip eng oil sysAircraft › Aircraft power plant · Fatigue/wear/corrosionCessna 172P: 1 caseAll aircraft: 130 casesProbable cause
AircraftAircraft › Aircraft power plant · FailureCessna 172P: 2 casesAll aircraft: 151 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 when attempting to climb from his cruise altitude to an altitude at which he could begin a practice approach, the engine began to run rough and climb performance deteriorated. He discontinued the practice approach and turned direct to the airport; checking his instruments, he saw that the engine oil pressure was low and "in the red.” While proceeding to the airport, the engine performance continued to degrade, and the pilot was unable to maintain altitude. About 2 miles from the airport, the pilot realized he would not be able to make the runway and performed a forced landing in a field. The airplane sustained substantial damage to the fuselage during the landing. Postaccident examination of the engine found the nose oil seal was protruding about 3/8 inch out of the recess in the crankcase, which allowed engine oil to be expelled from the crankcase and resulted in the loss of oil pressure. The crankshaft main journals and bearings and the rod journals and bearings exhibited light scoring. This was likely due to the lack of oil for lubrication and resulted in the power loss that the pilot experienced as the journals and bearings began to overheat. The engine had been operated for about 6,089 hours during the 19-year period since its last overhaul. The engine manufacturer recommended overhaul at 12 years or 2,000 hours of operation, whichever occurred first. Had the engine been overhauled in accordance with the engine manufacturer’s recommendations the nose oil seal would have been replaced, and it is likely that it would have remained secure.

Factual narrative

On April 29, 2024, about 1645 eastern daylight time, a Cessna 172P, N99442, was substantially damaged when it was involved in an accident near Palatka, Florida. The commercial pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he was about to begin a practice instrument approach and was near the initial approach fix for the RNAV RWY 9 instrument approach to Palatka Municipal Airport (28J), Palatka, Florida. In preparation for the approach, he added power to climb from 2,500 ft mean sea level (msl) to 3,000 ft msl. Shortly after adding full power the engine began to run rough and climb performance was less than expected. He surveyed the engine instruments and noticed that the oil pressure was reading low (in the red), and that the engine was only producing partial power. Unable to maintain altitude, the pilot abandoned the practice approach and attempted to fly directly to the runway, which was about 10 miles away. He reported that about 2 miles short of the runway his altitude was about 500 ft msl, so he elected to make an off-airport landing in a field that had recently been logged. The airplane came to rest upright on rough terrain in a field of tall grasses and sapling pine trees. Postaccident examination of the airplane by a Federal Aviation Administration (FAA) inspector found substantial damage to the fuselage. The FAA inspector also reported that both wing fuel tanks were full of fluid consistent with 100 LL aviation fuel, and when sampled, no water was observed in either wing fuel tank. Further examination of the airframe found control continuity from all flight control surfaces to the flight controls in the cockpit. The fuel strainer screen was removed and examined. The screen was unobstructed and showed minimal organic debris. Postaccident examination of the engine found oil on the upper and lower surfaces of the crankcase, the surface forward of the forward engine baffles, and on the interior of the lower cowling. Epoxy sealant was found smeared on the upper area where the two crankcase halves met. The propeller was removed, and the crankcase nose oil seal was found protruding about 3/8 inch from its recess in the crankcase nose. Sealant material was observed smeared on the forward surface of the nose oil seal. About 2 quarts of oil was drained from the engine. The faces of all four hydraulic tappet bodies in the right crankcase half exhibited significant corrosion pitting. The faces of three of the four hydraulic tappet bodies in the left crankcase half exhibited significant corrosion pitting. The crankcase was split to facilitate further examination. The crankshaft main journals and rod journals exhibited light scoring. The crankshaft main bearings and the rod bearings also exhibited light scoring. Review of maintenance records showed the engine had accumulated 20.3 hours of time in service since the last 100-hour inspection. The records alsoshow the engine had accumulated 6,089 hours and 19 years of time in service since it was overhauled. Lycoming Service Instruction 1009BE states: “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.” Service Instruction 1009BE also specifies the operating hour time between overhaul periods as 2,000 hours for the make and model engine. The owner/operator of the airplane failed to respond to questions about the maintenance and condition of the engine, and specifically about why it had not been replaced or overhauled.

Aircraft

Registration
N99442
Reported as
Cessna 172 (P)
Category
Airplane
Serial number
17276447
Built
1985
Airframe hours
24,413.2
Engine
Lycoming O-360-A4A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Florida Aviation Career Training Inc
Registered owner
Florida Aviation Career Training Inc
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · April 15, 2024 · 20.3 hours before
Departed
SGJ · Saint Augustine, FL
Destination
28J · Palatka, FL
Airport
28J · Palatka Muni - Lt Kay Larkin Fld
Equipment
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
23
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
April 27, 2023
Seat
Left
Restraint
3-point
Flight hours
249 total · 64 in this make and model · 138 as pilot in command · 6 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 14 knots
Visibility
10 statute miles
Lowest ceiling
7,000 ft broken
Temperature
81 °F, dew point 63 °F
Altimeter
30.04 inHg
Observed at
28J, 2 nm away
METAR
K28J 292055Z AUTO 11014KT 10SM SCT055 BKN070 27/17 A3004 RMK AO2

Docket · 8

The files NTSB released with the investigation on June 4, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.8 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.