ERA25LA052

NTSB accident investigation · Cessna 172S · Chattanooga, TN · November 19, 2024

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
November 19, 2024, 18:51 local (23:51 UTC)
Place
Chattanooga, TN
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N951JACessna 172S
Defining event
Initial climb: Loss of engine power (partial)
Weather
Instrument (IMC) · Day
Status
Completed · report August 19, 2026
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Hartzell Engine Tech
FAA report
20241119018649A
Case key
195525

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

A partial loss of engine power due to a fouled spark plug in engine’s the No. 4 cylinder. Contributing was the flight instructor’s failure to maintain aircraft control during an attempted go-around following an unsuccessful landing approach in IMC, which resulted in an aerodynamic stall and impact with terrain.

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.

Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 172S: 13 casesAll aircraft: 990 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotCessna 172S: 206 casesAll aircraft: 9,295 casesProbable cause
Ignition system: spark plugs/ignitersAircraft › Aircraft power plant · Damaged/degradedCessna 172S: 1 caseAll aircraft: 38 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 receiving instruction from the flight instructor in preparation for the pilot’s instrument practical test. Shortly after departing on the flight, and while in instrument meteorological conditions (IMC), the pilot noted that the engine’s rpm decreased to 2,300, so he declared an emergency and requested to return to the departure airport. The air traffic controller provided the pilot with radar vectors to land, but once he and the flight instructor visually acquired the runway, the airplane was near its mid-point and the airplane was flying too fast to land. Because the engine was still producing power, the flight instructor took control of the airplane and performed a go-around. After the flight instructor initiated a climb the airplane’s airspeed began to decrease as she tried to turn back toward the runway. During this maneuvering, the pilot and flight instructor stated that the engine lost power completely and the airplane’s airspeed decreased to 40 knots. The airplane then descended nose down into trees and impacted the ground. Review of data recorded by the airplane’s primary and multifunction flight displays revealed that although the pilots perceived a progressive loss of engine power after takeoff, the airplane’s engine continued to produce power throughout most of the flight and during the attempted go-around. Specifically, the recorded data showed that the engine rpm remained generally between 2,200 and 2,300 rpm (the maximum rpm for this engine was 2,700) following the initial reported power loss, and that the engine power had increased to about 2,135 rpm during the go-around attempt. Oil pressure, fuel flow, and other engine parameters were generally consistent with the recorded engine power output. Postaccident examination of the engine revealed several discrepancies, including anomalies associated with the recently overhauled right magneto, a lead-fouled No. 4 spark plug, (a small piece of metal was found wedged between the center electrode and prongs), and evidence of heat distress and wear in the No. 4 cylinder. Follow-on testing of the magneto and fuel servo did not reveal any evidence of any conditions that would have prevented normal engine operation, and there was no evidence of a catastrophic engine failure. These findings, along with the recorded data, suggest that while engine performance was degraded, there was not a complete loss of engine power as reported by both pilots. The flight data also showed that following the go-around, the airplane entered a climbing left turn while the airspeed steadily decreased. Over the final seconds of recorded data, the engine rpm remained near 2,150 rpm while the airplane's pitch attitude increased and the airspeed decayed to approximately 40 knots. Based on the available evidence, the partial loss of engine power initially observed by the pilots was the result of the lead fouled spark plug. The pilot subsequently conducted a precautionary landing approach in IMC that didnot place the airplane in a position where it could land safely. The reduction in engine performance due to the fouled spark plug most likely increased the challenge of executing the subsequent go-around, but the recorded data indicated that a loss of control and subsequent aerodynamic stall resulted primarily from the decaying airspeed and increasing pitch attitude rather than a total loss of engine power.

Factual narrative

On November 19, 2024, at 1851 eastern standard time, a Cessna 172S, N951JA, sustained substantial damage when it was involved in an accident near Chattanooga, Tennessee. The flight instructor was not injured and the private pilot sustained minor injuries. The flight was conducted as a Title 14 Code of Federal Regulations Part 91 instructional flight. The private pilot was receiving instruction in preparation for his instrument rating practical test. He conducted a preflight inspection and engine run-up, including a check of each magneto, prior to departure and no anomalies were noted. The private pilot said that shortly after takeoff from runway 20 at Lovell Field Airport (CHA), Chattanooga, Tennessee, the engine’s rpm dropped to 2,300 rpm. He declared an emergency with air traffic control (ATC) and advised they were in instrument meteorological conditions (IMC) and needed to return to land. The air traffic controller provided the pilot with radar vectors to land on runway 2, but once he and the flight instructor visually acquired the runway, the airplane was too fast, so they executed a go-around to avoid trees. The private pilot said that as the airplane climbed above the trees, the engine lost total power, and their only option was an off-airport landing to a road. During the landing, the airplane struck trees and came to rest on the side of the road resulting in substantial damage to both wings and the fuselage. There was no postimpact fire. The flight instructor said that when the private pilot declared an emergency the engine instruments were in the “green” and engine rpm was about 2200 to 2300 rpm. Air traffic control began to vector them to runway 33, but they took a wrong turn, and they were then vectored to runway 2; however, they were in IMC which made it hard to see the runway. The instructor said that when they turned on final approach to the runway, they could not see the runway environment until they were halfway down the runway. At that time, the airplane was flying too fast. She took control of the airplane, and added full power to go-around since the engine still “had some power left.” The instructor initiated a climb, but the airplane’s airspeed began to drop as she tried to turn back toward the runway. The instructor said, “this is when the engine quit” and the airplane’s airspeed dropped to 40 knots. The airplane descended nose down into trees and impacted the ground. The airplane was equipped with a Garmin G-1000 primary and multi-function flight displays, which recorded flight and engine performance data. The data revealed the airplane departed runway 20 at 1840:10, at a power setting of 2,500 rpm (maximum engine rpm for this airplane was 2,700 rpm). The cylinder head temperature (CHT) of the No. 4 cylinder began to rapidly increase after takeoff. Around 1841, engine rpm fluctuated between 2,200 to 2,300 rpm as the airplane was being vectored to runway 33. At 1849:20, as the airplane was attempting to land, engine powerdecreased to about 963 rpm. At 1850:00, engine rpm suddenly increased to about 2,135 rpm, the airplane began to climb, and it turned to the northwest. Over the next 46 seconds, engine rpm remained between 2,000 at 2,150 rpm; however, the airplane’s pitch attitude increased and the indicated air speed dropped to about 40 knots before the data ended at 1850:56. Postaccident examination of the engine revealed no evidence of catastrophic failure. The propeller was manually rotated, and compression/valve train continuity were established on each cylinder. Continuity was also established to the accessory section. Both magnetos were properly timed in accordance with the engine data plate. After removal of both magnetos, it was determined the right magneto impulse coupling was binding at the latching end of the pawls and stop-pin where normal force should have released the latching end of the pawl. Additionally, the nut on the magneto rotor shaft was only finger tight with the cotter pin installed. The magneto, which had been recently overhauled, was installed on the engine the same day of the accident flight. According to the installation manual, the nut on the magneto rotor shaft should have been torqued to 120-320 in/lbs. The magneto was retained and shipped to the manufacturer for testing. The body of the impulse coupling was removed, and the spring was found to be distorted. The spring was not engaged with the slot of the hub; however, it was still able to rotate normally. An exemplar spring and hub were mounted on the magneto and attached to the test bench. The magneto was tested up to 2,700 rpm with normal spark between all gaps. No anomalies were noted. The magneto was removed from the test bench and re-fitted with the accident spring and hub. There was no audible impulse action when turned by hand. The magneto was attached to the test bench and was tested up to 2,700 rpm with normal spark and no anomalies noted. The reason for the spring distortion could not be determined, and the binding of the impulse coupling could not be duplicated. Internal timing of the magneto was checked and found within specifications. The spark plugs were removed and displayed various levels of wear. A small piece of metal was found wedged between the center electrode and prongs on the No. 4 cylinder’s bottom plug. The spark plugs were examined at the NTSB Materials Laboratory, and the metal particle wedge in the No. 4 bottom plug was determined to consist primarily of lead. Resistance measurements were also taken on each of the spark plugs to see if there was a short circuit between the two electrodes. The center electrode resistance measurements were all nominally around 1 kohm. This resistance was within the manufacturer’s acceptable resistance range. The center electrode to ground electrode resistance measurements were all above 11 Gohm (the meter’s maximum reading) indicating that there was no electrical path between the electrodes. Only the bottom spark plug forcylinder No. 4 had a lower resistance of approximately 100 Mohm indicating that there was an electrical path between the two electrodes. A review of the engine maintenance log revealed that the spark plugs were last “removed, inspected/cleaned, and re-installed” on October 17, 2024, at the airplane’s last 100-hr inspection, about 87 hrs. prior to the accident. The fuel manifold, respective fuel injector lines, and fuel injector nozzles were removed and found absent of any debris. The fuel injector servo remained installed and undamaged to the bottom of the engine. The fuel injector servo was sent to the manufacturer for testing. The fuel injector servo was flow tested, and the results were within service limits. The unit was disassembled and no mechanical anomalies were observed that would have precluded normal operation. All four of the engine cylinders were removed and displayed a lack of combustion residue within their respective combustion chambers. The tops of all four pistons lacked combustion residue. During the removal of the No. 4 cylinder, the piston pin plug was difficult to remove and heat discoloration was evident on the small end of the connecting rod, piston pin, and piston pin plugs. Similar discoloration of the piston pin and small end of the connecting rod of the No. 2 cylinder was observed. The piston for the No. 4 cylinder displayed signatures of metal erosion and the oil control ring was partially seized. The engine oil filter contained minor non-metallic metal debris. The oil suction screen was absent of debris. According to the airplane’s Before Takeoff Checklist, a functional test of the ignition system is to be performed by switching between the individual magnetos from the “both” position on the ignition switch. The checklist stated to bring the throttle to 1,800 rpm and check each magneto position for a maximum drop of 150 rpm, and a maximum difference of 50 rpm between the left and right magneto. Both pilots said that they tested the magnetos prior to takeoff and both were within limitations. A review of the engine operation manual stated that to conduct a proper check of the magnetos, the pilot should increase engine power to 1,800 rpm, and “Switch from both magnetos to one and note the drop off; return to both until engine regains speed and switch to the other magneto and note the drop off, then return to both. Drop-off must not exceed 175 rpm and must not exceed 50 rpm between magnetos.” Review of the G-1000 engine data revealed that engine power was increased prior to takeoff to about 1,800 rpm; however, the data was unclear if the private pilot or instructor allowed the engine rpm to stabilize during the magneto check to get an accurate measurement.

Aircraft

Registration
N951JA
Reported as
Cessna 172S
Category
Airplane
Serial number
172S10496
Built
2007
Airframe hours
14,523
Engine
Lycoming IO-360-L2A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 17, 2024 · 87 hours before
Destination
Same as departure
Flight plan
IFR
Airport
CHA · Lovell Fld
Equipment
Stall warning system, ADS-B, Electronic multifunction display, Electronic primary flight display

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
Pilot
Age
51
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
January 23, 2023
Seat
Left
Restraint
3-point
Flight hours
287.8 total · 279.6 in this make and model · 203.8 as pilot in command · 27.5 in the last 90 days · 5.7 in the last 30 days · 0 in the last 24 hours
Role
Flight instructor
Age
27
Injuries
None
Certificates
Private, Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
April 18, 2024
Seat
Right
Restraint
3-point
Flight hours
811.4 total · 421.4 in this make and model · 710.5 as pilot in command · 201.9 in the last 90 days · 59 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
110° at 3 knots
Visibility
1.25 statute miles
Lowest ceiling
1,400 ft overcast
Temperature
64 °F, dew point 63 °F
Altimeter
29.82 inHg
Observed at
KCHA, 1 nm away
METAR
KCHA 192318Z 11003KT 1 1/4SM -RA BR SCT006 SCT010 OVC014 18/17 A2982 RMK AO2 P0002 T01780167

Docket · 20

The files NTSB released with the investigation on August 19, 2026, on NTSB’s docket system: statements, records, photos and specialists’ reports. 25.9 MB in all.

Pilot/operator aircraft accident report, NTSB form 6120.1Item 1 · PDF · 9 pages · 10.5 MBWritten statement - CFIItem 2 · PDF · 2 pages · 199 KBWritten statement - pilot receiving instructionItem 3 · PDF · 3 pages · 2.0 MBInvestigation photosItem 4 · PDF · 3 pages · 2 photos · 1.0 MBRadar plot - accident flightItem 5 · PDF · 1 page · 2.6 MBFAA air traffic control factual report - excerptItem 6 · PDF · 1 page · 57 KBFAA - initial engine exam reportItem 7 · PDF · 2 pages · 226 KBNTSB - engine examination reportItem 8 · PDF · 8 pages · 1.8 MBEngine maintenance records - excerptsItem 9 · PDF · 3 pages · 2 photos · 293 KBNTSB materials lab reportItem 10 · PDF · 9 pages · 1.7 MBCockpit display - recorded flight data - specialist's factual reportItem 11 · PDF · 10 pages · 2.7 MBAttachment 1 to cockpit display - recorded flight data - specialist's factual reportItem 12 · CSV · 324 KBNTSB mor- RH magneto examinationItem 13 · PDF · 1 page · 83 KBHartzell - RH magneto summary of examination reportItem 14 · PDF · 3 pages · 61 KBNTSB mor - fuel servo examination reportItem 15 · PDF · 2 pages · 1.1 MBExcerpt from Lycoming O-360 operator's manualItem 16 · PDF · 1 page · 107 KBExcerpt from Cessna 172S POHItem 17 · PDF · 1 page · 113 KBStatement of party representatives to NTSB investigationItem 18 · PDF · 11 pages · 535 KBRelease of aircraft wreckage, NTSB form 6120.15Item 19 · PDF · 1 page · 125 KBNTSB evidence control formsItem 20 · PDF · 4 pages · 348 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.