FTW94FA034

NTSB accident investigation · Cessna 172N · Fort Collins, CO · November 15, 1993

Accident · Serious injuriesField investigationFinal report
Date
November 15, 1993, 12:15 local (19:15 UTC)
Place
Fort Collins, CO
Injuries
1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N4829ECessna 172N
Weather
Visual (VMC) · Day
Status
Completed · report August 1, 1994
Report
Approved by Office Director
FAA report
19931115042889A
Case key
18869

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

Power loss due to throttle linkage disconnect. Factors were missing cotter key, improper maintenance, and the lack of suitable terrain for the forced landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - nonmechanicalTakeoff - initial climb
Throttle/power lever,linkage - not safetiedFactor
Throttle/power lever,linkage - separationCause
Maintenance,installation - improperCompany maintenance personnelFactor
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - none suitableFactor
Terrain condition - ditch
Terrain condition - slush covered
Terrain condition - icy

Analysis

The student pilot made a forced landing after a total power loss shortly after takeoff. Engine examination revealed the cotter pin that fitted into the locking nut on the throttle lever was missing. The throttle lever serrated surfaces were not meshed and were riding on top of each other. The throttle valve was closed because the throttle opening spring, designed to fully open the throttle in case of throttle lever or cable separation, was broken. Three days before the accident, the throttle shaft was removed and inspected for wear. The mechanic said he was 'almost sure' he inserted the cotter pin when he reinstalled the carburetor. This was the first flight after the maintenance was performed.

Factual narrative

History of flight

On November 15, 1993, approximately 1215 mountain standard time, a Cessna 172N, N4829E, was destroyed during a forced landing in a field near Fort Collins, Colorado, after the engine lost power. The pilot was seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed for the instructional flight.

The following is based on interviews with the pilot and the Pilot/Operator Report. This was to be a student solo flight to the Fort Collins-Loveland Airport for touch-and-go landing practice. After takeoff, he made a right 30 degree crosswind noise abatement turn at an altitude between 800 and 1,000 feet above ground level (AGL), engine power decreased to idle. The pilot declared an emergency, attempted to troubleshoot the problem, then committed himself to a forced landing on a snow and ice-covered field. Braking action was nil and the airplane went down a hill and collided with an irrigation ditch.

Tests and research

During an examination of the airplane, the following was revealed: A cotter pin (p/n 82-14, ref. no. 51) that fits into the lock nut (p/n 81-311, ref. no. 49) on the throttle lever (p/n 12-B57, ref. no. 2) was missing. The serrated surfaces of the throttle lever were not meshed and were riding on top of each other. The throttle valve (p/n 14-190, ref. no. 4) was closed because the throttle opening spring (p/n 24-A10, ref. no. 24), designed to fully open (page number. 11-42) was broken.

The following entry was made in the airplane's Maintenance Discrepancy Log: "11/12/93 DISCREPANCY: Throttle shaft loose. REPAIRED OR DEFERRED: Removed carburetor and removed throttle

shaft from carburetor to inspect for wear. New throttle shaft and bushings on order. Reinstalled throttle shaft with proper torque and safety. Reinstalled carburetor on aircraft. Removal and installation done in accordance with Cessna Service Manual 11-42." Similar entries were made in the airframe and engine logbooks. At the time the work was performed, the airplane;'s total time in service and tachometer reading was 4148.5. At the accident site, the tachometer read 4148.5.

The airplane mechanic was asked if he recalled installing the cotter pin in the throttle lever lock nut. He answered, "I'm almost sure I did."

Aircraft

Registration
N4829E
Reported as
Cessna 172N
Category
Airplane
Serial number
17271668
Airframe hours
4,149
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Registered owner
Northern Colorado Air Charter
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 28, 1993 · 87 hours before

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
25
Certificate
Student
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
29 total · 29 in this make and model · 7 as pilot in command · 29 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
25 °F, dew point 23 °F
Altimeter
30.00 inHg
Observed at
FNL, 6 nm away

FAA reports on this event · 1

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

Other investigations on N4829E · 1

Matched to the same aircraft by N-number and date.