LAX02LA136

NTSB accident investigation · Cessna 172 · Lake Los Angele, CA · April 15, 2002

Accident · Minor injuriesLimited investigationFinal report
Date
April 14, 2002, 20:45 local (Apr 15, 2002, 03:45 UTC)
Place
Lake Los Angele, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N211CACessna 172
Weather
Visual (VMC) · Day
Status
Completed · report October 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20020414006039A
Case key
54514

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 reconditioned engine cylinder barrel failure due to previous rust damage and improper maintenance practices.

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(partial) - mech failure/malfCruise
Engine assembly,cylinder - fatigueCause
Engine assembly,cylinder - fracturedCause
Engine assembly,cylinder - separationCause
Maintenance,top overhaul - improperOther maintenance personnelCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency descent/landing
Terrain condition - ground

Analysis

An engine cylinder barrel failure occurred during cruise flight and the airplane force landed in unsuitable terrain causing substantial damage. The failed cylinder had been repaired by a Federal Aviation Administration Approved Repair Station, and had been installed 11 hours prior to the accident. Post accident examination revealed that the number 3 engine cylinder steel barrel had separated 360 degrees around its circumference. Close examination of the failed cylinder barrel revealed fatigue cracking originating from a rusty area on the cylinder barrel. Additionally, cooling fin rust damage had the appearance of having been profiled by filing or grinding.

Factual narrative

On April 14, 2002, about 2045 Pacific daylight time, a Cessna 172, N211CA, lost engine power and collided with the ground during an off airport forced landing at Lake Los Angeles, California. First Class Air Service, Van Nuys, California, operated the airplane under the provisions of 14 CFR Part 91. The private pilot and passenger both received minor injuries. The airplane was substantially damaged. Visual meteorological conditions prevailed at the departure point for the personal flight, and no flight plan had been filed. The flight originated at Apple Valley, California, about 2030, and was destined for Van Nuys.

Post accident examination of the engine revealed that the No. 3 engine cylinder steel barrel had separated 360 degrees around its circumference. Examination of maintenance records revealed replacement of the No. 3 cylinder and piston rings on March 24, 2002, at 3,930.36 recording tachometer hours. A Federal Aviation Administration Approved Repair Station had repaired the cylinder. The tachometer time at the accident site was 3,941.62. Close examination of the failed cylinder barrel revealed fatigue cracking originating from a rusty area on the cylinder barrel. Additionally, cooling fin rust damage had the appearance of having been profiled by filing or grinding.

Aircraft

Registration
N211CA
Reported as
Cessna 172
Category
Airplane
Serial number
17256543
Airframe hours
3,941
Engine
Lycoming O-320-D2G, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Frank N. Surfas
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 22, 2001 · 78 hours before
Departed
APV · Apple Valley, CA
Destination
VNY · Van Nuys, AZ

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
50
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
150 total · 30 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 43 °F
Altimeter
30.02 inHg
Observed at
PMD, 10 nm away

Docket · 1

The files NTSB released with the investigation on August 19, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 44 KB 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.