LAX03LA128

NTSB accident investigation · Cessna 172N · Anaheim, CA · April 5, 2003

Accident · No injuriesLimited investigationFinal report
Date
April 5, 2003, 13:27 local (21:27 UTC)
Place
Anaheim, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6272DCessna 172N
Weather
Visual (VMC) · Day
Status
Completed · report December 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030405004929A
Case key
56779

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

Failure of company maintenance personnel to correctly install and safety wire the oil drain plug, which led to a loss of engine oil and a catastrophic internal failure of the engine.

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) - mech failure/malfCruise - normal
Maintenance,installation - improperCompany maintenance personnelCause
Lubricating system,oil quickdrain/drain plug - not safetiedCause
Fluid,oil - leakCause
Fluid,oil - exhaustionCause
Engine assembly,bearing - overtemperature
Forced landingEmergency descent/landing
In flight collision with objectEmergency landing
Object - vehicle
Object - fence

Analysis

During cruise flight, the engine lost power and the airplane struck a car and then the right wing hit a fence during a forced landing on a freeway. The pilot had rented the airplane for a personal flight. There were no mechanical malfunctions noted on the first leg of the flight. On the second leg of the flight, the pilot noted a drop in engine power followed by a violent shaking of the airframe. The pilot set up for an emergency landing on the freeway. During landing, the airplane impacted a car, which the pilot had not noticed, and a fence. Post accident examination disclosed that oil covered the belly of the airplane and coated the inside of the engine compartment and nose wheel assembly. The engine sustained a catastrophic internal failure. The oil drain plug was missing. The investigation revealed that the engine had been overhauled 5 hours prior to the accident and then reinstalled by the operator's maintenance personnel. The oil drain plug is normally secured with safety wire. No safety wire remnants were found on the engine.

Factual narrative

On April 5, 2003, at 1327 Pacific standard time, a Cessna 172N, N6272D, lost engine power during cruise and made a forced landing on the 91 Freeway in Anaheim, California. Runway 3-7 operated the airplane under the provisions of 14 CFR Part 91. The airplane was substantially damaged. The private pilot and one passenger were not injured. Visual meteorological conditions prevailed for the local area flight. An instrument flight rules (IFR) flight plan had been filed. The flight originated from Brackett Field Airport (POC), La Verne, California, earlier that day. The return flight to POC departed from Santa Monica Municipal Airport (SMO), Santa Monica, California, at 1249.

According to an officer from the California Highway Patrol (CHP), the airplane struck a car and a median fence on the 91 Freeway between the 55 and 57 Freeways. He noted damage to the right wing and right horizontal stabilizer. The CHP officer further noted oil covering the belly of the airplane.

In the pilot's written statement, he stated he had rented the airplane for a personal flight. During the preflight inspection he noted that the tire pressure was low. The pilot taxied the airplane over to the fuel pit to put air in the tires. No further discrepancies were noted with the airplane. While at the fuel pit he filed an IFR flight plan to SMO with ground control. He stated that the flight to SMO was "uneventful." At SMO, he and his passenger tied the airplane down and went to lunch.

After lunch, he contacted SMO ground to obtain another IFR clearance back to POC. He stated that the flight was again "uneventful" until they were just east of Disneyland. The pilot stated at 1327, he noted a drop in engine rpm. He visually checked the throttle and saw that it was forward, so he applied carburetor heat, with no improvement. He reapplied carburetor heat, but there was still no improvement.

The pilot stated that the airplane suddenly "shook violently," and he thought the engine had failed. He declared an emergency with air traffic control (ATC) personnel. The pilot pulled the mixture to idle to stop the shaking, and then noted that the engine was still producing power. He advanced the mixture, and the shaking "got worse." The pilot reported that he thought he had lost part of the propeller blade. At that point he reduced the mixture to idle cut-off.

The pilot stated that he queried the ATC controller as to the nearest airport, and was informed that Fullerton Municipal Airport (FUL) was the nearest airport. The pilot stated that at the current descent rate he did not believe he would make FUL. He selected the westbound lanes of the 91 Freeway for the forced landing.

The Safety Board investigator interviewed the pilot. The pilot stated that prior to landing; the airplane struck the rear window of a car. He indicated that when he had setup for the landing, there were no cars in front of him, and he did not see the car that the airplane struck. After hitting the car, the pilot lost control of the airplane. The airplane veered to the right, and the right wing hit a fence. The pilot regained control of the airplane and brought it to a stop on its main landing gear.

According to engine logbook entries, the engine was overhauled on September 3, 2002, and installed in the accident airplane on March 21, 2003 by the operators maintenance personnel. According to the airframe logbook entry, the airplane received an annual inspection on March 21, 2003.

Post accident examination disclosed that oil covered the belly of the airplane and coated the inside of the engine compartment and nose wheel assembly. The oil drain plug was missing. The oil drain plug is normally secured with safety wire. No safety wire remnants were found on the engine.

A Federal Aviation Administration (FAA) inspector examined the airplane at Foothill Aircraft Sales, Upland, California. Maintenance personnel removed the cowling. The FAA inspector noted that the engine compartment and nose landing gear area were covered with oil, in addition to oil covering the belly of the airplane. He also found a non-standard plastic plug installed in the engine oil drain, but could not verify when the plug had been installed. The engine had sustained a catastrophic internal failure.

Aircraft

Registration
N6272D
Reported as
Cessna 172N
Category
Airplane
Serial number
17272683
Airframe hours
7,746.7
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Cableair, Inc., doing business as Runway 3-7
Registered owner
Marilyn Cable
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 21, 2003 · 6.7 hours before
Departed
SMO · Santa Monica, CA
Destination
POC · La Verne, CA
Flight plan
IFR

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
45
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
March 14, 2003
Seat
Left
Flight hours
450 total · 222 in this make and model · 7 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 13 knots, gusting 22
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 37 °F
Altimeter
30.02 inHg
Observed at
FUL, 7 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.