LAX90LA035

NTSB accident investigation · Cessna 177RG · Van Nuys, CA · November 17, 1989

Accident · Serious injuriesLimited investigationFinal report
Date
November 17, 1989, 15:00 local (23:00 UTC)
Place
Van Nuys, CA
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N2069QCessna 177RG
Weather
Visual (VMC) · Day
Status
Completed · report July 22, 1992
Report
Approved by Office Director
FAA report
19891117045759A
Case key
26686

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

The incorrect installation of the engine cowl and baffle seals during the installation of the engine following an overhaul.

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/malfApproach - vfr pattern - downwind
Cooling system,cowling - incorrectCause
Maintenance,installation - improperOther maintenance personnelCause
Cooling system,baffle - incorrectCause
Maintenance,installation - improperOther maintenance personnelCause
Engine assembly,cylinder - overtemperatureCause
Engine assembly,cylinder - distortedCause
Fluid,oil - leakCause
Fluid,oil - failure,totalCause
Engine assembly,crankcase - failure,totalCause
Forced landingDescent - emergency
Terrain condition - none suitableFactor
In flight collision with objectDescent - emergency
Object - wire,transmission
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Near the end of the first flight following installation of an overhauled engine, the engine siezed after the pilot noticed a rapid drop in oil pressure. After the accident, the left side lower exterior fuselage was found to be covered with fresh oil, with the oil smear originating near the oil breather line. The engine cowl baffle seals were found installed incorrectly. Less than 1 quart of oil was found in the engine sump. On the external rear sides of the #3 & #4 cylinder barrels, an oval area of heat distress was noted. The crankshaft & piston rods exhibited progressive heat distress on all rod bearings and crankshaft journals, with the #1 rod exhibiting the least heat signatures & the #4 the most severe. The #3 rod cap was found loose in the engine; examination of the cap bolts revealed severe necking signatures at the point of tension failure. A micrometer was used to measure the cylinder barrels for roundness. The #3 cyl was found to be outside the factory spec by .002 inches.

Aircraft

Registration
N2069Q
Reported as
Cessna 177RG
Category
Airplane
Serial number
177RG0469
Engine
Lycoming IO-360-A1B6D, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
William A. Ryan
Departed
VNY

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
Certificates
Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Flight hours
435 total · 100 in this make and model · 275 as pilot in command · 20 in the last 90 days · 15 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 8 knots
Visibility
5 statute miles
Lowest ceiling
None
Temperature
-0 °F, dew point -0 °F
Observed at
VNY, 1 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.