LAX91LA157

NTSB accident investigation · Cessna 172N · Stockton, CA · April 5, 1991

Accident · No injuriesLimited investigationFinal report
Date
April 4, 1991, 19:40 local (Apr 5, 1991, 03:40 UTC)
Place
Stockton, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N733MQCessna 172N
Weather
Visual (VMC) · Night/dark
Status
Completed · report May 3, 1993
Report
Approved by Office Director
FAA report
19910404009099A
Case key
27158

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 installation by maintenance personnel of an incorrect gasket that resulted in the loss of the engine magneto.

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/malfManeuvering - holding(ifr)
Ignition system,magneto - loss,totalCause
Maintenance,installation - improperCompany maintenance personnelCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - softFactor
Nose overLanding - roll

Analysis

The certificated commercial pilot/certified flight instructor and a certificated private pilot/instrument student were in a holding pattern, in VFR conditions, while on an instrument training flight when the engine quit. The CFI made a forced landing in an open field. During the landing roll, the airplane encountered soft terrain and nosed over. Examination of the engine revealed that the magneto assembly fell off the engine. An improper gasket was installed under the magneto housing that prevented the magneto from being properly tightened to the required torque setting. Gasket material under the nut provided a cushion affect that allowed the nut to vibrate loose.

Aircraft

Registration
N733MQ
Reported as
Cessna 172N
Category
Airplane
Serial number
17268400
Airframe hours
5,600
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
West Valley Flying Club Inc.
Registered owner
Ken Gottfredson
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 14, 1990 · 230 hours before
Departed
PAO · Palo Alto, CA
Destination
SCK · Stockton, 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
27
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
7,000 total · 300 in this make and model · 6,950 as pilot in command · 400 in the last 90 days · 100 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
270° at 8 knots
Visibility
30 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
SCK, 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.