LAX91LA255

NTSB accident investigation · Cessna 172N · Thermal, CA · June 8, 1991

Accident · Minor injuriesLimited investigationFinal report
Date
June 8, 1991, 16:55 local (23:55 UTC)
Place
Thermal, CA
Injuries
2 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6230DCessna 172N
Weather
Visual (VMC) · Day
Status
Completed · report March 31, 1993
Report
Approved by Office Director
FAA report
19910608020539A
Case key
27241

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 partial failure of the engine/powerplant from a worn intake valve and the failure of company/operator management to perform an overhaul on the engine within the time frame recommended by the engine manufacturer.

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
Maintenance,overhaul - not performedCompany/operator managementFactor
Engine assembly,valve,intake - wornCause
Powerplant - failure,partial
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - dirt bank/rising embankment

Analysis

A Cessna 172N nosed over in soft soil during landing roll after a forced landing. The pilot indicated that the engine was running rough and losing power. The pilot landed the airplane on an airport, but was unable to maneuver the airplane to a runway. The airplane decelerated to about 20 mph during the ground roll on dirt. The airplane nosed over after the nose gear struck a 15 to 18 inch high dirt bank. The engine was examined by an A&P mechanic. The A&P found the number three cylinder intake valve was 'tuliped.' According to the airplane's maintenance records, the engine had accrued 2,850 hours of operation without overhaul. Forty four hours of operation before the accident, the engine's cylinder compression checked 'ok' during a leak test. The engine manufacturer recommended time between overhauls is 1,500 hours. During overhaul the valves are removed and visually checked for wear.

Aircraft

Registration
N6230D
Reported as
Cessna 172N
Category
Airplane
Serial number
17272648
Airframe hours
4,949
Engine
Lycoming O-320 H2AD, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Consair Flying Club
Registered owner
Sanders, William
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 9, 1991 · 125 hours before
Departed
L77 · Chiraco Summit, CA
Airport
TRM · Thermal, runway 3, 4,993 × 100 ft, dirt

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
30
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
90 total · 8 in this make and model · 9 as pilot in command · 9 in the last 90 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 9 knots
Visibility
25 statute miles
Lowest ceiling
None
Temperature
100 °F, dew point 27 °F
Altimeter
29.00 inHg
Observed at
TRM, 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.