LAX92LA368

NTSB accident investigation · Cessna 150M · Temecula, CA · August 28, 1992

Accident · Minor injuriesLimited investigationFinal report
Date
August 28, 1992, 15:20 local (22:20 UTC)
Place
Temecula, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N211AFCessna 150M
Weather
Visual (VMC) · Day
Status
Completed · report September 14, 1993
Report
Approved by Office Director
FAA report
19920828034069A
Case key
27747

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 shutdown of the engine due to the failure of the muffler and the resulting heat induced shorting of the magneto ground wires, and the inadequate maintenance inspection of the muffler and the engine exhaust system.

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/malfClimb - to cruise
Exhaust system,muffler - erodedCause
Maintenance,inspection - inadequateCompany maintenance personnelCause
Exhaust system,muffler - burstCause
Ignition system,magneto grounding lead (p-lead) - meltedCause
Ignition system,magneto grounding lead (p-lead) - shortedCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - berm
Nose overLanding - roll

Analysis

The instructor pilot said that during climb to cruise the engine suddenly quit completely with a loud noise. The instructor landed the aircraft in a field and the aircraft nosed over after colliding with a berm. Examination of the aircraft revealed that the rear dome of the left muffler had blown out. Scorching and exhaust stains were evident on the firewall to the rear of the muffler and wire bundles routed in this area were found burned with melted insulation noted. The 'p' leads for the magnetos were found routed in this wire bundle. Visual examination and electrical continuity checks of the 'p' leads revealed that the internal insulation had melted allowing the conductors to short within the wires. Examination of the muffler revealed severe internal erosion, with holes through the cabin heat shroud. The failed end of the muffler was found to be severely eroded around the failure point on the end piece, with small holes and external discoloration noted.

Aircraft

Registration
N211AF
Reported as
Cessna 150M
Category
Airplane
Serial number
15076287
Airframe hours
12,024
Engine
Continental O-200-A48B, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Armed Forces Flying Club
Registered owner
Armed Forces Flying Club
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 28, 1992 · 87 hours before
Departed
F70
Destination
MYF · San Diego, CA
Flight plan
VFR

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
33
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
1,360 total · 170 in this make and model · 950 as pilot in command · 158 in the last 90 days · 22 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 15 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 55 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.