# NTSB LAX99LA134: Cessna 172RG, N9451D, Moorpark, CA, March 29, 1999 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: March 29, 1999, 14:30 local (22:30 UTC) - Place: Moorpark, CA - Coordinates: 34.310581, -118.870742 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=34.3106&lon=-118.8707&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report January 18, 2001 - Report: Approved by Office Director - NTSB case key (mKey): 46008 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX99LA134 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/46008/pdf - Page: https://openairdocs.org/ntsb/LAX99LA134 ## Probable cause The failure and separation of the number two cylinder for undetermined reasons. A factor was the soft terrain at the forced landing site. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - mech failure/malf, approach - iaf to faf/outer marker (ifr) - engine assembly,cylinder - failure,total (cause) - engine assembly,cylinder - separation (cause) - reason for occurrence undetermined (cause) - Forced landing, emergency descent/landing - Nose over, landing - roll - terrain condition - soft (contributing factor) ## Analysis The instructor and instrument student were in level flight at 4,000 feet msl at the initial approach fix for a practice VOR approach. After hearing a loud bang in the engine compartment, smoke and flames were observed entering the cockpit by the rudder pedals. The instructor immediately turned the fuel selector valve to off and nosed the airplane over to land. The fire went out and he set up to land in a plowed field. He secured the airplane, opened the doors, and then executed a soft-field landing with full flaps. When the nose wheel dropped into the soft dirt after touchdown, it dug in and the airplane nosed over. The number two cylinder assembly with its intake and exhaust tubes exited through the cowling and were not recovered. Pieces of piston, compression ring, a push rod, and a piston pin were found in the cowling. The connecting rod fractured at a midpoint along both sides of the wrist pin. Mechanical continuity was established for the remaining engine cylinders, no discoloration was evident, and all fracture surfaces were grainy and angular. ## Factual narrative On March 29, 1999, about 1430 hours Pacific standard time, a Cessna 172RG, N9451D, sustained substantial damage when it nosed over during an off airport forced landing near Moorpark, California. The forced landing was precipitated by catastrophic failure of the engine. The airplane was owned and operated by ATE of California, d.b.a. American Flyers, under the provisions of 14 CFR Part 91. The flight was a cross-country instrument instructional flight. The airplane departed Montgomery Field in San Diego, California, about 1300 en route to Camarillo, California. The instrument flight instructor and private pilot instrument student were not injured. Visual meteorological conditions prevailed and an IFR flight plan was filed. The instructor stated they were in level flight at 4,000 feet mean sea level (msl) at the initial approach fix (IAF) for the Camarillo VOR approach, and in contact with Pt. Magu terminal radar approach control. After hearing a loud bang in the engine compartment, smoke and flames were observed entering the cockpit by the rudder pedals. The instructor immediately turned the fuel selector valve to off and nosed the airplane over to land. He stated the fire went out and he set up to land in a plowed field. He secured the airplane, opened the doors, and then executed a soft-field landing with full flaps. After touchdown, he held the nose up as long as possible. When the nose wheel dropped into the soft dirt, it dug in and the airplane nosed over. The pilots exited the airplane without assistance. The engine was a Textron Lycoming O-360-F1A6, serial number L-28458-36A. A review of the airplane's logbook revealed total time on the engine was 14,418.6 hours with 1,228.4 hours since an overhaul completed on July 20, 1997. An examination of the wreckage was completed on April 7, 1999. The bottom of the airplane was charred from the firewall to the end of the cabin area. Sheet metal skin on the belly was bowed out and six holes with ragged external edges were observed in the charred area. The smallest hole measured approximately 3 inches by 4 inches and the largest approximately 6 inches by 12 inches. The cockpit floor on the left side was pushed up and cracked near the console; the floor under the right side was pushed up but not cracked. The floor inspection plates and snap buttons that hold them in place were dislodged and the bottoms of these plates were sooty. The cowling on the front, lower left side of the engine was displaced about 6 inches and displayed an indentation at the midpoint with dimensions similar to a cylinder head. Multiple dents were in that indentation, and several scrapes were on the lower inside section of the cowling. Seven of the nine lowest cowl fasteners on the left side were missing, and the sheet metal around the fastener holes was sheared through to the cowling's edge. The number 2 cylinder (front, left position), its intake tube, and a section of exhaust tube were missing and not recovered. The exhaust tube fractured and separated at the weld joining the individual exhaust to the tailpipe. The engine case was fractured and separated from the number 2 cylinder hold down studs to the top of the case. The primer line fractured near the cylinder attach point and the B-nut was missing. Charring was evident on the lower left side of the engine compartment down through the cowl flap opening The following pieces were recovered from the engine compartment: the piston pin and one piston pin plug; fragments of piston consistent with skirt material; approximately 180 degrees (2 pieces) of compression ring; 270 degrees of oil control ring; the piston pin end of the connecting rod; portions of the cylinder barrel that normally protrude into the crankcase base; portions of the crankcase; three of the 1/2 - 20 cylinder hold down nuts with stud material retained in the threads; one tappet body and part of a hydraulic tappet; one bent push rod, and inner cylinder baffle retainer and hook. The separated piece of crankcase found in the cowling was put back in its position. No fretting was observed where the cylinder base mated to the surface of the crankcase. The three 1/2 - 20 nuts had stud material in the threaded bore. The studs were fractured flush with the nut's bottom surface; the fracture surfaces were cupped and grainy. The camshaft was flattened; about 1 inch wide, on two points 180 degrees of rotation from each other. Mechanical damage on the No. 2 connecting rod was evident only on the side in the direction of rotation, and the rod was bent slightly aft. The connecting rod fractured and separated on both sides of the wrist pin across the midpoint. A dented area was evident across the nose wheel retract cover with dimensions similar to the remaining piece of connecting rod. The piston pin cap found in the engine compartment was dented around the edges. The piston pin, slightly burnished at each end, was found in the exposed opening of the exhaust tube; the piston pin bushing was not found. The engine was rotated by the propeller and thumb compression was obtained on the remaining cylinders. The spark plug electrodes for the remaining cylinders were not mechanically damaged. None of the remaining pistons, observed through the spark plug holes, exhibited any evidence of valve to piston contact. Mechanical continuity was established through the remaining engine components. None of the moving components exhibited any discoloration. ## Aircraft - Registration: [N9451D](https://openairdocs.org/deregistered/N9451D-1999-09-08), registration cancelled 1999-09-08, S/N 172RG1167 (OpenAirDocs) - Reported make and model: Cessna 172RG - Registry model: [Cessna 172RG](https://openairdocs.org/model/cessna-172rg) (registry code 2072438) (OpenAirDocs) - Category: Airplane - Serial number: 1725RG1167 - Airframe hours: 12881 - Engines: Lycoming O-360-F1A6 180 horsepower reciprocating - Damage: Substantial damage - Fire: In-Flight - Flight: Instructional, Part 91 - Registered owner: Ate Of California - Airworthiness certificate: Standard, Normal - Last inspection: 100 hour, March 3, 1999, 88 hours before - Departed: MYF, MONTGOMERY, CA - Destination: CMA, CAMARILLO, CA - Flight plan: IFR - Airport: CMA, Camarillo, runway 26, 6,010 × 150 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 25; commercial, flight instructor; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 1, valid medical--no waivers/lim.; seat: right; flight hours: 575 total, 150 in this make and model, 480 as pilot in command, 100 in the last 90 days, 40 in the last 30 days, 5 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 250° at 9 knots - Visibility: 20 statute miles - Lowest ceiling: none - Temperature: 66 °F, dew point 46 °F - Altimeter: 29.00 inHg - Observed at: CMA, 11 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 (OpenAirDocs). - [Accident 19990329002839A](https://openairdocs.org/incident/19990329002839A), Mar 29, 1999: Cessna 172RG, Camarillo, CA, Substantial damage. Acft experienced an engine failure the pilot made an emergency landing in a field, and the acft came to rest inverted, other circumstances are unknown. (From… ## Other investigations on N9451D (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB LAX98LA036](https://openairdocs.org/ntsb/LAX98LA036), Nov 12, 1997: Cessna 172RG (N9451D), San Diego, CA, substantial damage. Probable cause: Overload of the main gear actuator piston and the subsequent collapse of the landing gear. From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.