NYC91FA246

NTSB accident investigation · Cessna 172P · West Chicago, IL · September 21, 1991

Accident · FatalField investigationFinal report
Date
September 21, 1991, 09:09 local (14:09 UTC)
Place
West Chicago, IL
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N65729Cessna 172P
Weather
Visual (VMC) · Day
Status
Completed · report May 5, 1993
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19910921042059A
Case key
36812

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 pilot's improper in-flight decision to return to the airport following a loss of engine power at a low altitude. The pilot failed to maintain airspeed which resulted in an inadvertent stall at an altitude insufficient for recovery. Factors contributing to the accident were the loss of engine power due to the failure of the carburetor venturi, the operator's disregard of the precision airmotive service bulletin.

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/malfTakeoff - initial climb
Fuel system,carburetor - failure,partialFactor
Maintenance,service bulletin/letter - not performedCompany/operator managementFactor
Forced landingDescent - emergency
Loss of control - in flightDescent - emergency
Procedures/directives - not followedPilot in commandCause
Lack of total experiencePilot in commandFactor
In-flight planning/decision - improperPilot in commandCause
Airspeed - not maintainedPilot in commandCause
Stall - inadvertentPilot in commandCause
In flight collision with objectDescent - uncontrolled
Object - utility pole
Object - vehicle

Analysis

The pilot rented N65729 from an FBO for a local flight. Witnesses stated that shortly after takeoff from runway 15, they saw the airplane trailing 'light gray smoke' and heard the engine lose power. The witnesses saw the airplane in a steep left bank turn at an altitude of between 300 and 500 feet AGL. The airplane then descended in a nose low altitude into the parking lot of an industrial plant. Post accident examination of the engine revealed the two piece carburetor primary venturi had separated from its normal mounted position and was ingested into the no. 2 cylinder. Several service bulletins had been issued by the manufacturer addressing the installation of a new one piece venturi. Precision airmotive issued service bulletin msa 2 on oct. 15 90. Review of the engine logbook for N65729 revealed service bulletin msa 2 had not been accomplished.

Aircraft

Registration
N65729
Reported as
Cessna 172P
Category
Airplane
Serial number
17275839
Airframe hours
3,686
Engine
Lycoming O-320-D2J, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Dupage Airport Authority, doing business as Planemasters Services, Inc.
Registered owner
Quenton Goblish
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · July 25, 1991 · 94 hours before
Flight plan
VFR
Airport
DPA · Dupage County

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
40
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Toxicology
Performed
Flight hours
139 total · 62 in this make and model · 37 as pilot in command · 1 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
46 °F, dew point 39 °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.