SEA04LA033

NTSB accident investigation · Cessna 172RG · Enumclaw, WA · January 13, 2004

Accident · No injuriesLimited investigationFinal report
Date
January 13, 2004, 15:15 local (23:15 UTC)
Place
Enumclaw, WA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N64MLCessna 172RG
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
FAA/FSDO
FAA report
20040113000459A
Case key
58615

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

A loss of engine power while maneuvering due to the failure of the heads of six of the eight cam followers. Factors include the pilot's decision to keep the gear retracted during the forced landing, and the rough/uneven terrain.

Analysis

During a power-on stall sequence the aircraft's engine experienced a significant partial power loss, followed by the engine oil pressure dropping to zero. Since there was no suitable landing area directly below the area where the power loss occurred, the pilot headed to the south and attempted to land on what appeared to be the only available reasonably safe terrain. Based upon his quick evaluation of the landing site, the pilot chose to leave the gear fully retracted. Although the initial touchdown was uneventful, soon thereafter the aircraft contacted the rough/uneven terrain in a manner that resulted in substantial damage to the airframe. A post-accident inspection of the engine revealed that the crankcase mating flange was cracked in two different places, and the number three cylinder push rod and push rod tube were bent in a manner consistent with compression of the pushrod from its ends. The heads of six of the eight cam followers had fractured, the crankcase surface behind all but two of the follower heads was dented and gouged, and the crankcase surface behind two of the heads had small chunks of fractured steel imbedded/crushed into the metal of the case. Removal of the oil pan revealed about a dozen pieces of metal that were clearly identifiable as sections of the cam follower heads. Further inspection of the engine and its cylinders could not determine the initiating event leading to the fracturing of the cam followers.

Factual narrative

The factual narrative523 words

On January 13, 2004, approximately 1515 Pacific standard time, a Cessna 172RG, N64ML, impacted the terrain during a forced landing about five miles north of Enumclaw, Washington. The certified flight instructor and his student, a private pilot, were not injured, but the aircraft, which is owned and operated by Galvin Flying Service, sustained substantial damage. The 14 CFR Part 91 commercial maneuvers instructional flight, which departed Boeing Field, Seattle, Washington, about 30 minutes prior to the accident, was being operated in visual meteorological conditions. No flight plan had been filed.

According to the instructor pilot, after arriving in the practice area, the student completed one power-on stall sequence and was just starting a second when he heard a bang and the engine lost a significant amount of power. Soon thereafter, he (the instructor pilot) took control of the aircraft, unsuccessfully tried to get the engine to return to full power, and then, after noting that the oil pressure was at zero, ultimately decided that he would have to execute a forced landing. Since there was no suitable landing area directly below the area where the power loss occurred, he headed to the south and attempted to land on what appeared to be the only available reasonably safe terrain. In order to stretch his glide to the chosen landing area, he increased the propeller pitch and kept the gear retracted until he reached the edge of the field, and then, based upon his quick evaluation of the landing site, chose to leave the gear fully retracted. During the landing sequence, the initial touchdown was uneventful, but soon thereafter the aircraft contacted the rough and uneven terrain in a manner that led to substantial damage to the airframe.

A post-accident inspection of the engine revealed that the top crankcase mating flange was cracked in an area adjacent to the number one and number two cylinder intake valve cam followers, and that a one inch by one inch section of the case flange had broken out adjacent to the number three cylinder exhaust valve cam follower. In addition, it was noted that the number three cylinder push rod and push rod tube were bent away from the surface of the cylinder at their midpoint. There was no evidence of external impact on the subject pushrod tube, and both it and the pushrod were bent in a manner consistent with compression of the pushrod from its ends.

The crankcase was separated for inspection, and it was noted that the heads of six of the eight cam followers had fractured, and that the crankcase surface behind all but two of the follower heads was dented and gouged. The crankcase surface behind two of the heads had small chunks of fractured steel imbedded/crushed into the metal of the case. Removal of the oil pan revealed about a dozen pieces of metal that were clearly identifiable as sections of the cam follower heads. Removal and inspection of the valves from cylinder number three could not establish clear evidence of valve sticking during this event, and the initiating event leading to the fracturing of the cam followers could not be determined.

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 powerManeuvering
Engine assembly,valve lifter - fracturedCause
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency landing
Wheels up landing - intentionalPilot in command(cfi)Factor
Terrain condition - rough/unevenFactor

Aircraft

Registration
N64ML
Reported as
Cessna 172RG
Category
Airplane
Serial number
172RG0081
Airframe hours
5,224
Engine
Lycoming O-360-F1A6, 80 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Galvin Flying Service
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 5, 2003 · 44 hours before
Departed
BFI · Seattle, WA
Destination
BFI

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
30
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
February 17, 2003
Seat
Right
Flight hours
2,600 total · 100 in this make and model · 2,500 as pilot in command · 120 in the last 90 days · 30 in the last 30 days · 4 in the last 24 hours
Role
Pilot
Age
44
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
August 6, 2003
Seat
Left
Flight hours
372 total · 10 in this make and model · 237 as pilot in command · 12 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
6 statute miles
Lowest ceiling
4,400 ft broken
Temperature
43 °F, dew point 41 °F
Altimeter
30.18 inHg
Observed at
BFI, 22 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.

Other investigations on N64ML · 1

Matched to the same aircraft by N-number and date.