WPR11LA284

NTSB accident investigation · Cessna 172S · Palo Alto, CA · June 24, 2011

Accident · No injuriesLimited investigationFinal report
Date
June 23, 2011, 20:21 local (Jun 24, 2011, 03:21 UTC)
Place
Palo Alto, CA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N222MFCessna 172S
Defining event
Landing-landing roll: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed · report March 20, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20110623014229A
Case key
80880

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

A total loss of engine power for undetermined reasons during the landing approach over unsuitable terrain.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Not determinedNot determined › Not determined · Unknown/Not determinedCessna 172S: 25 casesAll aircraft: 2,247 casesProbable cause
Terrain: wet/muddy terrainEnvironmental issues › Physical environment · Contributed to outcomeCessna 172S: 1 caseAll aircraft: 110 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

Following an uneventful flight, the pilot entered the airport traffic pattern midfield for his intended runway. While turning from the base leg to the final leg of the pattern, he decided that the airplane was slightly low and advanced the throttle forward; the engine did not respond, and the airplane’s descent rate continued. The pilot then realized that the engine had lost power. He immediately began troubleshooting the loss of engine power and continued toward the runway. Attempts to start the engine were unsuccessful and, realizing that he would not be able to reach the runway, he initiated a forced landing to an open marsh area south of the airport. During the landing roll, the nosewheel dug into the ground and the airplane nosed over. During the postaccident engine examination the engine was run successfully and no mechanical anomalies or failures that would have precluded normal operation were noted; the smell of fuel was present at the accident site. The reason for the loss of engine power was not determined.

Factual narrative

On June 23, 2011, about 2021 Pacific daylight time, a Cessna 172S, N222MF, sustained substantial damage during a forced landing near the Palo Alto Airport (PAO), Palo Alto, California. The airplane was registered to Aviolease LLC, Wilmington, Delaware, and operated by Advanced Flyers, Palo Alto, under the provisions of Title 14 Code of Federal Regulations Part 91. The commercial pilot and his two passengers were not injured. Visual meteorological conditions prevailed and no flight plan was filed for the positioning flight. The cross-country flight originated from Concord, California, at 2000 with an intended destination of PAO. In a written statement, the pilot reported that following an uneventful return flight to PAO, he entered the airport traffic pattern midfield for runway 31. The pilot said that the air traffic control tower (ATCT) controller advised him to follow another aircraft ahead of his position. Upon turning base to final for runway 31, the pilot applied 10 degrees of flaps, and as the airplane descended through about 700 feet above ground level (agl), he determined that the airplane was slightly low. The pilot partially advanced the throttle forward and noted that the airplane's descent rate continued. After the pilot applied full throttle and received no response from the engine, he realized that the engine had lost power. The pilot immediately began troubleshooting the loss of engine power and continued toward the runway, but due to the low sun on the horizon he could not completely see the runway; his attempt to restart the engine was unsuccessful. The pilot initiated a forced landing to an open marsh area south of PAO. During the landing roll, the nose wheel dug into terrain and the airplane nosed over. Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the airplane came to rest within a muddy marsh field about one-half mile south of PAO. The fuselage was bent and buckled aft of the baggage compartment, and the vertical stabilizer and rudder were structurally damaged. The smell of fuel was present at the accident site. The wreckage was recovered approximately three weeks after the accident to a secure location for further examination. According to the FAA inspector, the area where the airplane came to rest was within the tidal area for the marsh land, which resulted in the airplane being partially submerged every few days. Examination of the recovered engine revealed that it remained attached to the airframe via all of its mounts. All engine accessories remained attached to their respective mounts. The top spark plugs were removed from the engine and the engine crankshaft was rotated by hand. Thumb compression was obtained on all four cylinders. The spark plugs were reinstalled along with the ignition harness leads. An external fuel source was attached to the left wing root fuel inlet line in addition to an external power attached to the battery leads. Due to impact damage to thepropeller, a replacement propeller was installed to facilitate the engine run. The engine was started and ran throughout various power settings for about five minutes before being shut down utilizing the mixture control with no anomalies noted. During the engine run, a magneto check was performed and an approximate 100 rpm drop was noted for both the left and right magnetos. In addition, the throttle was advanced momentarily full forward and a peak rpm of about 2600 rpm was observed on the engine tachometer. The reason for the loss of engine power was undetermined. Review of the aircraft maintenance records revealed that the engine was overhauled on March 2, 2007, at an engine and airframe total time of 2,056 hours. The most recent annual inspection was completed on April 1, 2011, at a tachometer time of 1,565 hours. At the time of the accident, the engine had accumulated 1,639.9 hours since major overhaul.

Aircraft

Registration
N222MF
Reported as
Cessna 172S
Category
Airplane
Serial number
172S9391
Airframe hours
3,695
Engine
Lycoming IO-360-L2A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Advanced Flyers
Registered owner
Aviolease LLC
Last inspection
Annual · April 1, 2011 · 42 hours before
Departed
Concord, CA
Destination
PAO · Palo Alto, CA
Airport
PAO · Palo Alto

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
23
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 2, With waivers/limitations
Last flight review
October 28, 2010
Seat
Left
Flight hours
308 total · 60 in this make and model · 172 as pilot in command · 3 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 46 °F
Altimeter
29.79 inHg
Observed at
PAO, 1 nm away

Docket · 4

The files NTSB released with the investigation on October 31, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.4 MB in all.

FAA reports on this event · 1

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