WPR15LA146

NTSB accident investigation · Cessna 172M · Hilo, HI · April 14, 2015

Accident · Serious injuriesLimited investigationFinal report
Date
April 14, 2015, 13:45 local (23:45 UTC)
Place
Hilo, HI
Injuries
3 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N12842Cessna 172M
Defining event
Takeoff: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report November 28, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Textron Aviation, Federal Aviation Administration
FAA report
20150414004939A
Case key
91027

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

Water contamination in the fuel system due to the flight instructor’s and pilot receiving instruction’s failure to drain all the water from the system during the preflight inspection, which resulted in a loss of engine power.

Findings · 3

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionCessna 172M: 12 casesAll aircraft: 1,695 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · Student/instructed pilotCessna 172M: 5 casesAll aircraft: 551 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · Instructor/check pilotCessna 172M: 5 casesAll aircraft: 551 casesProbable cause

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

The flight instructor and pilot receiving instruction reported that, during the preflight inspection before the local instructional flight, they drained water from the fuel tanks. After departure, they flew for about 1 hour and then returned to the airport to practice touch-and-go landings. During the approach for landing, the pilot receiving instruction accomplished a no-flap "slip to landing." After touchdown, he applied power for the takeoff, and the airplane then reached between about 75 and 100 ft above ground level, at which point the engine began to run irregularly, and subsequently, it lost power. The flight instructor took control of the airplane and executed a left turn away from buildings located at the end of the runway. Subsequently, the airplane impacted a grassy area northeast of the departure end of the runway. During the postaccident examination of the airplane, water was found in the fuel sump strainer and the carburetor, which likely led to the loss of engine power. It is likely the flight instructor and pilot receiving instruction failed to ensure that all the water was drained from the tank during the preflight inspection.

Factual narrative

On April 14, 2015, about 1345 Hawaiian standard time, a Cessna 172M, N12842, experienced a loss of engine power during initial climb from Hilo International Airport (ITO), Hilo, Hawaii. The certified flight instructor, the student pilot undergoing instruction (PUI), and one passenger sustained serious injuries. The airplane was substantially damaged during the forced landing on the grassy area near the departure end of the runway. Hawaii Flight Academy was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The local instructional flight departed Hilo about 1245. Visual meteorological conditions prevailed, and no flight plan had been filed.The operator reported that the FI was instructing the student pilot in preparation for his private pilot practical examination. The passenger was another student pilot who was observing the training flight. The flight crew reported that they had drained water out of the fuel tanks prior to the flight. The flight departed and flew for about 1 hour before returning to ITO to practice touch-and-go landings. The flight instructor instructed the student to perform a no flap "slip to landing" and go-around. After the aggressive slip and landing, power was applied for the takeoff. The airplane became airborne and when about 75-100 feet above ground, the engine began to run irregular and subsequently lost power. The FI took control of the airplane and executed a left turn away from buildings, which were located at the end of the runway. The airplane impacted onto the grass area northeast of the departure end of runway 03. During an examination of the airplane, about 8 ounces of fluid was drained from the fuel sump strainer, and 5 ounces of the fluid appeared to be water. The carburetor was removed from the engine and an unmeasured amount of fluid was drained from the carburetor; about 90% of it appeared to be water. A water paste test was utilized, and the indication was positive for water. The operator commented that examination of the inside of the fuel tanks revealed that the sump drain valves protruded up about 1/2 inch above the bottom of the tanks. The operator suggested that pilots drain the engine sump completely, rock both wings vigorously during preflight, and drain fuel from the engine and wing sumps again.

Aircraft

Registration
N12842
Reported as
Cessna 172M
Category
Airplane
Serial number
17262306
Built
1973
Airframe hours
8,251
Engine
Lycoming O-320-D2J, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Departed
ITO · Hilo, HI
Destination
ITO · Hilo, HI
Airport
ITO · Hilo Intl, runway 03, 5,600 × 150 ft, asphalt
Equipment
Stall warning system, Handheld GPS

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
63
Injuries
Serious
Medical
Class 2, With waivers/limitations
Last flight review
February 24, 2015
Seat
Right
Role
Student pilot
Age
21
Injuries
Serious
Certificate
Student
Medical
Class 1, Without waivers/limitations
Seat
Left
Flight hours
48 total · 33 in this make and model · 10 in the last 90 days · 5 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 7 knots
Visibility
10 statute miles
Lowest ceiling
2,600 ft broken
Temperature
77 °F, dew point 68 °F
Altimeter
30.07 inHg
Observed at
PHTO

Docket · 4

The files NTSB released with the investigation on October 19, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.6 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.