WPR21LA069

NTSB accident investigation · Cessna 172 · San Diego, CA · December 13, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
December 13, 2020, 12:50 local (20:50 UTC)
Place
San Diego, CA · Airport environment
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N5098ECessna 172
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20201213020719A
Case key
102410

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

A partial loss of engine power due to the fatigue fracture of the No. 3 exhaust valve rocker arm stud.

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.

Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · Fatigue/wear/corrosionCessna 172N: 13 casesAll aircraft: 373 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

According to the flight instructor, the purpose of the flight was for the student pilot to practice touch-and-go landings. During the second takeoff, as the airplane was about 100-150 ft above ground level, he detected a loss of engine power and assumed control of the airplane. He landed the airplane on the remaining runway but overran the departure end of the runway and struck the airport perimeter fence. Both wings sustained substantial damage. Examination of the engine revealed that the No. 3 exhaust rocker arm stud was fractured. Metallurgical examination of the fracture surfaces on the rocker arm stud revealed that it had fractured due to fatigue. The fatigue fracture of the No. 3 exhaust valve rocker arm stud likely led to the partial loss of engine power.

Factual narrative

On December 13, 2020, about 1250 Pacific standard time, a Cessna 172, N5098E, was substantially damaged when it was involved in an accident near San Diego, California. The flight instructor and student were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor reported that the purpose of the flight was for the student pilot to practice touch-and-go landings. During the second takeoff on runway 28R, as the airplane was about 100-150 ft above ground level, the flight instructor detected a loss of engine power and assumed control of the airplane. He landed the airplane on the remaining runway; however, the airplane overran the departure end of the runway and struck and airport perimeter fence. Postaccident examination of the airplane by a Federal Aviation Administration inspector revealed that both wings and the fuselage sustained substantial damage. Subsequent examination of the airplane’s engine revealed that the No. 3 cylinder’s intake shroud tube was bent. Removal of the No. 3 cylinder’s rocker box cover identified the exhaust valve rocker arm stud had separated. The exhaust valve rocker arm seat, rocker arm, washer, and a section of the stud with self-locking nut were loose within the rocker box cover. Fretting was observed at the mating surface for the rocker arm seat, the rocker arm seat, the shroud tube and the push rod assembly. The rocker arm stud was sent to National Transportation Safety Board Materials Laboratory, Washington, DC, for examination. The examination of the fracture surface revealed characteristics consistent with a fatigue fracture. Review of maintenance records did not reveal if the stud was ever replaced or inspected during the major overhaul.

Aircraft

Registration
N5098E
Reported as
Cessna 172 (N)
Category
Airplane
Serial number
17271711
Built
1978
Airframe hours
6,653
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Plus One Flyers
Registered owner
Seven 4 Zulu LLC
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · February 3, 2020
Airport
MYF · Montgomery-Gibbs Executive, runway 28R, 4,598 × 150 ft, asphalt
Equipment
ADS-B, Electronic primary flight display, Stall warning system

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
33
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
June 4, 2020
Seat
Left
Flight hours
413 total · 381 in this make and model · 347 as pilot in command · 33 in the last 90 days · 9 in the last 30 days
Role
Student pilot
Age
43
Injuries
None
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Flight hours
60 total · 60 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 28 °F
Altimeter
30.18 inHg
Observed at
KMYF
METAR
KMYF 132053Z 25009KT 10SM CLR 19/M02 A3018 RMK AO2 SLP219 T01941017 58021

Docket · 8

The files NTSB released with the investigation on June 22, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.0 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.