WPR22LA351

NTSB accident investigation · Cessna 172L · Ventura, CA · September 16, 2022

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
September 16, 2022, 16:30 local (23:30 UTC)
Place
Ventura, CA · Near the beach
Injuries
2 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N7917GCessna 172L
Defining event
Enroute: 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
Federal Aviation Administration
FAA report
20220916015809A
Case key
105963

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. 4 exhaust valve.

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 172L: 1 caseAll aircraft: 373 casesProbable cause
Engine (reciprocating): recip eng cyl sectionAircraft › Aircraft power plant · FailureCessna 172L: 1 caseAll 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 pilot, while conducting a local flight, he heard a "pop" followed by a partial loss of engine power. The airframe started shaking badly, he pulled power to idle, established best glide, and contacted Air Traffic Control (ATC). ATC provided alternate airports and current weather information. Unable to maintain altitude, he initiated a forced landing to a clearing on the beach. During the landing roll, the airplane impacted a rock retaining wall, which resulted in substantial damage to the fuselage and left horizontal stabilizer. Examination of the engine revealed that the No. 4 exhaust valve was fractured. Metallurgical examination of the fracture surfaces on the exhaust valve revealed that it had fractured due to fatigue. The fatigue fracture of the No. 4 exhaust valve likely led to the partial loss of engine power.

Factual narrative

On September 16, 2022, about 1630 Pacific daylight time, a Cessna 172L, N7917G, was substantially damaged when it was involved in an accident near Ventura, California. The pilot was not injured and both passengers sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, while enroute about 2,000 ft mean sea level (msl), he heard a "pop" followed by a partial loss of engine power. The airframe started shaking badly, he pulled power to idle, established best glide, and contacted Air Traffic Control (ATC). ATC provided alternate airports and current weather information. Unable to maintain altitude, he initiated a forced landing to a clearing on the beach. During the landing roll, the airplane impacted a rock retaining wall. Postaccident examination of the airplane revealed that the left wing and forward fuselage were substantially damaged. Subsequent lighted borescope examination of the airplane’s engine revealed mechanical damage to the No. 4 cylinder’s combustion dome and piston face. The Nos. 3 and 4 cylinders were removed. Metallic debris was observed obstructing the No. 3 cylinder intake valve. The No. 4 cylinder was removed, and remnants of the exhaust valve were observed within the cylinder. The No. 4 cylinder and remnants of the No. 4 exhaust valve were sent to National Transportation Safety Board Materials Laboratory, Washington, DC, for examination. The examination of the fracture surface of the No. 4 exhaust valve revealed characteristics consistent with a fatigue fracture. Review of maintenance records did not reveal any recent maintenance performed on the cylinder.

Aircraft

Registration
N7917G
Reported as
Cessna 172L
Category
Airplane
Serial number
17259617
Built
1970
Airframe hours
2,633
Engine
Lycoming O-320-E2D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2022
Departed
SZP · Santa Paula, CA
Airport
NA
Equipment
ADS-B, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
46
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
August 18, 2022
Seat
Left
Restraint
3-point
Flight hours
108 total · 108 in this make and model · 31 as pilot in command · 16 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 61 °F
Altimeter
29.86 inHg
Observed at
KOXR, 5 nm away
METAR
KOXR 162351Z 26012KT 10SM CLR 22/16 A2986 RMK AO2 SLP112 T02220161 10239 20217 58015

Docket · 7

The files NTSB released with the investigation on May 2, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 823 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.

Other investigations on N7917G · 1

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