N734BL

Substantial
Serious

CESSNA 172S/N: 17268725

Accident Details

Date
Sunday, October 12, 2008
NTSB Number
ERA09LA015
Location
Kissimmee, FL
Event ID
20081012X85752
Coordinates
28.289722, -81.436943
Aircraft Damage
Substantial
Highest Injury
Serious
Fatalities
0
Serious Injuries
1
Minor Injuries
0
Uninjured
0
Total Aboard
1

Probable Cause and Findings

The pilot's inadequate preflight inspection, which resulted in a total loss of engine power during initial climb due to fuel contamination. Contributing to the accident was a fuel tank cap that did not seal properly.

Aircraft Information

Registration
N734BL
Make
CESSNA
Serial Number
17268725
Engine Type
Reciprocating
Year Built
1977
Model / ICAO
172C172
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
SALE REPORTED
Address
2825 13TH AVE S
Status
Deregistered
City
MINNEAPOLIS
State / Zip Code
MN 55407-1417
Country
United States

Analysis

HISTORY OF FLIGHT

On October 12, 2008, about 1050 eastern daylight time, a Cessna 172N, N734BL, was substantially damaged during a forced landing in an athletic field, shortly after takeoff from Kissimmee Gateway Airport (ISM), Orlando, Florida. The certificated private pilot/owner, the sole occupant, was seriously injured. The personal flight was operated under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the flight, and no flight plan was filed.

According to the pilot, he stored the airplane outside at ISM. The pilot stated that although he did not fly the airplane much in the year prior to the accident, he occasionally ran the engine on the ground, and he believed that the airplane had not been flown in the 10 months preceding the day prior to the accident. Two days before the accident, the pilot asked a maintenance technician to place a fuel order to fill the airplane, and the airplane was fueled with 32 gallons that evening. The next day, in the late morning, the pilot arrived to "test-fly" the airplane, in preparation for an upcoming cross-country flight.

When the pilot arrived at ISM, the technician who placed the fuel order told the pilot that subsequent to the refueling, he drained a "significant amount" of water from the tanks and the fuel strainer. The pilot stated that he conducted a preflight inspection of the airplane, which included sampling fuel from each of the two fuel tank sump drains. He did not observe any water in those samples. He also drained some fuel from the fuel strainer, but he did not capture that fuel. After the preflight, the pilot conducted approximately five takeoffs and landings at ISM. He said that they were uneventful, the airplane "ran fine," and the flight duration was about 1/2 hour. The pilot then parked the airplane, and left the airport.

The day of the accident, the pilot returned to the airport with the intention of conducting a cross-country flight. He conducted another preflight inspection; which again included sampling fuel from the two fuel tank sump drains, and again he did not observe any water in those samples. He also drained some fuel from the fuel strainer, but again he did not capture that fuel.

According to the pilot, he intended to fly the airplane to Huntsville, Alabama. According to Lockheed Martin Flight Services (LM), the pilot did not contact LM for any flight or weather briefing information, or to file a flight plan.

According to witnesses at the airport, the airplane began its takeoff roll near the threshold of runway 6, and became airborne prior to crossing runway 15/33. Shortly thereafter, the airplane began to lose altitude, and drift southeast of the runway. At some point in the sequence, the pilot declared an emergency on the ISM air traffic control tower (ATCT) radio frequency. One witness reported that the airplane then "banked sharply to the left," and descended rapidly to the ground. Witnesses near the accident site reported that the airplane appeared to be attempting to land on the athletic field, but that it struck a sports goal post. Witness reports did not agree on whether the airplane struck the goal post while airborne or after touchdown, and some witnesses reported that the airplane bounced during the landing. The airplane came to rest upright, on the athletic field, approximately 1/4 mile beyond the departure end of runway 6.

PERSONNEL INFORMATION

Federal Aviation Administration (FAA) records indicated that the pilot held a private pilot certificate with an airplane single-engine land rating. His most recent FAA third-class medical certificate was issued in October 2006, and he reported 1,200 total hours of flight experience at that time. The pilot’s logbook registered 12 flights and a total of 10.7 flight hours for 2006; however three of the entries did not include associated flight times. The pilot’s logbook registered one flight in 2007. The logbook indicated that the flight occurred on January 1, 2007, and lasted 1.5 hours. All pilot logbook entries for 2006 and 2007 indicated that the flights were conducted in the accident airplane. The pilot’s logbook did not contain any entries for 2008.

AIRCRAFT INFORMATION

The accident airplane was manufactured in 1977, and was equipped with a Lycoming O-320 H2AD piston engine. The airplane was first registered to the pilot in 1984. The most recent annual inspection was completed 2 days prior to the accident. At the time of the accident, the tachometer registered 886.9 hours, and the hour meter registered 830.1 hours. Comparison of these values with values recorded in the maintenance records indicated that the airplane had been operated 0.7 hours between the most recent annual inspection and the accident.

METEOROLOGICAL INFORMATION

The ISM 1950 recorded meteorological information for October 9 reported light rain. The ISM 1850 observation for October 10 also reported light rain, and the 1950 observation reported that the rain ended about 1915. No rain was reported at ISM on October 11 or 12. The 1050 special weather observation at ISM on the day of the accident (October 12) reported winds from 010 degrees at 10 knots, scattered clouds at 1,800 feet, broken cloud layers at 2,400 and 3,000 feet, 10 miles visibility, temperature 28 degrees C, dew point 23 degrees C, and an altimeter setting of 30.10 inches of mercury.

COMMUNICATIONS

A review of the communications between the pilot and the controllers in the ISM air traffic control tower revealed that about 1044, the pilot contacted ground control for his initial taxi clearance. The pilot was instructed to taxi to runway 6, with instructions to hold short for clearance to cross the runway. About 2 minutes later, the ground controller cleared him to cross runway 6 with "no delay." About 1050, the pilot informed the local controller that he was ready for departure, and the controller instructed him to "taxi up to and hold short of runway 6," which the pilot acknowledged. About 1 minute later, the controller cleared the pilot for takeoff. About 90 seconds after that, the pilot declared an emergency, did not elucidate, and did not finish his sentence. The local controller replied 5 seconds later with "who has the emergency," but he did not receive a reply. About 1053, the controller transmitted "november seven three four, Kissimmee tower, can you hear me sir," but no other transmissions were received from the airplane. About 30 seconds after that, the local controller informed another airplane on the ground that the accident airplane had crashed,

AIRPORT INFORMATION

Kissimmee Gateway Airport was configured with two runways, 6/24 and 15/33. Runway 6/24 was 5,000 feet long and 150 feet wide. Runway 15/33 crossed 6/24 at approximately the midpoint of 6/24. Airport elevation was listed as 82 feet above mean sea level (msl).

WRECKAGE AND IMPACT INFORMATION

Documentation provided by the FAA inspector who responded to the accident revealed that the airplane came to rest upright on a southerly heading, with a pitch attitude of approximately 30 degrees nose down. The nose landing gear and lower cowl were crushed up and aft. The main landing gear struts and wheel assemblies were intact, but the left gear strut was deformed approximately 20 degrees up from its normal orientation. The windshield was fractured and separated from the airplane, and the right horizontal stabilizer was crushed and deformed down and aft. Both wings exhibited crumpling of the upper inboard skins, and both were rotated approximately 5 degrees trailing edge down, relative to their normal alignment with the fuselage. Witnesses, first responders, and airplane recovery personnel all reported that fuel was leaking from the left wing after the accident. The inspector reported that he found the fuel selector handle set to the "both" position, and subsequently moved it to the "off" position. There was no fire. Recovery personnel transported the airplane back to ISM, and covered it with a tarp.

Postaccident examination of the airplane was accomplished by FAA, Cessna and Lycoming personnel on October 15, 2008. The exterior paint was chalked, flaked or missing on much of the skin. The external face of the upper skin panel that covered the left fuel tank was painted with primer only. One propeller blade was bent aft, and the other was undamaged. No preimpact mechanical anomalies that would have prevented the production of power were noted with the engine. The engine was rotated by hand, and thumb compression and spark were verified at each cylinder.

Flight control cable continuity was confirmed from the cockpit controls to the respective flight control surfaces. The only discontinuity noted was the separation of one flap cable in the fuselage-wing carry-through section. The separation was consistent with tensile overload failure.

Each fuel tank cap was in its locked position in its respective filler neck. The left cap was a loose fit, and a 0.028 inch feeler gauge was able to be inserted between the cap gasket and its seat. No anomalies with the fit of the right cap in the filler neck were noted. No determinations of the gaskets' condition, expiration date(s), or nominal shelf life, was made.

The left fuel tank was empty at the time of the examination. Fuel samples were obtained from the right fuel tank, the fuel strainer, and the carburetor. According to the Cessna representative, each of these samples contained "several ounces of a yellowish liquid with dirt deposits." Blue liquid was observed floating on top of the yellowish liquid, and a water-indicating paste indicated positive results for the presence of water in the yellowish liquid.

ADDITIONAL INFORMATION

Airplane Maintenance Records

The maintenance records that were provided to the investigation did not provide a continuous history of the airplane. Two bound logbooks, one each for the airframe and the engine, contained notations that th...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA09LA015