31 Dec 2010: CESSNA 152 — CIRRUS AVIATION INC

31 Dec 2010: CESSNA 152 (N28BA) — CIRRUS AVIATION INC

No fatalities • Wimauma, FL, United States

Probable cause

The mechanic/pilot's failure to detect a visible exhaust gas leak and cracked cylinder head immediately prior to the accident flight, which resulted in a partial loss of engine power during initial climb. Contributing to the accident was an inadequate 100-hour maintenance inspection, which also failed to detect a visible exhaust gas leak.

— NTSB Determination

Accident narrative

On December 31, 2010, about 1400 eastern standard time, a Cessna 152, N28BA, operated by Cirrus Aviation Inc., was substantially damaged during a forced landing after takeoff from Wimauma Airport (FD77), Wimauma, Florida. The certificated private pilot was not injured. The maintenance flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the planned flight to Sarasota/Bradenton International Airport (SRQ), Sarasota, Florida.

During a previous flight in the accident airplane, another pilot reported a rough running engine and performed a precautionary landing to FD77. After the landing, the other pilot thought water in the fuel caused the rough running engine. The accident pilot was also an airframe and powerplant mechanic. He advised the other pilot not to attempt to fly the airplane back to SRQ. Rather, the mechanic would fly to FD77 in another airplane and trade airplanes with the other pilot. Subsequently, the mechanic performed a thorough inspection and troubleshooting of the engine and fuel system, and did not find any problems. He also performed a thorough run-up of the engine, with no anomalies noted.

The pilot/mechanic then departed FD77. When the airplane was about 300 feet above ground level, the pilot/mechanic heard a loud "bang," followed by a partial loss of engine power. He leveled the nose and verified that the throttle lever was in; however, he was unable to maintain altitude. The pilot/mechanic felt he was too low to return to FD77 and elected to land in a field ahead of the airplane. During the landing, the airplane struck a fence and a pole, slid across a road, and came to rest upright in a ditch.

Examination of the wreckage by a Federal Aviation Administration inspector revealed damage to the nose landing gear, firewall, and forward fuselage. The inspector also noted that the No. 2 top spark plug and its associated heli-coil had separated from the cylinder. Further examination revealed that the spark plug and cylinder threads were worn and an approximate 2-inch crack originated near the cylinder head threads. Additionally, the area around the top and bottom spark plug holes exhibited visual evidence of exhaust gas leakage.

Review of maintenance records revealed that at the time of the accident, the airplane had accrued approximately 9,858 total tachometer hours and the engine had accrued about 1,955 tachometer hours since major overhaul. The engine was last overhauled on November 15, 2006. The No. 2 cylinder was subsequently removed and replaced with an overhauled cylinder on May 15, 2009, at 1123.4 tachometer hours since the last major overhaul. The engine had been operated for and additional 832 tachometer hours since the replacement of the No. 2 cylinder, until the accident.

The airplane's most recent 100-hour inspection was completed on October 8, 2010, and it had been operated for approximately 77 tachometer hours since that inspection, until the accident.

Contributing factors

  • Power plant — Failure
  • cause Maintenance personnel
  • factor Maintenance personnel

Conditions

Weather
VMC, wind 150/06kt, vis 10sm

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