Pilot Debrief

Cessna 172 near Madras, OR — 2019-07-22

Final reportWPR19LA198
Sign in to save
Date
2019-07-22
Location
Madras, OR, USA
Airport
S33
Aircraft
Cessna 172
Registration
N3761L
Category
Airplane
Highest injury
Minor
Fatalities
0
Phase of flight
Approach

Probable cause

A partial loss of power during final approach for undetermined reasons as postaccident examinations did not reveal any preimpact anomalies with the airplane or engine.

NTSB narrative

The flight instructor and her student departed on a local instructional flight. After completing a touch-and-go maneuver at a nearby airport, the student configured the airplane for a normal landing. The instructor’s attention was focused outside the cockpit as she watched for an incoming airplane while her student flew the airplane. While setting up for the approach, the student configured the airplane by applying carburetor heat and retarding the throttle. After the student turned on to final approach, she noticed the engine speed reduce to 1,000 rpm without any intervention. She slowly advanced the throttle but was unable to maintain altitude. The flight instructor then took control of the airplane and determined that they had lost partial engine power. The airplane subsequently impacted the ground hard and came to rest. A postaccident examination of the airplane revealed a small obstruction in the left-wing vent line, which is not likely to have obstructed fuel flow as the obstruction was not in the fuel lines and fuel was being fed to the engine from both tanks at the time of the accident. The engine was nearly 1,400 hours beyond the manufacturer’s recommended time before overhaul but did not show any preimpact anomalies during testing. Weather data indicated that the airplane was operating in conditions conducive to carburetor icing at the time of the accident and may have been more susceptible to icing because the engine was being fueled by automotive gasoline. However, the cause of the loss of engine power could not be determined as the student pilot applied carburetor heat before the power loss and postaccident testing did not reveal any anomalies with the airplane or engine.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Instructor could have checked engine performance before final approach.

NTSB coding

Evidence available

  • Photos
  • 12 docket documents
View NTSB final reportView NTSB docket

Docket documents12

Related mishaps