Aircraft Accident/Incident Report

Avalon, California 90704
Monday, September 6, 1993 14:24 PDT

NTSB Narrative Summary Released at Completion of Accident

The aircraft was in cruise flight about 10 miles from the island when a puff of smoke emanated from the engine cowling and the engine began to run rough. The pilot stated the aircraft could not maintain altitude and he ditched in the ocean about 100 yards off shore. The engine was disassembled and the numbers one and two connecting rods were found fractured, with heat discoloration observed on the number two bearing. Heavy fretting was found on the number two bearing surface and the associated crankcase bearing journal support. The numbers three and four cam shaft journals were observed to be visibly out of round, with heavy wear noted. Examination of the engine log book and the maintenance records from the operator revealed that the cylinder base seal for the number two cylinder was replaced on May 25, 1993, about 55 hours prior to the accident. According to the records the number two cylinder base seal 'O' ring was replaced by the aircraft owner and the work signed off by an FAA Repair Station inspector.

NTSB Probable Cause Narrative

the oil starvation related failure of the number 1 and 2 connecting rods due to improper torque of the crankcase through bolts at the number 2 cylinder, which allowed fretting of the bearing surfaces and the resulting closure of the oil ports. The under torque condition was due to improper installation procedures used by the aircraft owner, and, the inadequate inspection procedures utilized by the certifying repair station.

Event Information

Type of Event Accident
Event Date 9/6/1993
Event Day of the Week Monday
Time of Event 1424
Event Time Zone Pacific Daylight Time
Event City AVALON
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90704
Event Date Year 1993
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 30
Air Temperature at event time (in degrees celsius) --
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Variable
Wind Speed (knots) 0
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 3
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 1123
NTSB Notification Source --
NTSB Notification Date Sep 6 1993 12:00AM
NTSB Notification Time 1500
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 18 2002 11:28AM
User who most recently changed record NTSB\GIUV
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4143L
NTSB Number LAX93LA345
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 172G
Aircraft Series Identifier 172G
Aircraft Serial Number 17254212
Certified Max Gross Weight 2300
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection May 24 1993 12:00AM
Airframe hours since last inspection 55
Airframe Hours 3375
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name BRENT SUNDIN
Aircraft Owner Street Address 1065 ORANGEWOOD DRIVE
Aircraft Owner City ESCONDIDO
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 92025
Operator is an individual? --
Operator Name RICK LUCIA AVIATION
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 2428 MONTECITO RD
Operator City RAMONA
Operator State CA
Operator Country
Operator Zip code 92065
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code L39
Departure City RAMONA
Departure State CA
Departure Country
Departure Time 1330
Departure Time Zone PDT
Destination Same as Local Flt crash at destination city
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --