Peter O'knight Airport
Aircraft Accident/Incident Report

Tampa, Florida 33606
Tuesady, April 20, 2004 11:34 EDT

NTSB Narrative Summary Released at Completion of Accident

An attendant at the Peter O. Knight Airport, Tampa, Florida, stated that she heard a radio communications transmission during which the voice stated that his airplane engine was experiencing roughness and backfiring. Shortly after the initial call, the attendant said she heard the pilot say "we're not going to make it." The accident airplane subsequently ditched in Tampa Bay, about a third of a mile short of the airport, in about 16 feet of water. Postaccident examination of the airplane revealed no anomalies with the airframe and flight controls or engine. During a detailed examination of the Teledyne Continental Motors dual-drive magneto, the magneto's cam was shown to have lost all lubrication, and the points were seized. Airplane records showed that the last known magneto overhaul was conducted by Electrosystems, Inc in October 1997. The records also showed that the magneto had been reinstalled on July 21, 2003, when the engine was overhauled, but a magneto overhaul had not been performed. Teledyne Continental Motors SB643B Service Bulletin pertinent to subject magneto, specifies that the magneto be overhauled when the engine is overhauled. In addition, Textron Lycoming's Mandatory Service Bulletin specifies mandatory parts replacement at overhaul and during repair and normal maintenance. Examination of the Bendix Fuel Flow Divider which was installed on the accident airplane revealed that the subject fuel flow divider did not have the latest diaphragm installation, as specified in Bendix Fuel Systems Service Bulletin RS-86, dated December 23, 1983.

NTSB Probable Cause Narrative

Improper maintenance by other maintenance personnel, and the reinstallation of an unserviced magneto during an engine overhaul, which resulted in the magneto malfunctioning, a loss of engine power, and the airplane being ditched into the water.

Event Information

Type of Event Accident
Event Date 4/20/2004
Event Day of the Week Tuesday
Time of Event 1134
Event Time Zone Eastern Daylight Time
Event City Tampa
Event State FLORIDA
Event Country --
Zipcode of the event site 33606
Event Date Year 2004
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 275436N
Event Location Longitude 0822630W
Event Location Airport Peter O'Knight
Event Location Nearest Airport ID TPF
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1
Degrees magnetic from airport 135
Airport Elevation 8
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1153 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 325
Weather Observation Facility ID TPA
Elevation of weather observation facility 26
Distance of event from weather observation facility (units?) 6
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 25000
Lowest Non-Ceiling Height 4000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 24
Dew Point at event time (in degress fahrenheit) 11
Wind Direction (degrees magnetic) 260
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 7
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.17
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 19039
NTSB Notification Source FAA ATL Comm. Center
NTSB Notification Date Apr 20 2004 12:00AM
NTSB Notification Time 1245
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jan 31 2006 7:35AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Tampa, Florida

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1910Q
NTSB Number MIA04FA076
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 177RG
Aircraft Series Identifier --
Aircraft Serial Number 177RG0310
Certified Max Gross Weight 2800
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 Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jul 21 2003 12:00AM
Airframe hours since last inspection 174.77
Airframe Hours 4269.12
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Lawrence Soojin Koh
Aircraft Owner Street Address 811 NE 25th Street
Aircraft Owner City Wilton Manors
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 33334
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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 PMP
Departure City Pompano Beach
Departure State FL
Departure Country USA
Departure Time 930
Departure Time Zone EDT
Destination Same as Local Flt crash at destination city
Destination Airport Code TPF
Destination City Tampa
Destination State FL
Destination Country USA
Specific Phase of Flight Cruise - normal
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Oct 18 2005 2:03PM
User who most recently changed record KENJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --