Aircraft Accident/Incident Report

Orlando, Florida 32804
Tuesady, January 11, 2005 16:47 EST

NTSB Narrative Summary Released at Completion of Accident

The airplane experienced a total loss of engine power and collided with wires and a power line pole while descending for a forced landing. The pilot-rated student reported that while returning to the departure airport (KORL), he noted a smell of something burning which triggered him to look at the engine gauges; he noted "...that we had no oil pressure." No oil was noted by the student on the windscreen or on the sides of the airplane. The flight continued towards KORL, and 5 minutes 3 seconds after an occupant first advised the controller of having no oil pressure, an occupant advised the controller that the engine quit. The CFI took the controls and maneuvered the airplane towards a nearby golf course for a forced landing. He made several s-turns to lose altitude with full flaps extended, but while maneuvering to possibly land on a nearby road, the airplane collided with power lines, then a power pole. Postaccident, an oil film was noted on the exterior surface of the fuselage bottom skin, and in the engine compartment area on the aft side of the baffling. During postaccident testing, a leak was noted from a flexible hose near the oil cooler end; the cure date of the hose was the 3rd quarter 1981. Ten ounces of oil were drained from the engine, which exhibited internal evidence of oil exhaustion with resulting failure of the No. 2 cylinder connecting rod cap and bolt. The engine was overhauled last in 2001. The engine manufacturer recommends replacement of oil hoses at normal engine overhaul. A note in the airplane maintenance manual indicates that rubber engine compartment hoses are to be replaced every 5 years or at engine overhaul, whichever occurs first. Examination of the hose by the NTSB Materials Laboratory revealed a .7 inch long crack located approximately 4.25 inches from the oil cooler adapter end. The crack was oriented "slightly away from the longitudinal axis." Bench binocular microscope (BBM) examination of the hose revealed the woven fiber strands were missing in the cracked area. Scanning electron microscope (SEM) and BBM examination of the face of the crack revealed the thickness of the outer layer of rubber was reduced, and a portion of the reduced outer layer of rubber that was located midspan of the crack was missing. Additionally, the fiber strands that were located between the inner and outer rubber layers were fractured. The inner layer of rubber was found to contain fracture lines that emanated from the outer surface layer in an area that contained an impression of fiber strands from the fibers between the 2 rubber layers. The lines on the surface crack indicated that cracking of the inner layer propagated towards the inner diameter of the hose; cracking on a flat plane was noted to within .01 inch of the inside surface of the hose. Examination of other areas of the inside surface of the hose revealed extensive longitudinal cracks. Additionally, the exterior surface of the contained abrasion damage in three areas other than the cracked area of the hose; the abrasion damage did not extend through the outer layer of rubber.

NTSB Probable Cause Narrative

The failure of the CFI to initiate a precautionary landing after noticing zero oil pressure with corresponding oil temperature increase, resulting in total loss of engine power due to oil exhaustion. A contributing factor in the accident was the failure of company maintenance personnel to replace the flexible oil cooler hoses during engine installation following overhaul, as recommended by the engine manufacturer.

Event Information

Type of Event Accident
Event Date 1/11/2005
Event Day of the Week Tuesday
Time of Event 1647
Event Time Zone Eastern Standard Time
Event City Orlando
Event State FLORIDA
Event Country --
Zipcode of the event site 32804
Event Date Year 2005
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 283493N
Event Location Longitude 0812297W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1653 Eastern Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID KORL
Elevation of weather observation facility 113
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 6000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 15
Wind Direction (degrees magnetic) 190
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.18
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious 1
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 19256
NTSB Notification Source FAA Comm Center
NTSB Notification Date Jan 11 2005 12:00AM
NTSB Notification Time 1739
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Feb 28 2006 12:35PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Orlando, Florida

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9336H
NTSB Number MIA05LA046
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 172M
Aircraft Series Identifier --
Aircraft Serial Number 17266094
Certified Max Gross Weight 2300
Aircraft Category Airplane
Aircraft Registration Class --
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 100 Hour
Date of Last Inspection Nov 1 2004 12:00AM
Airframe hours since last inspection 91.4
Airframe Hours 6619.53
ELT Installed Yes
ELT Activated --
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Grady And Francis, Inc.
Aircraft Owner Street Address 2812 North Orange Blossom Trail
Aircraft Owner City Orlando
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 32804
Operator is an individual? No
Operator Name CAP Flying, Inc.
Operator Same as Owner? No
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code KORL
Departure City Orlando
Departure State FL
Departure Country USA
Departure Time 1526
Departure Time Zone EST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code KORL
Destination City --
Destination State --
Destination Country --
Specific Phase of Flight Emergency descent/landing
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Nov 14 2005 3:48PM
User who most recently changed record KENJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --