Aircraft Accident/Incident Report

Prescott, Arizona 86301
Wednesday, October 10, 2007 10:14 MST

NTSB Narrative Summary Released at Completion of Accident

While in cruise flight, the engine had a sudden partial loss of power and made "clanging" noises. Although the engine continued to operate at a maximum of 900-1,100 revolutions per minute (rpm), insufficient power was available to maintain altitude. The pilot contacted the tower of a nearby airport, but determined that he would not be able to reach the runway. Due to power lines and a blind curve on a paved road, the pilot opted to land adjacent to the road. The airplane impacted a ditch and came to rest inverted. The engine had been overhauled 2.0 flight hours before the accident. A field overhaul had been performed on the engine due to a bent pushrod, stuck valve, and broken lifter for the number 3 cylinder. During the field overhaul, all four of the rocker arms had been magnetic particle inspected. Examination of the engine revealed that the number 3 cylinder exhaust rocker arm had separated into two pieces. A metallurgical examination was performed on the rocker arms by a Safety Board metallurgist. The number 3 exhaust rocker arm had fractured around the central pivot hole due to fatigue. The fatigue originated at the outer surface of the oil hole. The corners of the hole were sharp and had not been deburred, which increases the likelihood of fatigue cracking. The outer surface of the fatigued area was 0.31 inches long on the left side of the oil hole, and 0.21 inches long on the right side. The fractured exhaust rocker arm had been magnetic particle inspected for cracks during the field overhaul. The Safety Board metallurgist also noted staining on the cracks from the solution used during the magnetic particle inspection. Based on the staining, the cracks would have been detectable in size (about 0.2 inches) at the time of the inspection.

NTSB Probable Cause Narrative

The failure of maintenance personnel to detect fatigue cracks in the number 3 exhaust rocker arm, which lead to a partial loss of engine power.

Event Information

Type of Event Accident
Event Date 10/10/2007
Event Day of the Week Wednesday
Time of Event 1014
Event Time Zone Mountain Standard Time
Event City Prescott
Event State ARIZONA
Event Country --
Zipcode of the event site 86301
Event Date Year 2007
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 343916N
Event Location Longitude 1122510W
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 953 Mountain Standard Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID PRC
Elevation of weather observation facility 5045
Distance of event from weather observation facility (units?) 9
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
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) 23
Dew Point at event time (in degress fahrenheit) -6
Wind Direction (degrees magnetic) 140
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.16
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 24415
NTSB Notification Source FAA
NTSB Notification Date Oct 10 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Oct 10 2008 12:30PM
User who most recently changed record coos
Basic weather conditions Visual Meteorological Cond
FAA District Office Scottsdale FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9897G
NTSB Number LAX08LA009
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 172L
Aircraft Series Identifier --
Aircraft Serial Number 17259797
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 Annual
Date of Last Inspection Oct 1 2007 12:00AM
Airframe hours since last inspection 2
Airframe Hours 3670
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Gary E. Lewis
Aircraft Owner Street Address --
Aircraft Owner City Prescott
Aircraft Owner State AZ
Aircraft Owner Country USA
Aircraft Owner Zipcode 86305
Operator is an individual? Yes
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 DVT
Departure City Deer Valley
Departure State AZ
Departure Country USA
Departure Time 900
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code PRC
Destination City Prescott
Destination State AZ
Destination Country USA
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record --
User who most recently changed record --
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --