Fuel Exhaustion & Starvation · NTSB WPR20LA212

Cessna 172 — Lake Tahoe, CA

2 fatal Low-time pilot
DateJuly 7, 2020
LocationLake Tahoe, CA
AircraftCessna 172
Purpose of flightPersonal
ConditionsDay · Visual Meteorological Cond
Phase / occurrenceInitial climb Loss of engine power (partial)
Pilot age53
Pilot total time75 hrs · Student / very low time
Time in typeUnknown
Fatalities2

Probable cause

The partial loss of engine power due to carbon buildup in the No. 4 cylinder resulting from the pilot’s inadequate mixture-leaning procedures.

NTSB findings

  • Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Damaged/degraded
  • Personnel issues-Action/decision-Action-Incorrect action performance-Pilot
  • Aircraft-Aircraft systems-Fuel system-(general)-Incorrect use/operation

What happened

Shortly after takeoff, a witness observed the airplane flying about 200 ft above ground level and heard the engine power fluctuating. The left wingtip then struck a tree and the airplane aggressively yawed while continuing to fly low. The airplane impacted the ground about 2.5 nautical miles southwest of the departure airport.

A postaccident examination of the engine revealed low compression on cylinder Nos. 3 and 4. Further examination of the No. 4 cylinder revealed significant carbon buildup on the piston face and the top and bottom spark plugs. This buildup would likely have resulted in the No. 4 cylinder ignition system misfiring and a partial loss of engine power.

The four-cylinder engine was overhauled about 4 months before the accident, during which four overhauled cylinders and eight new spark plugs were installed. Additionally, about 2 months (and about 26 hours) before the accident, all four cylinders were overhauled again due to high oil consumption.

Carbon deposits can form when excessive heating occurs in the combustion chamber of the engine. While the high amount of carbon buildup is unusual for a cylinder with only 26 hours of operation since overhaul, the reason for the buildup was likely due to the pilot’s inadequate mixture-leaning procedures.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →