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NTSB Report

September 11, 2024 · Cessna 172 S · N20747

Englewood, CO

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
September 11, 2024
Injury Outcomes
1 injury (1 minor injury), 1 uninjured
Location
Englewood, CO
Aircraft
Cessna 172 S (2020)
Tail Number
N20747
Operator
Atp Flight School
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
CEN24LA350

While performing touch-and-go landings, the flight instructor and student pilot noticed a partial loss of engine power on climbout, about 200 ft above ground level (agl). The flight instructor reported the tachometer read 2,100 and then 1,600 rpm. During a forced landing to a golf course, the airplane’s nose landing gear collapsed and the airplane came to rest inverted. A postimpact test of the engine’s fuel injection servo found fuel flow below the minimum service limit at most test points. When the servo was disassembled, a thick blue liquid consistent with a fuel-oil mixture was found in the venturi chambers. Oil residue was noted in the hex plug and air diaphragm, the spring and stem assembly, and the air passage to the air diaphragm. No other anomalies were detected with the engine. A service bulletin from the fuel injection servo manufacturer states that this type of contamination could cause an engine to exhibit “gradually deteriorating idle, difficulty starting and/or cold engine acceleration performance.” The flight school was aware of the service bulletin and was inspecting airplanes that had the engine symptoms listed in the service bulletin. It is likely that contamination of the fuel injection servo resulted in a partial loss of engine power and subsequent forced landing.

NTSB Probable Cause

Aircraft-Aircraft power plant-Engine fuel and control-Fuel control/carburetor-Damaged/degraded

Full Narrative

On September 11, 2024, about 0940 mountain daylight time, a Cessna 172S airplane, N20747, was substantially damaged when it was involved in an accident near Englewood, Colorado. The flight instructor was not injured and the student pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The pilots were performing touch-and-go landings on runway 17R at Centennial Airport (APA), Englewood, Colorado. On climbout for the traffic pattern, when the airplane was about 200 ft agl, the pilots noticed a partial loss of engine power. The instructor reported the tachometer read 2,100 and then 1,600 rpm. He performed a forced landing to a golf course. During the landing roll, the airplane’s nose landing gear collapsed and the airplane came to rest inverted. A review of maintenance logbook entries found that on September 5, 2024, about one week before the accident flight, another pilot reported that the airplane “was only getting 2,000 rpm at max power and was backfiring constantly in the run-up.” However, maintenance personnel found that the engine operated satisfactorily during a subsequent ground run-up. The airplane was then flown daily without any reported engine problems until the accident takeoff. A postimpact examination of the engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. However, during a bench test of the engine’s fuel injection servo (AVStar part number LFR-NNSS5), fuel flow was below the minimum service limit at most test points. When the servo was disassembled, a thick blue liquid consistent with a fuel-oil mixture was found in the venturi chambers. Oil residue was noted in the hex plug and air diaphragm, the spring and stem assembly, and the air passage to the air diaphragm. The AVStar LFR-NNSS5 is a variant of the RSA-5AD1 fuel injection servo and was mounted in an updraft configuration on the accident airplane. AVStar service bulletin AFS-SB10, Fuel Servos Installed in an Updraft Configuration, is applicable to RSA-5AD1 servos and states: There have been occasional reports of servo equipped engines that exhibit one or more of the following characteristics - gradually deteriorating idle, difficulty starting and/or cold engine acceleration performance. These engines may have the servo mounted in an updraft, or nearly updraft configuration. Close inspection of the servo may reveal oily contaminant in the bore of the servo that is green/blue in color. It is also possible for this contaminant to migrate into the air section of the regulator. The Precision Airmotive service information letter SIL RS-40, Service Information For RSA-5 Series Fuel Injection Servos Installed in Updraft Configuration, similarly notes reports of reduced engine performance and recommends inspection of fuel injection servos for contamination if these problems are experienced. The flight school’s maintenance personnel stated they were aware of AVStar AFS-SB10 and Precision Airmotive SIL ARS-40 and routinely inspected their airplanes that had any symptoms listed in AFS-SB10. In addition, they reported that they caution their pilots against over-priming the engine during engine starts.

Flight

Event TypeAccident
Event Time09:40 MDT
Nearest Airport0nm
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 172 S
Tail NumberN20747
Aircraft CategoryAir
DamageSubstantial
OperatorAtp Flight School
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · IO-360-L2A · Reciprocating · 180
Seats4

People & Injuries

Injury Summary1 injury (1 minor injury), 1 uninjured
Fatal0
Serious0
Minor1
Uninjured1
Total2
Crew 1Age 25 · First Class · None
Crew 2Age 33 · None · Minor

Conditions

ConditionsVMC
LightDaylight
Wind300° @ 7 kt
Visibility10 sm
CeilingBroken clouds 22000 ft
Temperature / Dew Point39 F
Altimeter30.02 inHg
Observation Time09:53
Weather SourceWFAC

Appendix: Source Data