N2942N accident

NTSB CEN16LA033 · 2015-11-06 · Gonzales, LA · near L38

Docket — crew, injuries and powerplant

Summary

The pilot reported that the airplane was on final approach to the airport when the engine started to lose power. He applied carburetor heat and switched fuel tanks, but engine power was not restored, so he made a forced landing to a field near the airport. An examination of the wreckage found that the castellated nut that connects the throttle arm to the carburetor had backed off, which allowed the engine to go to idle, and that the nut's associated cotter pin was missing. The pilot reported that the carburetor had been replaced the day before the accident flight. The accident is consistent with the throttle arm becoming disengaged from the carburetor as a result of a missing cotter pin and the accompanying nut subsequently backing off.

Full narrative

On November 6, 2015, about 1205 central standard time, a Cessna 120 airplane, N2942N, impacted terrain shortly after departing the Louisiana Regional Airport (L38), Gonzales, Louisiana. The commercial rated pilot was seriously injured and the airplane was substantially damaged during the accident. The airplane was registered to and operated by Graham Aviation LLC, Baton Rouge, Louisiana, under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed at the time.

The pilot reported that he had been airborne about 25 minutes and was on final approach to the runway. The engine began to lose power, so he applied carburetor heat and switched fuel tanks. The engine did not recover, so he made a forced landing in a field. The pilot added that the engine's carburetor had been replaced the day prior.

The responding Federal Aviation Administration (FAA) inspector reported that the airplane had crashed in a field near the airport. A visual examination of the engine noted that fuel was present on site. The airplane came to rest upright, with the main landing gear collapsed. Heavy impact damage was noted to the airplane's fuselage.

After the airplane was recovered, an examination of the wreckage was conducted by the FAA inspector. The examination found that the castellated nut holding the carburetor's throttle arm had backed off, allowing the engine to go to idle. Additionally, the nut was missing the associated cotterpin.

Probable cause

Maintenance personnel’s improper installation of the carburetor during recent maintenance, including the omission of a required cotter pin, which resulted in a total loss of engine power. The National Transportation Safety Board determined the probable cause of this accident.

Circumstances

Event type
Accident
Highest injury
Serious
Weather conditions
Visual Meteorological Cond
Light condition
Day
Sky condition
BKN
Ceiling (ft)
1100
Visibility (sm)
10
Wind direction
130
Wind speed (kt)
3
Temperature (F)
81
Nearest airport
Louisiana Regional Airport
Distance from field
3.0
Airport elevation
14

Aircraft

RegistrationMakeModelDamageFAR part
N2942N — — SUBS 091

Sequence of events

#OccurrencePhase
1 Initial climb Loss of engine power (total) defining Takeoff
2 Landing Off-field or emergency landing Cruise

Findings

Finding
Aircraft-Aircraft handling/service-Maintenance/inspections-(general)-Incorrect service/maintenance cause
Personnel issues-Task performance-Maintenance-Installation-Maintenance personnel cause
Aircraft-Aircraft handling/service-Maintenance/inspections-(general)-Incorrect service/maintenance cause