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Atlas / NTSB / ANC24LA011

NTSB CAROL · Event

Event ANC24LA011

2023-12-23 Kahului, Hawaii, United States Airport · PHOG None 1 aircraft Status: Completed

Registry · N53725

FAA Aircraft Registry record.

Make / Model

CESSNA 172P

Year of manufacture

1981 · 42 years old at event

Engine

LYCOMING 0-320 SERIES (180 hp)

Seats / Engines

4 seats · 1 engine

Last airworthiness date

19810320

ADS-B equipped

Yes — Mode-S A6CD2A

Registrant of record

ENGERT ARMIN L

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

A partial loss of engine power due to the formation of carburetor ice, which resulted in the inability to maintain altitude in the traffic pattern. Contributing to the outcome was the pilot’s delayed use of carburetor heat in conditions conducive to the formation of carburetor ice.

Factual narrative

On December 23, 2023, about 1000 Hawaii-Aleutian standard time, a Cessna 172P, N53725, was substantially damaged when it was involved in an accident near Kahului Airport (PHOG), Kahului, Hawaii. The pilot and two passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, after five touch-and-go landings, while on the base leg of the traffic pattern, the engine lost partial power. The pilot applied carburetor heat, switched the fuel tanks, and pumped the throttle, but engine power remained at idle. Unable to reach the runway, the pilot performed a forced landing short of the runway. Upon touchdown, the airplane nosed over and came to rest inverted, which resulted in substantial damage to the fuselage and empennage. About 20 gallons of automotive fuel remained in the fuel tanks at the accident site. A postaccident engine examination revealed the presence of fuel in the strainer and carburetor bowl. The fuel was drained from the strainer and carburetor bowl, and a trace amount of water was found. Continuity was established on all linkages to the carburetor and airbox; all linkages functioned normally, and the butterfly valves were found to operate normally. The spark plugs were removed and the plug electrodes appeared normal. The magnetos produced spark on all ignition leads. The airplane was started normally and accelerated smoothly from idle to 1,700 rpm with no anomalies noted. A review of the local meteorological data and the Carburetor Icing Probability Chart located in the Federal Aviation Administration’s (FAA) Special Airworthiness Information Bulletin CE-09-35, Carburetor Icing Prevention, dated June 30, 2009, revealed that the weather conditions at the time of the accident were conducive to serious icing at glide power. FAA Special Airworthiness Information Bulletin (CE-09-35) – Carburetor Icing Prevention, stated that: “…pilots should be aware that carburetor icing doesn't just occur in freezing conditions, it can occur at temperatures well above freezing temperatures when there is visible moisture or high humidity. Icing can occur in the carburetor at temperatures above freezing because vaporization of fuel, combined with the expansion of air as it flows through the carburetor, (Venturi Effect) causes sudden cooling, sometimes by a significant amount within a fraction of a second. Carburetor ice can be detected by a drop in rpm in fixed pitch propeller airplanes and a drop in manifold pressure in constant speed propeller airplanes. In both types, usually there will be a roughness in engine operation.” According to Transport Canada TP 10737 (Use of Automotive Gasoline [Mogas] in Aviation), Mogas is generally higher in volatility than Avgas and will thus absorb more heat from the mixing air when vaporizing, resulting in ice accumulation at higher ambient temperatures. It goes on to say that “the likelihood of carb icing while flying on Mogas is higher,” and advises that, “[a]lthough the severity of the carb icing and the methods to deal with it are similar for both Avgas and Mogas, its ONSET is likely to occur at HIGHER AMBIENT TEMPERATURES and at LOWER HUMIDITY with Mogas. In other words, conditions under which a pilot may feel there is only a slight risk for carb icing on Avgas may in fact be ideal for the formation of ice while using more volatile Mogas. This will result in the need to select ‘carb heat on’ in less severe icing conditions and for a longer duration while using Mogas.” The pilot reported that, after five touch-and-go landings, while on the base leg of the traffic pattern, the engine lost partial power. The pilot applied carburetor heat, switched the fuel tanks, and pumped the throttle, but engine power remained at idle. The pilot was unable to reach the runway and performed a forced landing short of the runway. Upon touchdown, the airplane nosed over and came to rest inverted, which resulted in substantial damage to the fuselage and empennage. The atmospheric conditions at the time of the accident were conducive to serious icing at glide power. Although the pilot reported that he used carburetor heat after experiencing the loss of engine power, it is likely that the ice had already accumulated to the degree that the carburetor heat was insufficient to melt the ice and restore full engine power. Based on the available information, it is likely that the partial loss of engine power was a result of the formation of carburetor ice. A postaccident examination of the engine revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12

NTSB Findings

Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).

  • Personnel issues-Task performance-Use of equip/info-Use of checklist-Pilot
  • Aircraft-Aircraft systems-Ice/rain protection system-Intake anti-ice, deice-Not used/operated
  • Personnel issues-Action/decision-Action-Delayed action-Pilot

Verbatim from NTSB's published report. Source file NTSB_2023_ANC24LA011.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (icing). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗