NTSB CAROL · Event
Event CEN20LA258
Aircraft involved
Probable cause & findings
Maintenance personnel’s inadequate inspection, which resulted in a total loss of engine power due to a restricted air intake-induction system.
Factual narrative
On July 1, 2020, about 1932 central daylight time, a Piper PA-28-140 airplane, N6530W, was involved in an accident near Bridgeport, Texas. 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 the before takeoff engine run-up was normal. After takeoff, about 150 ft. above ground level, the engine seemed to lose power without any associated vibration, abnormal noise, or indications. The pilot’s attempts to determine the cause of the problem and restore engine power were not successful. He executed a forced landing “to a field of medium-maturity mesquite trees.” A post-recovery engine examination revealed evidence consistent with an insect (mud dauber) nest within the carburetor heat induction system. Specifically, the inside surface of the carburetor heat shroud exhibited residue consistent with dirt/mud accretion. The engine exhaust tube common to the carburetor heat shroud exhibited a discoloration consistent with debris accretion. The discolored area on the exhaust tube coincided with the residue observed on the inside of the carburetor heat shroud. A fragment of compacted dirt was recovered from inside the carburetor heat duct, and the outboard end of the muffler exhibited a similar dirt/mud residue. No other anomalies were observed with respect to the engine installation. According to the airplane maintenance records, an annual inspection was completed on September 14, 2017, at a recording tachometer of 2,701.58 hours. The next annual inspection based on the maintenance records was completed on June 29, 2020. The tachometer time corresponding to that inspection was 2,701.68 hours. The pilot reported that he purchased the airplane the same day as the most recent annual inspection. The accident occurred 2 days later, on July 1. The tachometer indicated 2,702.84 hours at the time of the postaccident examination. The oil filter installed on the engine at the time of the postaccident examination was dated September 15, 2017. The tachometer time noted on the filter was 2,701.58 hours. The most recent inspection logbook entry did not include any reference to changing the engine oil and filter. However, the logbook entry corresponding to the prior inspection in 2017, which was conducted by the same mechanic, specifically noted that the engine oil and filter were replaced, and the old filter was opened and inspected for debris. According to a graph in FAA Special Airworthiness Information Bulletin CE-09-35, Carburetor Icing Prevention, the weather conditions at the time of the accident corresponded to a slight possibility of carburetor icing at glide or cruise power. The pilot reported the engine seemed to lose power shortly after takeoff. His attempts to restore engine power were not successful, and he executed a forced landing. A postaccident engine examination revealed evidence of an insect (mud dauber) nest within the carburetor heat induction system. The pilot purchased the airplane 2 days before the accident. Airplane maintenance records indicated that an annual inspection was completed on the day the airplane was sold to the accident pilot. The records also indicated the airplane had not been flown between the annual inspection in 2017 and the most recent inspection 2 days before the accident. Furthermore, the markings on the oil filter suggested that the oil was not changed during the most recent annual inspection. The airplane was operated 1.16 hours since that most recent inspection. The insect nest in the carburetor heat system likely became dislodged during airplane operation and subsequently restricted air flow to the carburetor resulting in a loss of engine power. The location of the insect nest was not in an area visible to the pilot during a preflight inspection. However, the presence of the nest could have been detected during a thorough and complete annual maintenance inspection. In addition, the failure of the mechanic to change the engine oil and filter during the most recent annual inspection suggested that the inspection was less than thorough and complete. Although there was a slight possibility of carburetor icing at glide and cruise power, it is unlikely to have been the cause of the power loss since the loss of engine power occurred shortly after takeoff. 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).
- C Aircraft-Aircraft power plant-Power plant-Air intake-Damaged/degraded - C
- F Aircraft-Aircraft power plant-Power plant-Air intake-Inadequate inspection - F
- F Personnel issues-Task performance-Inspection-Scheduled/routine inspection-Maintenance personnel - F
Verbatim from NTSB's published report. Source file
NTSB_2020_CEN20LA258.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (icing, stall, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2023 · Faculty research project
Reconfigurable Guidance and Control Systems for Emerging On-Orbit Servicing, Assembly, and Manufacturing (OSAM) Space Vehicles
Dynamic response to emergent situations is a necessity in the on-orbit servicing, assembly, and manufacturing (OSAM) field, because traditional on-orbit guidance and control (G&C) cannot respond effic…
- arXiv 2023 · arXiv preprint
Variation of Critical Crystallization Pressure for the Formation of Square Ice in Graphene Nanocapillaries
Two-dimensional square ice in graphene nanocapillaries at room temperature is a fascinating phenomenon and has been confirmed experimentally.
- Embry-Riddle Scholarly Commons 2023 · Conference paper
The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- arXiv 2022 · arXiv preprint
Enhanced Prediction of Three-dimensional Finite Iced Wing Separated Flow Near Stall
Icing on three-dimensional wings causes severe flow separation near stall. Standard improved delayed detached eddy simulation (IDDES) is unable to correctly predict the separating reattaching flow due…
- NASA NTRS 2019 · Contractor Report (CR)
An Evaluation of an Analytical Simulation of an Airplane with Tailplane Icing by Comparison to Flight Data
This report presents the assessment of an analytical tool developed as part of the NASA/FAA Tailplane Icing Program. The analytical tool is a specialized simulation program called TAILSM4 which was de…
- NASA NTRS 2019 · Technical Publication (TP)
NASA/FAA Tailplane Icing Program: Flight Test Report
This report presents results from research flights that explored the characteristics of an ice-contaminated tailplane using various simulated ice shapes attached to the leading edge of the horizontal …
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