NTSB CAROL · Event
Event WPR15LA146
Aircraft involved
Probable cause & findings
Water contamination in the fuel system due to the flight instructor’s and pilot receiving instruction’s failure to drain all the water from the system during the preflight inspection, which resulted in a loss of engine power.
Factual narrative
On April 14, 2015, about 1345 Hawaiian standard time, a Cessna 172M, N12842, experienced a loss of engine power during initial climb from Hilo International Airport (ITO), Hilo, Hawaii. The certified flight instructor, the student pilot undergoing instruction (PUI), and one passenger sustained serious injuries. The airplane was substantially damaged during the forced landing on the grassy area near the departure end of the runway. Hawaii Flight Academy was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The local instructional flight departed Hilo about 1245. Visual meteorological conditions prevailed, and no flight plan had been filed.The operator reported that the FI was instructing the student pilot in preparation for his private pilot practical examination. The passenger was another student pilot who was observing the training flight. The flight crew reported that they had drained water out of the fuel tanks prior to the flight. The flight departed and flew for about 1 hour before returning to ITO to practice touch-and-go landings. The flight instructor instructed the student to perform a no flap "slip to landing" and go-around. After the aggressive slip and landing, power was applied for the takeoff. The airplane became airborne and when about 75-100 feet above ground, the engine began to run irregular and subsequently lost power. The FI took control of the airplane and executed a left turn away from buildings, which were located at the end of the runway. The airplane impacted onto the grass area northeast of the departure end of runway 03. During an examination of the airplane, about 8 ounces of fluid was drained from the fuel sump strainer, and 5 ounces of the fluid appeared to be water. The carburetor was removed from the engine and an unmeasured amount of fluid was drained from the carburetor; about 90% of it appeared to be water. A water paste test was utilized, and the indication was positive for water. The operator commented that examination of the inside of the fuel tanks revealed that the sump drain valves protruded up about 1/2 inch above the bottom of the tanks. The operator suggested that pilots drain the engine sump completely, rock both wings vigorously during preflight, and drain fuel from the engine and wing sumps again. The flight instructor and pilot receiving instruction reported that, during the preflight inspection before the local instructional flight, they drained water from the fuel tanks. After departure, they flew for about 1 hour and then returned to the airport to practice touch-and-go landings. During the approach for landing, the pilot receiving instruction accomplished a no-flap "slip to landing." After touchdown, he applied power for the takeoff, and the airplane then reached between about 75 and 100 ft above ground level, at which point the engine began to run irregularly, and subsequently, it lost power. The flight instructor took control of the airplane and executed a left turn away from buildings located at the end of the runway. Subsequently, the airplane impacted a grassy area northeast of the departure end of the runway. During the postaccident examination of the airplane, water was found in the fuel sump strainer and the carburetor, which likely led to the loss of engine power. It is likely the flight instructor and pilot receiving instruction failed to ensure that all the water was drained from the tank during the preflight inspection. 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-Fluids/misc hardware-Fluids-Fuel-Fluid condition
- C Personnel issues-Task performance-Inspection-Preflight inspection-Student/instructed pilot
- C Personnel issues-Task performance-Inspection-Preflight inspection-Instructor/check pilot
Verbatim from NTSB's published report. Source file
NTSB_2015_WPR15LA146.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 (go-around). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NASA NTRS 2025 · Conference Paper
A Training Study to Improve Monitoring During A Go-Around
As part of an FAA program to improve go-around (GA) safety, we were asked to determine if we could improve the performance of the Pilot Monitoring (PM) during a GA maneuver.
- Flight Safety Foundation 2024 · FSF / AeroSafety World
Go-Around Safety Forum Findings
Foundation Go-Around Safety Forum technical findings — examines why pilots fail to execute go-arounds when criteria are met (stabilized approach gate not met, energy state out of envelope, traffic con…
- Semantic Scholar 2022 · Article (Journal of Safety Research)
Go-around accidents and general aviation safety.
INTRODUCTION Changes in General Aviation (GA) accident rates, specifically in the go-around phase, are examined by comparing the number of accidents, the proportion of fatal accidents, and the proport…
- Semantic Scholar 2021 · Article (Aerospace)
Classification and Analysis of Go-Arounds in Commercial Aviation Using ADS-B Data
Go-arounds are a necessary aspect of commercial aviation and are conducted after a landing attempt has been aborted. It is necessary to conduct go-arounds in the safest possible manner, as go-arounds …
- NASA NTRS 2021 · Accepted Manuscript (Version with final changes)
Go-Around Criteria Refinement for Transport Category Aircraft
Presently, airline pilots are trained to go around if, when lower than 500 ft above the ground, they are outside of a handful of parameters such as airspeed, position, and rate of descent.
- NASA NTRS 2019 · Conference Paper
Validation of Proposed Go-Around Criteria Under Various Environmental Conditions
This paper evaluates the effects of environmental conditions on touchdown performance under varying approach states and validates proposed go-around criteria developed using data from a previously con…
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