WPR21LA069
2020-12-13 · San Diego, California, United States · None · 1 aircraft · Status: Completed
Airport MYF
Aircraft involved
Probable cause & findings
A partial loss of engine power due to the fatigue fracture of the No. 3 exhaust valve rocker arm stud.
Factual narrative
On December 13, 2020, about 1250 Pacific standard time, a Cessna 172, N5098E, was substantially damaged when it was involved in an accident near San Diego, California. The flight instructor and student were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor reported that the purpose of the flight was for the student pilot to practice touch-and-go landings. During the second takeoff on runway 28R, as the airplane was about 100-150 ft above ground level, the flight instructor detected a loss of engine power and assumed control of the airplane. He landed the airplane on the remaining runway; however, the airplane overran the departure end of the runway and struck and airport perimeter fence. Postaccident examination of the airplane by a Federal Aviation Administration inspector revealed that both wings and the fuselage sustained substantial damage. Subsequent examination of the airplane’s engine revealed that the No. 3 cylinder’s intake shroud tube was bent. Removal of the No. 3 cylinder’s rocker box cover identified the exhaust valve rocker arm stud had separated. The exhaust valve rocker arm seat, rocker arm, washer, and a section of the stud with self-locking nut were loose within the rocker box cover. Fretting was observed at the mating surface for the rocker arm seat, the rocker arm seat, the shroud tube and the push rod assembly. The rocker arm stud was sent to National Transportation Safety Board Materials Laboratory, Washington, DC, for examination. The examination of the fracture surface revealed characteristics consistent with a fatigue fracture. Review of maintenance records did not reveal if the stud was ever replaced or inspected during the major overhaul. According to the flight instructor, the purpose of the flight was for the student pilot to practice touch-and-go landings. During the second takeoff, as the airplane was about 100-150 ft above ground level, he detected a loss of engine power and assumed control of the airplane. He landed the airplane on the remaining runway but overran the departure end of the runway and struck the airport perimeter fence. Both wings sustained substantial damage. Examination of the engine revealed that the No. 3 exhaust rocker arm stud was fractured. Metallurgical examination of the fracture surfaces on the rocker arm stud revealed that it had fractured due to fatigue. The fatigue fracture of the No. 3 exhaust valve rocker arm stud likely led to the partial loss of engine power. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- — Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Fatigue/wear/corrosion
- — Aircraft-Aircraft power plant-Engine (reciprocating)-Recip eng cyl section-Failure
Verbatim from NTSB's published report. Source file
NTSB_2020_WPR21LA069.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (maintenance). All research papers
- NASA NTRS 2023 · Reprint (Version printed in journal) Finite Element Simulation of Three Full-Scale Crash Tests for Cessna 172 Aircraft
The NASA Emergency Locator Transmitter Survivability and Reliability project was initiated in 2013 to assess the crash performance standards for the next generation of emergency locator transmitter (E…
- NASA NTRS 2019 · Conference Paper Crash Testing and Simulation of a Cessna 172 Aircraft: Pitch Down Impact Onto Soft Soil
During the summer of 2015, NASA Langley Research Center conducted three full-scale crash tests of Cessna 172 (C-172) aircraft at the NASA Langley Landing and Impact Research (LandIR) Facility.
- NASA NTRS 2019 · Technical Memorandum (TM) Simulating the Impact Response of Three Full-Scale Crash Tests of Cessna 172 Aircraft
During the summer of 2015, a series of three full-scale crash tests were performed at the Landing and Impact Research Facility located at NASA Langley Research Center of Cessna 172 aircraft.
- Semantic Scholar 2020 · Article (Collegiate Aviation Review International) From Classroom to Industry: Human Factors in Aviation Maintenance Decision-Making
The presence of human factors in aviation remains a critical area of research given the safety implications of human error.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation