NTSB CAROL · Event
Event WPR23LA216
Registry · N819KS
FAA Aircraft Registry record.
Make / Model
CESSNA 172R
Year of manufacture
2000 · 23 years old at event
Engine
LYCOMING IO-540 SER (300 hp)
Seats / Engines
4 seats · 1 engine
Last airworthiness date
20000620
ADS-B equipped
Yes — Mode-S AB2BBD
Registrant of record
N819KS LLC
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
A failure of the nose wheel upper torque link bolt, which resulted in a loss of steering control. Contributing to the accident were maintenance personnel’s failure to inspect and replace the fractured bolt and the pilot’s oversight of the bolt during his preflight inspection.
Factual narrative
On June 5, 2023, about 1517 Pacific daylight time, a Cessna 172R, N819KS, was substantially damaged when it was involved in an accident near Santa Monica, California. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 test flight. The pilot stated that he was performing a maintenance test flight (the airplane’s first flight) following a repair for a collision with a fuel truck that occurred about one month earlier. On the day of the accident, he inspected the nose landing gear assembly and “saw nothing out of sorts” that would have caused him to cancel the flight. After a high-speed taxi he determined that the airplane was safe to fly in the airport traffic pattern. The pilot departed runway 21, remained within the airport traffic pattern, and touched down normally on the departure runway. During landing roll, as the nose landing gear contacted the runway, it began to shimmy. The pilot applied back pressure to the control yoke to keep the airplane’s weight off the nosewheel; however, once the airplane slowed the nose wheel shimmy intensified. Subsequently, the pilot heard a sound that resembled a piece of metal strike the lower engine cowling. The airplane veered left despite the pilot’s attempts to correct the movement with right rudder. His attempt to apply the brakes also exacerbated the turn and he continued to use aerodynamic braking with back pressure on the control yoke. The airplane then veered left aggressively and, when the pilot attempted to reapply the brakes, the right wing dipped and collided with the ground. The airplane nosed over and came to rest inverted, which resulted in substantial damage to the rudder. A bolt from the nose wheel torque link assembly was found on the runway during a sweep for foreign object debris following the accident. In addition, the torque link had separated from the nose wheel steering arm assembly at the upper bolt (see Figure 1). According to the airplane maintenance manual, “The torque links give a mechanical link between the top and bottom parts of the shock strut and help keep the nosewheel aligned with the airframe.” The illustrated parts catalogue shows that the upper torque link connects to the nose gear steering arm assembly and the lower torque link connects to the nose wheel fork. Figure 1: Nose wheel torque link and bolt from accident Bolt Examination A National Transportation Safety Board Materials Laboratory examination found that both the upper and lower torque link bolt measurements and thread profiles were consistent with the proper bolt for the installation. The bolthead had separated from the bolt shank, but the corresponding castellated nut and cotter pin were secure in place. The fracture surface had directional dimples consistent with shear overstress. Prior Damage In May 2023 the airplane collided with a fuel truck as it was being towed by the operator. The airplane owner videotaped the damage to the airplane, which showed a bent tow point and a curved bolt with a castellated nut protruding from the upper torque link to nose gear steering arm assembly connection. According to an invoice, the damage was inspected and 10 shock mounts on the cowling were replaced to prepare the airplane for a ferry flight as the damage, including the strut, was going to be repaired by another maintenance facility. The operator stated that the instructor was then asked to complete the maintenance flight (accident flight) after the airplane was serviced to ensure it was airworthy before the ferry flight. Figure 2: Damage to nose gear after collision with truck (May 2023) The pilot was completing a maintenance flight to determine that the airplane was airworthy after repairs following a collision with a fuel truck that had taken place one month before the accident. The high-speed taxi test and subsequent flight in the airport traffic pattern were uneventful. However, when the pilot landed the airplane, the nosewheel began a shimmy that intensified as the airplane slowed. The airplane began to veer left, and the pilot attempted to correct the movement with right rudder, aerodynamic braking, and then both brakes, but the airplane nosed over and came to rest inverted, which resulted in substantial damage to the rudder. A bolt from the upper portion of the nose torque link was found on the runway and a poastaccident material analysis revealed that the bolt had separated from shear overstress. The investigation also found that the bolt had been damaged and was not replaced as part of the repairs made to prepare the airplane for the ferry flight following the previous collision with the fuel truck. The accident was the result of a failure of the upper torque link during landing. The link failed due to a bolt that had unaddressed fractures originating from when the airplane collided with the truck. This resulted in a loss of steering control and a subsequent loss of directional control on the ground. A video provided by the airplane owner of the airplane showing the damage on the airplane following the collision with the fuel truck clearly shows the bent upper torque link bolt. 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).
- — Aircraft-Aircraft systems-Landing gear system-Nose/tail gear attach section-Failure
- — Aircraft-Aircraft systems-Landing gear system-Nose/tail gear attach section-Inadequate inspection
- — Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Directional control-Attain/maintain not possible
- — Personnel issues-Task performance-Maintenance-Replacement-Maintenance personnel
- — Personnel issues-Task performance-Inspection-Preflight inspection-Pilot
Verbatim from NTSB's published report. Source file
NTSB_2023_WPR23LA216.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 (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 · 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.
- 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…
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- Semantic Scholar 2025 · Article (Applied Sciences)
Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
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