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Aircraft:
Canadair CL-600
Where: Grand Rapids,
Michigan
Injuries: None
Phase of flight: Landing
approach
A Canadair CL-600-2B19, operated by Comair as
flight 5689, experienced an uncommanded roll while
on approach to Kent County International Airport
(GRR), Grand Rapids, Michigan. The certificated
airline transport flight crew, 1 flight attendant,
and 18 passengers were not injured. Visual meteorological
conditions prevailed for the scheduled passenger
flight that originated from the Greater Cincinnati/Northern
Kentucky Regional Airport, Covington, Kentucky at
1105. Flight 5689 was operated on an instrument
flight rules (IFR) flight plan under 14 CFR Part
121.
The Captain reported they were flying a visual
approach to runway 35 and were following the localizer
to intercept the glideslope. When flaps 45 degrees
were selected, the airplane rolled right about 15
to 20 degrees. He applied left aileron to correct
the roll. The Captain reported he received a "FLT
SPOILER DEPLOYED" message on the Engine Indication
and Crew Alerting System (EICAS). He reported the
flight control synoptic page showed everything normal
except the right flight spoiler box was yellow and
zero displacement was indicated. The Captain discontinued
the approach, declared an emergency, and climbed
to 5,000 feet mean sea level (msl).
In a written statement, the Captain reported
the following:
'We ran the QRH [Quick Reference Handbook] checklist
for the flight spoiler deployed caution message
and verified that the handle was stowed. We orbited
making left-hand turns while we tried to identify
the problem and attempted to contact Comair maintenance
control for assistance.
After consulting with maintenance and flight
operations personnel, and conducting a visual inspection,
we determined that we had some sort of failure of
the right flight spoiler. We then ran the checklist
for a flight spoiler failure without satisfactory
results. By this time we had only 2000 lbs. of fuel
remaining and we elected to land using the corrected
airspeeds per the QRH. The approach and landing
were uneventful with normal GLD [Ground Lift Dumping]
deployment indicated on touchdown.
A post-flight inspection revealed the right flight
spoiler was fully deployed, probably from the GLD
on landing and the left spoiler lug had fractured
and separated from its respective actuator. Whether
the lug failure was the primary failure or a secondary
failure is unknown at this time."
In subsequent correspondence, the pilot reported
the following information about the indications
and messages provided to the pilots during the incident
from the Engine Indication and Crew Alerting System
(EICAS):
'In our event, the primary EICAS message was 'Flight
Spoiler Deploy' caution message instead of the 'FLT
SPLR L(R)' caution message. We were forced to spend
time reviewing the contents of the other checklists
to see which one would be most applicable to our
situation. In this case, both the FLT SPLR and FLAPS
TWIST checklists could have been applicable. We
were forced to conduct a visual inspection to eliminate
the possibility of a flap failure. Furthermore,
when we extended the flight spoilers per the QRH
checklist the F/CTRL page indicated a symmetrical
deployment of the flight spoilers, even though this
was not the case.'
The EICAS system relies upon the sensor mounted
to the actuator to indicate flight control displacement,
and it does not sense the actual displacement of
the flight controls.
A review of the maintenance records indicated
the right flight spoiler had acquired a total of
3987.9 cycles and 4064 landings.
The right flight spoiler assembly was sent to
the National Transportation Safety Board's Materials
Laboratory for examination. The inspection of the
fractured aluminum lug revealed that one fracture
surface contained features indicative of fatigue
cracking. Fatigue cracking was on two planes of
the lug separated by a large ratchet mark. 'Cracking
on one side to the ratchet mark emanated from the
inside diameter,' but the exact origin area could
not be determined due to mechanical damage to the
fracture surface. The report stated, 'The width
of the fatigue crack region was approximately 0.2
inch, and the crack extended through approximately
75% of the wall thickness.'
The report stated, 'The inside diameter surface
of the lug contained wear damage that was noted
completely around the circumference of the lug,
but that appeared more extensive in the area of
the fatigue crack. The inside diameter surface also
contained a circumferential mark' that extended
completely around the circumference of the lug.
Portions of the mark exhibited metal flow and steps,
consistent with one edge of the bearing outer race
moving laterally with respect to the lug.'
The airplane's manufacturer had issued a Service
Bulletin (SB) A601R-57-027 that specified non-destructive
inspections of the aluminum spoiler lugs. The manufacturer
also started producing spoilers with steel lugs
that could replace the original spoilers with aluminum
lugs that would terminate the inspection requirement.
The accident airplane did not have the maintenance
performed on it that would have complied with the
Service Bulletin since a Service Bulletin is advisory
in nature.
Transport Canada issued Airworthiness Directive
(AD) CF-2000-15 that directed that the aluminum
flight spoiler lug be inspected by non-destructive
means at a threshold of 7,000 cycles since new.
The AD also stipulated that the installation of
redesigned flight spoiler which utilized steel lugs
provided terminating action to the inspection requirements.
Transport Canada issued AD CF-2000-15R1 that
lowered the inspection threshold of the aluminum
flight spoiler lugs to 3,000 cycles, and at intervals
not to exceed 500 cycles. The AD also stipulated
that the installation of redesigned flight spoiler
which utilized steel lugs provided terminating action
to the inspection requirements.
The Federal Aviation Administration issued AD
2001-12-24 that lowered the inspection threshold
of the aluminum flight spoiler lugs to 3,000 cycles,
and at intervals not to exceed 500 cycles. The AD
also stipulated that the installation of redesigned
flight spoiler which utilized steel lugs provided
terminating action to the inspection requirements.
The National Transportation Safety Board determined
the probable cause(s) of this accident/incident
as follows: The uncommanded deployment of the right
flight spoiler due to the fatigue fracture of the
spoiler lug.
Source: National Transportation Board
Aircraft: Cessna
Where: Rome, GA
Injuries: None
Phase of flight: Cruising
At 1715 eastern standard time, a Cessna and operated by a private individual as a 14 CFR Part 91 personal flight, experienced total loss of engine power, and made a forced landing in the vicinity of Rome, Georgia. The airplane received substantial damage. Visual meteorological conditions prevailed and no flight plan was filed. The airline transport-rated pilot and private-rated passenger reported no injuries. The flight originated from the Richard B. Russell Airport, Rome Georgia, on February 1, 2006, at 1615.
The pilot stated while in cruise flight she looked at the fuel gauges and the right fuel tank was empty and the left fuel tank was approximately a quarter full. The primer was stuck in the out position. She and the passenger attempted to push the primer in with negative results. She then decided to fly back towards the departure airport and while en-route, the engine quit. The pilot stated that the airplane was approximately 1000 feet above the ground and she elected not to attempt an engine restart. She made a 180 degree turn and initiated a forced landing to an open field. The airplane landed half way down the field. She attempted to stop the airplane, but the airplane skidded through a barb wire fence, the left wing clipped a tree, and the airplane spun around 180-degrees. The airplane came to rest facing north.
Examination of the airplane after the accident by an FAA inspector showed the airplane contained no usable fuel and the primer handle was unlocked. A review of the primer's design drawings found that there are two check valves within the primers system which prevent fuel from entering the engine even with the primer in the out position. Fuel can only enter the engine through the action of closing the primer.
The National Transportation Safety Board determines the probable cause(s) of this accident to be: The pilot's improper fuel management resulting in a total loss of engine power due to fuel exhaustion.
Source: National Transportation Board
Aircraft:
Cessna 150
Where: Sonoma, CA
Injuries: None
Phase of Flight:
At 2030 hours Pacific daylight time, a Cessna
150J experienced a loss of engine power and made
a forced landing in a vineyard approximately 2 miles
northwest of the Sonoma Skypark Airport, Sonoma,
California. The airplane was operated by the student
pilot/owner under the provisions of 14 CFR Part
91, and sustained substantial damage. The pilot,
the sole occupant, was not injured. Visual meteorological
conditions prevailed for the night cross-country
flight, and no flight plan had been filed. The airplane
had departed the Calaveras County-Maury Rasmussen
Field Airport, San Andreas, California, about 1930,
and was scheduled to terminate at the Sonoma Skypark
Airport.
The student pilot stated that he had refueled
at Sonoma Skypark the morning of the previous day.
He flew to the Calaveras County airport and spent
the next 2 days working in San Andreas. The pilot
stated that there were no mechanical anomalies noted
with the flight to Calaveras County. On the night
of the second day, he conducted a preflight; however,
he did not refuel the airplane prior to leaving
Calaveras County.
The pilot indicated that he had flight following
during his flight back to Sonoma, but that he had
not filed a flight plan. During the return flight
he was in radio contact with the Sacramento and
Stockton air traffic controllers, and Oakland Center.
While in contact with Oakland Center, he requested
an altitude change near Sonoma from 4,500 feet to
3,000 feet. He stated that he was over the airport,
but could not see the airport. As the airplane reached
an altitude of 3,500 feet, the engine lost power.
The pilot reported he made several unsuccessful
attempts to restart the engine. He declared an emergency
with Oakland Center. The pilot stated that Oakland
Center attempted to give him directions to the airport;
however, the airplane was losing altitude and he
decided to land the airplane. He picked a road to
land on; at the last minute he saw power lines and
maneuvered to avoid them. The airplane came to rest
on its nose in a vineyard.
The pilot stated that the engine was sputtering
and then quit. During the attempts to restart the
engine, he stated that the primer was in and locked.
He further stated that he did not see the oil pressure
gauge indicating anything abnormal.
A Sonoma County Sheriff's deputy who responded
to the accident site reported that fuel was present
in the fuel tanks, but he could not tell what the
quantity was.
A Federal Aviation Administration (FAA) inspector,
who conducted the on-scene inspection, stated that
3 1/2 gallons of fuel were drained from the left
tank and 1 gallon of fuel was drained from the right
tank. He further indicated that a few drops of fuel
were collected from the fuel bowl.
The inspector conducted an engine inspection
and ground-run. During the engine inspection he
noted that the ignition switch was defective.
The inspector interviewed the pilot, who was
present for the engine inspection. The pilot stated
that there was a "trick" to starting the airplane.
Pressure had to be applied to the instrument panel
in order to allow the ignition switch to positively
ground to the system for start up. The pilot further
stated to the inspector that he knew the switch
was defective prior to the accident flight, and
it had been that way for some time. No further discrepancies
were noted with the engine ground run.
According to the airplane manufacturer, the fuel
system is a gravity fed system. Total fuel on board
the airplane was 26 gallons; usable fuel for all
flight conditions was 22.5 gallons, with 3.5 gallons
unusable fuel.
The closest aviation weather reporting station
was the Napa, California, airport, which is located
about 6 miles east of the accident site. The 2054
METAR report for Napa noted in part that the temperature
was 60 degrees Fahrenheit and the dew point was
55 degrees. Review of a carburetor icing probability
chart disclosed that this temperature and dew point
falls in an area of the graph annotated "Serious
Icing Climb or Cruise Power."
The National Transportation Safety Board determines
the probable cause(s) of this accident to be: Fuel
exhaustion due to the pilot's inadequate preflight
fuel consumption calculations and failure to ensure
that adequate fuel was onboard the airplane prior
to departure. A factor in the accident was the pilot's
continued use of the airplane with known mechanical
deficiencies.
Source: National Transportation Board
Aircraft: Cessna
150
Where: Oahu, HI
Injuries: 1 minor
Phase of Flight: Forced
landing
A Cessna 150K experienced a total loss of engine
power during cruise flight. The pilot made a forced
landing in a park on the Island of Oahu, and during
rollout the airplane collided with a tree. The airplane
was operated by Oahu Aviation Flight School, Inc.,
Honolulu, Hawaii, and it was substantially damaged.
The private pilot received a minor injury; the passenger
was not injured. Visual meteorological conditions
prevailed during the dusk flight, and no flight
plan was filed.
The round-robin flight originated from the Honolulu
International Airport on Oahu about 1530. The pilot
reported that he believed the airplane's fuel tanks
were full, but he may have 'misjudged" their actual
quantity. After takeoff, the pilot flew to the Island
of Lanai, and arrived there about 1620. While on
Lanai, the pilot did not check the amount of fuel
in the tanks. The pilot departed Lanai about 1650
and planned to return to Honolulu. The pilot reported
that while en route the engine lost power. At the
time, the fuel tank gauges registered slightly less
than 1/2 full.
Unable to reach his destination, the pilot made
a forced landing in the Waialae Iki Park (about
8 miles east of the Honolulu International Airport).
During rollout, the airplane collided with a mango
tree.
According to the operator, the pilot had been
scheduled to rent the airplane between 1400 and
1600, but he had been delayed for undetermined reasons.
The airplane's fuel tanks were not full upon the
pilot's departure from Honolulu. The total time
registered on the engine's tachometer (from Honolulu
to Lanai to impact) was approximately 1.9 hours.
The operator reported that after the accident
the airplane was examined. The undamaged right wing
fuel tank was found containing several drops of
fuel. The damaged (but not breached) left wing fuel
tank contained about 1 quart of fuel. The operator
also stated that the airplane's engine burns approximately
6 gallons per hour.
According to the Cessna Aircraft Company, the
airplane's fuel tank capacity is 26 gallons. The
total usable fuel in all flight conditions is 22.5
gallons.
The National Transportation Safety Board determines
the probable cause(s) of this accident as follows:
Fuel exhaustion due to the pilot's inadequate preflight
inspection and improper in-flight decision and planning.
Source: National Transportation
Board
Aircraft: Cessna 150F
Where: Levelland, TX
Injuries: 2 fatal
Phase of flight: Takeoff
Approximately 1840 central daylight time, a single-engine Cessna 150F airplane was destroyed during impact with terrain following a loss of control while on an approach to the Levelland Municipal Airport (LLN), near Levelland, Texas. The flight instructor and the student pilot receiving instruction were fatally injured. The airplane was registered to a private individual and operated by a Part 141 Flight School. Visual meteorological conditions prevailed, and a flight plan was not filed for the 14 Code of Federal Regulations Part 91 instructional flight.
Multiple witnesses located in the vicinity of the accident site provided statements to the NTSB investigator-in-charge. The first witness, who is a certificated flight instructor (CFI) and was employed by the flight school, stated that he had just flown the airplane before the accident flight. He added that the airplane had flown two previous flights; approximately 1.5 and 1.2 hours in duration. During the CFI's last flight, he stated that he took his wallet and keys and placed them in the airplane. Shortly after the accident pilot and student took the airplane, he realized that his keys and wallet were still in the airplane. The CFI stated that he took a car and drove out onto an intersection taxiway, hoping to get the accident pilot's attention. The CFI said the airplane's takeoff was "abrupt and nose high." The CFI then stated the airplane continued its takeoff run, before a slight "leveling off" and then the airplane climbed to 50-100 feet before making a steep, left banked turn. He then observed the airplane descend to about 50 feet while on the downwind leg, before climbing back to 100-200 feet. The CFI then left the taxi area to go back to the flight school and said he didn't see anything else relating to the accident.
A second witness, who was standing outside his shop, located on the northeast side of the airport, reported that he noticed the Cessna 150 taxi onto runway 17. He stated that the conditions were "windy-gusty, 30 plus," which is why he kept his attention on the airplane. The witness added that he observed a car at the "first taxiway exit," and the person in the car began to wave out the window "as if he was flagging the aircraft down." He added that the airplane's engine went to full power and sounded normal. He further stated that the airplane was then "sharply pulled into flight" before the nose was lowered to build airspeed for a couple seconds. He said "the airplane began a normal climb to about 300 feet, then banked hard left at a 70 plus degree bank, and after a 180 degree turn, the Cessna 150 dove sharply to approximately 30 feet." The witness added that "the airplane then sharply climbed to about 300 fee." The witness further stated that the airplane "sharply turned left again at a 70-80 degree bank, and appeared to "rock" once, before falling completely, impacting [the ground]."
The National Transportation Safety Board determines the probable cause(s) of this accident to be: The pilot's failure to maintain airspeed resulting in an inadvertent stall. Contributing factors were low altitude and the gusting wind.
Source: National Transportation Board
Aircraft: Cessna 150G
Where: Coleman, TX
Injuries: None
Phase of flight: Takeoff
The 2,800-hour private pilot of the single-engine airplane experienced a partial loss of engine power on takeoff. A witness, who is also an airframe and powerplant (A&P) mechanic with inspection authorization (IA), stated that he heard the engine sputtering until the airplane was approximately 250 feet above the ground (AGL); then the engine stopped running. The A&P added that the pilot almost completed a 180-degree turn in an attempt to return to the airport; however, the airplane impacted the ground about 60 feet short of the airport. The A&P moved the airplane into a hangar, and reported to the FAA that the engine broke away from the airframe and the left wing was partially separated from the fuselage. The A&P also reported to the FAA that the fuel in the left fuel tank measured 0.75 of an inch, and the fuel in the right tank measured 0.25 of an inch. On the pilot's most recent FAA medical certificate dated April 11, 1989, the pilot reported his total flight time as 2,800 hours; however, he failed to complete a Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) sent to him by the NTSB investigator-in-charge.
The National Transportation Safety Board determines the probable cause(s) of this accident to be: The pilot's failure to refuel the airplane, which resulted in fuel exhaustion. A contributing factor was the lack of suitable terrain available for the forced landing.
Source: National Transportation Board
Aircraft:
Cessna 152
Where: Spanish Fork,
Utah
Injuries: 1
serious, 1 minor
Phase of Flight: Takeoff
At approximately 1900 Mountain Standard Time,
a Cessna 152, owned and operated by the pilot, crashed
into a frozen lake near Spanish Fork, Utah. The
private pilot was seriously injured and his pilot-rated
passenger received minor injuries. Night instrument
meteorological conditions prevailed, and no flight
plan had been filed for the personal flight being
conducted under Title 14 CFR Part 91. The flight
originated at Spanish Fork immediately prior to
the accident.
According to the pilot's accident report and
a subsequent written statement, he said the pilot-rated
passenger was interested in purchasing his airplane
and the flight was for demonstration purposes. The
two pilots assessed the weather conditions, 'We
had 5 miles visibility as we could see the lights
in town and the moon above,' and 'we both determined
it was safe to fly as we had five miles visibility.'
The pilot wrote that shortly after departure, 'At
300 feet [above the runway] we lost visibility.
I continued to climb on runway heading when the
pilot-rated passenger grabbed the [control] yoke.
I asked what he was doing. He said he felt we were
turning. I then noticed we were going down.' In
the ensuing struggle, the airplane crashed into
a frozen Utah Lake, skidded about 300 feet, and
then fell through the ice near Sandy Beach.
The pilot-rated passenger told rescuers, 'I don't
know if we flew into a cloud or what. All of a sudden,
we couldn't see the lights on the ground anymore.
We were disoriented. [The pilot] thought we should
descend a little. That's what we were doing when
we hit the lake. We didn't really see it coming.'
In his written statement, the pilot-rated passenger
said that during the initial climb, 'I remember
looking out and seeing the lights on the ground.
As I recall, we turned left crosswind and I could
still see the ground. Shortly thereafter, probably
on the downwind leg, I lost sight of the ground.
I remember asking him what the airport elevation
was and he said about 4,500 feet (4,529 feet). The
last altimeter reading I recall was around 5,500
feet. We started to descend to get out of the fog
but the situation was very disorienting as neither
of us was instrument rated.'
The passenger assisted the seriously injured
pilot out of the airplane. While the pilot clung
to the airplane's wing, which remained above the
water, the passenger walked across the lake's thin
ice, then waded through water towards the rotating
beacon at Provo, Utah, Municipal Airport, about
2 miles away. He arrived at the airport about 2030.
The pilot was rescued approximately 2300. According
to rescuers, the pilot was hypothermic, had fractured
both ankles, and had sustained a serious head injury.
Provo airport personnel said the visibility was
'really low. . .about 2 miles' in fog. Neither pilot
was instrument rated.
The National Transportation Safety Board determines
the probable cause(s) of this accident/incident
as follows: Improper weather evaluation by both
the pilot and pilot/passenger, and the pilot's inadvertent
VFR flight into IMC resulting in his spatial disorientation.
Factors were the pilot-rated passenger's spatial
disorientation, fog, and night conditions.
Source: National Transportation Board
Aircraft:
Cessna 152
Where: Injuries: 1
Fatal
Phase of Flight: Cruise
During low level cruise flight, within 2 minutes
following takeoff, the Cessna 152 collided with
terrain. The student pilot arrived at the airport
during nighttime hours when the flight school was
closed. He was not scheduled to fly that night and
was not endorsed for night flight. He removed keys
from the lockbox to an airplane of a type he had
never before flown and for which he was not endorsed.
He entered the airplane without a preflight inspection,
started the engine with difficulty, and then proceeded
to the runway and took off without pausing for any
pretakeoff checks. The airplane was observed to
takeoff into the clear night, turn, and fly into
a mountainside about 2 miles distant. The pilot's
flight instructor and the owner of the flight school
both found the pilot's behavior on the night of
the accident completely out of character for him.
A local law enforcement official said the pilot
was the subject of a criminal investigation and
that a search warrant had been served on his home
earlier the same day while the pilot was not home.
The pilot returned home to find that entry to his
home had been forced and records and a computer
were seized. The local coroner ruled the death a
suicide.
THE CAUSE
The National Transportation Safety Board determines
the probable cause(s) of this accident as follows:
The pilot's intentional flight of the airplane into
terrain in an act of suicide.
Source: National Transportation
BoardAircraft:
Cessna 170A
Where: Casper, WY
Injuries: 1 fatal
Phase of Flight: In
flight
On May 17, 2002, approximately 0238 mountain
daylight time, a Cessna 170A, piloted by a non-instrument
rated private pilot, was destroyed when it impacted
terrain 15 nautical miles west-northwest of the
Natrona County International Airport (CPR), Casper,
Wyoming. Night visual meteorological conditions
with observed dense fog prevailed at the time of
the accident. The personal, cross-country flight
was being conducted on a visual flight rules flight
plan from CPR to Thermopolis, Wyoming. The pilot
sustained fatal injuries. The flight originated
at 0228.
The pilot's wife said that the pilot took off
from Watkins, Colorado, for Thermopolis about 1900.
She said she told him that they were experiencing
bad weather, but it was moving rapidly to the east.
The pilot's wife said she next spoke to the pilot
about 2230. He told her that he was at Casper, Wyoming.
He told her that he diverted around stormy weather
and was going to wait until it cleared. The pilot's
wife said he called her again at 0030 and told her
the weather was still down and that he would be
spending the night at Casper. He told her that he
was going to stop at the Flight Service Station
and see what they had to say. He told her that he
would then sleep in the airplane until sunrise and
not to expect him.
The pilot's wife said she received a call about
0400 from Flight Service asking if the pilot had
gotten home and forgot to close his flight plan.
She told them that he wasn't there, but would go
up to the Thermopolis Airport to see if he was there.
She said that Flight Service told her that the pilot
waited at their office until 0230 when the weather
began to clear up. He left after that.
At 0600, the pilot's wife said she spoke with
Flight Service and informed them that there was
no sign of her husband. Search and rescue was initiated.
The airplane was located by Civil Air Patrol personnel
and Natrona County Sheriff's deputies approximately
0730.
METEOROLOGICAL INFORMATION
At 0203, the Aviation Routine Weather Report at
CPR was scattered clouds at 1,100 feet, ceiling
2,000 feet overcast, visibility 10 statute miles,
temperature 43 degrees Fahrenheit (F), dew point
39 degrees F, winds 360 degrees at 6 knots, and
an altimeter setting of 30.20 inches of Mercury
(Hg).
Civil Air Patrol personnel and Natrona County
Sheriff's deputies, reported dense fog in the Casper
area during the early morning hours.
WRECKAGE AND IMPACT INFORMATION
The accident site was located in a pasture 2 miles
south of U. S. Highway 20, and 15 miles west-northwest
of the Natrona County International Airport. The
site extended south along a 168-degree magnetic
heading for approximately 373 feet.
The accident site began with a 29-foot long,
10-inch wide, and 3-inch deep scrape in the ground
running along a 172-degree heading. At the beginning
of the scrape were pieces of red glass; blue and
white paint chips, and a wing tip light frame. Along
the scrape were numerous paint chips, pieces of
clear Plexiglas, and pieces from the airplane's
left wing.
At the end of the scrape was an impact crater.
The crater was 11 feet long, 6 feet wide, and 28
inches at its deepest point near the center. Within
the crater were pieces of broken Plexiglas, white
paint chips, and a crushed cabin air vent. The ground
at the south edge of the crater was pushed upward.
A spray of dirt extended outward from the south
edge of the crater for approximately 23 feet. Within
the spray of dirt were broken pieces from the airplane's
cowling and right wing. Additionally, there were
broken pieces of Plexiglas, paint chips, and parts
from the engine exhaust manifold.
The airplane's propeller was located 62 feet
from the initial ground contact point. The propeller
was broken torsionally from the crankshaft just
behind the flange. The propeller blades showed torsional
bending, tip curling, and chordwise and diagonal-running
scratches. There were several nicks in the leading
edges of both blades.
A debris field, beginning at the propeller, extended
south along a 168-degree heading for approximately
143 feet. The debris field was approximately 70
feet at its widest point. Within the debris field
were the outboard portion of the right aileron,
the left wing fuel tank, the left wing strut, left
main landing gear strut, a part of the rudder pedal
torque tube, pieces of the cabin's interior walls,
pieces of cabin insulation, the right cabin door,
several flight and engine instruments, pieces of
broken clear Plexiglas, the right side upper cowling
door, and numerous charts, manual pages, and personal
effects.
A piece of the left doorframe was located 85
feet from the initial ground contact point. It was
broken outward and crushed aft.
A piece of the instrument panel with the starter
switch was located 90 feet from the initial ground
contact point. The panel piece was broken and twisted.
The switch was broken off.
The outboard section of the right aileron was
located 123 feet from the initial ground contact
point. It was broken off at the hinges, and was
bent upward and twisted aft. The left wing fuel
tank was located 130 feet from the initial ground
contact point. The tank was broken open, and bent
and crushed inward. The smell of aviation fuel was
prevalent on the ground south of the fuel tank.
The upper right cowling door was located at 137
feet. It was broken longitudinally along the hinges
and was bent outward.
A 9-foot, 6-inch section of the airplane's left
wing forward spar, the left wing strut, and the
left main landing gear strut, were located 162 feet
from the initial ground contact point. The spar
section was broken out, twisted, and bent aft. The
left strut was intact and remained attached by the
mounting bolts to the wing strut and a piece of
the bottom fuselage and left main landing gear strut.
The left main landing gear strut was intact. The
wheel, brake, and brake line were broken off. The
fuselage piece with the landing gear strut was broken
out, crushed and twisted. The smell of aviation
fuel was prevalent on the spar section and on the
ground around the spar and strut.
A second impact scar was located at 179 feet
from the initial ground contact point. The scar
was approximately 2 feet long, 18 inches wide, and
8 inches at its deepest point. Just south of the
hole were pieces of engine crankcase and a bent
push rod. A spray of oil began 9 feet south of the
second impact scar and ran along the ground on a
172 degree heading for 38 feet.
The right main cabin door was located 188 feet
from the initial ground contact point. The door
was broken at the hinges and crushed aft along the
front edge of the door. The door window was broken
out and fragmented.
The airplane's main wreckage was located 208
feet from the initial ground contact point. The
wreckage consisted of the airplane's cabin, outboard
portion of the left wing and aileron, the aft portion
of the right wing, the right main landing gear,
the aft fuselage, and the empennage.
Immediately before the main wreckage were broken
pieces of the instrument panel, glareshield, several
flight and engine instruments, and personal effects.
The airplane's forward cabin was broken open
at the instrument panel and right front seat. The
cabin front floor was broken open and crushed upward.
The top of the front cabin was crushed downward
and bent aft. The aft cabin floor was bent downward.
The top of the aft cabin was buckled upward and
crushed aft. The right aft cabin window was broken
out and fragmented. The left aft cabin wall was
broken open and crushed aft. The right main landing
gear strut and wheel was broken forward and twisted
at the front of the broken forward cabin section.
The brake line was broken. The wheel and tire was
intact.
The outboard section of the left wing and left
aileron were crushed aft, bent upward, and twisted
aft at mid-span. The left wing strut was intact
and remained attached at the wing and fuselage mounting
bolts. The left wing tip was broken aft longitudinally.
The outboard wing at the wing tip rivet line was
broken open and crushed aft. The bottom of the left
inboard wing was crushed downward and bent aft.
The left flap remained attached to the inboard wing
section. It was found in the retracted position.
The flap was bent downward at mid-span. Flight control
continuity to the left aileron was confirmed.
The remaining right wing was bent aft and twisted
forward at the wing root. The bottom aft wing skin,
aft spar, and right flap were broken and twisted
aft. The inboard portion of the right aileron was
crushed aft. Flight control continuity to the right
aileron was confirmed.
The airplane's aft fuselage was bent downward
and twisted 45 degrees clockwise, aft of the rear
cabin.
The airplane's empennage was bent right approximately
40 degrees just forward of the leading edge of the
right horizontal stabilizer. The vertical stabilizer
was bent left approximately 30 degrees beginning
at the base. The top forward part of the vertical
stabilizer was bent left 75 degrees. The airplane's
rudder was broken free of the vertical stabilizer
at the top and bottom hinges. The front edge of
the rudder was crushed aft. The top 16 inches of
the rudder was bent left and downward 45 degrees.
The bottom of the rudder was crushed upward and
aft. The tail wheel, tail wheel strut, and fuselage
mount were undamaged. The fin leading to the vertical
stabilizer was bent left and aft approximately 100
degrees.
The left horizontal stabilizer was crushed aft
and bent downward along its entire span. The outer
12 inches of the left elevator was bent upward and
crushed aft. The elevator trim tab was deflected
upward approximately 5 degrees.
The right horizontal stabilizer and elevator
were intact. The outboard 8 inches of the forward
leading edge of the right horizontal stabilizer
was crushed aft approximately 6 inches. The tip
of the right elevator was bent downward. Flight
control continuity to the elevator and rudder were
confirmed.
A second debris field began at the south side
of the airplane main wreckage and extended outward
from the wreckage along a 168-degree magnetic heading
for approximately 90 feet. The second debris field
approximately 45 feet at its widest point. Within
the debris field were seat belts, charts, tools,
personal effects, wheel chocks, airport directory
pages, a portable oxygen bottle, a fire extinguisher,
engine parts, and engine instruments.
The airplane's left cabin door was located 258
feet south of the initial ground contact point.
The top portion of the door, window frame, and window
were broken off. The remainder of the door was broken
and crushed aft. The cabin window frame was located
at 281 feet. A venturi system filter marked the
end of the debris field. It was located 302 feet
from the initial ground contact point.
The airplane's engine marked the end of the accident
site. It was located 374 feet from the initial ground
contact point. The engine was broken free at the
mounts. The front crankcase was broken open. The
crankshaft was broken torsionally just outside the
front of the crankcase.
The airplane's left tire rested 363 feet from
the main airplane wreckage on a 128-degree heading.
The tire and brake were intact. The inner edge of
the wheel rim was bent inward.
An examination of the engine and other
airplane systems revealed no anomalies.
MEDICAL AND PATHOLOGICAL
INFORMATION
An examination of the pilot was conducted by the
Natrona County, Wyoming, Coroner at Casper, Wyoming.
The results of FAA toxicology testing of specimens
from the pilot were negative for all tests conducted.
THE CAUSE
The National Transportation Safety Board determines
the probable cause(s) of this accident as follows:
The pilot's inadvertent flight into adverse weather
conditions and his subsequent failure to maintain
aircraft control. A factor contributing to this
accident was the fog.
Source: National Transportation
Board
Aircraft:
Cessna 172
Where: Seattle, Washington
Injuries: None
Phase of Flight: Landing
About 1640 Pacific Daylight Time, a Cessna 172S
registered to a private individual and operated
as a 14 CFR Part 91 solo instructional flight, was
substantially damaged during landing at Boeing Field,
Seattle, Washington. Visual meteorological conditions
prevailed at the time and no flight plan was field
for the local flight. The student pilot, the sole
occupant, was not injured.
In a written statement, the student pilot reported
that he took off on runway 13 left with the intent
on staying in the pattern to practice touch-and-go
landings. The student stated that while on downwind,
he was cleared to land. The student reduced power
and extended one notch of flaps. Base and final
approach turns were made with additional power reduction
and flap extension. The student pilot stated that
when he turned to final approach, he realized that
he was too high. The student lowered the nose of
the aircraft, but did not reduce power. Airspeed
began to increase and the student attempted to "slip
to slow down." The student eventually got the aircraft
on the VASI glide slope, but had an indicated airspeed
of 75 knots. The student pilot then reduced power
and continued to land with 70 to 75 knots airspeed.
The aircraft touched down in a flat attitude with
excessive airspeed and ballooned. The pilot pitched
the nose down and the aircraft touched down on the
nose gear and bounced. The student pitched the aircraft
down and again the aircraft touched down on the
nose gear and bounced. The aircraft finally settled
to the runway and the pilot applied braking action
and eventually pulled off the runway. The student
pilot then taxied back to the fixed base operator
to conclude the flight.
Representatives from the flying service reported
that the firewall sustained substantial damage.
The National Transportation Safety Board determines
the probable cause(s) of this accident as follows:
Improper flare during the landing. Excessive airspeed
and improper remedial action were factors.
Source: National Transportation
Board
Aircraft:
Cessna 172G
Where: Eustis. ME
Injuries: 2 minor
Phase of Flight: Landing
A Cessna 172G was substantially damaged when
it impacted terrain during an aborted landing at
a private airstrip near Eustis, Maine. The certificated
private pilot and passenger received minor injuries.
Visual meteorological conditions prevailed, and
no flight plan was filed for the flight, which departed
Swans Field Airport (3S2), Dixfield, Maine, about
1010.
According to the pilot's written statement, upon
arriving in the airport area he observed the windsock
in the "down position," and entered the traffic
pattern. After the pilot turned the airplane onto
the final leg of the approach, he noticed that the
airplane was "slightly" high, and compensated with
"flaps and [a] slight slip."
The airplane touched down about 500 to 600 feet
beyond the threshold of the 1,800-foot runway. The
airplane "floated" down the runway for a time, then,
the pilot elected to abort the landing. He turned
off the carburetor heat, applied full power, accelerated
the airplane to 60 mph, and "bled off" the flaps.
As the airplane climbed through about 15 feet above
ground level, the pilot banked the airplane to the
right. The right wing contacted a bush about 60
feet beyond the end of the runway. The airplane
pivoted 180 degrees, impacted the ground, and incurred
substantial damage to the wings, engine mounts,
and tail section.
The pilot did not report any mechanical anomalies
with the airplane.
The National Transportation Safety Board determines
the probable cause(s) of this accident as follows:
The pilot's failure to maintain clearance from a
bush during the aborted landing.
Source: National Transportation
Board
Aircraft:
Cessna R172K
Where: Warrenton,
VA
Injuries: None
Phase of flight: Landing
At 1115 eastern daylight time, a Cessna R172K
was substantially damaged while landing at the Warrenton-Fauquier
Airport (W66), Warrenton, Virginia. The certificated
private pilot was not injured. Visual meteorological
conditions prevailed, and no flight plan was filed
for the personal flight conducted under 14 CFR Part
91.
The pilot stated that he was performing practice
go-around's to runway 32, a 4,103-foot-long, 60-foot-wide,
asphalt runway. On his third approach, as the right
wheel touched down, and the left one began to settle,
the airplane began to veer left. The pilot immediately
added full throttle to attempt a go-around, but
the airplane was almost instantly in the tall grass
at the edge of the runway. The pilot retarded the
throttle and applied the brakes, but the airplane
continued into a ditch, coming to rest inverted.
The pilot added that the accident could have
been prevented if he had paid more attention to
the airplane's alignment while landing, and the
sudden changes in wind direction.
The pilot stated that he did not experience any
mechanical malfunction with the airframe or engine.
Examination of the wreckage by a Federal Aviation
Administration (FAA) inspector revealed substantial
damage to both wings, and the vertical stabilizer.
The inspector did not observe any anomalies with
the flight controls.
The weather observation at the Manassas Regional
Airport (HEF), located approximately 12 miles northeast
of W66, at 1055, included winds from 310 degrees
at 10 knots with 14 knots of gust, visibility 10
statute miles, sky condition clear, temperature
71 degrees Fahrenheit, dew point temperature 52
degrees Fahrenheit, altimeter setting 30.05 inches
of Hg., and a wind shift was reported 6 minutes
past the hour.
The National Transportation Safety Board determines
the probable cause of this accident as follows:
The pilot's inadequate compensation for the shifting
wind conditions, and his failure to maintain direction.
Source: National Transportation
Board
Aircraft:
Cessna 172K
Where: Martinsville,
Indiana
Injuries: 2 fatal
Phase of Flight: In
flight
HISTORY OF FLIGHT
A Cessna 172K, piloted by a private pilot was destroyed
on impact with trees and terrain near Martinsville,
Indiana. The 14 CFR Part 91 personal flight was
not on a flight plan. Instrument meteorological
conditions prevailed at the time of the accident.
The pilot and passenger received fatal injuries.
The flight originated from the Sky King Airport
(3I3), Terre Haute, Indiana, at about 2240 and was
en route to the Greenwood Municipal Airport (HFY),
Greenwood, Indiana.
The pilot had been in communication with air
traffic control prior to the accident. At 2300:44,
the pilot was given the weather conditions at the
Indianapolis International Airport (IND), Indianapolis,
Indiana. The air traffic controller said, ''the
Indy altimeter three zero two seven, we're showing
visibility one quarter with freezing fog, the scattered
ceiling is at one hundred feet and broken at seven
hundred feet our RVRs are all below eight hundred
for the runways. I'm not sure you want to come this
direction.' The destination airport, HFY, is located
11 nm and 119 degrees from IND.
Radar data for the time period beginning 2250
EST to 2330 EST was plotted on an aeronautical navigation
chart. The plotted data shows the aircraft ground
track from a position about 8.7 nautical miles (nm)
and 90 degrees magnetic from 3I3 to the accident
site. The data show the aircraft on an east-northeast
heading until about 2302 EST when the aircraft turned
to a southeast and ultimately an easterly heading.
The last recorded radar position was recorded at
2318:08.147 EST. The last recorded radar position
places the aircraft about 0.3 nm and 220 degrees
from the accident site.
PERSONNEL INFORMATION
The pilot held a private pilot certificate with
an airplane single engine land rating. The pilot
did not have an instrument rating. According to
a family member, the pilot had accumulated about
300 hours of pilot flight time. No pilot flight
records were recovered. The pilot also held a third
class aviation medical certificate. The medical
certificate listed as a restriction that the pilot
must wear corrective lenses.
AIRCRAFT INFORMATION
The airplane was a Cessna model 172K, powered by
a Lycoming O-320-E2D engine that was rated at 160
horsepower. A relative of the pilot reported that
the aircraft had received an annual inspection and
had accumulated a total of 2,699 hours at the time
of the inspection. The aircraft logbooks were not
recovered.
METEOROLOGICAL INFORMATION
The Indianapolis International Airport weather reporting
station recorded the weather at 2255 EST as:
Wind - 020 degrees at 4 knots
Visibility - 1/4 mile
Weather condition - freezing fog
Sky condition - 100 foot indefinite ceiling
Temperature - minus 02 degrees Celsius
Dew point - minus 02 degrees Celsius
Altimeter setting 30.27 inches of mercury
The Indianapolis International Airport weather reporting
station recorded the weather at 2321 EST as:
Wind - 010 degrees at 4 knots
Visibility - 1/8 mile
Weather condition - freezing fog
Sky condition - 100 foot indefinite ceiling
Temperature - minus 02 degrees Celsius
Dew point - minus 02 degrees Celsius
Altimeter setting 30.27 inches of mercury
Witnesses in the area of the accident site reported
foggy conditions on the night of the accident.
COMMUNICATIONS
The following is a synopsis of the communications
between the aircraft and the Terre Haute, Indiana,
Air Traffic Control Tower (ATCT):
2248 - The pilot reported on approach frequency
125.45
2249 - Terre Haute approach responded.
2249 - The pilot told approach he was VFR off of
Sky King (3I3) to Greenwood (HFY).
2249 - Approach had the aircraft ident on 1200 code.
2249 - Approach radar identified the aircraft and
asked at what altitude he would be cruising.
2250 - The pilot responded 2200 feet.
2250 - Approach gave the pilot the altimeter setting
and told him to maintain VFR, standby for squawk
code.
2250 - The pilot acknowledged.
2250 - Approach issued code 4561.
2250 - The pilot acknowledged.
2259 - Approach instructed the pilot to contact
Indianapolis Approach on frequency 119.05
2300 - The pilot acknowledged frequency change to
Indianapolis.
The following communications were recorded between
the aircraft and the Indianapolis, Indiana, ATCT
Approach Control position (DRE):
2300:32 - The pilot contacted Indianapolis approach.
2300:35 - DRE acknowledged.
2300:38 - The pilot stated, 'We're about thirty
five miles to the west we're inbound for hotel foxtrot
Yankee.'
2300:44 - DRE advised that 'Indy altimeter three
zero two seven we're showing visibility one quarter
with freezing fog the scattered ceiling is at one
hundred feet and broken at seven hundred feet our
RVRs are all ah below eight hundred for the runways.
I'm not sure you want to come this direction.'
2301:13 - The pilot responded he would deviate to
an alternate airport.
2301:17 - DRE stated, 'If it helps at all, Greencastle
airport's about eleven or twelve o'clock and six
miles.'
2301:26 - The pilot responded, 'Okay, thanks a lot
have a good day.'
No further transmissions were received from the
aircraft.
WRECKAGE AND IMPACT INFORMATION
A post accident examination of the wreckage was
conducted. The cockpit section was destroyed by
fire. The remainder of the wreckage was fragmented
and distributed along the wreckage path. The wreckage
was oriented on an approximately 150-degree magnetic
heading. All flight control surfaces were identified.
Control system continuity could not be verified
due to the amount of damage to the aircraft. All
identified control cable breaks exhibited signatures
consistent with overload. No anomalies were found
with respect to the airframe that could be associated
with a preexisting condition.
Several downed trees were found in the immediate
area of the accident site. Several branches were
found with diagonal cuts. A tree about 16 inches
in diameter was found with a diagonal cut that penetrated
about 4 inches deep into the center of the hollow
trunk.
The engine was removed from the accident site and
transported to a location where an examination could
be made. The engine could be rotated by turning
the propeller. Crankshaft and valve train continuity
were established. Accessory gear continuity was
established. Thumb compression was established on
all cylinders. Both magneto cases were broken. The
upper set of spark plugs was removed and no anomalies
were noted. The carburetor was broken loose from
its mount. The carburetor throttle arm was moved
and a fluid consistent in odor to gasoline was sprayed
from the accelerator pump nozzle. The carburetor
was disassembled and a fluid was noted in the float
bowl. No anomalies were found with respect to the
engine or engine accessories that could be associated
with a preexisting condition.
MEDICAL AND PATHOLOGICAL
INFORMATION
A forensic toxicology report was negative for all
tests performed.
The National Transportation Safety Board determines
the probable cause(s) of this accident/incident
as follows: The pilot's decision not to fly to the
alternate airport, his decision to continue the
flight in known adverse weather conditions, spatial
disorientation by the pilot, and his failure to
maintain aircraft control. Factors were the low
ceilings, the dark night, the fog, and the trees.
Source: National Transportation
Board
Aircraft:
Cessna 172N
Where: Decatur, WA
Injuries: 3 fatal
Phase of Flight: Takeoff
HISTORY OF FLIGHT
A Cessna 172N was destroyed after colliding with
forested terrain approximately 1,300 feet north
of the Decatur Shores Airstrip, Decatur Island,
Washington. The airplane was being operated as a
visual flight rules (VFR) scheduled passenger flight
under the provisions of Title 14, CFR Part 135,
when the accident occurred. The pilot, an airline
transport pilot, and the two passengers aboard the
airplane were fatally injured. Visual meteorological
conditions prevailed and a company flight plan was
in effect. The pilot's planned destination was Anacortes,
Washington.
Witnesses to the accident reported that shortly
after departing from the northbound runway, the
pilot initiated a 360-degree turn to the right (east).
Shortly before completing the turn, the aircraft
banked sharply to the left, pitched down, and collided
with trees in a nose-low attitude. Witnesses reported
that the aircraft's engine sounded normal during
takeoff and the initial climb.
PERSONNEL INFORMATION
The pilot held an airline transport pilot (ATP)
certificate with an airplane multiengine land rating.
He also held a commercial pilot certificate with
an airplane single-engine land rating and instrument
rating. According to company training records, the
pilot's most recent proficiency check was completed
in a Piper PA-31-350.
According to FAA records, the pilot's medical
certificate carried no limitations or waivers. On
the application for the medical certificate, the
pilot indicated that he had accumulated approximately
3,100 total flight hours, including 140 hours in
the six months preceding the application date.
AIRCRAFT INFORMATION
The airplane, a 1977 Cessna 172N, was powered by
a naturally aspirated Lycoming O-320 series engine
rated at 160 horsepower. Maintenance records indicated
that the airplane's last inspection, a 100-hour
inspection, was completed on September 10, 2001.
The airplane had accumulated approximately 48 hours
from the time of the inspection to the time of the
accident.
According to the aircraft's flight manual, the
maximum gross takeoff weight for the airplane is
2,300 pounds. Weight and balance records for the
airplane listed the airplanes empty weight as 1,426.2
pounds. The estimated gross weight of the airplane
at takeoff was 2,361 pounds. The weights used to
determine the airplane's gross weight at takeoff
were based on the most current weight and balance
records, the actual weights of the occupants, the
baggage and personal items (153 pounds) and the
airplane's fuel load (102.6 pounds) at takeoff.
METEOROLOGICAL INFORMATION
The 1353 Aviation Routine Weather Report (METAR)
at Friday Harbor, Washington (FHR), approximately
9 miles west of the accident location, reported
winds from 348 degrees at 5 knots; visibility 10
statute miles; clear skies; temperature 16 degrees
Celsius; dew point 8 degrees Celsius and altimeter
setting 30.20 inches.
WRECKAGE AND IMPACT INFORMATION
Personnel from the NTSB, FAA, and Textron Lycoming
accessed the aircraft wreckage. The wreckage was
located in a heavily wooded area approximately 1/4
mile beyond the departure end of runway 33. The
wreckage field encompassed an area approximately
195 feet long, from north to south. A grouping of
large trees, with fresh scarring, was noted at the
north end of the wreckage track. The magnetic bearing
from the trees to the wreckage was approximately
170 degrees. The main wreckage was located at the
southern most end of the wreckage distribution track.
The remains of the fuselage were found inverted,
oriented on a magnetic heading of 208 degrees. Evidence
of a small post-crash fire was noted, with thermal
damage and soot in the area of the carburetor.
All aircraft components were located at the crash
site. The main wreckage consisted of the fuselage,
empennage, right wing assembly and engine. A section
of the left inboard wing and left flap was located
approximately 18 feet north of the main wreckage.
The remaining (outboard) section of the left wing
and left aileron were located at the base of a large
tree 100 feet north of the main wreckage. The still-standing
tree measured approximately 10 feet in diameter
and was approximately 150 feet tall. Fresh scarring,
approximately 70 feet up from the base of the tree,
was noted. The left main landing gear assembly was
located 196 feet north of the main wreckage. The
left main landing gear assembly was found at the
northern end of the wreckage distribution track.
Extensive impact damage and fragmentation was
noted to the cockpit controls and instrumentation
panel. The throttle control was full forward, the
mixture control was in the full rich position and
the carburetor heat control was in the cold (forward)
position. The fuel selector was in the 'both' position.
All fixed and movable empennage control surfaces
remained attached in their respective positions.
Rearward crushing and deformation was noted to the
outboard section of the left horizontal stabilizer
and left elevator. The right horizontal stabilizer
was bent aft; however, the right elevator was intact
and no deformation was noted. The vertical stabilizer
and rudder sustained minimal impact damage. Control
cable continuity was established from the empennage
control surfaces to the cockpit.
The partially attached right wing was located
with the main wreckage. The right flap and aileron
were attached to the wing, and the flap was in the
up position. Leading edge deformation, increasing
toward the tip, was noted. An undetermined amount
of fuel, blue in color, was noted in the right fuel
tank.
The left wing was found separated into two sections.
The inboard section of the wing sustained extensive
impact damage and had separated from the fuselage
at the wing attach points. The wing flap had separated
from the wing, and was located in the area of the
inboard section of wing. A large section of the
leading edge was crushed rearward to the trailing
edge of the wing, exposing the wing fuel tank. Leading
edge rearward crushing and bending was noted to
the outboard section of the wing. The left aileron
was still attached to the outboard wing assembly.
The propeller assembly was found as a unit attached
to the crankshaft flange. Rearward crushing was
noted to the propeller spinner. Aft bending and
chordwise scratching was noted to propeller blade
'A'. Propeller blade 'B' was bent aft and chordwise
scratching was noted.
The engine was found attached to the engine mount
assembly and firewall. Minimal impact damage was
noted to the frontal, lower and accessory area of
the engine. Rocker arm, valve train and accessory
gear continuity was established by rotating the
engine's crankshaft by hand. All four cylinders
developed pressure when the crankshaft was manually
rotated. Internal examination of the piston cylinders,
utilizing a lighted bore scope, revealed no evidence
of a mechanical malfunction. The single drive magneto
assembly and ignition harnesses sustained thermal
damage, however, produced spark when the drive shaft
was manually rotated. The spark plugs were removed
and normal operating wear patterns were noted.
MEDICAL AND PATHOLOGICAL
INFORMATION
According to the autopsy report, the pilot's cause
of death was blunt force injuries of the head and
chest. The manner of death was listed as accidental.
The FAA Civil Aeromedical Institute (CAMI), Oklahoma
City, Oklahoma, conducted toxicology testing on
the pilot. According to the postmortem toxicology
report, results were negative for carbon monoxide,
cyanide, and ethanol, legal and illegal drugs.
TESTS AND RESEARCH
Representatives from the NTSB, Cessna Aircraft and
Textron Lycoming conducted an engine examination
and teardown at the operator's hangar facility in
Anacortes, Washington.
Disassembly and examination of the engine revealed
no evidence of pre-impact malfunction or failure.
The rocker arms and valve assemblies were intact
and in their normal position. The crankshaft main
bearings exhibited no evidence of bearing shift
or scoring. The connecting rods moved freely on
their respective journals. No lifter spalling, pitting
or abnormal camshaft wear was noted. The engine
oil pump gears were intact and in their normal position.
The oil pump cavity was clear and the oil screens
were free of contaminants.
The National Transportation Safety Board determines
the probable cause(s) of this accident/incident
as follows: The pilot's failure to maintain airspeed
during a low altitude turn, resulting in a stall.
The pilot exceeding the aircraft's maximum gross
takeoff weight was a factor.
Source: National Transportation Board
Aircraft:
Cessna R172E
Where: Albuquerque
NM
Injuries: 1 Uninjured
Phase of Flight: Taxiing
At approximately 1140 mountain daylight time,
a Cessna R172E, was substantially damaged when the
left wing struck the asphalt taxiway following an
encounter with a jet blast from an MD-80 while taxiing
for takeoff at Albuquerque International Airport
(ABQ), Albuquerque, New Mexico. The student pilot,
the sole occupant on board, was not injured. The
United States Air Force, Kirtland Air Force Base,
New Mexico, was operating the airplane. Visual meteorological
conditions prevailed for the cross-country training
flight that was originating at the time of the accident.
According to the student pilot, he had just finished
opening his flight plan with Albuquerque Flight
Service Station. He called ABQ Ground Control for
taxi clearance and was instructed to taxi to Runway
8 and to follow an Air Tractor. The student pilot
reported that after he crossed runway 35 and was
approaching the taxiway intersection "A3," the airplane
"began getting pushed to the left." The student
pilot said he applied right aileron. The airplane
continued to veer to the left. The student pilot
stated he "applied additional right aileron" and
"brakes." The airplane continued to roll, "resting
momentarily on the left wingtip with the propeller
striking the taxiway." An examination of the airplane
revealed the left wing spar was bent aft. No other
anomalies were found.
After the event, the student pilot noticed an
American Airlines MD-80, flight 1712, to his right
that had just pushed back from its gate, B1, and
was beginning to taxi.
THE CAUSE
The National Transportation Safety Board determines
the probable cause(s) of this accident as follows:
The student pilot's inadvertent encounter with the
jet blast and the subsequent inability to maintain
aircraft control.
Source: National Transportation
BoardAircraft:
Cessna 172L
Where: New Braunfels,
TX
Injuries: 2 fatal,
1 serious
Phase of Flight: Takeoff
Approximately 1711 central daylight time, a Cessna
172L single-engine airplane was destroyed when it
impacted terrain following a loss of control during
takeoff from the New Braunfels Municipal Airport
(BAZ), near New Braunfels, Texas. The private pilot
and one passenger sustained fatal injuries and one
passenger sustained serious injuries. Visual meteorological
conditions prevailed, and a flight plan was not
filed for the 14 Code of Federal Regulations Par
91 personal flight. The cross-country flight was
originating at the time of the accident and was
destined for Killeen, Texas.
According to local authorities, the three occupants
of the airplane were in Laredo, Texas, the night
before the accident on a reported weekend hunting
trip. Three ticket stubs from the Greyhound Lines,
Inc., found in one of the occupants clothing, indicated
the three individuals departed from Laredo approximately
0300 on a bus, destined for San Antonio. Local authorities
reported that the three individuals arrived at a
family member's residence in San Antonio, approximately
0630. The pilot reportedly slept until 1330, and
approximately 1400, he called Southern Wings Flight
Training Center, at BAZ, and reserved the accident
airplane for the rest of the day. Approximately
1700, the three occupants arrived at BAZ for the
flight.
Prior to the accident flight, a company representative
from the Southern Wings Flight Training Center spoke
with the pilot. The pilot informed the company representative
that he was intending to fly to Killeen, Texas,
drop his friends off and return. The company representative
asked the pilot if he needed any more fuel and if
he worked a weight and balance. The company representative
informed the pilot that there was approximately
2.2 hours of fuel onboard the aircraft. During the
conversation, the pilot stated that his two passengers
weighed 185 pounds each, and would use the self-serve
fuel pump himself to refuel the airplane.
Fuel records from the self-serve fuel pump at
BAZ indicated that 12.8 gallons of 100 low lead
aviation fuel was purchased for the accident aircraft.
A local airshow had been scheduled at the airport.
The airshow activities were concluding for the day
at the time of the accident. Airshow personnel reported
that runway 35 was the active runway throughout
the day for the airshow.
Multiple witnesses observed the airplane taxi
to runway 17 at the end of the airshow. The Safety
Board obtained statements from witnesses located
on the east ramp at BAZ where the airshow event
was being conducted.
The first witness observed the airplane depart
from runway 17, and the airplane appeared to be
"kind of tippy." The airplane started a turn to
the left, "not very high off the ground with the
wings dipping back and forth." As the airplane started
turning out over the field, it "did a complete 360-degree
barrel roll."
A second witness observed the airplane takeoff
at an approximate angle of 70 degrees. The witness
stated "[the] pilot appeared to attempt a recovery,
but seemed to overcorrect and pull up too fast."
The airplane "pitched downward towards the left
and entered a spin towards the right."
A third witness located in an ultralight holding
short of runway 35, observed the airplane liftoff
"into an extremely steep climb." There never "appeared
to be any attempt of a recovery from the stall.
The [air]plane did a left roll and went down." The
witness also stated it "looked like the left wingtip
and nose hit at about the same time."
PERSONNEL INFORMATION
The pilot was issued a private pilot's certificate
with an airplane single-engine land rating and an
instrument airplane rating. The pilot was issued
a second-class medical certificate with the limitation
of "MUST WEAR CORRECTIVE LENSES." The private pilot's
total flight time was reported to the NTSB investigator-in-charge
(IIC) to be approximately 200 hours. The pilot's
logbook was not located.
The passenger in the front right seat applied
for a student pilot's certificate but was denied
due to medical reasons. The passenger in the back
seat of the airplane held a student pilot's certificate
and second-class medial certificate.
During a telephone interview conducted by the
IIC, the passenger, who was sitting in the back
seat, stated that the accident flight was his first
flight with the pilot. The passenger also stated
that he "had heard the pilot was a very safe pilot."
AIRCRAFT INFORMATION
The 1971-model Cessna 172L airplane was configured
to carry a maximum of four occupants. The airplane
was powered by a normally aspirated, direct drive,
air-cooled, horizontally opposed, carbureted, four-cylinder
Lycoming O-320-E2D engine, rated at 150 horsepower.
The engine was equipped with a two-bladed fixed
pitch McCauley propeller. The airplane was equipped
with shoulder harnesses and lap belt restraints
for both front seats. The rear seat was equipped
with lap belt restraints.
According to the aircraft logbooks, the airplane's
most recent annual inspection showed a total airframe
time of 3,557.0 hours. The most recent 100-hour
inspection showed an airframe total time of 3,751.1
hours, and an engine total time of 1,212.1 hours
since major overhaul. The airplane had accumulated
72.24 hours since the 100-hour inspection. No open
maintenance discrepancies were noted within the
aircraft logbooks.
According to the Federal Aviation Administration
approved Cessna 172 owners manual, in the most forward
center of gravity, power off, and maximum gross
weight configuration, the stall speed with flaps
retracted with a zero degree bank is 57 mph. With
the flaps extended to 10 degrees, the stall speed
is 52 mph. With the flaps extended to 40 degrees,
the stall speed is 49 mph.
METEOROLOGICAL INFORMATION
At 1651, the BAZ automated surface observing
system (ASOS), reported the wind from 050 degrees
at 5 knots, visibility 10 statue miles, few clouds
at 7,000 feet agl, temperature 91 degrees Fahrenheit,
dew point 61 degrees Fahrenheit, and an altimeter
setting of 29.95 inches of Mercury.
AERODROME INFORMATION
BAZ is located four miles east of New Braunfels,
Texas, with a field elevation of 651 feet msl. The
non-towered airport features two asphalt runways:
runway 17/35 and runway 13/31. Runway 17/35 is a
5,364-foot long by 100-foot wide asphalt runway,
and runway 13/31 is a 5,352-foot long by 100-foot
wide asphalt runway.
WRECKAGE AND IMPACT INFORMATION
The accident site was located near the departure
end of the runway 17, approximately 499 feet left
of the runway centerline. The Global Positioning
System (GPS) coordinates recorded at the accident
site using a hand held GPS unit were 29 degrees
91.687' minutes north latitude and 098 degrees 02.528'
minutes west longitude, at an elevation of 651 feet
msl. The airplane impacted soft terrain on a magnetic
heading of 060 degrees, and came to rest upright
on a heading of 040 degrees, approximately 25 feet
to the right of the point of impact. The wreckage
debris distribution area remained within an 85-foot
radius to the main wreckage.
The initial ground scar measured approximately
14 feet in length and contained portions of white
and red paint chips and plastic. A red navigational
light lens was located adjacent to the ground scar.
A crater, 2-1/2 feet wide by 2 feet long was located
8 feet from the end of the initial ground scar.
A second ground scar, parallel to the left wing
measured approximately 12 feet in length.
Examination of the wreckage revealed that the
left wing was partially separated from the fuselage.
The inboard half of the left wing was buckled and
deformed from the leading edge aft to the aileron.
The outboard half of the left wing was destroyed,
and the left wingtip fairing was separated. A one-foot
section of the aileron was separated and was located
adjacent to the main wreckage. The left flap was
observed to be in the up position. The vented fuel
cap was secure, and the seals were found in good
condition. The stall warning system was field tested
at the wing and found to be operational.
The right wing remained attached to the fuselage;
however, it was buckled from the leading edge to
the aileron throughout the length of the wing. The
area of wing skin common to the fuel tank was deformed.
A 1-foot section of the aileron was partially separated.
The right flap was observed to be in the up position.
The vented fuel cap was secure, and the seals were
found in good condition. Flight control continuity
was established from the cockpit control column
to the left and right wing control surfaces.
The fuselage section forward of the baggage door
was deformed upward. The undercarriage of the fuselage,
behind the right main landing gear attach point
was bent upward. The left and right main landing
gear remained attached to the fuselage. The left
main landing gear was bent upwards. The nose wheel
was curled aft underneath the forward part of the
fuselage.
The empennage remained intact. The horizontal
and vertical stabilizers remained intact, and respective
flight control surfaces and cables remained attached.
The elevator trim tab was measured to be in the
5-degree tab up position. Control continuity was
established to the rudder and elevator trim. Elevator
control continuity was established from the flight
control surface to the elevator control shaft. The
elevator control shaft, located between the yoke
control assembly and the forward elevator bellcrank,
was found fractured at the yoke control assembly
attach point. The fracture surfaces were consistent
with overload.
The cockpit was destroyed with crushing and component
separation. The instrument panel, including surrounding
structure was separated from the cockpit doorposts.
The tachometer displayed 2,040 rpm and 3,289.14
hours. The magneto switch was observed in the left
position. The throttle and mixture controls were
found in the full forward position. Continuity was
established throughout the pitot system.
Both side bases of the front left seat were separated.
The outboard rear roller was still attached to the
seat. The seat-locking pin was bent aft. The seat
back was intact and straight. A rag and flight control
lock was found under the seat. A gouge was observed
on the outboard seat rail, approximately 9 1/4 inches
from the front end of the rail on the outboard side.
Both side bases of the front right seat were separated.
The back of the seat was bent and slightly twisted.
The seat-locking pin was bent aft. The outboard
seat rail displayed a "mark" on the outboard side,
approximately 13 inches from the front end of the
rail. Safety blocks for both the left and right
front seats were found installed on both the outboard
seat rails.
The engine was displaced aft and curled underneath
the cabin with its mounts intact. The propeller
remained attached to the engine, and engine continuity
was established by rotating the propeller by hand.
The carburetor was separated from its attach point.
Fuel was expelled when the carburetor accelerator
arm was actuated. No fuel was observed in the carburetor
bowl. The oil suction screen was removed and found
free of contaminants. When compared to the Champion
Aviation Check-A-Plug Wear Guide (Part Number AV-27),
all spark plugs displayed signatures consistent
to normal operation. Both magnetos remained intact
to their respective mounting pads and produced spark
at all outlet towers when rotated by hand. A borescope
inspection revealed no mechanical deformation on
the valves, cylinder walls, or internal cylinder
head.
The propeller spinner was displaced and crushed
downward. One propeller blade displayed an "S" bend
approximately 12 inches inboard from the tip. No
leading edge damage was observed. The other propeller
blade displayed a leading edge gouge approximately
12 inches from the tip, as well as chordwise scratching.
No radio headsets, charts, flight gear, or logbooks
were located within the aircraft wreckage.
FIRE
There was no post-impact or pre-impact fire.
MEDICAL AND PATHOLOGICAL
INFORMATION
The pilot succumbed to his injuries. An autopsy
was not performed on the pilot. Toxicological tests
were not obtained for the pilot. According to the
local law enforcement, the pilot's blood test at
the hospital at the time of the accident was negative
for alcohol.
TESTS AND RESEARCH
The IIC and a representative from the airplane
manufacturer conducted an examination of the aircraft's
seat tracks on October 28, 2003, at the facilities
of Air Salvage of Dallas, near Lancaster, Texas.
The outboard seat track for the left seat (part
number MC0511240-11) was bent upward approximately
90 degrees, 6 inches aft of the front of the track.
Holes #1, #2, #3, and #4, were cracked and deformed.
The cotter pin installed in hole #1 was not damaged.
Hole #5 was elongated and deformed forward and outboard.
A gouge was observed in the bottom of hole #5. The
seat rail track was separated into two pieces at
hole #10.
The inboard seat track for the left seat (part
number MC0511240-15) remained intact. A "SAF-T-STOP"
(part number 8701-04) was installed approximately
4 inches forward of the aft end of the track and
was found secure.
The outboard seat track for the right seat (part
number MC0511240-12) remained intact. A "SAF-T-STOP"
(part number 8701-04) was installed approximately
1 3/8 inches forward of the aft end of the track
and was found secure.
The inboard seat track for the left seat (part
number MC0511240-14) remained intact. A seat stop
was installed in hole #1 and was secure. Hole #7
was deformed with a gouge on the top of the T section
of the seat track that extended forward to hole
#6.
On March 17, 2004, the aircraft's seat tracks
were sent to Materials Analysis Inc., of Dallas,
Texas, and examined under the supervision of the
IIC. The metallurgy report obtained from Materials
Analysis Inc., indicated that both the left and
right front seat locking pins were engaged. The
fractures of the seat cast frame were consistent
with overload.
An NTSB metallurgist reviewed the Material Analysis,
Inc. report. The NTSB metallurgist found that the
documentation supports that both the left and right
seat pins were engaged at the time of the accident.
The airplane manufacturer calculated the weight
and balance of the airplane at the time of departure
using the reported weights of the occupants, estimated
fuel weights, and the weight of the luggage removed
from the accident site. The weight and balance was
found to be within limits at the time of departure.
The National Transportation Safety Board determines
the probable cause(s) of this accident as follows:
The pilot's failure to maintain airspeed sufficient
for flight resulting in an inadvertent stall/spin
during takeoff.
Source: National Transportation
Board
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