ANC07FA054

NTSB accident investigation · Cessna 177RG · Wasilla, AK · June 24, 2007

Accident · FatalField investigationFinal report
Date
June 24, 2007, 12:30 local (20:30 UTC)
Place
Wasilla, AK
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N52103Cessna 177RG
Weather
Visual (VMC) · Day
Status
Completed · report April 30, 2008
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Anchorage, FSDO-03
FAA report
20070624013739A
Case key
66142

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The flight instructor's failure to adequately supervise the private pilot (dual student), and his delayed go-around during approach to land. Contributing to the accident was the dual student's misjudged distance/altitude.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

UndershootApproach - vfr pattern - final approach
Distance/altitude - misjudgedDual studentFactor
Supervision - inadequatePilot in command(cfi)Cause
In flight collision with terrain/waterApproach - vfr pattern - final approach
Go-around - delayedPilot in command(cfi)Cause
Terrain condition - ground

Analysis

The flight instructor was giving commercial flight instruction to a private pilot in preparation for the commercial flight test when the airplane collided with terrain at an unattended, public airport. The airplane's left wingtip and left main landing gear impacted the ground on the north side of the runway, short of the threshold, as indicated by ground scars containing fragments of the left navigation light, and parts from the left main landing gear. The airplane became airborne again for about 120 feet, leaving no ground scar, and impacted terrain in a near vertical descent, with enough forward motion to fold the engine under the fuselage. The airplane came to rest upright, with the engine intruding into the forward portion of the passenger cabin from underneath, significantly distorting the cabin area, and decreasing survivable space. The landing light and fuel boost pump switches were in the on position, and the landing gear was extended, as in preparation for landing. However, the propeller, mixture, and throttle controls were forward, and the flap handle was up, as if initiating a go-around. The propeller showed signs of high power during impact. An examination of the engine and airframe disclosed no preimpact mechanical anomalies. The position of the airplane and ground scars, as well as the throttle and flap settings, are consistent with a low altitude, delayed attempt to reject the landing and go-around.

Factual narrative

History of flight

On June 24, 2007, about 1230 Alaska daylight time, a Cessna 177RG airplane, N52103, received substantial damage when it collided with terrain during final approach at the Wasilla Airport, Wasilla, Alaska. The airplane was being operated by Aero Tech Flying Service, Inc., Anchorage, Alaska, as a visual flight rules (VFR) instructional flight under Title 14, CFR Part 91, when the accident occurred. The commercial certificated flight instructor, and the private certificated student pilot received fatal injuries. Visual meteorological conditions prevailed, and no flight plan was filed. The airplane departed Merrill Field, Anchorage, Alaska, about 0845. The airplane impacted terrain about 100 yards short of the approach end of runway 03. There are no known witnesses to the accident.

During an interview with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on June 25, the owner of the flying service said the student was a private certificated pilot working on his commercial certificate. He said the private pilot had given himself a very short time to complete the transition training for his commercial certificate. He had already passed his commercial written test, and scheduled the check ride. The owner said he was at the airport when the airplane departed, and said the flight instructor told him they were going to be doing pattern work at Merrill Field. He said the airplane left the pattern, and he presumed they went elsewhere to find a higher ceiling due to low clouds in the local area. The owner did not know they had gone to Wasilla, until the accident was reported to him. He said occasionally his instructors would go to Wasilla when the local weather deteriorated.

According to logbook entries and the training schedule, the flight instructor and private pilot had spent the previous day's training practicing the commercial maneuvers required for the commercial pilot check ride, while flying off the 10 hours complex airplane time requirement for the commercial certificate.

Injuries to persons

The certificated flight instructor was found in the right front seat, and the private pilot was found in the left front seat. Both pilots received fatal injuries.

Damage to aircraft

The airplane received substantial damage during impact with terrain.

Personnel information

According to flight school and FAA records, the flight instructor received his instructor's certificate on July 12, 2006. The instructor had about 487 hours of total flying experience. Of those hours, 172 hours were as a flight instructor, 53 hours were in complex airplanes, 36 of which were in the same model as the accident airplane. He completed a biennial flight review on July 12, 2006, and was issued an FAA class 1 medical certificate on December 20, 2004. He was required to wear corrective lenses.

According to FAA documents and logbook entries, the private pilot had about 664 hours of total flying experience, with about 7 of those hours in complex airplanes. He was issued an FAA class 3 medical certificate on September 1, 2006.

Aircraft information

The accident airplane was a 1987 model year, single engine, retractable landing gear, Cessna Cardinal 177RG. The airplane's last annual inspection was completed on January 3, 2007, and at that time the airplane had accumulated 5,737 total flying hours. According to the owner, at the time of the accident there were no known or documented mechanical issues with the airplane. The airplane's maintenance logbooks were examined by the IIC, and no discrepancies were noted.

Meteorological information

There is an automated weather reporting station at the accident airport. The accident is believed to have occurred about 1230. The automated weather observation at 1236, reported; wind calm, visibility 10 miles, ceiling overcast at 7,000 feet, temperature 53 degrees F, dew point 46 degrees F, and altimeter setting 29.89 inches. For several hours following and preceding that observation, the winds varied from 0 to 4 knots, the visibility remained 10 miles, the ceiling varied between 6,000 and 7,000 feet agl, and the temperature and altimeter setting remained constant.

Communications

There are no known communications with the accident airplane's pilot after leaving Merrill Field, which is a tower controlled airport.

Airport information

The Wasilla Airport is an uncontrolled, unattended, public airport, about 3 miles west of the city of Wasilla. The published airport traffic pattern for runway 03 is right hand traffic, which is on the south side of the airport. The north side of runway 03 is ascending, tree-covered terrain. The final approach to runway 03 is over descending terrain cleared of vegetation, giving the runway the appearance of sitting on a plateau, slightly above the surrounding terrain.

Wreckage and impact information

The on-site examination by the NTSB IIC, accompanied by an FAA air safety inspector, commenced on June 24, about 1330. The airplane wreckage came to rest about 300 feet short, and 100 feet north, of the runway 03 threshold and centerline. The fuselage was upright, and oriented roughly parallel to the runway centerline. The engine had rotated down and aft 180 degrees, and was intruding into the forward portion of the passenger cabin from underneath. The wings, and empennage were distorted, but intact. All of the major airframe components were present at the impact site, and control continuity was confirmed during a later examination. Approximately 120 feet north of the wreckage site were two impact marks. The smaller of the two marks contained fragments of the red lens from the accident airplane's left wingtip navigation light. The larger of the two impact marks contained part of the airplane's left main landing gear. There were small pieces of wreckage between the two impact marks and the main wreckage, but no ground scars. An examination of the main wreckage showed that the propeller, mixture, and throttle controls were pushed forward. The fuel boost pump switch was in the on position, as were the landing light, strobe, and navigation lights. The flap handle was in the up position, the flap indicator was in the 20 degree position, and the flaps were retracted. The landing gear was extended. The engine had rotated down and aft 180 degrees, and intruded into the cockpit from underneath. There was a large fuel spill at the accident site.

On June 29 the airplane was re-examined by the IIC accompanied by a representative from Cessna. Control continuity was confirmed. An examination of the engine revealed that the crankshaft would rotate, and there was compression in the cylinders. The spark plugs appeared medium grey and dry. The two bladed propeller had extensive torsional twisting, leading edge and tip gouging, and chord-wise scratching.

During the two examinations of the airplane, no mechanical anomalies were noted.

Medical and pathological information

Autopsies were performed on both the flight instructor, and the private pilot under the authority of the State of Alaska, Office of the State Medical Examiner, 4500 S. Boniface Parkway, Anchorage.

The cause and manner of death for the instructor were determined to be multiple blunt force impact injuries due to an airplane crash. Tissue samples were sent to the FAA Aeronautical Center, P.O. Box 25082, Oklahoma City, Oklahoma, for toxicological analysis. No toxicological issues were noted.

The cause and manner of death for the private pilot were determined to be multiple blunt force impact injuries due to an airplane crash. The toxicological analysis revealed the student pilot had Cyclobenzaprine (Flexeril) in both his blood and urine, and Propoxyphene (Darvocet) in his urine.

A relative reported that the student pilot had chronic back pain, and took the Flexeril routinely, having no significant side effects. She said that he had t

Aircraft

Registration
N52103
Reported as
Cessna 177RG
Category
Airplane
Serial number
177RG-1171
Airframe hours
5,737
Engine
Lycoming IO-360A1B6D, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Aero Tech Flying Service, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · January 1, 2007
Departed
MIR · Merril Field, AK
Destination
PAWS · Wasilla, AK
Airport
PAWS · Wasilla, runway 03, 3,700 × 75 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
24
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
July 1, 2006
Seat
Right
Toxicology
Performed
Flight hours
487 total · 36 in this make and model · 367 as pilot in command · 151 in the last 90 days
Role
Student pilot
Age
38
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
664 total · 7 in this make and model · 604 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
7,000 ft overcast
Temperature
54 °F, dew point 46 °F
Altimeter
29.88 inHg
Observed at
PAWS

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N52103 · 1

Matched to the same aircraft by N-number and date.