ANC09LA086

NTSB accident investigation · Cessna 180 · Chugiak, AK · August 25, 2009

Accident · Minor injuriesLimited investigationFinal report
Date
August 24, 2009, 17:20 local (Aug 25, 2009, 01:20 UTC)
Place
Chugiak, AK
Injuries
4 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4601ACessna 180
Defining event
Enroute: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 28, 2010
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration (Airworthiness)
FAA report
20090824048579A
Case key
74585

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

On this page

Probable cause

The pilot’s delayed use of carburetor heat while operating in conditions conducive to carburetor icing.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Engine controlsAircraft › Aircraft power plant · Not used/operatedCessna 180: 1 caseAll aircraft: 51 casesProbable cause
Action: delayed actionPersonnel issues › Action/decision · PilotCessna 180: 4 casesAll aircraft: 894 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The airline transport pilot reported that he was approaching his destination airport at the conclusion of a local personal flight. He said that while in cruise flight at 1,200 feet above ground level, the engine began to run rough and lose power. He noticed that the carburetor air temperature was just above the carburetor ice zone marked in red on the gauge, so he applied full carburetor heat, which was followed by a complete loss of engine power. Unable to restart the engine, he selected a marshy tree-covered site as a forced landing area. The airplane sustained substantial damage to the fuselage and wings during the forced landing. A Federal Aviation Administration airworthiness inspector’s postaccident inspection disclosed no evidence any preimpact mechanical problems. An aviation weather reporting station indicated that the temperature was 57 degrees F, and the dew point was 45 degrees F. When these values are entered into a carburetor icing probability chart, the results are in the "serious icing-cruise power" category. Given the lack of any mechanical anomalies it is likely that the formation of carburetor ice resulted in the loss of engine power.

Factual narrative

On August 24, 2009, about 1720 Alaska daylight time, a wheel-equipped Cessna 180 airplane, N4601A, sustained substantial damage during a forced landing, about 5 miles northeast of the Birchwood Airport, Chugiak, Alaska. The airplane was being operated as a visual flight rules (VFR) personal flight under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91, when the accident occurred. The airline transport pilot and three passengers all sustained minor injuries. Visual meteorological conditions prevailed, and no flight plan was filed. The flight originated at the Birchwood Airport, about 1600. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on August 24, the pilot noted that the purpose of the flight was to show his passengers some Alaskan scenery. He said that as he approached his destination airport in level cruise flight at 1,200 feet agl, the engine began to run rough and lose power. He noticed that the carburetor air temperature was just above the carburetor ice zone marked in red on the gauge, so he applied full carburetor heat, which was followed by a complete loss of engine power. After completing the emergency procedures for a loss of engine power, the pilot said he was unable to restart the engine, and he selected a marshy tree-covered site as a forced landing area. During the forced landing, the airplane collided with trees, and sustained substantial damage to the fuselage and wings. The airplane was equipped with a naturally aspirated Teledyne Continental Motors O-470-K engine. The closest official weather observation station is at the Birchwood Airport. At 1753, an Aviation Routine Weather Report (METAR) was reporting, in part: Wind, 300 degrees (true) at 4 knots; visibility, 10 statute miles; clouds and sky condition, clear; temperature, 57 degrees F; dew point, 45 degrees F; altimeter, 29.58 inHg. The Birchwood Airport is situated adjacent to the ocean waters of the Cook Inlet. The temperature and dew point were entered into a carburetor icing probability chart, which coincided with the "serious icing-cruise power" category. On September 15, 2009, a Federal Aviation Administration (FAA) airworthiness inspector from the Anchorage Flight Standards District Office traveled to the Big Lake Airport, Big Lake, Alaska, and examined the airplane after it was recovered. The inspector reported that he was unable to find any preaccident mechanical problems with the airplane. ADDITIONAL INFORMATION The FAA's Advisory Circular (AC) 61-23C, Pilot's Handbook of Aeronautical Knowledge, Chapter 2, Carburetor Icing, states, in part: "... if the temperature is between -7 degrees C (20 degrees F) and 21 degrees C (70 degrees F), with visible moisture or high humidity, the pilot should be constantly on the alert for carburetor ice. During low or closed throttle setting, an engine is particularly susceptible to carburetor icing.” The FAA's AC 20-113, Pilot Precautions andProcedures to be taken in Preventing Aircraft Reciprocating Engine Induction System and Fuel System Icing Problems, states, in part: "Vaporization icing may occur at temperatures from 32 degrees F to as high as 100 degrees F with a relative humidity of 50 percent or above... . Since aviation weather reports normally include air temperature and dew point temperature, it is possible to relate the temperature/dew point spread to relative humidity. As the spread becomes less, relative humidity increases and becomes 100 percent when temperature and dew point are the same. In general, when the temperature/dew point spread reaches 20 degrees or less, you have a relative humidity of 50 percent or higher and are in potential icing conditions."

Aircraft

Registration
N4601A
Reported as
Cessna 180
Category
Airplane
Serial number
32199
Airframe hours
5,824
Engine
Cont Motor O-470 SERIES, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Beam Douglas Jade
Registered owner
Beam Douglas Jade
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 26, 2009 · 27 hours before
Departed
BCV · Chugiak, AK
Destination
BCV · Chugiak, AK

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
39
Injuries
Minor
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
June 17, 2009
Seat
Left
Flight hours
6,266 total · 655 in this make and model · 4,855 as pilot in command · 112 in the last 90 days · 50 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
8,000 ft broken
Temperature
63 °F

Docket · 1

The files NTSB released with the investigation on April 2, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 744 KB in all.

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 N4601A · 2

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