ANC20LA099

NTSB accident investigation · Cessna 170B · Big Lake, AK · September 23, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 22, 2020, 19:00 local (Sep 23, 2020, 03:00 UTC)
Place
Big Lake, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N4380BCessna 170B
Defining event
Landing: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20200922012459A
Case key
102060

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 failure to utilize carburetor heat while flying in conditions conducive to carburetor icing, which resulted in a total loss of engine power.

Findings · 3

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.

Action: lack of actionPersonnel issues › Action/decision · PilotCessna 170B: 1 caseAll aircraft: 792 casesProbable cause
Ice/rain protection system: intake anti-ice, deiceAircraft › Aircraft systems · Not used/operatedCessna 170B: 1 caseAll aircraft: 108 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 170B: 2 casesAll aircraft: 435 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

During a landing to a remote off-airport gravel bar located along a river, while at about 20 ft above ground level, the airplane’s engine lost power. The engine then surged briefly before a total loss of engine power occurred. Subsequently, the airplane landed short of the gravel bar in the river and the airplane nosed over. The airplane sustained substantial damage to the left wing and empennage. A postaccident examination revealed no mechanical failures or malfunctions. A postaccident engine run was successfully performed. A non-aviation fuel tank was installed on the top of the fuselage to provide a fuel source. Air was applied to the fuel lines to provide pressure to ensure proper fuel flow, no contaminates were noted in the fuel lines. The temperature and dew point were entered into a carburetor icing probability chart, which coincided with the “serious icing in glide power” category.

Factual narrative

On September 22, 2020, about 1900 Alaska daylight time, a Cessna 170B, N4380B, was substantially damaged when it was involved in an accident near Big Lake, Alaska. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 flight. According to the pilot, he was landing on a remote off-airport gravel bar located along a river. During short final, at about 20 ft above ground level, the airplane’s engine sputtered followed by a partial loss of power. The engine then surged briefly followed by a total loss of engine power as the propeller continued to windmill. Subsequently, the airplane touched down in the river short of the gravel bar and nosed over, coming to rest inverted in the river. The airplane sustained substantial damage to the left wing and empennage. The pilot reported that he had flown for about 1.5 hours prior to the accident and had about 1.7 hours of fuel remaining in the airplane’s fuel tanks at the time of the accident. He reported that he had been applying carburetor heat during his previous landings at the gravel bar and the fuel tank selector was set to BOTH during the approach. A Federal Aviation Administration (FAA) aviation safety inspector examined the airplane after recovery and did not observe any abnormalities. He stated that he drained the fuel from the gascolator and the fuel looked normal with no contamination present. A postaccident engine run was successfully performed. A non-aviation fuel tank was installed on the top of the fuselage to provide a fuel source. Air was applied to the fuel lines to provide pressure to ensure proper fuel flow, no contaminates were noted in the fuel lines. The weather observation station located about 25 nautical miles away from the accident site reported that, about the time of the accident, the temperature was 55.4° F and dew point 37.4° F. According to the carburetor icing-probability chart located in FAA Special Airworthiness Information Bulletin CE-09-35, the accident flight would have been operating in “serious icing in glide power”.

Aircraft

Registration
N4380B
Reported as
Cessna 170B
Category
Airplane
Serial number
26724
Built
1955
Airframe hours
3,295
Engine
Franklin PZL 6A-350-C2, 220 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Daniel Elias
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 31, 2020
Departed
MRL · Anchorage, AK
Destination
Same as departure
Flight plan
VFR
Equipment
None

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
37
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
8,839 total · 297 in this make and model · 5,968 as pilot in command · 173 in the last 90 days · 68 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
40° at 9 knots, gusting 14
Visibility
10 statute miles
Lowest ceiling
8,500 ft overcast
Temperature
55 °F, dew point 37 °F
Altimeter
29.31 inHg
Observed at
PAWS, 25 nm away

Docket · 6

The files NTSB released with the investigation on March 21, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.0 MB 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.