ANC97LA139

NTSB accident investigation · Cessna 170B · Paxson, AK · September 1, 1997

Accident · Serious injuriesLimited investigationFinal report
Date
September 1, 1997, 14:45 local (22:45 UTC)
Place
Paxson, AK
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N4520CCessna 170B
Weather
Visual (VMC) · Day
Status
Completed · report November 10, 1998
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19970901024809A
Case key
3060

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 pilot's improper use of carburetor heat during a takeoff in carburetor icing conditions. Factors associated with the accident were the pilot's decision to operate the airplane with known deficiencies (a disabled stall warning horn), an inadvertent stall, and the presence of carburetor icing conditions.

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.

Loss of engine power(partial) - nonmechanicalTakeoff - initial climb
Weather condition - carburetor icing conditionsFactor
Carburetor heat - improper use ofPilot in commandCause
Forced landingEmergency landing after takeoff
Loss of control - in flightEmergency landing after takeoff
Stall warning system - disabledFactor
Operation with known deficiencies in equipment - intentionalPilot in commandFactor
Stall - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The airplane was departing from the 3,500 feet msl airstrip in what the pilot described as 'optimum carb ice conditions' of 40 degrees F with 'lots of moisture.' The carburetor heat control was 'off' for takeoff. At 50 feet above ground level on climb out, the pilot applied carburetor heat and 'the engine died.' She deselected carburetor heat, the engine began to run rough, and the airplane began to lose altitude. When the pilot began a left turn to avoid trees, the left wing and nose dropped, and the airplane impacted terrain. The electric stall warning had been disconnected.

Factual narrative

On September 1, 1997, about 1445 Alaska daylight time, a Cessna 170B airplane, N4520C, sustained substantial damage when it impacted terrain 24 miles to the northeast of Paxson, Alaska. The airplane came to rest 400 feet south of the departure end of a graded, unnamed, airstrip on the middle fork of the Chistochina River, at position 63-07.6 north latitude, 144-38.8 west longitude. The private certificated pilot and single passenger both sustained serious spinal injuries. The airplane was owned and operated by the two occupants. The flight was conducted under 14 CFR Part 91 as a personal flight, returning to Girdwood, Alaska. Visual meteorological conditions prevailed at the time of the accident, and no flight plan was filed.

An FAA inspector's examination of the wreckage revealed that the carburetor heat control was in the cold position, and there was fuel in the wing tanks.

NTSB interviews with the pilot and passenger revealed that there was a "torrential downpour" of rain the night before the accident, and "lots of dew and moisture" before the takeoff. The pilot also stated that it was "optimum carb icing conditions, and 40 degrees F."

The pilot said she did a "longer warmup than normal," and used carburetor heat during back taxi. She said she placed carburetor heat off for the takeoff. She indicated that during the initial climb, passing 50 feet above ground level, she applied carburetor heat and the engine "completely died." She removed the carburetor heat, and the engine came back but, "ran rough, as if it was flooded," and the airplane began to lose altitude.

Both occupants described tall trees in the flight path. The pilot described turning left toward lower terrain, the nose and left wing dropping, and impacting in a flat attitude.

The pilot said in an interview with the NTSB that the stall warning had been disabled prior to her purchase of the airplane. She stated it was not needed because there is a noticeable buffet prior to the airplane stalling. Type Certificate Data Sheet A-799 states in part, "...the following items of equipment must be installed: ...stall warning kit... ."

The Joint Rescue Coordination Center in Anchorage, Alaska, initiated a search after receiving a beacon from the airplane's emergency locator transmitter. The airplane was located about 1700, and the occupants transported to a hospital in Fairbanks, Alaska, at 2000.

No NTSB Pilot/Operator Report was received from the pilot.

Aircraft

Registration
N4520C
Reported as
Cessna 170B
Category
Airplane
Serial number
25464
Airframe hours
2,780
Engine
Continental C145-2, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Erin K. Bashaw
Registered owner
Daniel A. Brokaw
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 7, 1997 · 15 hours before
Destination
AQY · Girdwood, AK
Airport
runway 18, 3,000 × 75 ft, gravel

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
33
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
325 total · 288 in this make and model · 300 as pilot in command · 48 in the last 90 days · 16 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
39 °F

FAA reports on this event · 1

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