ATL03FA142

NTSB accident investigation · Cessna 172M · Perry, GA · September 18, 2003

Accident · FatalField investigationFinal report
Date
September 18, 2003, 17:50 local (21:50 UTC)
Place
Perry, GA
Injuries
1 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N13375Cessna 172M
Weather
Visual (VMC) · Day
Status
Completed · report February 24, 2005
Report
Approved by Office Director
Parties
Atlanta FSDO-11
FAA report
20030918026799A
Case key
58007

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 inadequate preflight inspection of the airplane, and also causal was his failure to detect water-contaminated fuel which resulted in a loss of engine power and his failure to maintain adequate airspeed which resulted in an stall.

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 powerClimb - to cruise
Fluid,fuel - contamination,waterCause
Aircraft preflight - inadequatePilot in commandCause
Forced landingDescent - emergency
Loss of control - in flightDescent - emergency
Airspeed - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The student pilot stated that during climb out, he heard a strange noise coming from the engine compartment. The certified flight instructor (CFI) took control of the airplane, and the student pilot stated that the airplane entered a right bank and the stall warning horn briefly sounded. A witness stated that after takeoff, the airplane did not seem to gain altitude or airspeed. The witness stated that the airplane was then observed descending in a right bank. The airplane collided with the ground and came to rest in a field approximately 1/4 mile southeast of the departure end of runway 36. Examination of the wreckage site the airplane came to rest upright with both wings attached to the fuselage. Both wings were crushed aft and both wingtips were separated from both wings. Buckling was observed over the top portion of the wing skin on both wings. The empennage was separated from the fuselage aft of the rear passenger seats. The engine compartment was displaced up and aft into the cockpit area. A review of information on file with the FAA Aircraft Division, Oklahoma City, Oklahoma, revealed the airplane was granted a Supplemental Type Certificate on December 12, 1984, authorizing the use of unleaded automotive fuel. Examination of the fuel system revealed automotive fuel that was brown in color and contained debris and water. Water was observed in both fuel tanks and in the fuel strainer. The carburetor bowl, fuel inlet chamber, and fuel screen were stained and contained dirt and debris. During the post -accident examination of the engine and airframe, no mechanical anomalies were identified. The CFI maintained a 55 gallon plastic refueling tank at the airport where the airplane was parked. Examination of the refueling tank revealed approximately one-fourth of an inch of sediment at the bottom of the tank. The fuel was brown in color and contained water and debris that was brown in color. The fuel filter on the tank was dark in color and contained sediment, and debris was observed around the seal of the fuel tank.

Factual narrative

History of flight

On September 18, 2003, at 1750 eastern daylight time, a Cessna 172M, N13375, registered to and operated by a certified flight instructor (CFI), collided with the ground shortly after takeoff from runway 36 at Middle Georgia Airport (68GA), Perry, Georgia. The dual instructional flight was operated under the provisions of Title 14 CFR Part 91 and visual flight rules. Visual meteorological conditions prevailed at the time of the accident and no flight plan was filed. The certified flight instructor was fatally injured, and the student pilot received serious injuries. The airplane was substantially damaged. The flight originated from Middle Georgia Airport, Perry, Georgia, on September 18, 2003, at 1745.

According to the student pilot, he arrived at the airport and completed a preflight inspection of the airplane. He stated that he and the CFI boarded the airplane, performed a "normal" engine start, completed an engine run-up, taxied to the runway, and he initiated a takeoff. The student pilot further stated that during initial climb out, he heard a strange noise coming from the engine. At this point, the CFI took control of the airplane. The student pilot stated that when the CFI entered a right bank and the stall warning horn briefly sounded. The student pilot stated that he did not recall any events at the time of the collision. The airplane came to rest in a field approximately 1/4 mile southeast of the departure end of runway 36.

Personnel information

A review of the information on file with the Federal Aviation Administration (FAA) Airmen Certification Division, Oklahoma City, Oklahoma, revealed the pilot was issued a Certified Flight Instructor certificate on April 14, 2002, with ratings for airplane single engine land and instrument privileges. The FAA Aero Medical Records revealed the pilot held a second class medical certificate issued on September 26, 2001 with the restrictions "must wear corrective lenses for near and distant vision."

A review of the pilot's logbook revealed that he had accumulated 2,345 total flight hours, of which 1,800 hours were in a Cessna 172. The logbook further revealed that the pilot completed a flight review on May 20, 2002.

Aircraft information

The Cessna 172M is a four place, high wing, all metal, single engine airplane. The 172M is equipped with a four cylinder Lycoming O-320-E2D 150 horsepower reciprocating engine.

A review of information on file with the FAA Aircraft Division, Oklahoma City, Oklahoma, revealed the airplane was granted a Supplemental Type Certificate on December 12, 1984, authorizing the use of unleaded automotive fuel. According to the aircraft and engine logbooks, the last annual inspection was completed on November 1, 2002. At the time of inspection the airplane's total time in service was 2,201.0 hours.

Meterological information

At 1753, the Middle Georgia Regional Airport weather reporting facility, Macon Georgia, located 12 nautical miles northeast of the accident site, reported winds from 310 degrees at 10 knots, visibility of 10 statute miles, sky condition as clear, temperature 86 degrees Fahrenheit, dew point 55 degrees Fahrenheit, and an altimeter setting of 29.84 inches of mercury.

Wreckage and impact information

Examination of the wreckage site revealed that the wreckage path was oriented along a heading of 164 degrees, magnetic, and wreckage debris was scattered over an area 50 feet wide and 209 feet long. Broken tree branches approximately 60 feet in height were observed approximately 100 feet northwest of three ground scars in the vicinity of the wreckage.

The main wreckage site was oriented along a heading of 064 degrees, magnetic. The airplane came to rest upright with both wings attached to the fuselage. Both wings were crushed aft and both wingtips were separated from both wings. The top of the wing skin on both wings were buckled. The main landing gear was intact. The empennage was separated from the fuselage aft of the rear passenger seats. The engine compartment was displaced up and aft into the cockpit area. Engine mounts were separated from the firewall. The propeller assembly was separated from the crankshaft. The crankshaft was separated aft of the propeller flange. Both propeller blades were bent aft and had abrasions on the cambered surface. Examination of the fuel system revealed automotive fuel that was brown in color and contained debris and water. Water was observed in both fuel tanks and in the fuel strainer. The carburetor bowl, fuel inlet chamber, and fuel screen were stained and contained dirt and debris.

During the post accident examination of the airframe and engine, no mechanical anomalies were identified.

The first ground scar was eight inches wide and 17 feet long. Paint chips and slivers of broken red Plexiglas were observed in the area of the first ground scar. The second ground scar, five feet wide and 15 feet long, was adjacent to the first scar but oriented along a southerly magnetic heading. The propeller and spinner assemblies and the engine cowling were located in the area of the second ground scar. The third ground scar, 8 inches wide and 17 feet long, was adjacent to the second ground scar and also oriented along a southerly magnetic heading. Paint chips and green slivers of Plexiglas were observed across the length of the third ground scar.

Medical and pathological information

The Houston County Coroner's Office performed the postmortem examination of the CFI on September 19, 2003. The cause of death was listed as "multiple traumatic injuries." The FAA Forensic Toxicology Research Section, Oklahoma City, Oklahoma performed postmortem toxicology of specimens from the pilot. The results were negative for carbon monoxide, cyanide, and ethanol.

Additional information

The pilot maintained a 55 gallon plastic refueling tank at the airport where the airplane was parked. Examination of the refueling tank revealed approximately one-fourth of an inch of sediment at the bottom of the tank. The fuel was brown in color and contained water and debris that was brown in color. The fuel filter on the tank was dark in color and contained sediment. Debris was observed around the seal of the refueling tank.

The airplane logbooks and pilot logbooks were released to Phoenix Aviation Managers on September 25, 2003. The airplane was released to Phoenix Aviation Managers on April 5, 2004.

Aircraft

Registration
N13375
Reported as
Cessna 172M
Category
Airplane
Serial number
17262711
Airframe hours
2,218.1
Engine
Lycoming O-320, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · November 1, 2002 · 2,201 hours before
Departed
68GA · Perry, GA
Airport
68GA · Perry Middle Georgia Airport, runway 36, 2,800 × 50 ft, grass/turf

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
58
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 20, 2002
Seat
Right
Toxicology
Performed
Flight hours
2,345 total · 1,800 in this make and model
Role
Student pilot
Age
49
Injuries
Serious
Certificate
Student
Medical
Class 3
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 55 °F
Altimeter
29.84 inHg
Observed at
MCN, 12 nm away

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 N13375 · 1

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