ATL06CA016

NTSB accident investigation · Cessna 177 · New Bern, NC · November 16, 2005

Accident · Minor injuriesData collectionFinal report
Date
November 16, 2005, 13:45 local (18:45 UTC)
Place
New Bern, NC
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N821KFCessna 177
Weather
Visual (VMC) · Day
Status
Completed · report February 28, 2006
Report
Approved by Office Director
Parties
Greensboro FSDO-05, Cessna Aircraft Company
FAA report
20051116029469A
Case key
62893

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 failure to activate the carburetor heat during approach resulting in a total loss of engine power due to carburetor ice.

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(total) - nonmechanicalApproach - faf/outer marker to threshold (ifr)
Weather condition - carburetor icing conditions
Carburetor heat - not usedPilot in commandCause
Fuel system,carburetor - ice
Forced landingDescent - emergency
DitchingDescent - emergency

Analysis

The pilot was on an instrument flight rules flight. The controller cleared the pilot for a VOR runway 22 approach at the destination airport. The pilot initiated a descent and did not apply carburetor heat. The Let-Down procedures in the checklist states, "Carburetor Heat-AS REQUIRED to prevent carburetor icing." Upon reaching the minimum descent altitude for the approach, the pilot increased the throttle and did not get an engine response. The pilot realized he could not make the runway and made a forced landing into a river. The surface weather observation at the destination airport revealed the temperature was 75-degrees Fahrenheit and the dew point temperature was 61-degrees Fahrenheit. Review of the Department of Transportation Icing Probability Chart indicates the airplane will encounter serious icing conditions at glide power. The engine was mounted in a test stand and an alternate fuel, and battery source was attached. Engine controls, and magneto grounding wires were installed. The mixture control was safetied wired in the full rich position. The engine was started and ran at idle power. After engine warm up the throttle was advanced to full power and the engine stabilized at takeoff rpm of 2,000. The throttle was returned back to the idle position, the safety wire on the mixture was cut, and the engine was shut down with the mixture control.

Factual narrative

The pilot was on an instrument flight rules flight. The controller cleared the pilot for a VOR runway 22 approach at the destination airport. The pilot initiated a descent and did not apply carburetor heat. The Let-Down procedures in the checklist states, "Carburetor Heat-AS REQUIRED to prevent carburetor icing." Upon reaching the minimum descent altitude for the approach, the pilot increased the throttle and did not get an engine response. The pilot realized he could not make the runway and made a forced landing into a river. The surface weather observation at the destination airport revealed the temperature was 75-degrees Fahrenheit and the dew point temperature was 61-degrees Fahrenheit. Review of the Department of Transportation Icing Probability Chart indicates the airplane will encounter serious icing conditions at glide power. The engine was mounted in a test stand and an alternate fuel, and battery source was attached. Engine controls, and magneto grounding wires were installed. The mixture control was safetied wired in the full rich position. The engine was started and ran at idle power. After engine warm up the throttle was advanced to full power and the engine stabilized at takeoff rpm of 2,000. The throttle was returned back to the idle position, the safety wire on the mixture was cut, and the engine was shut down with the mixture control.

Aircraft

Registration
N821KF
Reported as
Cessna 177
Category
Airplane
Serial number
17702351
Airframe hours
2,500
Engine
Lycoming O-360-A1F6D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Kent P. Larsen Sr.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2005 · 225 hours before
Departed
W40 · Mount Olive, NC
Destination
EWN · New Bern, CA
Flight plan
IFR

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
68
Injuries
Minor
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 1, 2004
Seat
Left
Flight hours
6,000 total · 400 in this make and model · 5,990 as pilot in command · 150 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 14 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 61 °F
Altimeter
30.06 inHg
Observed at
EWN, 1 nm away

Docket · 6

The files NTSB released with the investigation on December 9, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 526 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.