ATL07CA058

NTSB accident investigation · Cessna 172K · Cornelia, GA · March 22, 2007

Accident · No injuriesData collectionFinal report
Date
March 22, 2007, 18:00 local (22:00 UTC)
Place
Cornelia, GA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N46567Cessna 172K
Weather
Visual (VMC) · Day
Status
Completed · report June 27, 2007
Report
Approved by Office Director
Parties
College Park FSDO-11
FAA report
20070322005969A
Case key
65478

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 failure of the owner/operator to repair or replace a known leaking brake system components resulting in a total loss of brakes while taxing and an on-ground collision with trees.

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.

Airframe/component/system failure/malfunctionTaxi
Landing gear,normal brake system - failure,total
Maintenance,service of aircraft/equipment - inadequateCompany/operator managementCause
On ground/water collision with objectTaxi
Object - tree(s)

Analysis

The airplane veered off a taxiway and collided with trees after landing. The certified flight instructor (CFI) stated he was conducting a training flight with a new student. A preflight inspection was completed and no anomalies were noted except for a low nose wheel tire which was corrected. They departed the airport and flew north of the airport and completed some air work before returning back to the airport to do some landings. The student pilot made a normal landing to runway 24. The CFI felt the student pilot apply some brakes and informed the student pilot to maintain directional control with the rudder only. The student pilot complied with his instructions, taxied the airplane to the end of runway 24, and turned left onto the taxiway. Another airplane was on the parallel to the runway 24 taxiway. The CFI instructed the student pilot to stop the airplane after clearing the runway. The airplane went further than the CFI wanted it to go and the CFI instructed the student pilot to apply brakes. The CFI applied brakes and the airplane would not stop. The CFI applied the emergency brake and the airplane would not stop. The CFI pulled the mixture to the cut off position and attempted to stop the airplane on the lip of the edge of the taxiway. The airplane did not stop and went down an embankment and collided with some trees. The registered owner and operator of the airplane informed the FAA that the brake system had been serviced a week before the accident by adding brake fluid to the brake system. Review of the airframe logbook revealed no entry had been entered into the logbook pertaining to the servicing of the brake system. A functional test of the brake system was performed by the FAA inspectors who tried to push the airplane with the parking brake engaged. In addition, one FAA inspector got in the airplane's left front seat and applied brakes and then in the right front seat and applied brakes as the other FAA pushed the airplane, and the airplane continued to move in each test. The brake pads and rotors were visually inspected and no anomalies were noted. Visual inspection of the master cylinder found that brake fluid was leaking onto the exterior of the master cylinder components, as evidenced by the staining of dried hydraulic fluid. The carpet near the pilot's (left front seat) rudder pedals were saturated with brake fluid and there were indications of some recently spilled brake fluid which had a reddish color. In addition, brake fluid stains that were brownish in color were observed.

Factual narrative

The certified flight instructor (CFI) stated he arrived at the airport to conduct a training flight with a new student pilot. A preflight inspection was conducted and the only anomalies noted was low pressure on the nose wheel. The tire pressure was increased and CFI and student pilot entered the airplane. The engine was started, the airplane was taxied to runway 24, and the required checklist items were completed. They departed the airport and flew north of the airport and completed some air work before returning back to the airport to do some landings. The student pilot crossed the airport at mid field and entered left traffic following another landing airplane. The student pilot made a normal landing to runway 24. The CFI felt the pilot apply some brakes and informed the student pilot to maintain directional control with the rudder only. The student pilot complied with his instructions, taxied the airplane to the end of runway 24, and turned left onto the taxiway. The other airplane was on the parallel to the runway 24 taxiway. The CFI instructed the student pilot to stop the airplane after clearing the runway. The airplane went further than the CFI wanted it to go and he told the student pilot to apply brakes. The CFI applied brakes and the airplane would not stop. The CFI applied the emergency brake and the airplane would not stop. The CFI pulled the mixture to the cut off position and attempted to stop the airplane on the lip of the edge of the taxiway. The airplane did not stop and went down an embankment and collided with trees.

The registered owner/operator informed the FAA that the brake system had been serviced one week before the accident by adding brake fluid. Review of the airframe logbook revealed no entry had been entered into the logbook for the servicing of the brake system.

Two FAA inspectors examined the airplane on March 23, 2007. A functional test of the brake system was performed by pushing the airplane with the parking brake engaged, "which indicated a braking system failure." Additionally, a similar functional test was performed with one inspector in the airplane applying the brakes from the left seat, which resulted in a brake failure. The test was performed from the right seat with identical results. The brake pads and rotors were visually inspected and no anomalies were noted. "Visual inspection of the master cylinders indicated that brake fluid was leaking onto the exterior of the master cylinder components evident by the staining of dried hydraulic fluid. During the same inspection, the carpet near the pilot's (left front seat) rudder pedals were saturated with brake fluid. There were indications of some recently spilled brake fluid (which had a reddish color) and brake fluid that had spilled some time ago (which was brownish in color)."

Aircraft

Registration
N46567
Reported as
Cessna 172K
Category
Airplane
Serial number
17257355
Airframe hours
6,981
Engine
Lycoming IO-360-ECD, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
James H. Tatum
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2006
Departed
KAJR · Cornelia, GA
Destination
KAJR · Cornelia, GA
Airport
KAJR · Habersham County Airport, runway 24, 5,500 × 100 ft, asphalt

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
30
Injuries
None
Certificates
Private, Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
January 1, 2006
Seat
Right
Flight hours
2,475 total · 350 in this make and model · 2,257 as pilot in command · 30 in the last 90 days · 5 in the last 30 days
Role
Student pilot
Age
30
Injuries
None
Seat
Right

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 46 °F
Altimeter
30.25 inHg
Observed at
KGVL, 19 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 N46567 · 1

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