CEN09LA308

NTSB accident investigation · Cessna 150L · Baton Rouge, LA · May 21, 2009

Accident · Minor injuriesLimited investigationFinal report
Date
May 20, 2009, 20:50 local (May 21, 2009, 01:50 UTC)
Place
Baton Rouge, LA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N17214Cessna 150L
Defining event
Enroute-cruise: Loss of engine power (partial)
Weather
Visual (VMC) · Night
Status
Completed · report September 30, 2009
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA
Case key
73876

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 partial loss of engine power due to the instructor pilot's failure to use carburetor heat while operating in conditions conducive to carburetor icing. Contributing to the accident was the instructor pilot's decision to attempt a return to the departure airport with degraded engine performance.

Findings · 5

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentCessna 150L: 7 casesAll aircraft: 435 cases
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionCessna 150L: 7 casesAll aircraft: 435 casesProbable cause
Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Instructor/check pilotCessna 150L: 15 casesAll aircraft: 3,098 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleCessna 150L: 4 casesAll aircraft: 1,310 cases
Engine controlsAircraft › Aircraft power plant · Incorrect use/operationCessna 150L: 1 caseAll aircraft: 51 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

The student pilot and certified flight instructor (CFI) were conducting a night, cross country flight. Weather conditions were conducive to carburetor icing at both cruise and descent power settings. When the airplane was about 7 miles from their first destination, the engine's performance began to decay. The CFI ignored the student pilot's suggestion to turn on the carburetor heat and elected to turn around and fly approximately 16 miles back to their departure airfield. The engine performance continued to decay, forcing the CFI to land in a field about four miles from the airport. During landing, the airplane flipped over on its back, resulting in substantial damage.

Factual narrative

On May 20, 2009, about 2050 central daylight time, a Cessna 150L airplane, N17214, was substantially damaged during a forced landing following a loss of engine power near Baton Rouge, Louisiana. Visual meteorological conditions prevailed at the time of the accident. The certified flight instructor (CFI) and student pilot received minor injuries. The flight was being conducted under the provisions of Title 14 Code of Federal Regulations Part 91 with a visual flight rules (VFR) flight plan. The cross country training flight originated from Baton Rouge Metropolitan Airport (BTR), Baton Rouge, Louisiana, en-route to False River Regional Airport (HZR), New Roads, Louisiana. The pilots were conducting a night, cross country training flight. They stated to investigators they were about seven miles from HZR when the engine experienced an unexplained drop in revolutions per minute (RPM) from 2,450 to 2,200 RPM. The student pilot suggested to the CFI to turn on the carburetor heat, but the CFI elected not to turn the carburetor heat on and to turn around and return to BTR, about 16 miles away. En route to BTR the engine performance continued to decay until the airplane could not continue in level flight. The airplane landed in a field approximately four miles from BTR. During landing the airplane nosed over and came to rest inverted. Examination of the airplane showed impact damage to the vertical tail and both horizontal stabilizers, the empennage was cracked, and the engine was separated from the airplane. No evidence of an engine mechanical failure was found and the fuel was found to be free of contaminants. Meteorological readings for BTR at 2053 indicated the temperature was 26 degrees Celsius and the dew point was 16 degrees Celsius. The carburetor icing chart found in FAA - P - 8740-24, Tips on Winter Flying, shows the airplane operating in an area of potential "Light Icing – glide or cruise power." The carburetor icing chart from DOT/FAA/CT-82/44 Publication indicated the airplane was operating in an area of "icing – glide and cruise power," and "serious icing at glide power."

Aircraft

Registration
N17214
Reported as
Cessna 150L
Category
Airplane
Serial number
15073667
Airframe hours
6,995.5
Engine
Cont Motor 0-200 SERIES, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Brock Edson G
Registered owner
Brock Edson G
Airworthiness certificate
Standard, Utility
Last inspection
Annual · December 12, 2008
Departed
BTR · Baton Rouge, LA
Destination
HZR · New Roads, LA
Flight plan
Unknown
Airport
BTR · Baton Rouge Metro Airport

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
68
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
March 3, 2009
Seat
Right
Flight hours
12,000 total · 250 in this make and model · 30 in the last 90 days
Role
Student pilot
Age
35
Injuries
Minor
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Flight hours
56 total · 11 in this make and model · 11 in the last 90 days

Weather

Conditions
Visual (VMC) · Night
Wind
50° at 7 knots
Visibility
10 statute miles
Lowest ceiling
8,000 ft broken
Temperature
79 °F, dew point 61 °F
Observed at
BTR, 4 nm away

Docket · 3

The files NTSB released with the investigation on August 17, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 750 KB in all.