CEN11CA128

NTSB accident investigation · Cessna 340A · Madison, WI · December 21, 2010

Accident · No injuriesData collectionFinal report
Date
December 21, 2010, 12:30 local (18:30 UTC)
Place
Madison, WI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N233DSCessna 340A
Defining event
Approach-IFR final approach: Loss of control in flight
Weather
Instrument (IMC) · Day
Status
Completed · report May 16, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20101221053669A
Case key
78058

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 maintain adequate airspeed during the approach, which resulted in an aerodynamic stall. Contributing to the accident was the pilot's failure to check the de-ice fluid level prior to takeoff, which resulted in the failure of the de-ice system to clear the windshield of ice.

Findings · 2

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.

Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 340A: 4 casesAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 340A: 10 casesAll aircraft: 9,295 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

According to the pilot, he attempted two landings at the original destination airport; however, due to the weather, the pilot elected to return to the departure airport. While on the instrument approach to the runway, the windshield became covered with ice and the de-ice system could not de-ice the windshield. The pilot then attempted the landing by looking out the left window. At 15 feet above the runway, the pilot noticed the airspeed was approximately 85 knots and the airplane stalled. The pilot added engine power; however, the airplane experienced a hard landing on the runway. Examination of the airplane revealed the forward fuselage was buckled and the de-ice fluid tank was empty. No mechanical anomalies were noted with the airplane. The pilot stated that he did not check the fluid level in the de-ice tank during the preflight inspection.

Factual narrative

According to the pilot, he attempted two landings at the original destination airport; however, due to the weather conditions, the pilot elected to return to the departure airport. While on the instrument approach to the runway, the windshield became covered with ice and the de-ice system could not de-ice the windshield. The pilot then attempted the landing by looking out the left window. At 15 feet above the runway, the pilot noticed the airspeed was approximately 85 knots and the airplane stalled. The pilot added engine power; however, the airplane experienced a hard landing on the runway. Examination of the airplane revealed the forward fuselage was buckled and the de-ice fluid tank was empty. No mechanical anomalies were noted with the airplane. The pilot stated that he did not check the fluid level in the de-ice tank during the pre-flight inspection.

Aircraft

Registration
N233DS
Reported as
Cessna 340A
Category
Airplane
Serial number
340A0420
Airframe hours
10,050
Engines
Cont Motor TSIO-520 SER, 310 horsepower, reciprocatingCont Motor TSIO-520 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Wisconsin Aviation Inc
Registered owner
Wisconsin Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 7, 2010
Departed
MSN · Madison, WI
Destination
MSN · Madison, WI
Flight plan
IFR
Airport
MSN · Dane County Regional Airport, runway 18, 9,005 × 150 ft, concrete

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
70
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 1, 2010
Seat
Left
Flight hours
11,421 total · 200 in this make and model · 11,078 as pilot in command · 44 in the last 90 days · 18 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Wind
170° at 5 knots
Visibility
1 statute miles
Lowest ceiling
300 ft overcast
Temperature
30 °F, dew point 28 °F
Altimeter
29.93 inHg
Observed at
MSN

Docket · 1

The files NTSB released with the investigation on January 25, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.3 MB 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.