CEN12FA090

NTSB accident investigation · Cessna 182R · Mescalero, NM · November 26, 2011

Accident · FatalField investigationFinal report
Date
November 26, 2011, 09:12 local (16:12 UTC)
Place
Mescalero, NM
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N9408XCessna 182R
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report June 14, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Cessna Aircraft Corporation, Continental Motors, FAA Flight Standards District Office
FAA report
20111126028619A
Case key
82421

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 pilot's intentional attempt to fly into adverse weather, which resulted in an in-flight loss of control. Contributing to the accident was the pilot's lack of instrument experience.

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.

Action: incorrect action selectionPersonnel issues › Action/decision · PilotCessna 182R: 1 caseAll aircraft: 397 casesProbable cause
Ceiling/visibility/precip: low ceilingEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionCessna 182R: 1 caseAll aircraft: 190 casesProbable cause
Ceiling/visibility/precip: low visibilityEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionCessna 182R: 1 caseAll aircraft: 175 casesProbable cause
Ceiling/visibility/precip: snowEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionCessna 182R: 1 caseAll aircraft: 43 casesProbable cause
Experience/qualifications: total instrument experiencePersonnel issues › Experience/knowledge · PilotCessna 182R: 1 caseAll aircraft: 66 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 radar air traffic controller advised the pilot of an area of light precipitation 15 miles ahead at his 12 o’clock position, about 10 miles in diameter, and extending about 10 miles along his flight path. Shortly thereafter, the non-instrument-rated pilot said that he was turning around due to the poor visibility. A few minutes later, the pilot said he would make another attempt to penetrate the weather then consider landing at an alternate airport if he was unable to get through. The last radio transmission from the pilot occurred when he acknowledged the controller's advisement that radar services were terminated and the instruction to change to an advisory frequency. When the airplane was reported overdue, a search was initiated and the wreckage was located 4 days later. GPS information indicated that the airplane was in a right spiral at a ground speed of 207 knots. The recovered airspeed indicator faceplate bore a “slap mark” at 150 knots. It is likely that the airplane entered instrument meteorological conditions, and the pilot was unable to maintain control.

Factual narrative

HISTORY OF FLIGHT On November 26, 2011, at 0912 mountain standard time, a Cessna 182R, N9408X, was substantially damaged when it impacted terrain near Mescalero, New Mexico. The pilot and his passenger were fatally injured. The airplane was registered to and operated by JD & KAT, Ltd., Snyder, Texas, under the provisions of 14 Code of Federal Regulations (CFR) Part 91 as a personal flight. Instrument meteorological conditions (IMC) prevailed at the time of the accident and no flight plan had been filed. The local flight originated from Snyder (KSNK), Texas, at an undetermined time, and was en route to Ruidoso (KSRR), New Mexico. According to the transcript of radio communications, the pilot contacted the Roswell (KROW), New Mexico, approach controller at 0821. He reported he was about 20 miles east of ROW at 8,500 feet en route to SRR, and would be transiting through the ROW control zone. The controller issued the pilot a discrete transponder code of 0165, identified him on radar as being 25 miles east of the Chisum Vortac (Very High Frequency Omnidirectional Radio Range), and gave him the KROW altimeter setting. At 0834, the controller advised the pilot that there was an area of light precipitation 15 miles ahead at his 12 o’clock position, about 10 miles in diameter, and extending about 10 miles along his flight path. One minute later, the pilot advised the controller that he was going to descend 1,000 feet to stay out of the clouds. At 0841, the controller asked the pilot if he was familiar with the high terrain around KSRR. The pilot did not answer but one minute later, he advised the controller that he was turning around and proceeding to KROW due to poor visibility. At 0854, the pilot said he was going to attempt to proceed to KSRR again. He was told to proceed at his discretion and to maintain VFR. A few minutes later, he was given a traffic advisory, advised that radar services were terminated, to change his transponder code, and a frequency change was approved. The pilot acknowledged the transmission at 0905. There were no further radio communications with N9408X. According to the KSRR airport manager, the pilot’s father was at the airport waiting for his son to arrive. The pilot called on the airport’s Unicom frequency and said he was unable to continue due to poor weather. The airport manager said he assumed the pilot had diverted to another airport. When the airplane was reported missing, authorities were notified and an aerial search was conducted. The wreckage was located on the Mescalero Apache Indian Reservation, near Ruidoso, on November 30. PERSONNEL (CREW) INFORMATION The 49-year-old pilot held a private pilot certificate with an airplane single-engine land rating, dated June 27, 2010. He was not instrument rated. He also held a third class airman medical certificate, dated November 11, 2011, with no restrictions or limitations. The pilot’s logbook contained entries from February 15, 2010, to October 16, 2011, inclusive, andall of his flight time (in hours) had been accrued in N9408X, to wit: Total time, 209.7 Pilot-in-command, 188.0 Cross-Country, 138.6 Day, 175.2 Night, 8.6 Instruments, 4.3 AIRCRAFT INFORMATION N9418X (serial number 18268514), a model 182R, was manufactured by the Cessna Aircraft Corporation in 1985. It was an all-metal (aluminum alloy), four-seat, single-engine airplane with a gross weight of 3,100 pounds. Powered by a Continental O-470-U(11) engine (serial number 470598), rated at 230 horsepower, it drove a McCauley C2A34C204/90DCB-B 2-blade, all-metal, constant speed propeller (serial number 850159). According to the maintenance records, the engine was remanufactured and installed on the airplane on April 19, 2005, at a tachometer time of 681.4 hours and an engine total time of 1,603.9 hours. The last pitot-static system, altimeter, and encoder checks were made on December 21, 2005. The last transponder check was made on December 7, 2009. The last annual inspection was performed on December 15, 2010, at a total time of 1,861.0 hours. METEOROLOGICAL INFORMATION The following METARs (Aviation Routine Meteorological Report) were recorded at 0935 by the AWOS-3 (Automated Weather Observation System) at the Sierra Blanca Regional Airport (KSRR), Ruidoso, New Mexico, located about 7 miles northwest of the accident site: Wind, 020 degrees at 7 knots; visibility, 10 statute miles; ceiling, 3,000 feet broken, 3,700 feet broken, 4,300 feet overcast; temperature, 1 degree C.; dew point, -7 degrees C.; altimeter setting, 30.35 inches of Mercury. WRECKAGE AND IMPACT INFORMATION Examination of the accident site revealed a 1,650-foot debris path on the downward slope of a hill. The airplane was completely fragmented. Both wings and the empennage were identified. Both propeller blades were recovered. The engine was located at the far end of the debris path. The airspeed indicator faceplate bore a “slap mark” at 150 knots. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed by the New Mexico Office of the Medical Investigator. According to their report (#2011-05880), the pilot’s death was attributed to “multiple blunt force injuries.” Toxicology protocol was performed by the Federal Aviation Administration’s (FAA) Civil Aerospace Medical Institute (CAMI). According to CAMI’s report, no ethanol or drugs were detected the tissue samples. Carbon monoxide and cyanide tests were not performed. TESTS AND RESEARCH During the accident site examination, a hand-held GPS (Global Positioning System) unit was found. The unit was sent to NTSB for examination and readout. Graphic and tabular charts were developed that showed the airplane to be in a right spiral (see docket item: MAPS AND CHARTS OF ACCIDENT AREA). The last recorded groundspeed was 207 knots (see docket item: TABULAR GPS DATA OF ACCIDENT FLIGHT). ADDITIONAL INFORMATION FAA’s (Federal Aviation Administration) AC (Advisory Circular) 60-4A, entitled “Pilot’s Spatial Disorientation,” states thatdisorientation is caused by a lack of visual reference to the natural horizon, and can be brought about by low visibility, night conditions, and reflected light from the anticollision rotating beacon. Disorientation can cause the pilot to inadvertently place the airplane in a dangerous attitude. To avoid becoming disoriented, the Advisory recommends that pilots obtain training and maintain proficiency in aircraft control by reference to instruments, to rely solely on those instrument indications, and to avoid flying in poor or deteriorating weather conditions.

Aircraft

Registration
N9408X
Reported as
Cessna 182R
Category
Airplane
Serial number
18268514
Airframe hours
1,861
Engine
Continental O-470-U(11), 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Jerry D. Greene
Registered owner
JD & Kat, Ltd.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 15, 2010
Departed
KSNK · Snyder, TX
Destination
KSRR · Ruidoso, NM

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
49
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
210 total · 188 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 7 knots
Visibility
10 statute miles
Lowest ceiling
3,000 ft broken
Temperature
34 °F, dew point 19 °F
Altimeter
30.35 inHg
Observed at
KSRR

Docket · 28

The files NTSB released with the investigation on May 4, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 26.1 MB in all.

Tabular GPS data of accident flightItem 1 · .PDF · 64 KBChart 1 - GPS depiction of N9408X's flight pathItem 2 · .PDF · 208 KBChart 2 - GPS data depicting N9408X's flight path with waypointsItem 3 · .PDF · 254 KBChart 3 - Radar data overlayed on a portion of the Albuquerque Sectional Chart depicting N9408X's flight path and accident locationItem 4 · .PDF · 312 KBChart 4 - GPS depiction of end of flight spiral approximating aircraft's attitudeItem 5 · .PDF · 276 KBChart 5 - GPS 3-dimensional depiction of end of flight and altitudesItem 6 · .PDF · 144 KBChart 6 - Graphical depiction of last flightItem 7 · .PDF · 42 KBChart 7 - Graphical depiction of last 12 minutes of flightItem 8 · .PDF · 41 KBWeather Reports and RecordsItem 9 · .PDF · 75 KBNew Mexico State Police, Wreckage Diagram and KeyItem 10 · .PDF · 338 KBFederal Bureau of Investigation's ReportItem 11 · .PDF · 130 KBTranscript of Radio CommunicationsItem 12 · .PDF · 118 KBToxicology Report, Jerry D. GreeneItem 13 · .PDF · 46 KBCertification of Party Representative, Cessna AircraftItem 14 · .PDF · 247 KBCertification of Party Representative, Continental MotorsItem 15 · .PDF · 98 KBRetention-Release of Aircraft WreckageItem 16 · .PDF · 54 KBPhoto 1 - Scrub tree, initial point of impactItem 17 · .PDF · 2.2 MBPhoto 2 - Impact craterItem 18 · .PDF · 2.9 MBPhoto 3 - Overview of accident siteItem 19 · .PDF · 2.4 MBPhoto 4 - Propeller blade AItem 20 · .PDF · 1.9 MBPhoto 5 - Propeller blade BItem 21 · .PDF · 1.4 MBPhoto 6 - Cabin area and fuselageItem 22 · .PDF · 2.6 MBPhoto 7 - Examining cabin areaItem 23 · .PDF · 2.0 MBPhoto 8 - Left wingItem 24 · .PDF · 1.9 MBPhoto 9 - Portion of the right wingItem 25 · .PDF · 1.5 MBPhoto 10 - The engine, farthest point in debris pathItem 26 · .PDF · 1.8 MBPhoto 11 - Airspeed Indicator faceplate and slap markItem 27 · .PDF · 1.4 MBPhoto 12 - TachometerItem 28 · .PDF · 1.6 MB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.