CEN14FA071

NTSB accident investigation · Cessna 182E · Delta, CO · November 29, 2013

Accident · FatalField investigationFinal report
Date
November 29, 2013, 07:50 local (14:50 UTC)
Place
Delta, CO
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N3087YCessna 182E
Defining event
Initial climb: Loss of control in flight
Weather
Instrument (IMC) · Day
Status
Completed · report June 2, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Engines, Cessna Aircraft, Federal Aviation Administration
FAA report
20131129022049A
Case key
88488

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 student pilot’s decision to attempt flight into instrument meteorological conditions, which resulted in a loss of control and ground impact.

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.

Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Student/instructed pilotCessna 182E: 5 casesAll aircraft: 3,098 casesProbable cause
Ceiling/visibility/precip: cloudsEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 182E: 1 caseAll aircraft: 108 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 solo student pilot departed from an uncontrolled airport to rendezvous with an examiner for his private pilot practical test. Weather conditions at the departure airport were overcast clouds at 600 feet and 4 miles visibility. After takeoff, the airplane impacted terrain about 2 miles from the departure end of the runway, on the extended runway centerline. The debris field was consistent with a high speed impact at a flat pitch attitude. The student pilot most likely attempted to climb through the overcast clouds and lost control, then exited the clouds in a steep dive and was attempting to recover from the dive as the airplane impacted the ground. The primary flight instructor stated the student pilot had a "go-go-go" type personality and led a fast-paced life with his business. He intended to use the airplane for his business. Further, the student pilot was concerned about getting his examination done before the airplane's annual inspection. The flight instructor subsequently learned that the student pilot was under additional personal and business stressors. The student pilot's decision to depart into poor weather conditions was most likely influenced by these life stressors, both self-imposed and external. The student pilot had 0.6 flight hours of simulated instrument training recorded in his logbook, as opposed to the Federal Aviation Administration requirement of 3 flight hours for the private pilot practical test.

Factual narrative

The flight instructor (CFI) who flew most of the student's training flights characterized him as having very high achieving and performance traits. He thought the student had a "go-go-go" type personality and led a fast-paced life, due to a hectic schedule managing a telecommunications business. He was aware that his student was an accomplished motorcycle racer and avid motorcycle enthusiast. The CFI stated the student intended to utilize the accident airplane to accomplish trips in support of his telecommunications business and was concerned that he might try to "push too hard" with respect to weather conditions, fatigue, or airplane maintenance to accomplish a business trip. He attempted to instruct the student on "not getting over his head" with respect to flight conditions. As the annual inspection on the accident airplane approached expiration, the CFI told the student that the timeline for the flight practical should not be controlled by the expiration of the annual inspection. Following the accident, the CFI learned that the pilot was under additional personal and business stressors. During preparation for the private pilot practical, the student recorded 0.6 hours of simulated instrument flight time with a vision restricting device. The CFI stated he never flew with the accident pilot in actual instrument meteorological conditions. The accident airplane was manufactured in 1962 and registered with the FAA on a standard airworthiness certificate. The logbooks showed a total of 6,347 hours as of the last annual inspection, which was conducted on November 12, 2012. The airplane was equipped with a Continental Motors O-470-R engine (serial number 131740-5-R), which had accumulated a total of 2,895 hours as of the last annual inspection and 1,853 hours since last major overhaul. The propeller was installed on September 1, 2000, with no maintenance entries in the propeller log since installation. On November 29, 2013, about 0750 mountain standard time, a Cessna 182E airplane, N3087Y, impacted terrain near Delta, Colorado. The student pilot, the sole occupant, was fatally injured and the airplane was destroyed. The airplane was registered to Ray Veatsch Agency Inc. and operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Day instrument meteorological conditions existed at the time of the accident and no flight plan was filed. The flight departed from Blake Field Airport (KAJZ), Delta, Colorado at 0748 and was destined for Crawford Airport (99V), Crawford, Colorado. The student pilot scheduled his private pilot practical test with a designated examiner (DE) located at 99V, about 20 nautical miles east of KAJZ. According to the DE, the student pilot called him on the morning of the accident and informed him there was a cloud deck at KAJZ. The DE told the student pilot the cloud deck was likely a thin layer that would burn off and to fly to 99V after the weather cleared up. An airportsurveillance camera captured the accident airplane departing from Runway 3 at KAJZ. No witnesses observed the accident. On December 2, 2013, an autopsy was performed on the pilot at the Montrose Memorial Hospital, Montrose, Colorado. The examination determined the cause of death to be due to multiple traumatic injuries. The FAA's Civil Aeromedical Institute in Oklahoma City, Oklahoma, performed a toxicology test on the pilot. The test was negative for carbon monoxide and ethanol and drugs, with the exception of Acetaminophen (Tylenol). The weather observation station at KAJZ reported the following conditions at 0755: wind calm, visibility 4 miles, overcast clouds at 600 feet, temperature 0 degrees Celsius (C), dew point negative 1 degrees C, altimeter setting 30.39. The student pilot, age 36, had accumulated a total of 98 flight hours, including 63 hours with a flight instructor and 6.4 hours during the three days preceding the accident. All of the student's recorded flight time was in the accident airplane. The student's recorded simulated instrument flight time was 0.6 hours. The Federal Aviation Administration (FAA) requires 3 hours of simulated instrument flight training prior to the private pilot practical test. On September 21, 2011, the student pilot was issued a Class 3 medical and student pilot certificate, with a limitation to wear corrective lenses. No significant issues were identified by the pilot or aviation medical examiner during this examination. The airplane impacted about two miles off the departure end of Runway 3 on the extended runway centerline. The initial impact point included ground impressions from all three landing gear and was 440 feet from the furthest piece of wreckage. The debris path was oriented on a 340 degree heading. The engine and wings separated from the fuselage. The fuselage was broken into three large sections; the instrument panel with forward floor assembly, the aft seats with floor assembly, and the empennage. The fuselage sections remained loosely connected via the flight control cables. The engine came to rest 60 feet in front of the fuselage. Control cable continuity was established for all flight control surfaces through tension overload separations in the front door posts and at the wing roots. Both propeller blades displayed twisting, S-bending deformation, and chordwise scratches. The sparkplugs exhibited normal wear when compared to the Champion Aviation Check a Plug Chart AV-27 and both magnetos were capable of producing spark. The crankshaft was rotated by hand and thumb compression was established on all cylinders. Drive train continuity was established throughout the engine. The cylinders were borescope inspected and no anomalies were noted. The oil filter element was inspected, with no contaminates noted. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

Aircraft

Registration
N3087Y
Reported as
Cessna 182E
Category
Airplane
Serial number
18254087
Built
1962
Airframe hours
6,347
Engine
Cont Motor O-470 SERIES, 230 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Operator
Ray Veatch Agency Inc
Registered owner
Ray Veatch Agency Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 12, 2012 · 100 hours before
Departed
KAJZ · Delta, CO
Destination
99V · Crawford, CO
Airport
KAJZ · Blake Field
Equipment
Stall warning system, Handheld GPS

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
36
Injuries
Fatal
Certificate
Student
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
98 total · 98 in this make and model · 98 as pilot in command · 29 in the last 90 days · 12 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
Calm
Visibility
4 statute miles
Lowest ceiling
600 ft overcast
Temperature
32 °F, dew point 30 °F
Altimeter
30.38 inHg
Observed at
KAJZ, 2 nm away

Docket · 13

The files NTSB released with the investigation on May 20, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 24.4 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.