CEN14LA406

NTSB accident investigation · Cessna 177RG · Manistee, MI · August 5, 2014

Accident · Minor injuriesLimited investigationFinal report
Date
August 5, 2014, 15:10 local (19:10 UTC)
Place
Manistee, MI
Injuries
4 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N468LECessna 177RG
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report January 21, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Grand Rapids FSDO
FAA report
20140805013159A
Case key
89808

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 receiving instruction's inability to respond to or compensate for the sudden change in wind direction and speed that the airplane encountered shortly after liftoff, which resulted in a tailwind condition, a corresponding decrease in airspeed, and a reduced climb gradient.

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.

Wind: sudden wind shiftEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 177RG: 1 caseAll aircraft: 114 casesProbable cause
Wind: sudden wind shiftEnvironmental issues › Conditions/weather/phenomena · Ability to respond/compensateCessna 177RG: 1 caseAll aircraft: 114 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 177RG: 8 casesAll aircraft: 1,681 casesProbable cause
Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 177RG: 1 caseAll aircraft: 265 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 177RG: 1 caseAll aircraft: 594 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 flight instructor reported that the departure airport's weather station was inoperative during his preflight check of the weather conditions and, as such, he referenced the airport's windsock to select the runway for takeoff. As the airplane taxied from the ramp area, the windsock indicated a light variable wind primarily from the east. Believing that the wind was light and variable, the flight instructor told his student, a private pilot who was receiving flight instruction, to depart on runway 19 because the intended destination was south of the departure airport. The flight instructor reported that the student used a short-field takeoff procedure for the takeoff. The airplane became airborne with about 1,000 ft of runway remaining; however, during the initial climb, about 5 to 10 ft above the runway, the airplane experienced a sudden loss of airspeed and began to sink back toward the runway. The airplane touched down at the runway departure threshold and continued down an embankment into a tree line. Following the accident, the flight instructor noted that the airport's windsock was indicating a north-to-northwest wind direction with wind gusts reaching 18 to 20 knots. He stated that the apparent wind change had resulted in a tailwind condition during the accident takeoff. Additionally, he reported that there were no mechanical malfunctions or failures with the airplane that would have prevented its normal operation. The reported sudden change in wind direction and speed during initial climb would have resulted in a tailwind condition, a corresponding decrease in airspeed, and a reduced climb gradient.

Factual narrative

On August 5, 2014, about 1510 eastern daylight time, a Cessna model 177RG airplane, N468LE, was substantially damaged during takeoff on runway 19 (2,721 feet by 75 feet, asphalt) at the Manistee County Airport (MBL), Manistee, Michigan. The private pilot, flight instructor, and two passengers sustained minor injuries. The airplane was operated by Great Lakes Air Ventures LLC under the provisions of 14 Code of Federal Regulations Part 91 without a flight plan. Day visual meteorological conditions prevailed for the cross-country instructional flight that was en route to Mason County Airport (LDM), Ludington, Michigan.The flight instructor reported that the MBL weather station was inoperative during his preflight check of the weather conditions and, as such, he referenced the airport's windsock to select the runway for takeoff. As the airplane taxied from the ramp area, the windsock indicated a light wind of variable direction that was primarily from the east. Believing that the winds were light-and-variable, the flight instructor told his student, a private pilot who was receiving flight instruction toward a complex airplane endorsement, to depart on runway 19 because the intended destination was south of the departure airport. The flight instructor reported that he calculated the runway length required to clear a 50-foot obstacle was about 1,850 feet at the airplane's maximum gross weight and with a calm wind condition. The student reportedly initially selected the wing flaps to 20 degrees, but the flight instructor noted the incorrect flap setting and told the student to select 10 degrees of wing flaps for the short-field takeoff. The takeoff was initiated from the end of the runway, to maximize available runway length, and by holding the wheel brakes until maximum engine power had been achieved. During the subsequent takeoff roll, the flight instructor noticed that the wing flaps were still incorrectly set at 20 degrees and changed them to 10 degrees for the short-field takeoff. The student called out rotation speed (66 knots) and began to apply aft elevator control input for takeoff. The flight instructor stated that the airplane achieved liftoff around 70 knots with about 1,000 feet of runway remaining. During initial climb, about 5-10 feet above the runway, the airplane experienced a sudden loss of airspeed and began to sink back toward the runway. The airplane touched-down at the runway departure threshold and continued down an embankment into a tree line located about 350 feet from the end of the runway. Following the accident, the flight instructor noted that the airport's windsock was indicating a north-to-northwest wind direction with wind gusts reaching 18-20 knots. He stated that the apparent wind change had resulted in a tailwind condition during the accident takeoff. Additionally, he reported that there were no mechanical malfunctions or failures with the airplane that would have prevented its normal operation during the accidenttakeoff. The fuselage and both wings were substantially damaged during the accident. The automated surface observing system (ASOS) located at the departure airport (MBL) was not operational when the accident occurred. There was an active notice to airman (NOTAM) for the inoperative weather system. However, there was a valid terminal forecast issued for MBL at the time of the accident, which indicated a surface wind of 350 degrees at 7 knots. The next closest aviation weather observing system was located at the intended destination (LDM), which was 19.8 miles south of the MBL. At 1515, the LDM weather station reported: wind 310 degrees at 7 knots; visibility 10 miles; scattered clouds at 3,800 feet above ground level (agl), scattered clouds at 4,500 feet agl, and a broken ceiling at 9,500 feet agl; temperature 24 degrees Celsius, dew point 16 degrees Celsius, and an altimeter setting of 30.07 inches of mercury.

Aircraft

Registration
N468LE
Reported as
Cessna 177RG
Category
Airplane
Serial number
177RG0158
Built
1971
Airframe hours
3,531
Engine
Lycoming IO-360-A1B6D, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Great Lakes Air Ventures, LLC
Registered owner
James E. Zook
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 24, 2014 · 14 hours before
Departed
MBL · Manistee, MI
Destination
LDM · Ludington, MI
Airport
MBL · Manistee County-Blacker, runway 19, 2,721 × 75 ft, asphalt
Equipment
Handheld GPS, Stall warning system, Electronic flight bag or handheld device, Auto-pilot

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
Pilot
Age
37
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
June 15, 2014
Seat
Left
Restraint
4-point
Flight hours
131 total · 3 in this make and model · 5 in the last 90 days · 3 in the last 30 days · 2 in the last 24 hours
Role
Flight instructor
Age
25
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
October 9, 2013
Seat
Right
Restraint
4-point
Flight hours
471 total · 16 in this make and model · 281 as pilot in command · 68 in the last 90 days · 11 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 7 knots
Visibility
10 statute miles
Lowest ceiling
9,500 ft broken
Temperature
75 °F, dew point 61 °F
Altimeter
30.06 inHg
Observed at
LDM, 20 nm away

Docket · 5

The files NTSB released with the investigation on December 7, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 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.