# NTSB CEN16LA379: Cessna 172S, N52265, Chesterfield, MO, September 19, 2016

- Type: NTSB accident investigation
- Classification: Accident · Serious injuries · Limited investigation · Final report
- Date: September 18, 2016, 20:06 local (Sep 19, 2016, 01:06 UTC)
- Place: Chesterfield, MO
- Coordinates: 38.662223, -90.651947 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=38.6622&lon=-90.6519&mi=10
- Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping)
- Defining event: [Initial climb: Loss of control in flight](https://openairdocs.org/ntsb-events/240)
- Highest injury: Serious injuries
- Injuries: 1 serious
- Status: Completed, report September 10, 2018
- Report: Approved by Office Director
- NTSB office: Central Region
- Parties: Federal Aviation Administration; STL FSDO
- NTSB case key (mKey): 94047
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN16LA379
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/94047/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=94047
- Page: https://openairdocs.org/ntsb/CEN16LA379

## Probable cause

The pilot's unstable approach and subsequent loss of airplane control during an attempted go-around.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 172S, 206 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2072439), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Performance/control parameters: pitch control](https://openairdocs.org/ntsb-findings/01062022): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna 172S, 26 cases](https://openairdocs.org/ntsb-findings/01062022/cases.md?model=2072439), [All aircraft, 526 cases](https://openairdocs.org/ntsb-findings/01062022/cases.md)
- [Performance/control parameters](https://openairdocs.org/ntsb-findings/01062000): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna 172S, 21 cases](https://openairdocs.org/ntsb-findings/01062000/cases.md?model=2072439), [All aircraft, 1,269 cases](https://openairdocs.org/ntsb-findings/01062000/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Approach: Miscellaneous/other](https://openairdocs.org/ntsb-events/900); cases with it: [Cessna 172S, 28 cases](https://openairdocs.org/ntsb-events/900/sequence.md?model=2072439), [All aircraft, 1,556 cases](https://openairdocs.org/ntsb-events/900/sequence.md)
- [Initial climb: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Cessna 172S, 49 cases](https://openairdocs.org/ntsb-events/240/sequence.md?model=2072439), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md)
- [Uncontrolled descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Cessna 172S, 118 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=2072439), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)

## Analysis

The commercial pilot was performing a night visual approach for landing. A witness on the ground, who was a flight instructor, stated that the airplane's approach was "very unstable" and "erratic," and that the airplane's nose pitched up and down as the pilot made "large power adjustments." He stated that the airplane then began a go-around, which he also described as "unstable." The airplane subsequently descended and impacted terrain. Examination of the airplane revealed no mechanical anomalies that would have precluded normal operation.

## Factual narrative

On September 18, 2016, at 2006 central daylight time, a Cessna 172S, N52265, impacted terrain during a go-around from runway 26R at Spirit of St Louis Airport (SUS), Chesterfield, Missouri. The airplane descended after it entered into a right nose-down turn while turning downwind for runway 26R. The airplane was destroyed. The commercial pilot sustained serious injuries. The rental airplane was registered to Christiansen Aviation Inc and operated by Air Associates of Missouri under 14 Code of Federal Regulations Part 91 as a personal flight that was not operating on a flight plan. Night visual meteorological conditions prevailed at the time of the accident for the flight that originated from SUS. A flight instructor at SUS stated that during the right downwind leg for runway 26R, the airplane's altitude was "erratic as it pitched up and down" with "large power adjustments." The airplane's approach seemed "very unstable." As the airplane approached the runway, it entered a go-around. He stated that the go-around was "just as unstable." The airplane had overshot the runway and was well left of the runway centerline during the climb out from the go-around. The flight instructor then ran into the flight school building where he worked in attempt to assist the pilot by radio. As he reached for the radio, he heard the airplane engine accelerate and then heard a "loud thud." He ran out onto the ramp and did not hear any additional sounds. He concluded that the airplane impacted terrain. The Federal Aviation Administration (FAA) Coordinator for the accident stated that the pilot was "coming in fast" on an approach to landing. The pilot then performed a go-around from runway 26R. When the pilot turned the airplane onto a right crosswind leg, he lost airplane control. The airplane impacted the ground about 150-200 yards northwest of runway 26R. There were no mechanical anomalies that would have precluded normal airplane operation. A requested written statement of accident investigation findings from the FAA Coordinator was not received. FAA provided photos showed that the airplane resting in an inverted orientation at the end of the ground scar and the right wing was separated at the wing root. The right wing was resting along the ground scar, and the left wing was attached to the airframe. The left wing flap was in the retracted position. The cockpit throttle control was out about ½ inch and the mixture control was in the full forward position. The cockpit fuel selector had both wing fuel tanks selected. The cockpit pitch trim indication was in the full nose-down position. The cockpit wing flap selector was in the 0-degree flap position. The standby altimeter indicated about 425 feet mean sea level and the altimeter was set to about 29.96 inches of mercury. The Hobbs meter indicated 2,729.9 hours. The tachometer indication was not reported and is unknown. It is unknown if the Hobbs meter sustained impact damage rendering it unreliable. Maintenancerecords recorded tachometer times and not Hobbs time. The last 100-hour inspections for the airframe and engine were at a tachometer time of 2,067.6 hours. A National Transportation Safety Board Pilot/Operator Aircraft Accident/Incident Report (form 6120) was not received from the pilot.

## Aircraft

- Registration: [N52265](https://openairdocs.org/deregistered/N52265-2017-08-02), registration cancelled 2017-08-02, S/N 172S10899, built 2009 (OpenAirDocs)
- Reported make and model: CESSNA 172S
- Registry model: [Cessna 172S](https://openairdocs.org/model/cessna-172s) (registry code 2072439) (OpenAirDocs)
- Registry engine: [Lycoming IO-360-L2A](https://openairdocs.org/engine/lycoming-io-360-l2a) (registry code 41597, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 172S10899
- Year built: 2009
- Airframe hours: 2067.6
- Engines: Textron Lycoming IO-360-L2A reciprocating
- Damage: Destroyed
- Flight: Personal, Part 91
- Operator: Air Associates of Missouri
- Registered owner: Christiansen Aviation Inc
- Airworthiness certificate: Standard, Utility; Standard, Normal
- Last inspection: 100 hour, July 20, 2016
- Departed: SUS, Chesterfield, MO
- Destination: SUS, Chesterfield, MO
- Airport: SUS, Spirit of St Louis Airport, runway 26R, 5,000 × 75 ft, asphalt
- Equipment: Stall warning system, Auto-pilot, Electronic multifunction display, Electronic primary flight display

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 70; injuries: serious; private, commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 2, unknown; last flight review January 22, 2014; seat: left; restraint: 5-point; flight hours: 657 total, 502 in this make and model, 479 as pilot in command, 0 in the last 90 days, 0 in the last 30 days, 0 in the last 24 hours

## Weather

- Conditions: Visual (VMC), Night
- Wind: calm
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 66 °F, dew point 64 °F
- Altimeter: 29.97 inHg
- Observed at: SUS

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20160918018789A](https://openairdocs.org/incident/20160918018789A), Sep 18, 2016: Cessna 172S, Chesterfield, MO, Substantial damage. Pilot executed a go around on runway 26R as he thought he was too high on the approach. Shortly after, the aircraft impacted the ground on the cross wind leg…

## Docket (5 files)

The files NTSB released with the investigation on March 12, 2018, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=94047. 10.7 MB in all.

- Email Request to Pilot for NTSB Accident Report Form 6120 (item 1, .PDF, 77 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460779&FileExtension=.PDF&FileName=Email%20Request%20to%20Pilot%20for%20NTSB%20Accident%20Report%20Form%206120-Master.PDF
- Witness Statement (item 2, .PDF, 33 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460780&FileExtension=.PDF&FileName=Witness%20Statement-Master.PDF
- Record of Conversation - FAA Coordinator (item 3, .PDF, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460781&FileExtension=.PDF&FileName=Record%20of%20Conversation%20-%20FAA%20Coordinator-Master.PDF
- Photo Array (item 4, .PDF, 5 photos, 7.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460782&FileExtension=.PDF&FileName=Photo%20Array-Master.PDF
- Maintenance Records (item 5, .PDF, 3.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40460783&FileExtension=.PDF&FileName=Maintenance%20Records-Master.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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