CEN17FA095

NTSB accident investigation · Cessna 177 · Price, TX · January 31, 2017

Accident · FatalField investigationFinal report
Date
January 31, 2017, 15:40 local (21:40 UTC)
Place
Price, TX
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N2810XCessna 177
Defining event
Maneuvering-low-alt flying: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report April 9, 2018
Report
Approved by Office Director
NTSB office
Central Region
Parties
Eagle Sky Patrol, Textron Aviation, Federal Aviation Administration
FAA report
20170131000829A
Case key
94676

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 clearance from a communications tower guy-wire. Contributing to the accident was the pilot's decision to conduct a long distance transition flight at a low altitude.

Findings · 4

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: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 177: 3 casesAll aircraft: 1,310 casesProbable cause
Object/animal/substance: tower/antenna (incl guy wires)Environmental issues › Physical environment · Effect on operationCessna 177: 1 caseAll aircraft: 55 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 commercial pilot was conducting an aerial observation flight of pipelines in visual meteorological conditions. According to the operator, the pilot was transitioning the airplane to the east between two pipelines, which were about 112 miles apart. During the flight the airplane's left wing contacted the top guy-wire of a 449-ft tall communications tower. The airplane impacted terrain and a post-impact fire consumed the airplane. Although the wreckage was significantly fragmented and damaged by fire, examination of the airframe and engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operations. Separated sections of the left wing were found between the communications tower and main wreckage. Portions of the wing exhibited wire strike markings consistent with the diameter of the tower guy-wire, and white paint marks consistent with the left wing's paint color were found on the top guy-wire about 430 ft above ground level (agl). GPS data indicated that, for the last 10 minutes of flight, the airplane's altitude varied between 219 and 552 ft agl. The last data point showed the airplane at 403 ft. GPS data and wreckage and impact information are consistent with the pilot failing to maintain clearance from the communications tower guy-wire while flying a long-distance transition flight at low altitude.

Factual narrative

The operator's representative, who responded to the accident site, stated that the company's minimum altitude was 500 ft agl during transitional flight between pipelines. The National Transportation Safety Board (NTSB) investigator-in-charge (IIC) requested copy of the operator's procedures manual; however, the company did not provide a copy for review. According to the Federal Communications Commission (FCC) Antenna Structure Registration, the communications tower that was struck was referenced as FCC Registration Number 1297752 and was constructed on January 4, 2016. Another tower, FCC Registration Number 1047526, which was located about 0.48 miles south-southwest of the accident tower, was dismantled on August 10, 2016. The Memphis VFR sectional chart, effective from September 15, 2016, to March 30, 2017, depicted the FCC 1047526 tower obstruction and noted that the elevation of the tower's top was 873 ft mean sea level and 460 ft agl, but it did not depict the FCC 1297752 tower. The Memphis VFR sectional chart effective from March 30, 2017, to September 14, 2017, depicted tower information according to obstacle data available as of February 2, 2017, which included the FCC 1047526 and 1297752 towers. The NTSB IIC and an NTSB air traffic control specialist asked the FAA about the Memphis VFR sectional chart and the procedures for updating sectional charts for new obstructions. The FAA responded, in part, that it received data from a large variety of sources. The data changes are then analyzed and processed until the information cutoff date, which is 56 days before the sectional chart effective date. The depiction of the tower information near the accident site on the Memphis VFR sectional chart effective from September 15, 2016, to March 30, 2017, was correct according to data that were provided at that time to the FAA for publication. The FAA was notified in November 2016 of a new tower (FCC 1297752) located about 1/2 mile north of the original tower depicted on the chart. However, at that time, the FAA had not yet received confirmation of the dismantlement of the FCC 1047526 tower. The FAA added that the FAA's Obstruction and Evaluation Group (OEG) obtained notification of tower construction and dismantling from tower owners or sponsors, and the information was passed to the FAA's Charting Office (AJV-5). Per 14 CFR Part 77 section 11, Supplemental Notice Requirements, tower owners must file a supplemental notice with the FAA when the construction or alteration is higher than 200 ft agl at its site, within a time limit specified by the FAA, or if no time limit is specified, the notice of construction must be submitted within 5 days after the structure reaches its greatest height. AJV-5 received updates from many sources, not just OEG, for making changes to sectional charts. AJV-5 had a quality control process in place to ensure the accuracy of the changes to the charts, and because of that, there was a time delay. For the FCC 1297752 towerinvolved in this accident, the FAA stated, "The owner of this new tower notified the OEG via the supplemental form about the construction on November 2, 2016. This date is long past the construction date of January [2016] and well past the July 21 [2016] cutoff date for the September [2016] chart. The information on the supplemental form submitted in November was not completely correct so another supplemental form was submitted in February 2017 to correct the wrong information. OEG was aware of the tower because of [a] study back in October 2015, and the sponsor is to notify the OEG within 5 days of construction and that did not happen in this case. Once the OEG has the information for constructing or dismantling a tower, then that information is passed onto AVJ-5." On January 31, 2017, at 1540 central standard time, a Cessna 177 single-engine airplane, N2810X, impacted wooded terrain after striking a communications tower guy-wire near Price, Texas. The commercial pilot sustained fatal injuries, and the airplane was destroyed. The airplane was registered to and operated by Eagle Sky Patrol, Deadwood, South Dakota, as a Title 14 Code of Federal Regulations (CFR) Part 91 aerial observation flight. Visual meteorological conditions prevailed near the accident site at the time of the accident and a flight plan was not filed. The flight departed from Athens Municipal Airport (F44), Athens, Texas, at 1509. According to the operator, the pilot departed from Houston Southwest Airport, Houston, Texas, on the morning of the accident to perform aerial observation of pipelines. After performing a portion of the planned aerial observation flight, the pilot refueled the airplane at F44. After departure and while transitioning to the east between two pipelines, which were about 112 miles apart, the airplane's left wing contacted the top guy-wire of a 449-ft tall communications tower. The airplane impacted terrain and a post-impact fire consumed most of the airplane. GPS data showed that, for the last 10 minutes of flight, the airplane's altitude varied between 219 and 552 ft above ground level (agl). The last data point showed the airplane at 403 ft agl. A witness, who was located at his residence adjacent to the accident site, reported he heard an airplane engine "rev up", an initial explosion, and a secondary explosion. Two additional witnesses reported observing the airplane "tumbling end over end" and crashing in a wooded area. The Forensic Medical Management Services, Tyler, Texas, performed an autopsy on the pilot. The listed cause of death was "blunt impact injuries as a result of an accident." The Federal Aviation Administration's (FAA) Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed toxicological testing on the pilot. The tests were negative in cavity blood for all screened drugs, carbon monoxide, and alcohol. According to the operator, the pilot was hired in July 2016, and had flown about 200 hours per month since thattime. Per the pilot's resume submitted at the time of his hire, the pilot had 715.5 total flight hours, 629.8 hours of which were as pilot-in-command. Separated sections of the left wing were located between the communications tower and the main wreckage. Portions of the left wing, near wing station 110.00, exhibited wire strike markings consistent with the diameter of the tower guy-wire. A tower employee who responded after the accident to check the condition of the tower, observed white paint marks which were consistent with the left wing's paint color on the top guy-wire about 430 ft. agl. The main wreckage came to rest about 820 ft east of the tower in wooded terrain, and consisted of the right wing, a portion of the left wing, fuselage, empennage, and engine. A majority of the main wreckage was consumed by a post-impact fire. The propeller had separated from the engine crankshaft and came to rest adjacent to the main wreckage. One propeller blade exhibited twisting at the blade tip, and one propeller blade exhibited S-shape bending. A tree trunk, adjacent to the main wreckage, exhibited a 6-inch-wide cut consistent with contact from a propeller blade. The engine crankshaft flange was rotated by hand, and mechanical continuity was established throughout the engine and accessories. Thumb compression was noted on the Nos. 1 and 3 cylinders. The oil sump screen was absent of debris. Flight control continuity was confirmed from the cockpit controls to the elevator, rudder, right flap, and the left flap actuator. The left flap was disconnected from the flap actuator during the accident sequence. The aileron cables were attached to the aileron bell cranks in the wing. The left aileron cables exhibited broomstrawing features in the wing area that contacted the guy-wire. The flaps were in the retracted position based on the actuator measurement. The firewall fuel strainer was partially consumed by fire, and the filter was absent of debris. The fuel selector handle displayed thermal damage, but remained attached to the fuel selector valve, which was in the "both" position. Due to the post-impact fire, no paperwork recognizable as visual flight rules (VFR) sectional maps, was found within the wreckage area.

Aircraft

Registration
N2810X
Reported as
Cessna 177
Category
Airplane
Serial number
17700210
Built
1967
Airframe hours
5,941.02
Engine
Lycoming O-320-E2D, 160 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Aerial observation · Part 91
Operator
Eagle Sky Patrol Inc
Registered owner
Eagle Sky Patrol Inc
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · June 6, 2016
Departed
F44 · Athens, TX
Destination
Frierson, LA
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
24
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
1,700 total · 1,000 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 11 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 34 °F
Altimeter
29.97 inHg
Observed at
RFI, 6 nm away

Docket · 13

The files NTSB released with the investigation on March 15, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.8 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.