CEN17LA303

NTSB accident investigation · Cessna A188B · Marshall, MO · August 4, 2017

Accident · No injuriesLimited investigationFinal report
Date
August 4, 2017, 09:00 local (14:00 UTC)
Place
Marshall, MO
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N3047JCessna A188B
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report March 14, 2018
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20170804012829A
Case key
95756

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 inability to accurately monitor the airplane's airspeed after takeoff due to an inoperative airspeed indicator, which resulted in the pilot's failure to maintain adequate airspeed and his exceedance of the airplane's critical angle of attack and the subsequent aerodynamic stall/mush and degraded climb performance.

Findings · 6

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna A188B: 14 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededCessna A188B: 4 casesAll aircraft: 990 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna A188B: 6 casesAll aircraft: 1,681 casesProbable cause
Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna A188B: 3 casesAll aircraft: 265 casesProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeCessna A188B: 2 casesAll aircraft: 313 cases

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

After takeoff for the agricultural application flight and when the commercial pilot reduced engine power to climb, the engine "surged." He increased the throttle, but the engine "surged" again. He subsequently applied full throttle, but he was unable to maintain a positive climb rate. The airplane gradually settled into a bean field off the end of the runway. The airplane impacted a fence before coming to rest in an adjacent field. The pilot stated that the airplane seemed to be "sagging" after takeoff but that the engine instrument indications appeared to be normal. Postaccident engine examination did not reveal evidence of any preimpact anomalies that would have precluded normal operation. The reason for the engine surging reported by the pilot could not be determined. According to the pilot, the airspeed indicator was inoperative at the time of the accident. It is likely that the pilot's inability to monitor the airspeed due to the lack of an operative airspeed indicator led to the pilot's failure to maintain adequate airspeed, his exceedance of the airplane's critical angle of attack and the subsequent aerodynamic stall/mush and degraded climb performance.

Factual narrative

***This report was modified on March 8, 2018. Please see the docket for this accident to view the original report.*** On August 4, 2017, about 0900 central daylight time, a Cessna A188B airplane, N3047J, was substantially damaged when it settled into a bean field after takeoff from runway 18 (5,006 feet by 75 feet, concrete) at the Marshall Memorial Municipal Airport (MHL), Marshall, Missouri. The pilot was not injured. The airplane was registered to and operated by private individuals as a 14 Code of Federal Regulations Part 137 flight. Visual meteorological conditions prevailed. The flight was not operated on a flight plan. The local aerial application flight was originating at the time of the accident. The pilot stated that the airplane was loaded with about 120 gallons of fertilizer and 54 gallons of fuel at the time of the accident takeoff. The pretakeoff run-up was normal. After takeoff, he reduced engine power for climb. When he did so, the engine "surged." He responded by increasing the throttle "a little," but the engine "surged" again. He subsequently applied full throttle, but was unable to maintain a positive rate of climb. The airplane settled into a bean field and encountered a fence before coming to rest in the adjoining corn field. The pilot informed a Federal Aviation Administration (FAA) inspector that the airplane seemed to be "sagging" after takeoff. The engine indications appeared to be normal before the accident. The airplane had a full load of fertilizer and fuel at the time of the accident takeoff. The pilot also informed the inspector that the airspeed indicator had been inoperative for some time. A postaccident engine examination conducted by FAA inspectors did not reveal any anomalies consistent with a preimpact loss of engine power. The wing flaps were positioned at 20 degrees deflection at the time of the exam. The airplane flight manual noted that the recommended takeoff wing flap setting for restricted category airplanes was 10 degrees. The approved takeoff range for normal category airplanes was 0 to 20 degrees. The information manual indicated that optimum takeoff performance at heavy weights is obtained using 10 degrees wing flaps. FAA regulations (14 CFR 91.205) require an operational airspeed indicator for civil aircraft operating under a standard airworthiness certificate. The accident airplane was operating under a restricted category airworthiness certificate and was not required to comply with that regulation.

Aircraft

Registration
N3047J
Reported as
Cessna A188B
Category
Airplane
Serial number
18803596T
Built
1979
Airframe hours
7,845.1
Engine
Lycoming IO-540-S1A5, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · May 23, 2017
Departed
MHL · Marshall, MO
Destination
MHL · Marshall, MO
Airport
MHL · Marshall Memorial Muni, runway 18, 5,006 × 75 ft, concrete

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
22
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
April 7, 2017
Seat
Single
Restraint
Lap only
Flight hours
475 total · 210 in this make and model · 210 in the last 90 days · 99 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 52 °F
Altimeter
30.17 inHg
Observed at
MHL, 1 nm away

Docket · 14

The files NTSB released with the investigation on December 13, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.6 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.