CEN18FA011

NTSB accident investigation · Cessna 172M · Ramsey, MN · October 13, 2017

Accident · FatalField investigationFinal report
Date
October 13, 2017, 17:34 local (22:34 UTC)
Place
Ramsey, MN
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N7CFCessna 172M
Defining event
Maneuvering-low-alt flying: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report May 9, 2018
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards, Textron Aviation
FAA report
20171013014639A
Case key
96186

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 decision to fly along the river at a low altitude contrary to applicable regulations and safety of flight considerations which resulted in the impact with the power lines. Contributing to the accident was the pilot's inability to see the and avoid the power lines due to their proximity to a bend in the river and the position of the sun at the time of the accident.

Findings · 8

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 172M: 17 casesAll aircraft: 1,310 casesProbable cause
Object/animal/substance: wireEnvironmental issues › Physical environment · Contributed to outcomeCessna 172M: 7 casesAll aircraft: 588 casesProbable cause
Light conditionEnvironmental issues › Conditions/weather/phenomena · Effect on personnelCessna 172M: 1 caseAll aircraft: 15 casesProbable cause
Object/animal/substance: wireEnvironmental issues › Physical environment · Ability to respond/compensateCessna 172M: 7 casesAll aircraft: 588 casesProbable cause
Light conditionEnvironmental issues › Conditions/weather/phenomena · Ability to respond/compensateCessna 172M: 1 caseAll aircraft: 15 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

After takeoff, the pilot proceeded south until reaching the Mississippi River when he proceeded to fly along the river at a low altitude. As the airplane approached a bend in the river, the pilot entered a shallow left turn to follow the river. The airplane subsequently struck power lines spanning the river that were located about 200 yards beyond the bend. Ground-based video footage and witness statements indicated that the airplane was at or below the height of the trees lining both sides of the river shortly before encountering the power lines. One witness initially thought that the pilot intended to fly under the power lines due to the low altitude of the airplane. Several witnesses also noted that the sound of the engine seemed normal and steady before the accident. A post-recovery examination of the airplane did not reveal any anomalies consistent with a preimpact failure or malfunction. The power lines were below the level the trees on either side of the river. Red aerial marker balls were installed on the power lines at the time of the accident. Weather conditions were good at the time of the accident; however, the sun was about 9° above the horizon and aligned with the river. It is likely that the position of the sun in relation to the power lines hindered the pilot's ability to identify the hazard as he navigated the bend in the river at low altitude. In addition, the location of the power lines relative to the river bend minimized the reaction time to avoid the lines. FAA regulations prohibit operation of an aircraft less than 500 feet above the surface in uncongested areas unless approaching to land or taking off, and at least 1,000 feet from obstacles in congested areas. They also prohibit operations in a reckless manner that endanger the life or property of another. Based on the available information, the airplane was less than 100 feet above the river and within 400 feet of the residences located along the river during the final portion of the flight. The pilot's flight instructor described the pilot as "reckless" because of his habit of low-level flying. While the location of the bend in the river and the position of the sun relative to the power lines may have hindered the pilot's ability to see and avoid the lines, it was the pilot's decision to operate the airplane along the river at a low altitude contrary to applicable regulations and safety of flight considerations that caused the accident.

Factual narrative

FAA regulations (14 CFR 91.13) prohibit the operation of "an aircraft in a careless or reckless manner so as to endanger the life or property of another." Furthermore, except when necessary for takeoff or landing, the regulations (14 CFR 91.119) require pilots to maintain an altitude of at least 1,000 feet above the highest obstacle within a 2,000-foot horizontal radius of the aircraft in congested areas. In uncongested areas, pilots must maintain at least 500 feet above the surface, except over open water or sparsely populated areas. In those cases, an aircraft may not be operated closer than 500 feet to any person, vessel, vehicle or structure. FAA regulations (14 CFR 91.215) require aircraft operated within 30 miles of the Minneapolis-St. Paul International Airport from the surface to 10,000 feet mean sea level to be equipped with an operable transponder and Mode C-capable automatic pressure altitude reporting equipment. In addition, the regulations (14 CFR 91.413) specify that a transponder may not be used unless it has been tested and inspected within the preceding 24 months. The accident site was located within 30 miles of the Minneapolis-St. Paul International Airport. A review of the airplane maintenance records revealed that the originally installed engine, a 150-horsepower Lycoming O-320-E2D, was removed and the accident engine, a 180-horsepower Lycoming O-360-A1A, was installed in December 1984. The originally installed propeller was also changed at that time. The engine/propeller retrofit was completed under Supplemental Type Certificate (STC) SA807CE. In December 1986, the airframe was converted from a tricycle landing gear configuration to a tail wheel landing gear configuration under STC SA5433SW. In May 1996, an 18-gallon supplemental fuel tank was installed in the aft baggage compartment under STC SA615NE. Maintenance records indicated that testing and inspection of the transponder was completed in September 2010. The records contained no subsequent entries related to the transponder. The pilot's mechanic confirmed that the airplane was equipped with automatic pressure altitude reporting equipment having Mode C capability. On October 13, 2017, at 1734 central daylight time, a Cessna 172M airplane, N7CF, was destroyed during an in-flight collision with power lines and the Mississippi River near Ramsey, Minnesota. The pilot and passenger were fatally injured. The airplane was registered to and operated by the pilot as a 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed. The flight was not operated on a flight plan. The local flight originated from the Princeton Municipal Airport (PNM), Princeton, Minnesota, about 1705. Federal Aviation Administration (FAA) air traffic control radar position data depicted an airplane on a visual flight rules (VFR) transponder code near PNM. The initial contact was recorded at 1708 and the airplane subsequently proceeded south. At 1731, the airplaneturned toward the southeast for approximately 1 mile before reversing course toward the northwest and proceeding along the Mississippi River. The final data point was recorded at 1733; the airplane was about 0.25 mile east of the Ferry Street Bridge and about 2.5 miles southeast of the power lines at that time. No altitude (mode C) data was available. Ground-based video footage, taken by a witness located about 200 yards east of the accident site, depicted the airplane flying at low altitude over the Mississippi River. The airplane appeared to be near treetop level proceeding northwest along the river. It appeared to be intact and in a shallow left turn apparently to follow a bend in the river at that location. Witnesses reported observing the airplane strike power lines as it flew along the river. Several witnesses noted that the airplane was below the level of the trees that lined both sides of the river. One witness initially thought that the pilot intended to fly under the power lines due to the low altitude of the airplane. Several witnesses also noted that the sound of the engine seemed normal and steady before the accident. An autopsy of the pilot was performed at the Midwest Medical Examiner's Office in Ramsey, Minnesota, on October 16, 2017. The pilot's death was attributed to blunt force injuries sustained in the accident. Toxicology testing performed by the FAA Bioaeronautical Research Sciences Laboratory was negative for all drugs in the testing profile. According to data obtained from the U.S. Naval Observatory, at the time of the accident, the sun was approximately 9° above the horizon to the west-southwest (249°). Sunset was at 1831 on the day of the accident. The pilot's private pilot certificate was issued in November 2012. On the application for that certificate, he reported 70 hours total flight time. His pilot logbook was reportedly kept in the airplane; it was not recovered. On his most recent application for an FAA airman medical certificate in March 2017, the pilot reported a total civilian flight time of 300 hours, with 35 hours flown within the preceding 6 months. The pilot's flight instructor informed FAA inspectors that the pilot was "reckless" when he flew because of his habit of low-level flying. The instructor stated that he had counseled the pilot not to fly in such a manner. The pilot's father also informed FAA inspectors that his son was in the habit of flying at low altitudes along the Mississippi River. The airplane impacted a set of four power lines installed across the Mississippi River. The river was about 190 yards wide and was bordered by wooded areas on both sides at that location. The power lines were located about 200 yards west of a bend in the river. The river was oriented to the northwest (about 300°) east of the bend. West of the bend, the river was oriented to the southwest (about 250°). The power lines were installed with dual-pole supports on each shoreline. The poles extended about 47 feet aboveground level, which was about the height of the trees along either river bank. According to witness statements, the power lines were equipped with red aerial marker balls. The airplane was recovered from the river two days after the accident; however, the wings and cabin doors had separated from the fuselage and were not recovered. A postaccident examination did not reveal any anomalies consistent with a preimpact failure or malfunction. A detailed summary of the examination is included in docket associated with the investigation.

Aircraft

Registration
N7CF
Reported as
Cessna 172M (M)
Category
Airplane
Serial number
17265261
Built
1975
Airframe hours
3,359.5
Engine
Lycoming O-360-A1A, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · May 2, 2017 · 8 hours before
Departed
PNM · Princeton, MN
Destination
PNM · Princeton, MN
Equipment
Stall warning system

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
47
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Waiver time limited special
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
300 total · 230 in this make and model · 270 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 28 °F
Altimeter
30.10 inHg
Observed at
MIC, 10 nm away

Docket · 16

The files NTSB released with the investigation on April 25, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 36.5 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.