CEN18LA335

NTSB accident investigation · Cessna R172E · Colorado Springs, CO · August 16, 2018

Accident · No injuriesLimited investigationFinal report
Date
August 16, 2018, 11:00 local (17:00 UTC)
Place
Colorado Springs, CO
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N146ACCessna R172E
Defining event
Takeoff: Unknown or undetermined
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors, FAA Denver FSDO
FAA report
20180816014299A
Case key
98087

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 airplane’s failure to maintain a climb after takeoff, which resulted in a forced landing on unsuitable terrain; the reason for the airplane’s failure to climb could not be determined based on the available evidence.

Findings · 2

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCessna R172E: 2 casesAll aircraft: 2,247 casesProbable cause
Terrain: rough terrainEnvironmental issues › Physical environment · Effect on operationCessna R172E: 1 caseAll aircraft: 442 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

The flight instructor reported that the student pilot was flying the airplane during the first takeoff of an instructional flight. The engine sounded normal and was operating properly with a fuel flow of about 14 gallons per hour and between 2,800 to 2,900 rpm. The instructor stated that, during the takeoff roll, the student rotated the airplane about 60 mph. Initially, the pitch was high, but then the student lowered the airplane's nose to the horizon. Subsequently, the airplane reached about 100 ft above ground level but then stopped climbing, and the airspeed began decreasing. The instructor reported that the fuel flow and rpm were still normal. The instructor stated that he took the flight controls, lowered the flaps to 10°, and lowered the airplane's nose to hold 55 to 60 mph, "hoping that the ground effect would enable a speed increase." He turned the airplane right to avoid a tree line and conducted a forced landing in a field. The airplane landed on its main wheels, but the nose landing gear impacted rough terrain, and the airplane nosed over, which resulted in substantial damage to the wings and fuselage. Postaccident examination of the airframe, engine, and propeller governor revealed no evidence of any preaccident mechanical malfunctions or failures that would have precluded normal operation. Therefore, the reason for the airplane's failure to maintain a climb could not be determined.

Factual narrative

On August 16, 2018, about 1100 mountain daylight time, a Cessna R172E, N146AC, sustained substantial damage during a forced landing after takeoff from the USAF Academy Airfield (AFF), Colorado Springs, Colorado. The flight instructor and student pilot were not injured. The airplane was owned and operated by the United States Air Force under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight. Visual meteorological conditions prevailed at the time of the flight, which was not on a flight plan. The flight was departing from AFF on a local flight. The flight instructor reported that the preflight and run-up were normal. He stated that he intended to stay in the traffic pattern to practice landings. He reported that the student pilot was flying the airplane during takeoff from the 4,480 ft by 75 ft asphalt runway. The engine was operating properly with a fuel flow of about 14 gallons per hour and 2,800 – 2,900 rpm, and the engine sounded normal. During the takeoff roll, the student pilot rotated about 60 mph. Initially, the pitch was high but then she lowered the nose to the horizon. The flight instructor reported that the airplane attained about 100 ft of altitude above ground level; however, the airplane was not climbing, and the airspeed was decreasing with normal fuel flow and rpm. The flight instructor took the controls, lowered the flaps to 10°, and lowered the nose to hold 55 – 60 mph, "hoping that the ground effect would enable a speed increase." He turned the airplane to the right to avoid a tree line and executed a forced landing in a field. The airplane landed on its main wheels, but the nose landing gear impacted rough terrain and the airplane nosed over, resulting in substantial damage to the wings and fuselage. The airplane's maintenance logbooks indicated that the last annual maintenance inspection was performed on January 7, 2018. The airplane had a total time of 10,571.8 hours with an engine hour meter indicating 1,566.6 hours. The engine logbook indicated that the engine had been installed on the airplane during the last annual maintenance inspection on January 7, 2018. The engine was a 210 horsepower Continental IO-360-DB, serial number 808785-R, with a rated rpm of 2,800 rpm. The engine had 5,680.1 hours total time and 0.0 hours since major overhaul. The tach time on the day of the accident was 1,634.9 hours and it had operated 68.3 hours since the last annual inspection. The engine was shipped to the manufacturer for an examination and an engine run in a test stand. During the initial engine run, the engine was able to reach full rpm and produced rated horsepower; however, during subsequent engine runs, it only reached 2,600 rpm. The fuel system was checked, and it was determined that two fuel nozzles were partially clogged. The fuel nozzles were cleaned, and the engine was run again on the test stand. The engine operated normally and reached approximately 2,830 rpm. The engine power wasreduced to idle speed and advanced to full throttle several times. The engine responded without hesitation and reached over 2,800 rpm each time the throttle was advanced to full throttle. The propeller governor was shipped to the manufacturer for bench testing. The examination and bench test of the propeller governor revealed no indications of any type of governor failure or malfunction prior to impact, and the governor met all the tested specifications. The 58-year-old pilot held an airline transport certificate with airplane single-engine land, airplane multi-engine land, and airplane instrument ratings, as well as being a flight instructor pilot with airplane single-engine, airplane multi-engine, and airplane instrument ratings. He had a total of 17,631 flight hours which included 2,469 hours in single-engine airplanes, and 20 hours in make and model of the accident airplane. At 1058, the surface weather observation at AFF was: wind 360° at 9 knots; visibility 10 miles; few clouds at 17,000 ft; scattered clouds at 20,0000 ft and 22,000 ft; temperature 26° C; dew point 6° C; and altimeter 30.29 inches of mercury.

Aircraft

Registration
N146AC
Reported as
Cessna R172E
Category
Airplane
Serial number
R1720147
Built
1967
Airframe hours
10,571
Engine
Continental Motors IO-360-DB, 210 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 7, 2018 · 65 hours before
Departed
AFF · Colorado Springs, CO
Destination
AFF · Colorado Springs, CO
Airport
AFF · USAF Academy Airfield, runway 34, 4,480 × 75 ft, asphalt
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
68
Injuries
None
Certificates
Airline transport, Flight engineer
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
17,631 total · 20 in this make and model · 15,527 as pilot in command · 68 in the last 90 days · 42 in the last 30 days · 4 in the last 24 hours
Role
Student pilot
Age
20
Injuries
None
Seat
Left
Restraint
3-point
Flight hours
6 total · 0 in this make and model · 6 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 43 °F
Altimeter
30.29 inHg
Observed at
AFF

Docket · 8

The files NTSB released with the investigation on October 17, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.0 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.

Other investigations on N146AC · 1

Matched to the same aircraft by N-number and date.