CEN18LA344

NTSB accident investigation · Cessna 172 · Addison, TX · August 18, 2018

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
August 18, 2018, 15:00 local (20:00 UTC)
Place
Addison, TX
Injuries
3 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N893JACessna 172
Defining event
Takeoff: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20180818024719A
Case key
98111

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 improper flap setting for takeoff and subsequent exceedance of the airplane’s critical angle of attack, which resulted in an aerodynamic stall. Contributing was the overgross state of the airplane.

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: use of equip/systemPersonnel issues › Task performance · PilotCessna 172S: 14 casesAll aircraft: 1,391 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 172S: 206 casesAll aircraft: 9,295 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 172S: 21 casesAll aircraft: 1,269 casesProbable cause
Flight control system: tE flap control systemAircraft › Aircraft systems · Incorrect use/operationCessna 172S: 1 caseAll aircraft: 74 casesProbable cause
LoadingAircraft › Aircraft handling/service · Incorrect use/operationCessna 172S: 1 caseAll aircraft: 35 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 pilot reported that, shortly after departing on a discovery flight, the airplane began veering left. He applied right rudder and aileron; however, the airplane continued to veer left. He recalled hearing the stall warning horn and stated that he lowered the nose and adjusted the trim, but the airplane continued in a nose-down position and impacted the ground. A video of the accident flight showed the airplane in a high- pitch attitude shortly after takeoff, followed by the left wing dropping and a rapid descent, consistent with an aerodynamic stall. Given that the pilot had just taken off, there was insufficient altitude to recover from the stall. The airplane sustained substantial damage to the fuselage, wings, and empennage. A postaccident examination did not reveal any evidence of a preimpact failure or malfunction that would have precluded normal operation. The examination revealed a flap setting of 30°. Weight and balance calculations determined that the airplane was loaded about 138 lbs over its maximum gross weight, which, in combination with the flap setting during takeoff, would have adversely affected the airplane’s climb rate. In an attempt to maintain a positive rate of climb, the pilot inadvertently exceeded the airplane’s critical angle of attack and aerodynamically stalled the airplane.

Factual narrative

On August 18, 2018, about 1500 central daylight time, a Cessna 172S airplane, N893JA, was substantially damaged when it was involved in an accident near Addison, Texas. The pilot and two passengers were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 discovery flight. The pilot stated that, before departing Addison Airport (ADS), Addison, Texas, on the discovery flight with two passengers on board, he completed a weight and balance calculation on his phone and determined they were within the center of gravity limits for the airplane. He stated that the fuel had been “topped off” (56 gallons) by the prior flight instructor. The pilot explained that he cycled the flaps twice during his preflight inspection, once to ensure they fully extended and retracted, and a second time to visually inspect the rods and roller tracks. No issues were identified during the preflight inspection. The pilot reported that the engine performed “normally” on takeoff until the airplane began veering to the left. He applied right rudder and aileron. The controls felt normal with no resistance, but the airplane continued to veer over the grass toward the taxiway. The pilot recalled hearing the stall warning horn sound; he lowered the nose and adjusted the trim. He tried to keep the nose up, but the airplane continued in a nose-down position and impacted the dirt. The pilot recalled the airplane’s nose had started to lift prematurely when he applied power and he attempted to push it down before liftoff. The airplane sustained substantial damage to the fuselage, wings, and empennage. A surveillance video from a tenant at ADS showed the airplane in a high-pitch attitude shortly after takeoff. As the airplane moved into the center of the video frame, its pitch attitude remained consistent until the left wing dropped, followed by a quick descent. The airplane impacted the ground left wing first. The pilot stated that there were no mechanical issues with the airplane. A postaccident examination of the airplane did not reveal any evidence of a preimpact failure or malfunction that would have precluded normal operation. The flap actuator indicated a flap setting of 30°. A weight and balance calculation based on the available loading information revealed that the takeoff gross weight was about 2,688 lbs; the maximum gross weight of the airplane was 2,550 lbs.

Aircraft

Registration
N893JA
Reported as
Cessna 172 (S)
Category
Airplane
Serial number
172S10893
Built
2009
Airframe hours
2,400.6
Engine
Lycoming IO-360-L2A, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
US Sport Aircraft
Registered owner
Mat-Valley Aero Services Llc
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 6, 2018
Destination
Same as departure
Airport
ADS · Addison, runway 15, 7,203 × 100 ft, asphalt
Equipment
Auto-pilot, Electronic multifunction display, Electronic primary flight display, 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
26
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
January 12, 2018
Seat
Right
Restraint
3-point
Flight hours
612.3 total · 551.8 as pilot in command · 161.1 in the last 90 days · 47.3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
99 °F, dew point 66 °F
Altimeter
29.91 inHg
Observed at
KADS

Docket · 6

The files NTSB released with the investigation on May 6, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 36.9 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.