CEN19FA325

NTSB accident investigation · Cessna A185 · Conroe, TX · September 21, 2019

Accident · FatalClass 3 · FieldFinal report
Date
September 21, 2019, 18:25 local (23:25 UTC)
Place
Conroe, TX
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
C-GOZJCessna A185
Defining event
Takeoff: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA, Textron Aviation, Continental Motors
Case key
100303

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

A partial loss of engine power due to fuel contamination with water, and the pilot’s failure to maintain control of the airplane during an attempted return to the airport shortly after takeoff, which resulted in an aerodynamic stall.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAll aircraft: 9,295 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionAll aircraft: 1,695 casesProbable cause
Fluids: waterAircraft › Fluids/misc hardware · Related operating infoAll aircraft: 13 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededAll aircraft: 990 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 and pilot-rated passenger had just departed and planned to depart the airport area. During the initial takeoff climb, the pilot-rated passenger reported to air traffic control that she had a “fuel issue/problem” and was going to return to the airport. A witness stated that the engine made a loud "pop pop" sound followed by a decrease in engine power. A few seconds later, the witness heard the engine power increase again. According to the air traffic controller, the airplane’s left bank continued to increase, and he cleared the airplane to land on any runway. The airplane subsequently impacted terrain in a nose-low attitude. Postaccident examination of the airplane revealed that the left wing contained about one gallon of fuel and about 6 oz of water. The source of the water could not be determined. No other anomalies were noted with the airframe. Examination and a functional test of the engine did not reveal any anomalies that would have precluded normal operation. It is likely that the engine lost power shortly after takeoff due to the water contamination found in the fuel tank. It is also likely that during the steep bank turn towards the airport, the pilot allowed the airplane to exceed the critical angle of attack which resulted in an aerodynamic stall and subsequent impact with the ground. Based on the toxicology results, it is likely that the pilot had taken the sedating prescription medication clonazepam. Clonazepam is used to treat seizure disorder and panic disorder. The inactive metabolite was detected in blood and urine suggesting the use of the medication occurred several days before the accident. Given the lack of the active compound it is unlikely the pilot’s use of clonazepam contribute to this accident. Ethanol was detected in the pilot’s blood, but not in his urine. It is likely that the identified ethanol was from sources other than ingestion and did not contribute to this accident.

Aircraft

Registration
C-GOZJ
Reported as
Cessna A185 (F)
Category
Airplane
Serial number
18502526
Built
1974
Airframe hours
2,454.4
Engine
Continental Motors IO-520-D30B, 285 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 29, 2019
Airport
CXO · Conroe-North Houston Rgnl, runway 14, 7,501 × 150 ft, concrete
Equipment
Unknown

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
61
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea
Medical
Class 3, With waivers/limitations
Last flight review
May 16, 2016
Seat
Left
Restraint
5-point
Toxicology
Performed
Flight hours
705.1 total · 218.1 in this make and model · 648.3 as pilot in command
Role
Pilot
Age
41
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Right
Restraint
5-point
Toxicology
Performed
Flight hours
119.6 total · 36.7 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 72 °F
Altimeter
30.01 inHg
Observed at
KCXO, 1 nm away

Docket · 15

The files NTSB released with the investigation on September 21, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 23.1 MB in all.