CEN19LA225

NTSB accident investigation · Cessna T188 · Knox, IN · July 14, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
July 13, 2019, 19:24 local (Jul 14, 2019, 00:24 UTC)
Place
Knox, IN
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N2863JCessna T188
Defining event
Maneuvering-low-alt flying: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20190714022889A
Case key
99838

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 exceedance of the airplane's critical angle of attack, which resulted in an aerodynamic stall and loss of airplane control.

Findings · 3

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: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededCessna T188C: 4 casesAll aircraft: 990 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna T188C: 4 casesAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna T188C: 8 casesAll aircraft: 9,295 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 was practicing agricultural application passes along the operator's airstrip. A witness reported that the pilot's initial passes were completed without incident, although the pilot "seemed to be slightly aggressive in the turns." After landing, the pilot mentioned turning at an airspeed of 60 mph, and the witness informed him to never fly below 80 mph. The pilot took off and completed three more practice passes. After the pilot's final pass, he executed a "very steep field exit" and held the airplane in a nose-up attitude longer than required to clear the obstacles. He entered a left 270° turn and, after rolling wings-level, the airplane entered an "extremely slow" climb before abruptly rolling into a steep left bank that continued until impact. The pilot reported that the did not recall any of the events leading to the accident. A postaccident examination revealed damage to the forward fuselage, both wings and the empennage. The examination did not reveal any anomalies consistent with a preimpact failure or malfunction. It is likely that the pilot exceeded the airplane's critical angle of attack while maneuvering, which resulted in an aerodynamic stall at an altitude that precluded recovery.

Factual narrative

On July 14, 2019, about 1924 central daylight time, a Cessna T188C airplane, N2863J, was substantially damaged when it impacted terrain near Knox, Indiana. The pilot sustained serious injuries. The airplane was registered to and operated by AAA Spraying Solutions, LLC dba Bluebird Ag, as a Title 14 Code of Federal Regulations Part 91 aerial application training flight. Visual meteorological conditions prevailed, and the flight was not operated on a flight plan. The local flight originated from the operator's airstrip about 1900. The pilot reported that he did not have any memory of the events leading up to, or of any portion of, the accident flight. He had not completed any agricultural application work within the previous 2 years and was reestablishing his currency at the time of the accident. The operator stated that the pilot was practicing by spraying water along the operator's airstrip. The pilot completed several takeoffs and landings, and then sprayed 40 gallons of water over the runway. After landing, the pilot commented that the airplane had gotten down to 60 mph in the turns. The pilot was informed that the minimum airspeed in turns was 80 mph. An additional 80 gallons of water were loaded onto the airplane for another practice flight. The pilot conducted a couple more passes over the runway and appeared to be returning for another pass, when the airplane pitched up to clear a group of trees before entering a left turn. The airplane appeared to get "very slow in the turn." The witness "heard the engine go to full power" as the left turn continued. The wings leveled momentarily before the airplane entered a second left turn that "just kept getting steeper." The airplane impacted the ground with a 60° to 70° bank angle. A second witness, who was an agricultural application pilot and familiar with the accident airplane, reported that the initial passes with 40 gallons of water were completed without incident; although, the pilot "seemed to be slightly aggressive in the turns." After the pilot landed, the airplane was loaded with 80 gallons of water. While the airplane was being loaded, the pilot "mentioned something about turning at 60 mph indicated" airspeed. The witness stressed to the pilot his own comfort level of never flying below 80 mph indicated airspeed. The pilot took off and completed three more practice passes. His final pass was from west to east, and he executed a "very steep field exit." The pilot held the airplane in a nose up attitude longer than required to clear the obstacles. The pilot then executed a left 270° turn. The engine sounded as if it was making full power after the pilot rolled wings level. The pilot appeared to begin lowering the nose, but then seemed to begin pulling up before the airplane had regained sufficient energy. The airplane entered an "extremely slow climb;" wings level before abruptly rolling into a 60° plus left bank which continued until it descended behind trees immediately before impact. Thewitness noted that he was close enough to see the control surfaces and they appeared to be responding to pilot inputs during that final turn. A postaccident examination conducted by a Federal Aviation Administration inspector revealed damage to the forward fuselage, both wings and the empennage. The inspector did not report any anomalies consistent with a preimpact failure or malfunction. The airplane owner's manual noted aerodynamic stall airspeeds of 73 mph at a 0° angle of bank (wings level) and 103 mph at a 60° angle of bank when operating at 4,400 lbs gross weight with wing flaps retracted. The manual added that the airplane stall characteristics are conventional, and the stall warning should sound 5 to 10 mph above the stall speed in all configurations.

Aircraft

Registration
N2863J
Reported as
Cessna T188 (C)
Category
Airplane
Serial number
T18803538T
Built
1979
Airframe hours
7,871
Engine
Continental TSIO-520T, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
AAA Spraying Solutions LLC
Registered owner
AAA Spraying Solutions LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · June 27, 2019 · 29 hours before
Departed
PVT · Knox, IN
Destination
PVT · Knox, IN
Airport
IG05 · Wheeler, runway 26, 2,600 × 200 ft, grass/turf
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
38
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
March 1, 2019
Seat
Single
Restraint
5-point
Flight hours
460 total · 165 in this make and model · 3 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 68 °F
Altimeter
30.10 inHg
Observed at
VPZ, 20 nm away

Docket · 5

The files NTSB released with the investigation on September 26, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.9 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.