CEN19LA263

NTSB accident investigation · Cessna 172 · New Carlisle, OH · August 11, 2019

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
August 11, 2019, 07:42 local (11:42 UTC)
Place
New Carlisle, OH
Injuries
3 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N8928BCessna 172
Defining event
Takeoff: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20190811013829A
Case key
100034

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot’s excessive use of pitch control during rotation, which resulted in the airplane exceeding its critical angle of attack and entering an aerodynamic stall shortly after liftoff.

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: pitch controlAircraft › Aircraft oper/perf/capability · Incorrect use/operationCessna 172: 1 caseAll aircraft: 526 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededCessna 172: 8 casesAll aircraft: 990 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 172: 30 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 conducting a personal flight when during takeoff he was too aggressive as he pulled aft on the control stick to rotate, which resulted in a higher-than-normal pitch attitude after liftoff. About 15 seconds after liftoff, he felt the airplane shudder as it began to descend. He decreased airplane pitch to increase airspeed, but the airplane continued to descend. He made an immediate landing in a plant nursery about 0.5 mile from the departure end of runway. The airplane’s nose landing gear collided with a hoop support in the plant nursery before the airplane impacted terrain. The airplane sustained substantial damage to the fuselage, both wings, and the empennage. The pilot reported that there were no mechanical malfunctions or failures that would have precluded normal operation of the airplane. A witness reported seeing the airplane taxi to the approach end of the runway and stop momentarily before it continued the takeoff roll with the flaps retracted. He saw the airplane pitch up very sharply about 330-500 ft from the departure end of the runway. The airplane’s pitch attitude was high enough for him to see the top surface of both wings and the horizontal stabilizers. The airplane climbed about 2-3 airplane lengths in the nose-high pitch attitude before it pitched down to a nose-level attitude. The airplane’s tail yawed briefly left and right before the right wing dropped and the airplane descended behind a tree line. Although the airplane was about 5 lbs over maximum gross weight, it likely still had adequate takeoff performance to achieve a normal takeoff with the runway length available. It is likely the pilot used excessive aft pitch control during rotation, which resulted in the airplane exceeding its critical angle of attack and entering an aerodynamic stall shortly after liftoff.

Factual narrative

Weight and Balance During an interview, the pilot provided a weight and balance calculation that he completed after the accident. According to the pilot’s weight and balance data, the airplane weighed about 2,205 lbs at the time of the accident and had a center of gravity located 41.83 inches aft of the datum. According to the FAA-approved Type Certificate Data Sheet and the Cessna 172 Owner’s Manual, the airplane’s maximum takeoff weight was 2,200 lbs. Takeoff Performance The pilot stated that he did not calculate the runway length required for takeoff. The asphalt runway used for the takeoff was 2,000 ft long, and the airport elevation was 895 ft mean sea level. The surface wind was calm and the outside temperature was 17°C at an airport about 6.5 miles south of the accident site. According to the Cessna 172 Owner’s Manual, the runway length required for a normal liftoff and to clear a 50 ft obstacle was 725 ft and 1,650 ft, respectively, at sea level with a calm wind, 15°C outside temperature, and the airplane at maximum takeoff weight. The runway length required for normal liftoff and to clear a 50 ft obstacle was 880 ft and 2,000 ft, respectively, at 2,500 ft mean sea level with a calm wind, 10°C outside temperature, and the airplane at maximum takeoff weight. On August 11, 2019, about 0742 eastern daylight time, a Cessna 172 airplane, N8928B, was substantially damaged when it was involved in an accident near New Carlisle, Ohio. The pilot and two passengers sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that he completed a normal preflight inspection of the airplane using the checklist. He estimated that the airplane had about 35 gallons of fuel onboard before the flight. The pilot did not observe any anomalies with the airplane or its engine during the before takeoff engine runup, which included verifying proper flight control movement and proper function of each magneto and the carburetor heat. The flaps were fully retracted during the takeoff. The pilot made a rolling takeoff on runway 27 and after the airplane accelerated to 70 mph he rotated for liftoff near the departure end of the runway. The pilot stated that he was too aggressive when he pulled aft on the control stick during rotation, which resulted in a higher-than-normal pitch attitude after liftoff. About 15 seconds after liftoff, he felt the airplane shudder as it began to descend. He decreased airplane pitch to increase airspeed, but the airplane continued to descend. He made an immediate landing in a plant nursery about 0.5 mile from the departure end of runway 27. The airplane’s nose landing gear collided with a hoop support in the plant nursery before the airplane impacted terrain. The pilot reported that there were no mechanical malfunctions or failures that would have precluded normal operation of the airplane. A witness, who also was a flight instructor, reported seeing the airplanetaxi to the approach end of runway 27 and stop momentarily before it continued the takeoff roll with the flaps retracted. He saw the airplane pitch up very sharply about 2 to 3 runway lights (330-500 ft) from the departure end of runway 27. The airplane’s pitch attitude was high enough for him to see the top surface of both wings and the horizontal stabilizers. The airplane climbed about 2-3 airplane lengths in the nose-high pitch attitude before it pitched down to a nose-level attitude. The airplane’s tail yawed briefly left and right before the right wing dropped and the airplane descended behind a tree line. The airplane came to rest upright in a plant nursery. The airplane sustained substantial damage to the fuselage, both wings, and the empennage. There was fuel leaking at the accident site from the damaged fuel tanks; however, fuel samples recovered on the day of the accident did not have any evidence of contamination. The engine remained partially attached to the firewall, and the propeller remained attached to the crankshaft flange. The propeller blades exhibited chordwise scratches and burnishing, a S-shape spanwise bend, and minor leading-edge damage. One blade tip had separated during impact. Engine control cable continuity could not be verified due to impact damage. The carburetor heat control cable separated from the airbox during impact. Internal engine and valve train continuity was confirmed as the crankshaft was rotated. Compression and suction were noted on all four cylinders in conjunction with crankshaft rotation. There were no leaks during a pressure test of each cylinder with the associated piston at top-dead-center while on the compression stroke. A borescope inspection of each cylinder did not reveal any anomalies with the cylinders, pistons, valves, valve seats, or lower spark plugs. The upper spark plugs were removed and exhibited features consistent with normal engine operation. Both magnetos remained attached to the engine crankcase and provided spark on all posts while the engine crankshaft was rotated. The magneto-to-engine timing was correct. The carburetor separated from the engine crankcase during impact. The carburetor bowl did not contain residual fuel, and there was no evidence of water or particulate contamination in the bowl. Disassembly of the carburetor did not reveal any anomalies with the venturi, accelerator pump, composite floats, or needle valve. The postaccident examination did not reveal any anomalies that would have precluded normal engine operation during the flight.

Aircraft

Registration
N8928B
Reported as
Cessna 172
Category
Airplane
Serial number
36628
Built
1958
Airframe hours
4,962
Engine
Continental O-300-A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Wright Flyers Club
Registered owner
Wright Flyers Club
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 24, 2019 · 28 hours before
Departed
3OH0 · New Carlisle, OH
Destination
AFJ · Washington, PA
Flight plan
VFR
Airport
3OH0 · Andy Barnhart Memorial Airport, runway 27, 2,000 × 30 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
45
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed
Last flight review
January 6, 2019
Seat
Left
Restraint
Lap only
Flight hours
147 total · 132 in this make and model · 98 as pilot in command · 19 in the last 90 days · 1 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 57 °F
Altimeter
30.09 inHg
Observed at
FFO, 7 nm away
METAR
METAR KFFO 111156Z AUTO 00000KT 10SM CLR 17/14 A3009 RMK AO2 SLP188 T01720141 10172 20146 52008=

Docket · 10

The files NTSB released with the investigation on August 26, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.5 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.