CEN19LA308

NTSB accident investigation · Cessna 150 · Whitehall, MI · September 9, 2019

Accident · FatalClass 3 · LimitedFinal report
Date
September 9, 2019, 11:40 local (15:40 UTC)
Place
Whitehall, MI
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N9492UCessna 150
Defining event
Enroute-cruise: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20190909014589A
Case key
100214

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 flight into a water tower while operating below minimum safe altitudes for reasons that could not be determined based on the available evidence for this investigation.

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: altitudeAircraft › Aircraft oper/perf/capability · Incorrect use/operationCessna 150M: 5 casesAll aircraft: 1,310 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Incorrect use/operationCessna 150M: 7 casesAll aircraft: 3,958 casesProbable cause
Object/animal/substance: tower/antenna (incl guy wires)Environmental issues › Physical environment · Contributed to outcomeCessna 150M: 1 caseAll aircraft: 55 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 in visual meteorological conditions below the minimum safe altitudes and over congested areas when the airplane impacted the center of a water tower. Witnesses observed the airplane in straight and level flight before impact and reported the engine was running at that time. Examination of the wreckage revealed no anomalies that would have prevented the pilot from maneuvering to avoid the tower. The pilot’s toxicology results were positive for an antidepressant and a sedating antihistamine. The pilot was operating the airplane with an expired medical certificate, and his medical records indicated that he had been prescribed an antidepressant to treat anxiety/depression. This medication required the pilot to obtain a special issuance medical certificate before operating the airplane. It could not be determined if the pilot was impaired by his use of these medications or by the underlying conditions that warranted the medication. The reasons that the pilot operated the airplane over a congested area at a low altitude and failed to avoid the water tower could not be determined based on the available evidence for this investigation.

Factual narrative

Title 14 Code of Federal Regulations 91.119, Minimum Safe Altitudes, states in part the following: Except when necessary for takeoff or landing, no person may operate an aircraft below the following altitudes…Over any congested area of a city, town, or settlement, or over any open air assembly of persons, an altitude of 1,000 feet above the highest obstacle within a horizontal radius of 2,000 feet of the aircraft. No maintenance logbooks were located during the investigation. On September 9, 2019, about 1140 eastern daylight time, a Cessna 150 airplane, N9492U, was involved in an accident when it impacted a water tower in Whitehall, Michigan. The pilot was fatally injured, and the airplane was destroyed. The airplane was operated under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. The flight originated from Fremont Municipal Airport (FFX), Fremont, Michigan, about 1115. The pilot’s intended destination could not be determined from the available evidence for this investigation. Witnesses reported observing the airplane flying from the north-northeast at a low altitude and in straight and level flight before the airplane impacted the 180-ft-tall municipal water tower, which was located in a densely populated area about 17 miles west of the departure airport. The witnesses also reported hearing the engine operating at a high-power setting when the impact occurred. The Western Michigan University School of Medicine, Medical Examiner and Forensic Services, performed an autopsy of the pilot. His cause of death was multiple injuries. Toxicology testing performed at the Federal Aviation Administration’s Forensic Sciences Laboratory detected citalopram, N-desmethylcitalopram, and diphenhydramine in the pilot’s specimens. Citalopram is a prescription medication used to treat various conditions, including depression, obsessive-compulsive disorder, panic disorder, anxiety disorder and post-traumatic stress disorder. N-desmethylcitalopram is a metabolite of citalopram. Diphenhydramine is a sedating antihistamine used to treat allergic conditions and facilitate sleep. The patient instructions for citalopram state the following: Because psychoactive drugs may impair judgment, thinking, or motor skills, patients should be cautioned about operating hazardous machinery, including automobiles, until they are reasonably certain that [citalopram] therapy does not affect their ability to engage in such activities. The effects of long-term use of citalopram on performance is not known. The FAA requires pilots using antidepressants, including citalopram, to have a special issuance medical certificate. The pilot’s personal medical records for the 3 years before the accident were reviewed. The records revealed that the pilot had a longstanding history of high blood pressure, high cholesterol, and an anxiety disorder, . He used lisinopril to treat his high blood pressure, atorvastatin to treat his high cholesterol, and escitalopramto treat anxiety/depression. These records did not mention of the extent or seriousness of the pilot’s anxiety/depression. Major depression is associated with significant cognitive degradation, particularly in executive functioning skills. The cognitive degradation may not improve even with remission of a depressed episode, and patients with severe depression are more significantly affected than those with fewer symptoms or episodes. No pilot logbooks were found during the investigation. The pilot reported a total flight experience of 2,000 hours at the time of his last medical exam, which occurred more than 20 years before the accident. The FAA had no records indicating that the pilot had renewed his third-class medical certificate after it expired. The water tower showed impact damage near the center of the tank that was consistent with the damage noted on the leading edge of the wings and the propeller. The damage to the airplane and the water tower was consistent with the airplane impacting the water tower perpendicular to the tank. The impact was on an approximate heading of 225°. The airplane wreckage was aligned on an approximate heading of 260°. The wreckage was mostly contained to an area that was 15 ft in diameter in the northeast corner of a fenced lot containing the water tower. Miscellaneous debris consisting of a nose and main landing gear tire and small pieces of metal, plastic, and windshield were located within a 130-ft radius of the main wreckage. Most of the cockpit area and fuselage were consumed by postimpact fire. Flight control continuity was established from the elevators, rudder, and ailerons to the cockpit area, but the impact and fire damage prevented control continuity from being established within the cockpit. The flaps were attached to the wings in the retracted position, the flap cables were intact, and continuity was established between the flaps. The engine was located under fire-damaged fuselage debris. The engine sustained impact and fire damage and was found fragmented. The engine crankcase was fractured, and cylinders were expelled from the crankcase. The crankshaft was fractured with a part still attached to the propeller. The propeller had separated from the engine and came to rest under the horizontal and vertical stabilizers. The propeller was damaged from its impact with the water tower. The spinner assembly was flattened and deformed into the propeller hub, and a circular flattening was observed. The propeller mounting bolts were sheared and exhibited rotational bending. One blade was bent aft at the tip, bent midspan, and had chordwise scratching. The other blade was bent aft near the blade root and had chordwise scratching. No airframe or engine anomalies consistent with a preimpact failure or malfunction were noted.

Aircraft

Registration
N9492U
Reported as
Cessna 150 (M)
Category
Airplane
Serial number
15078440
Built
1976
Engine
Continental O-200 SERIES, 100 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility
Departed
FFX · Fremont, MI
Airport
KFFX · Fremont Municipal Airport
Equipment
Unknown

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
79
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3
Seat
Left
Restraint
None
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 52 °F
Altimeter
29.56 inHg
Observed at
KMKG, 17 nm away

Docket · 5

The files NTSB released with the investigation on February 16, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 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.