CEN21LA156

NTSB accident investigation · Cessna 170 · Poplar Bluff, MO · March 9, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 9, 2021, 12:15 local (18:15 UTC)
Place
Poplar Bluff, MO · Harvested Cornfield
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9515ACessna 170
Defining event
Landing: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration - St. Louis FSDO
FAA report
20210309005649A
Case key
102750

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 decision to make a precautionary landing in a field that contained soft terrain, which resulted in the airplane nosing over. Contributing to the accident was the pilot’s decision to fly without a printed VFR sectional chart to identify the location of the destination airport.

Findings · 5

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.

Planning/preparation: flight planning/navigationPersonnel issues › Task performance · PilotCessna 170A: 1 caseAll aircraft: 179 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 170A: 33 casesAll aircraft: 9,295 casesProbable cause
Use of equip/info: use of chartsPersonnel issues › Task performance · PilotCessna 170A: 1 caseAll aircraft: 10 casesProbable cause
Terrain: wet/muddy terrainEnvironmental issues › Physical environment · Effect on equipmentCessna 170A: 1 caseAll aircraft: 110 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 cross-country flight and became lost as he neared his intended destination. During the flight, the pilot navigated via dead-reckoning and following roads. He occasionally referenced a mobile phone application to verify the airplane’s position on a digitized visual flight rules (VFR) sectional chart. The pilot did not have traditional paper VFR sectional charts to navigate with, if his mobile phone’s battery became depleted during the flight. Although he had access to a handheld GPS device, he did not use the device to navigate during the flight. About 15-20 minutes before reaching the intended destination, the pilot’s mobile phone powered off after its battery became depleted. The pilot then inserted the GPS power adapter into the airplane’s cigarette-lighter socket, but the GPS device did not power-on. The pilot continued on the current heading that took the airplane over his intended destination, but he could not locate the airport and subsequently decided to make an off-airport precautionary landing before the airplane ran out of fuel. The pilot landed the airplane in what he believed to be a suitable field; however, after touchdown, the airplane’s main landing gear dug into soft terrain and the airplane nosed over. The airplane sustained substantial damage to the vertical stabilizer and the engine mounts. Postaccident examination and testing did not reveal any electrical system anomalies that would have prevented the pilot from using the airplane’s cigarette-lighter socket as a power source for his mobile phone and handheld GPS during the flight. Additional bench testing of the alternator, voltage regulator, and battery did not reveal any anomalies that would have prevented normal operation of the airplane’s electrical charging system.

Factual narrative

On March 9, 2021, about 1215 central standard time, a Cessna 170A, N9515A, was substantially damaged when it was involved in an accident near Poplar Bluff, Missouri. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that he departed Shawnee Regional Airport (SNL), Shawnee, Oklahoma, about 0900, for the cross-country flight to Poplar Bluff Regional Business Airport (POF), Poplar Bluff, Missouri. The airplane was equipped with a communication radio, but it was not equipped with very high frequency omni-directional range (VOR) equipment or a transponder. Although he had access to a handheld Garmin GPSmap 396 device, the pilot did not use it to navigate during the flight. The pilot stated that he navigated via dead-reckoning and following roads. He occasionally referenced a mobile phone application to verify the airplane’s position on a digitized visual flight rules (VFR) sectional chart. The pilot acknowledged that he did not have traditional paper VFR sectional charts to navigate with if his mobile phone’s battery became depleted during the flight. About 15-20 minutes before reaching Poplar Bluff, Missouri, the pilot’s mobile phone powered off after its battery became depleted. The pilot stated that he then inserted the Garmin adapter into the airplane’s cigarette-lighter socket, but the GPS device did not power on. The pilot continued flying his current heading, which took him directly over the city of Poplar Bluff, Missouri. The pilot did not see the airport to the east of the city, so he turned and flew a couple miles south of the city before he made a 180° course reversal and flew over the city northbound. After flying several miles north of the city, he decided to locate a suitable field for a precautionary landing due to the airplane’s low fuel status. The left fuel tank gauge indicated “empty” and he estimated that the airplane had about 10 minutes of fuel remaining in the right fuel tank. He turned the airplane into the wind and landed in what he believed to be a suitable field. The pilot stated that the engine was still running throughout the precautionary landing. After touchdown, the airplane rolled about 200-300 ft before the main landing gear dug into the soft terrain and the airplane nosed over. The airplane sustained substantial damage to the vertical stabilizer and the engine mounts. During a telephone interview, the National Transportation Safety Board investigator asked the pilot to connect the Garmin GPSmap 396 device to his vehicle’s 12-volt direct current (DC) cigarette-lighter socket by means of the Garmin cigarette-lighter adapter. The GPS device automatically powered-on when connected to the power source, with and without the device’s battery installed. When disconnected from the power source, the GPS device did not power-on with battery installed. The last known position displayed on the GPS device was from a flight completed two daysbefore the accident. The airplane wreckage was recovered to a secured location where it was examined by two Federal Aviation Administration (FAA) airworthiness inspectors. The airframe battery was removed from the airplane during wreckage recovery. The 12-volt battery was not an aviation-certified battery and was consistent with a motorcycle battery. Without any electrical load, the battery had 12.45 volts when tested with a digital multimeter. The battery had 11.8 volts when it was connected to an automotive battery tester that subjected the battery to a 5-second electrical load. The battery was then reconnected to the airplane and, when the master switch was turned on, the communication radios powered on and the cigarette-lighter socket had 12.45 volts when measured with a digital multimeter. The FAA inspector inserted his personal USB charger adapter into the cigarette-lighter socket and confirmed that there was sufficient power to charge his mobile phone. Additional bench testing of the alternator, voltage regulator, and battery did not reveal any anomalies that would have prevented normal operation of the airplane’s electrical system.

Aircraft

Registration
N9515A
Reported as
Cessna 170 (A)
Category
Airplane
Serial number
19383
Built
1950
Airframe hours
2,717
Engine
Continental O-300-A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 12, 2021
Departed
SNL · Shawnee, OK
Destination
POF · Poplar Bluff, MO
Equipment
Handheld GPS, Electronic flight bag or handheld device

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
74
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Medical
BasicMed, Unknown
Last flight review
January 19, 2021
Seat
Left
Restraint
Lap only
Flight hours
1,750 total

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 18 knots, gusting 30
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 43 °F
Altimeter
30.32 inHg
Observed at
POF, 7 nm away
METAR
KPOF 091753Z AUTO 22018G30KT 10SM CLR 19/06 A3032 RMK AO2 PK WND 21030/1744 SLP269 T01890061 10189 20033 58018

Docket · 6

The files NTSB released with the investigation on July 26, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 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.