# NTSB CEN22FA082: Cessna 172, N5798T, Hardy, AR, December 26, 2021

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Class 3 · Field · Final report
- Date: December 26, 2021, 17:29 local (23:29 UTC)
- Place: Hardy, AR · Private property off of Nine Mile Ridge Road, Hardy, AR.
- Coordinates: 36.346112, -91.542252
- Nearby events: https://openairdocs.org/map.md?lat=36.3461&lon=-91.5423&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Defining event: [Enroute: VFR encounter with IMC](https://openairdocs.org/ntsb-events/401)
- Highest injury: Fatal
- Injuries: 2 fatal
- Status: Completed
- Report: Approved by Office Director
- Investigation class: Class 3
- NTSB office: Central Region
- Parties: FAA Little Rock FSDO, Textron Aviation
- NTSB case key (mKey): 104443
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN22FA082
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/104443/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=104443
- Page: https://openairdocs.org/ntsb/CEN22FA082

## Probable cause

The non-instrument rated pilot’s decision to continue visual flight into an area of instrument meteorological conditions, which resulted in a loss of control due to spatial disorientation. Contributing to the accident was a loss of engine power due to fuel exhaustion.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 172E, 8 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2072412), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Perception/orientation/illusion: spatial disorientation](https://openairdocs.org/ntsb-findings/02022025): Personnel issues › Psychological · Pilot (probable cause); cases with it: [Cessna 172E, 1 case](https://openairdocs.org/ntsb-findings/02022025/cases.md?model=2072412), [All aircraft, 358 cases](https://openairdocs.org/ntsb-findings/02022025/cases.md)
- [Ceiling/visibility/precip: below VFR minima](https://openairdocs.org/ntsb-findings/03035075): Environmental issues › Conditions/weather/phenomena · Effect on operation (probable cause); cases with it: [Cessna 172E, 1 case](https://openairdocs.org/ntsb-findings/03035075/cases.md?model=2072412), [All aircraft, 184 cases](https://openairdocs.org/ntsb-findings/03035075/cases.md)
- [Info processing/decision: decision making/judgment](https://openairdocs.org/ntsb-findings/02041520): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Cessna 172E, 5 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md?model=2072412), [All aircraft, 3,098 cases](https://openairdocs.org/ntsb-findings/02041520/cases.md)
- [Fluids: fuel](https://openairdocs.org/ntsb-findings/01071010): Aircraft › Fluids/misc hardware · Fluid level (probable cause); cases with it: [Cessna 172E, 9 cases](https://openairdocs.org/ntsb-findings/01071010/cases.md?model=2072412), [All aircraft, 1,695 cases](https://openairdocs.org/ntsb-findings/01071010/cases.md)
- [Planning/preparation: fuel planning](https://openairdocs.org/ntsb-findings/02061030): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 172E, 5 cases](https://openairdocs.org/ntsb-findings/02061030/cases.md?model=2072412), [All aircraft, 719 cases](https://openairdocs.org/ntsb-findings/02061030/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Enroute: Fuel exhaustion](https://openairdocs.org/ntsb-events/192); cases with it: [Cessna 172E, 4 cases](https://openairdocs.org/ntsb-events/192/sequence.md?model=2072412), [All aircraft, 804 cases](https://openairdocs.org/ntsb-events/192/sequence.md)
- [Enroute: VFR encounter with IMC](https://openairdocs.org/ntsb-events/401) (defining event); cases with it: [Cessna 172E, 1 case](https://openairdocs.org/ntsb-events/401/sequence.md?model=2072412), [All aircraft, 392 cases](https://openairdocs.org/ntsb-events/401/sequence.md)
- [Enroute: Loss of visual reference](https://openairdocs.org/ntsb-events/402); cases with it: [Cessna 172E, 1 case](https://openairdocs.org/ntsb-events/402/sequence.md?model=2072412), [All aircraft, 242 cases](https://openairdocs.org/ntsb-events/402/sequence.md)
- [Enroute: Loss of control in flight](https://openairdocs.org/ntsb-events/240); cases with it: [Cessna 172E, 1 case](https://openairdocs.org/ntsb-events/240/sequence.md?model=2072412), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md)
- [Enroute: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Cessna 172E, 12 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=2072412), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)

## Analysis

The non-instrument-rated private pilot was conducting a visual flight rules cross-country flight over mountainous terrain with a passenger in an airplane that was not equipped for instrument flight. There is no evidence that the pilot received a preflight weather briefing before the flight and the amount of fuel onboard the airplane at takeoff is unknown. While en route, the pilot contacted air traffic control and requested the weather at his destination airport along with the weather at additional airports. When queried, he stated he was over his destination airport. Instrument meteorological conditions prevailed at the destination airport at the time. The pilot reported that he wanted to land because he had less than a quarter tank of fuel left, and he was going to continue flying west. Weather conditions further to the west were showing visual meteorological conditions at the time. The pilot informed air traffic control that he was setting up to land at an alternate airport when radar contact was lost. Radar data showed the airplane was at an altitude of about 4,000 ft, about 2.5 nautical miles (nm) from the airport, when it turned right, descended slowly, and flew a track consistent with an attempt to make an approach. The airplane then entered a tight left turn and traveled to the north. During this time there were abrupt changes in ground speed, altitude, and the direction of flight. The airplane executed at least one sharp counterclockwise 360° turn before the data was lost. A review of meteorological data showed that low cloud ceilings, low visibility, and low-level windshear prevailed at the accident site. Based on the weather conditions and the flight track data, it is likely that the pilot encountered low cloud ceilings and low visibility conditions. The flight track data was consistent with the known effects of spatial disorientation. It is likely there were no outside visual references, the pilot had an increase in workload due to spatial disorientation, and he was unable to recover the airplane from its descent. The airplane impacted trees and terrain with a near-vertical descent angle. The airplane was destroyed. One text messages that the passenger sent to a family member while in flight stated, “ran into weather can’t see anything” and another text message later stated, “out of gas in air.” Examination of the airframe and the engine did not reveal any preimpact mechanical malfunctions or failures that would have precluded normal operation. There was no evidence of fuel at the accident site. The pilot had first reported to air traffic control that he had a low fuel status and then later reported that he had no fuel. The fuel exhaustion likely resulted in a loss of engine power; however, the pilot did not report this to air traffic control. It is likely that the pilot decided to continue visual flight into an area of instrument meteorological conditions due to his low fuel status. The low fuel status eventually resulted in fuelexhaustion and a subsequent loss of engine power. The pilot’s continued flight into instrument meteorological conditions resulted in spatial disorientation and a loss of airplane control.

## Factual narrative

Spatial Disorientation The FAA Civil Aeromedical Institute's publication, "Introduction to Aviation Physiology," defines spatial disorientation as a "loss of proper bearings; state of mental confusion as to position, location, or movement relative to the position of the earth." This document lists flight factors contributing to spatial disorientation: changes in angular acceleration, flight in IFR conditions, low-level flight over water, frequent transfer from VFR to IFR conditions, and unperceived changes in aircraft attitude. This document concludes with, "anytime there is low or no visual cue coming from outside of the aircraft, you are a candidate for spatial disorientation." The FAA's Airplane Flying Handbook, FAA-H-8083-3C, describes some hazards associated with flying when the ground or horizon are obscured. The handbook states, in part: The vestibular sense (motion sensing by the inner ear) in particular tends to confuse the pilot. Because of inertia, the sensory areas of the inner ear cannot detect slight changes in airplane attitude, nor can they accurately sense attitude changes that occur at a uniform rate over a period of time. On the other hand, false sensations are often generated, leading the pilot to believe the attitude of the airplane has changed when, in fact, it has not. These false sensations result in the pilot experiencing spatial disorientation. The airplane was not equipped for instrument flight. The airplane was modified via an FAA-approved supplemental type certificate to utilize automotive gasoline. Investigators were not able to determine how much fuel was on board at the time of departure. The airplane’s maintenance records were not available for review. On December 26, 2021, about 1729 central standard time, a Cessna 172E airplane, N5798T, was destroyed when it was involved in an accident near Hardy, Arkansas. The private pilot and passenger sustained fatal injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. A review of flight track data indicated that the airplane was airborne before it was visible on radar. The airplane first appeared about 13 nm north of the Walnut Ridge Regional Airport (ARG), Walnut Ridge, Arkansas, at 1627, at an altitude of about 2,500 ft. The airplane flew generally south toward ARG until track data was lost at about 1643, 3.5 nm north of ARG. The airplane’s track data reappeared at 1653, about 3 nm north of ARG, climbing from 2,800 ft. The airplane flew left and right several times in a back and forth “s-type" movement and then straightened out, flew west-north-west, and climbed to an altitude of about 4,500 ft, then descended lower in the latter part of the flight. While en route, the pilot contacted air traffic control and requested the weather at his destination airport along with the weather at additional airports. When queried, he stated he was over his destination airport. The pilot reported that he wanted to land because he hadless than a quarter tank of fuel left, and he was going to continue flying west. The pilot then informed air traffic control that he was setting up to land at an alternate airport when radar contact was lost. At 1722, the airplane crossed over the Sharp County Regional Airport (CVK), Ash Flat, Arkansas, from east to west at an altitude of about 4,000 ft. When the airplane was almost 2.5 nm west-north-west of CVK, it turned right, descended slowly, and flew a track consistent with an attempt to make an approach to CVK. The airplane then entered a tight left turn and traveled to the north. During this time there were abrupt changes in ground speed, altitude, and the direction of flight. The airplane entered at least one sharp counterclockwise 360° turn and flew north-north-east until track data was lost about 1728. The Fulton County (Arkansas) Sheriff’s Office was provided copies of text messages the passenger sent to a family member while in flight. One text message stated, “ran into weather can’t see anything” and another text message later stated, “out of gas in air.” The airplane, which was located on heavily wooded private property in the Ozark mountains, was destroyed by the impact sequence. An autopsy of the pilot was performed by the Arkansas State Crime Laboratory in Little Rock, Arkansas. The autopsy report was reviewed by the NTSB Investigator-In-Charge. The cause of death was multiple blunt force injuries A search of archived ForeFlight information indicated that the pilot did have a ForeFlight account and could have looked at “live” weather data, but that data is not logged. The pilot did not request a weather briefing or review static weather imagery before the accident flight. A review of meteorological data showed that a warm frontal boundary was located over the area of the accident site, with small temperature-dew point spreads, allowing for abundant moisture for cloud, fog, and drizzle formation. An inversion with the inversion top near 5,000 ft mean sea level (msl) was over ARG and over the area of the accident site. In addition to the low instrument flight rules (LIFR) conditions, there were relatively strong wind conditions from the surface to 8,000 ft msl that would have led to low-level wind shear. As noted by pilot reports and the 1700 High-Resolution Rapid Refresh sounding, the cloud tops of the first layer of clouds were likely between 2,700 and 3,500 ft msl, with additional high clouds above that noted on the GOES-16 infrared imagery. An AIRman’s METeorological Information (AIRMET) Sierra for instrument flight rules (IFR) conditions was valid for the accident site at the accident time along with Center Weather Advisory 106, which forecast LIFR conditions. The freezing level was above 12,000 ft, which was above the accident flight’s flight level. The AIRMET for IFR conditions were noted on the Graphical Forecasts for Aviation, and were valid before the accident flight departed. A witness, located about 1 mile north ofthe accident site, reported that he observed “heavy fog” in the area at the time of the accident and he estimated the visibility to be about 500 ft. Astronomical conditions indicated the accident occurred right after the conclusion of civil twilight, which occurred at 1726. Sunset occurred at 1657. According to Federal Aviation Administration (FAA) records, the pilot did not hold an instrument rating. The pilot’s logbook had an entry for a flight review; however, the date block was found empty. The entry was signed by the flight instructor on November 14, 2019. The airplane came to rest in a heavily wooded area on private property. The area was composed of various deciduous trees about 50 ft tall and a collapsed and abandoned house (the house was collapsed before the accident). The airplane came to rest, nose down, and created a 6 ft deep by 6 ft wide impact crater. The engine and the propeller were buried in the dirt. There was no postimpact fire or evidence of an explosion. No smell of fuel was present, and no signs of fuel were observed in the wreckage. All major structural components of the airplane were accounted for, and the wreckage was confined to the immediate area around the impact crater. The airplane was destroyed. Several of the 50 ft trees had broken limbs; however, no trees appeared to have fallen due to an impact with the airplane. The damage to the various trees was consistent with a near-vertical descent through the trees that terminated in the ground. The accident site was at an elevation of 730 ft above msl. Flight control continuity was established from the control surfaces to inboard toward the cabin. Flight control continuity within the cabin could not be established due to the damage sustained. The left and right fuel tanks were both breached from the accident sequence. The right and left fuel tank caps were found open from the filler opening but remained connected with the chain lanyard. No signs of fuel were found in the fuel tanks. The insides of both tanks were examined, and no issues were noted. No major debris was found within the fuel system that would have inhibited fuel delivery from either tank. Airframe to engine control continuity could not be determined due to the impact damage. The cockpit area was destroyed along with the various instrumentation. The engine and engine accessories sustained impact damage. The propeller sustained impact damage that separated the hub and both propeller blades were found separated. The hub sustained several impact fractures. Chordwise scratching was observed on both blades. Examination of the airframe and the engine did not reveal any preimpact mechanical malfunctions or failures that would have precluded normal operation.

## Aircraft

- Registration: [N5798T](https://openairdocs.org/deregistered/N5798T-2022-09-23), registration cancelled 2022-09-23, S/N 17251698, built 1964 (OpenAirDocs)
- Reported make and model: CESSNA 172 (E)
- Registry model: [Cessna 172E](https://openairdocs.org/model/cessna-172e) (registry code 2072412) (OpenAirDocs)
- Registry engine: [Continental 0-300 series](https://openairdocs.org/engine/continental-0-300-series) (registry code 17022, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 17251698
- Year built: 1964
- Engines: Continental Motors O-300-D4D 145 horsepower reciprocating
- Damage: Destroyed
- Flight: Personal, Part 91
- Airworthiness certificate: Standard, Normal
- Departed: 3GB, Geneseo, IL
- Destination: ARG, Walnut Ridge, AR
- Equipment: Onboard weather, Electronic flight bag or handheld device, ADS-B, Stall warning system

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 57; injuries: fatal; private; airplane ratings: single-engine land; medical: basicmed, without waivers/limitations; seat: left; restraint: lap only; toxicology performed; flight hours: 379.3 total, 290.4 as pilot in command

## Weather

- Conditions: Instrument (IMC), Night
- Wind: 120° at 6 knots
- Visibility: 0.5 statute miles
- Lowest ceiling: 200 ft overcast
- Temperature: 57 °F, dew point 32 °F
- Altimeter: 29.87 inHg
- Observed at: KARG, 33 nm away
- METAR: KARG 262256Z AUTO 12006KT 1/2SM FG OVC002 14/14 A2987 RMK AO2 SLP116 T01390139 RVRNO

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20211226021409A](https://openairdocs.org/incident/20211226021409A), Dec 26, 2021: Cessna 172E, Hardy, AR, Destroyed, 2 fatal. On December 26, 2021 at 17:25 CST, a Cessna 172E; serial # 17251698, registered as N5798T was destroyed when it crashed in Hardy, Arkansas. The pilot in…

## Docket (25 files)

The files NTSB released with the investigation on January 4, 2024, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=104443. 102 MB in all.

- FAA ATC package excerpt (item 1, PDF, 3 pages, 81 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=16448619&FileExtension=pdf&FileName=FAA%20ATC%20Package%20Excerpt-Rel.pdf
- Accident photographs (item 2, PDF, 10 pages, 8.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15005331&FileExtension=pdf&FileName=Accident%20Photographs-Rel.pdf
- Law enforcement reports (item 3, PDF, 15 pages, 5.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15004383&FileExtension=pdf&FileName=Law%20Enforcement%20Reports%20Redacted-Rel.pdf
- Passenger text messages (courtesy of the fulton county sheriff 's department) (item 4, PDF, 3 pages, 188 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15004695&FileExtension=pdf&FileName=Passenger%20Text%20Messages-Rel.pdf
- Various statements (item 5, PDF, 13 pages, 1.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15005213&FileExtension=pdf&FileName=Various%20Statements%20Redacted-Rel.pdf
- NTSB airframe and engine examination report (item 6, PDF, 7 pages, 172 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15022694&FileExtension=pdf&FileName=CEN22FA082%20NTSB%20Airframe%20and%20Engine%20Examination%20Report-Rel.pdf
- Opsvue data - google earth (.kmz file) (item 7, KMZ, 31 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15002595&FileExtension=kmz&FileName=CEN22FA082%20-%20OV%20Google%20Earth-Rel.kmz
- Opsvue data - microsoft excel (.csv file) (item 8, CSV, 31 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15002678&FileExtension=csv&FileName=CEN22FA082%20-%20OV%20Track%20Data-Rel.csv
- Flight #1 ADS-B data (google earth .kmz file) (item 9, KMZ, 539 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15273903&FileExtension=kmz&FileName=Flight%201-Rel.kmz
- Flight #1 ADS-B data (microsoft excel .xlsx file) (item 10, XLSX, 16.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15274165&FileExtension=xlsx&FileName=Flight%201-Rel.xlsx
- Flight #2 ADS-B data (google earth .kmz file) (item 11, KMZ, 281 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15274406&FileExtension=kmz&FileName=Flight%202-Rel.kmz
- Flight #2 ADS-B data (microsoft excel .xlsx file) (item 12, XLSX, 2.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15274231&FileExtension=xlsx&FileName=Flight%202-Rel.xlsx
- Weight and balance information (item 13, PDF, 4 pages, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15002056&FileExtension=pdf&FileName=Weight%20and%20Balance%20Information%20Redacted-Rel.pdf
- Pilot's most recent logbook entries (item 14, PDF, 7 pages, 6.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15004824&FileExtension=pdf&FileName=Pilot%27s%20Most%20Recent%20Logbook%20Entires%20Redacted-Rel.pdf
- Weather factual report (item 15, PDF, 21 pages, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13833741&FileExtension=pdf&FileName=CEN22FA082_weatherfactualSuffernfinal-Rel.pdf
- Weather attachment 1 (item 16, PDF, 2 pages, 52 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13833588&FileExtension=pdf&FileName=attachment1_metarKARG_Redacted-Rel.pdf
- Weather attachment 2 (item 17, GIF, 18.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13833475&FileExtension=gif&FileName=attachment2_animationSAT_NTmicro_2201to0001utc_CODNEXLAB-GOES-East-local-Arkansas-13-00_01Z-20211227_map-id_-25-1n-10-100-Rel.gif
- Weather attachment 3 (item 18, ZIP, 31.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13834057&FileExtension=zip&FileName=attachment3_CWSU_preduty-Rel.zip
- Weather attachment 4 (item 19, PDF, 5 pages, 2.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13833682&FileExtension=pdf&FileName=attachment4_GFAimagedata-Rel.pdf
- Weather attachment 5 (item 20, PDF, 3 pages, 131 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13834067&FileExtension=pdf&FileName=attachment5_foreflightCEN22FA082case_Redacted-Rel.pdf
- Weather attachment 6 (item 21, PDF, 1 page, 186 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13833608&FileExtension=pdf&FileName=attachment6_ROC%20Witness%20Robert%20Garrett-Rel.pdf
- Memorandum of record - pilot autopsy (item 22, PDF, 1 page, 62 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15023515&FileExtension=pdf&FileName=CEN22FA082%20Autopsy%20MOR-Rel.pdf
- Toxicology reports - pilot and passenger (item 23, PDF, 2 pages, 298 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15002046&FileExtension=pdf&FileName=Toxicology%20Reports%20Redacted-Rel.pdf
- NTSB wreckage release form (item 24, PDF, 1 page, 3.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15002195&FileExtension=pdf&FileName=NTSB%20Wreckage%20Release%20Form%20Redacted-Rel.pdf
- NTSB party member form - Textron aviation (item 25, PDF, 1 page, 238 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15002468&FileExtension=pdf&FileName=NTSB%20Party%20Member%20Form%20-%20Textron%20Aviation%20Redacted-Rel.pdf

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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