CEN23FA077

NTSB accident investigation · Cessna 150H · Auburn, NE · January 12, 2023

Accident · FatalClass 3 · FieldFinal report
Date
January 11, 2023, 19:24 local (Jan 12, 2023, 01:24 UTC)
Place
Auburn, NE
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N22859Cessna 150H
Defining event
Approach: Loss of control in flight
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA, Flight Standards District Office, Textron Aviation
FAA report
20230111000439A
Case key
106566

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 flight instructor’s failure to maintain control after a loss of engine power due to carburetor icing while maneuvering for forced landing in dark night visual meteorological conditions.

Findings · 4

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.

Engine controlsAircraft › Aircraft power plant · Not used/operatedCessna 150H: 1 caseAll aircraft: 51 casesProbable cause
Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 150H: 6 casesAll aircraft: 435 casesProbable cause
Light condition: darkEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 150H: 3 casesAll aircraft: 448 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotCessna 150H: 19 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 flight instructor and student pilot flew a visual arrival to a non-towered airport in dark night visual meteorological conditions. Flight track information revealed that the airplane approached the airport and its last recorded position was consistent with a left downwind entry to the traffic pattern. The wreckage was located about 1.2 miles south of the runway, where the airplane impacted a farm field in a near wings-level and moderate nose-down attitude. Examination of the airplane and engine revealed no evidence of a mechanical failure or malfunction that would have precluded normal operation. The carburetor heat control was in the full forward (off) position at the accident site and the wing flaps were retracted. The weather conditions around the time of the accident were conducive to the development of serious carburetor icing at cruise power settings. The propeller spinner and both propeller blades exhibited minimal rotational damage, and the airplane’s impact attitude was consistent with a loss of control. The cockpit was equipped with flood ‘strip’ lights, which the flight instructor had previously reported could make viewing the in-set instruments in the cockpit more difficult at night. It is likely that the pilots were maneuvering to land before the accident occurred and would have been operating the airplane at a reduced engine power setting. The reduced power, lack of carburetor heat, and the atmospheric conditions present at the time would have significantly increased the engine’s susceptibility to the development of carburetor icing, and resulted in a loss of engine power. Given the lack of flight track information, and witnesses, whether the accident occurred during the approach for the first landing or during a subsequent traffic pattern/landing could not be determined. The extent to which the dark night conditions, airplane interior lighting, and lack of cultural lighting in the vicinity of the airport may have contributed to the outcome also could not be determined.

Factual narrative

The cockpit was equipped with flood ‘strip’ lights, which the flight instructor had previously reported could make viewing the in-set instruments in the cockpit more difficult at night (see Figure 2). Figure 2. Accident Airplane Cockpit Illuminated by Flood Lights K01 was equipped with minimum intensity runway lighting for runway 16/34. On January 11, 2023, about 1924 central standard time, a Cessna 150H, N22859, was substantially damaged when it was involved in an accident near Farington Field Airport (K01), Auburn, Nebraska. The flight instructor and student pilot were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. According to automatic dependent surveillance-broadcast (ADS-B) information, the airplane departed Lincoln Airport (LNK), Lincoln, Nebraska, about 1845 and climbed to 3,500 ft mean sea level (msl). About 6 miles northwest of K01, the airplane began a descent and the last ADS-B information captured at 19:22:26 showed the airplane about 1.1 miles west of K01 at 105 knots groundspeed and about 1,900 ft msl (see Figure 1). Figure 1. Airplane’s Flight Track, K01 Airport, and Accident Site The airplane impacted a field without crops while on a southeasterly heading, about 1.2 miles south of the runway 34 threshold at K01. An autopsy was performed on the flight instructor and student pilot by a medical examiner, as directed by the Nemaha County Coroner, Auburn, Nebraska. The cause of death was multiple blunt force injuries. Toxicology testing of the flight instructor and student pilot performed by the FAA Forensic Sciences Laboratory did not identify any tested-for substances. On the evening of the accident, United States Naval Observatory data indicated sunset occurred at 1717, the end of civil twilight was at 1747, and moonrise was at 2153 (after the accident). The accident site was surrounded by farm fields with an absence of cultural lighting. According to the FAA Special Airworthiness Information Bulletin CE-09-35, Carburetor Icing Prevention, the probability of carburetor icing during the weather conditions of the accident was serious at cruise power. The flight instructor was issued his initial Federal Aviation Administration (FAA) flight instructor certificate on August 6, 2022, and a flight instructor instrument airplane rating on November 22, 2022. The flight instructor had accumulated about 36 total flight hours at night, and about 12 flight hours instructing students at night. The airplane impacted a field without crops while on a southeasterly heading, about 1.2 miles south of the runway 34 threshold at K01. Ground impressions of the landing gear and crushing of the front fuselage (nose area) were consistent with a near wings level and moderate nose down attitude during impact. All components of the airplane were observed at the impact site. Flight control continuity was confirmed. The wing flaps and wing flap actuator were both observed in the retractedposition. Fuel drained from both wing tanks and the fuel bowl contained no indications of water or sediment. The propeller spinner was crushed aft, with minimal rotational damage. Both propeller blades were bent aft, with minimal rotational scoring or polishing. The throttle control was observed in a mid-position and was bent, and the mixture control was near the full forward (rich) position. The carburetor heat control was observed in the full forward (off) position. No evidence of pre-impact mechanical malfunctions were observed during examinations of the engine and airframe that would have precluded normal operation.

Aircraft

Registration
N22859
Reported as
Cessna 150H
Category
Airplane
Serial number
15068568
Built
1968
Airframe hours
3,272
Engine
Continental O-200A, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · June 1, 2022 · 3,298 hours before
Departed
LNK · Lincoln, NE
Destination
LNK · Lincoln, NE
Airport
K01 · Farington Field, runway 34, 3,750 × 60 ft, concrete
Equipment
ADS-B, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
24
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
November 22, 2022
Seat
Right
Toxicology
Performed
Flight hours
572 total · 15 in this make and model · 107 in the last 90 days · 30 in the last 30 days
Role
Student pilot
Age
41
Injuries
Fatal
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
70 total · 20 in this make and model

Weather

Conditions
Visual (VMC) · Night
Wind
10° at 12 knots
Visibility
10 statute miles
Temperature
32 °F, dew point 28 °F
Altimeter
29.90 inHg
Turbulence
Unknown
Observed at
KAFK, 14 nm away
METAR
KAFK 120115Z AUTO 01012KT 10SM SCT120 00/M02 A2990 RMK AO2

Docket · 13

The files NTSB released with the investigation on September 5, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 32.1 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.