CEN23FA187

NTSB accident investigation · Cessna 172 · Chambers, NE · May 15, 2023

Accident · FatalClass 3 · FieldFinal report
Date
May 14, 2023, 21:25 local (May 15, 2023, 02:25 UTC)
Place
Chambers, NE · Rural Farm Field
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N2946UCessna 172
Defining event
Maneuvering: VFR encounter with IMC
Weather
Instrument (IMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Textron Cessna, FAA FSDO
FAA report
20230515006129A
Case key
174543

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 continued VFR flight into instrument meteorological conditions at night and his failure to maintain adequate altitude, which resulted in controlled flight into terrain.

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.

Planning/preparation: weather planningPersonnel issues › Task performance · PilotCessna 172D: 1 caseAll aircraft: 156 casesProbable cause
Ceiling/visibility/precipEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionCessna 172D: 1 caseAll aircraft: 65 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 departed on the cross-country flight with instrument meteorological conditions (IMC) reported over the entire region along the route of flight. The NWS had multiple forecasts calling for instrument flight rule conditions as well as an AIRMET for the threat of low ceilings and low visibility over the area. There was no record of the pilot having received a weather briefing and no flight plan was filed. In addition, there were no known communications with the pilot during the flight. Witnesses reported hearing the airplane flying at a low altitude beneath the clouds just before the accident. They reported that the weather at the time was foggy, misty, and raining. The airplane was substantially damaged when it impacted the terrain in a slight nose-down, wings-level attitude. Postaccident examination of the airframe and engine did not reveal any anomalies that would have prevented normal operation of the airplane. The airplane was operating in conditions conducive to serious carburetor icing; however, the witnesses reported the airplane was loud when they heard it flying overhead just before impact. The pilot’s autopsy revealed coronary artery disease; however, there was no clear evidence that the disease contributed to the accident. Weather forecasts for the area called for precipitation and overcast ceilings at 300 ft. The forecasts were consistent with witness accounts of the weather at the time of the accident. The nighttime IMC conditions would have made visual navigation next to impossible without a discernable horizon. Based on the accident site, wreckage examinations, and the witness accounts, the pilot was likely attempting to fly beneath the low clouds when the airplane impacted the ground.

Factual narrative

On May 14, 2023, about 2125 central daylight time, a Cessna 172D airplane, N2946U, was substantially damaged when it was involved in an accident near Chambers, Nebraska. The pilot sustained fatal injuries. The airplane was operated as a Title 14 Federal Code of Regulations Part 91 personal flight. According to the airplane owner, the flight departed from Newton City/County Airport (EWK), Newton, Kansas. Its intended destination was Glen Ullin Regional Airport (D57), Glen Ullin, North Dakota. There were no records of the pilot filing a flight plan or obtaining a weather brief. There were no recorded communications from the pilot during the flight. Several witnesses reported that they heard an airplane flying low over their residence, about 1.6 miles south of the accident site. Another witness observed the airplane flying low, slightly above tree top height. The witness stated that he saw that the airplane’s landing light was on and saw the flashing lights of the airplane. The witnesses stated that there were low clouds, fog, and mist in the area at the time they saw the airplane. A home video surveillance camera showed what appeared to be the landing light of the airplane descending toward the ground. The video also showed precipitation and fog. The airplane was not equipped with ADS-B. No radar data was available for the flight and no distress calls were heard from the pilot. The wreckage was located by a local rancher about 1300 on May 16th. An autopsy on the pilot was conducted at the Douglas County Morgue, Omaha, Nebraska. The cause of death was blunt force injuries. Coronary artery disease was present, including 75-90% narrowing of the left anterior descending coronary artery by calcified plaque, 10-25% narrowing of the right coronary artery by plaque, and less than 10% narrowing of the left main and left circumflex coronary arteries by plaque. No coronary artery clot or heart muscle scarring was seen. Toxicology tests conducted by the Federal Aviation Administration’s Civil Aerospace Medical Institute, Oklahoma City, Oklahoma, were negative for drugs and alcohol. The National Weather Service (NWS) Surface Analysis Chart and Prognostic Charts depicted a low-pressure system over eastern Kansas with an extensive area of overrunning clouds and precipitation extending over Kansas and Nebraska. Weather observations over the area reported northeasterly winds and visibility restricted in light rain, with low overcast ceilings at 300 ft in the immediate vicinity of the accident site. Witness accounts also reported misty and foggy conditions at the time of the accident. The NWS had multiple forecasts current calling for instrument flight rule conditions and had an AIRMET for the threat of low ceilings and low visibility over the area. No records were found of the pilot obtaining a weather briefing before his departure. A review of the astronomical conditions indicated the end of civil twilight occurred about 5 minutes before the accident, so darknighttime conditions existed at the time of the accident with no illumination from the moon. Witness accounts of the local weather were consistent with the official weather forecast and reports. Weather conditions were conducive for carburetor ice at cruise power. However, witnesses reported hearing the airplane just before the impact and described it as loud. The wreckage debris path was oriented about 049° magnetic. The path extended about 152 ft from the initial impact area. Examination of the airframe and the engine did not reveal any preimpact anomalies. Flight control continuity was confirmed from the cockpit to all flight surfaces. The propeller blades showed polishing and bending consistent with rotation at impact. The carburetor heat knob was found in the off position. Fuel samples taken from the wing tanks tested negative for water and contaminants. Ground scars at the accident site were consistent with the airplane impacting the ground in a shallow, wings-level attitude.

Aircraft

Registration
N2946U
Reported as
Cessna 172 (D)
Category
Airplane
Serial number
17250546
Built
1963
Airframe hours
3,700
Engine
Continental O-300-D, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Pearson Eugene L
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 15, 2022
Departed
EWK · Newton, KS
Destination
D57 · Glen Ullin, ND
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
69
Injuries
Fatal
Certificates
Commercial, Flight instructor, Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Restraint
Lap only
Toxicology
Performed
Flight hours
1,300 total · 30 in this make and model · 3 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night
Wind
40° at 12 knots, gusting 19
Visibility
5 statute miles
Lowest ceiling
300 ft overcast
Temperature
54 °F, dew point 52 °F
Altimeter
30.42 inHg
Icing
Mixed
Observed at
KONL, 14 nm away
METAR
KONL 150235Z AUTO 04012G19KT 5SM -RA OVC003 12/11 A3042 RMK AO2 P0007 T01150107

Docket · 12

The files NTSB released with the investigation on February 26, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 133 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.