# NTSB CHI01FA085: Cessna 152, N5085P, Horicon, WI, February 10, 2001 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: February 10, 2001, 14:50 local (20:50 UTC) - Place: Horicon, WI - Coordinates: 43.510276, -88.636108 - Nearby events: https://openairdocs.org/map.md?lat=43.5103&lon=-88.6361&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report February 20, 2002 - Report: Approved by Office Director - Parties: FAA, Cessna Aircraft Company, Textron Lycoming - NTSB case key (mKey): 51703 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CHI01FA085 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/51703/pdf - Page: https://openairdocs.org/ntsb/CHI01FA085 ## Probable cause the inadvertent stall/spin. Additional factors included the aerobatic manuevers, low altitude, and the procedures not followed. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - In flight collision with terrain/water, maneuvering - stall/spin - inadvertent, pilot in command (cause) - aerobatics - performed, pilot in command (contributing factor) - altitude - low, pilot in command (contributing factor) - procedures/directives - not followed, pilot in command (contributing factor) ## Analysis The airplane was destroyed when it impacted the ice-covered marsh while maneuvering. A witness reported, "All afternoon I was watching a metallic gray 2 person plane buzz around. It was always doing loops or other tricks. Right before the crash I saw the plane go almost straight up banking slightly to the left. It appeared to stall - holding its position for a second. Then it proceeded to fall nose first. It rotated about 1 1/2 times before crashing. It almost looked like it might pull out at the end. It wasn't a straight on crash. The left wing hitting first then the nose." The pilot had received spin training in a C-152 in the fall of 1997 when he received his Certificated Flight Instructor (CFI) rating. The airplane impacted in about a 50 degrees nose down attitude. The wreckage path was limited to the point of impact. The left and right wing leading edges exhibited aft crushing along the length of their spans. The left wingtip exhibited aft crushing and buckling. The right wingtip was intact except the leading edge of the fiberglass was broken. The flaps were found extended 30 degrees. The inspection of the airplane revealed no anomalies to the airframe or engine. The Cessna 152 Pilot Operating Handbook (POH) states, "It is recommended that, where feasible, [spin] entries be accomplished at altitudes high enough to complete recoveries 4000 feet or more above ground level." It also stated, "...entries should be planned so that recoveries are completed well above the minimum 1500 feet above ground level required by FAR 91.71." The POH states the following limitation: "Intentional spins prohibited with flaps extended." The POH does not list flap extension as a procedure for recovery from an inadvertent spin. The POH states that no acrobatic maneuvers are approved except for Chandelles, Lazy 8's, Steep Turns, Spins, and Stalls. ## Factual narrative HISTORY OF FLIGHT On February 10, 2001, at 1450 central standard time, a Cessna 152, operated by Gran-Aire, Inc., was destroyed when it impacted the ground while maneuvering over Horicon Marsh located about 3 miles north of Horicon, Wisconsin. The 14 CFR Part 91 personal flight departed Timmerman Airport (MWC), Milwaukee, Wisconsin, approximately 1315 on a local flight. The airline transport pilot received fatal injuries. Visual meteorological conditions prevailed and no flight plan was filed. A witness to the accident reported the following information: "I was standing (facing north) on the river in front of Four Mile Island. All afternoon I was watching a metallic gray 2 person plane buzz around. It was always doing loops or other tricks. Right before the crash I saw the plane go almost straight up banking slightly to the left. It appeared to stall - holding its position for a second. Then it proceeded to fall nose first. It rotated about 1 1/2 times before crashing. It almost looked like it might pull out at the end. It wasn't a straight on crash. The left wing hitting first then the nose. I was approx. 3 miles or less away. I saw the snow fly up then a loud thud." PERSONNEL INFORMATION The pilot was an airline transport rated pilot with single and multi-engine land ratings. He held a First Class Medical Certificate and his last medical exam was conducted on August 31, 2000. The pilot had a total of approximately 1,800 flight hours, which included 1,400 hours multi-engine and 400 hours single engine. The majority of the single engine hours were flown in Cessna 172's. The last documented flight in a Cessna 172 was August 2000. The last documented flight in a Cessna 152 is unknown. The pilot's last spin training is unknown. The pilot had received spin training in a Cessna 152 in the fall of 1997 when he received his Certificated Flight Instructor (CFI) rating. For the previous 2 1/2 years, the pilot had been working as a corporate co-pilot in a King Air airplane. He completed Flight Safety Recurrent training every 6 months in a BE200 simulator, which included unusual attitude training. Over the previous 6 years, the pilot had been renting aircraft from the operator and usually rented Cessna 172's. AIRCRAFT INFORMATION The airplane was a single engine Cessna 152 manufactured in 1981. The airplane seated two and had a maximum gross weight of 1,670 pounds. The engine was a 115 horsepower Lycoming O-235-L2C engine. The last annual inspection was conducted on July 25, 2000. The airplane had flown 77 hours since the last inspection and had a total airframe time of 6,933 hours. The airplane had been owned by the operator since 1984, and was used as a training airplane. METEOROLOGICAL INFORMATION At 1359, the observed weather conditions at Juneau, Wisconsin, located about six miles southwest of the accident site were: Winds 130 degrees at 8 knots, clear sky, 10 mile visibility, temperature -5 degrees C, dew point -9 degrees C, altimeter 30.51. WRECKAGE AND IMPACT INFORMATION The airplane impacted the ice-covered marsh at coordinates N 43 degrees, 30.37 minutes, W 088 degrees, 38.10 minutes, on a heading of 216 degrees magnetic. The wreckage path was limited to the point of impact and 10 feet forward of the wreckage. The left and right wing leading edges exhibited aft crushing along the length of their spans, with the crush angle being approximately 50 degrees. The left wingtip exhibited aft crushing and buckling. The right wingtip was intact except the leading edge of the fiberglass was broken. The tailcone and empennage were displaced and laying behind the left wing. There was no impact damage to the leading edges of the horizontal or vertical stabilizers. The cockpit section exhibited structural deformation and aft crushing. The instrument panel was not intact and numerous instruments were dislodged from their mounting brackets. The engine remained attached to the engine mounts and was completely buried in the ice and marsh. There was an undetermined amount of fuel in each of the metal fuel tanks, and both of the tanks' fuel lines were breached. Fuel was found in the fuel lines, gascolator, and carburetor. All flight control surfaces and control surface balance weights were accounted for at the accident site. Flight control continuity was established from the flight controls to the cockpit. The flaps were found extended in the 30 degree position and the elevator trim was neutral. The propeller remained attached to the engine. One blade was bent aft and twisted. It had leading and trailing edge gouging and surface polishing. The other blade had a slight bend aft and leading edge polishing. The propeller spinner was deformed in a spiral shape. The engine inspection revealed the engine rotated freely and continuity to the aft gears was confirmed. Thumb compression and suction were exhibited in all cylinders. Both left and right magnetos produced spark. The vacuum pump rotated and made suction on the inlet port. The carburetor was found separated from the inlet flange with the crushed air box attached. No anomalies to the airframe or engine were found that could be associated with a pre-impact condition. The aircraft was equipped with a seat belts and shoulder harnesses. Emergency responders reported that the seat belt was utilized by the pilot, but the shoulder harness was found unfastened. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed on the pilot by the Milwaukee County Medical Examiner in Milwaukee, Wisconsin. A Forensic Toxicology Fatal Accident Report was prepared by the Federal Aviation Administration (FAA) Civil Aeromedical Institute. The results were negative. The National Transportation Safety Board's Medical Officer reported the pilot was diagnosed with multiple sclerosis (MS) in November 1999. Medical records maintained on the pilot by the FAA Civil Aeromedical Institute Aeromedical Certification Division revealed the following information: 1. A letter dated 5/29/00 to the Medical Review Branch from an FAA neurology consultant who reviewed the pilot's case noted that "he currently has no neurologic deficit which that would compromise aviation safety" and recommended that the pilot "be granted first class airman medical certification, subject to six-month reporting intervals." 2. A letter dated 8/14/00 to the Aeromedical Certification Division from the pilot's neurologist noted that the pilot had "multiple sclerosis of a very mild nature" and that he had "no residual symptoms" and "a normal neurological exam." It was also noted that he was "currently being treated with interferon beta 1-A." 3. On the pilot's latest application for 1st class Airman Medical Certificate dated 8/31/2000, the pilot noted that he was "diagnosed 11-14-99 with MS (remission)" and was receiving "interferon beta 1-A." He was given an authorization for special issuance of a 1st class certificate with the restriction "not valid for any class after February 28, 2001." Additional medical information provided the following: "Monthly MRI reports were obtained as part of a clinical trial of "Rebif/Avonex [interferon beta 1-A]" between March and September, 2000. All of the reports noted lesions consistent with the pilot's known diagnosis of multiple sclerosis and none of the reports indicated any new lesions or worsening of existing lesions." ADDITIONAL INFORMATION The Cessna 152 Pilot Operating Handbook (POH) states the following concerning spins: "It is recommended that, where feasible, entries be accomplished at altitudes high enough to complete recoveries 4000 feet or more above ground level. At least 1000 feet of altitude loss should be allowed for 1 turn spin and recovery, while a 6 turn spin and recovery may require somewhat more than twice that amount for the Cessna Models 150, A150, 152, A152, 172, R17 ## Aircraft - Registration: [N5085P](https://openairdocs.org/deregistered/N5085P-2001-07-12), registration cancelled 2001-07-12, S/N 15284872 (OpenAirDocs) - Reported make and model: Cessna 152 - Registry model: [Cessna 152](https://openairdocs.org/model/cessna-152) (registry code 2071835) (OpenAirDocs) - Category: Airplane - Serial number: 15284872 - Airframe hours: 6933 - Engines: Lycoming O-235-L2C 115 horsepower reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Registered owner: Gran-Aire Inc. - Airworthiness certificate: Standard, Utility - Last inspection: Annual, July 25, 2000, 77 hours before - Departed: MWC, MILWAUKEE, WI ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 28; injuries: fatal; airline transport; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, valid medical--w/ waivers/lim; last flight review October 28, 2000; seat: left; toxicology performed; flight hours: 1,800 total ## Weather - Conditions: Visual (VMC), Day - Wind: 130° at 8 knots - Visibility: 10 statute miles - Lowest ceiling: 2,500 ft overcast - Temperature: 23 °F, dew point 16 °F - Altimeter: 30.51 inHg - Observed at: UNU, 6 nm away ## 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 20010210003819A](https://openairdocs.org/incident/20010210003819A), Feb 10, 2001: Cessna 152, Juneau, WI, No damage. (-19) On February 10, 2001, at 1430 CST, a Cessna 152, N5085P, operated by gran-aire, inc., was destroyed when it impacted the ground while manuevering over… 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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.