CHI02LA255

NTSB accident investigation · Cessna 172P · Buffalo City, WI · August 19, 2002

Accident · No injuriesLimited investigationFinal report
Date
August 19, 2002, 11:10 local (16:10 UTC)
Place
Buffalo City, WI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N381JCessna 172P
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Federal Aviation Administration - Minneapolis FSDO
FAA report
20020819023169A
Case key
55584

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 malfunction of the seat positioning system for undetermined reasons, which resulted in the loss of directional control. A factor to the accident was the descending embankment.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionTakeoff - roll/run
Fuselage,seat - malfunctionCause
Loss of control - on ground/waterTakeoff - roll/run
Directional control - not possiblePilot in commandCause
On ground/water encounter with terrain/waterTakeoff - roll/run
Terrain condition - drop-off/descending embankmentFactor

Analysis

The pilot reported his seat slid rearward during a takeoff from a gravel road, resulting in a loss of directional control. The aircraft veered off the road and went down an embankment. The seat and its positioning system were examined. The unintentional rearward movement of the seat, as described by the pilot, could not be duplicated. The seat moved freely along the seat tracks, with the latch pins engaging the pinholes. The seat could be twisted (racked) resulting in the outboard latch pin engaging a pinhole and the failure of the inboard latch pin to engage a pinhole. If the seat was displaced in the forward direction, both latch pins engaged a pinhole.

Factual narrative

On August 19, 2002, at 1110 central daylight time, a Cessna 172P, N381J, piloted by an airline transport pilot, sustained substantial damage while performing a takeoff from a gravel road near Buffalo City, Wisconsin. Visual meteorological conditions prevailed at the time of the accident. The business flight was operating under the provisions of 14 CFR Part 91 without a flight plan. The pilot reported no injuries. The flight was originating at the time of the accident and had the intended destination of Winona, Minnesota.

According to the pilot's written statement, "On take off, after applying full power and rolling for about 20 to 30 feet, the seat slid back full aft preventing me from reaching the rudder pedals. Therefore I could not maintain the directional control nor I could bring the plane to a stop. I tried to pull the seat forward but it was locked aft and the seat belt & shoulder harness prevented me to move forward. I pulled the power back- the plane had already veered to the left in an embankment 15 [feet] deep."

An inspector with the Federal Aviation Administration (FAA) and a representative of the Cessna Aircraft Company conducted post accident examinations of the airplane. The seat positioning system was a dual latch pin design. The seat tracks had light wear markings, the seat base and attachment feet were worn and the vertical supports of the seat base flexed inboard and outboard approximately 0.20 inches. The seat moved freely along the tracks and the latch pins engaged the pinholes along the tracks. The seat could be twisted (racked) resulting in the outboard latch pin engaging a pinhole and the failure of the inboard latch pin to engage a pinhole. If the seat was displaced in the forward direction, both latch pins engaged a pinhole.

Aircraft

Registration
N381J
Reported as
Cessna 172P
Category
Airplane
Serial number
17274183
Airframe hours
9,829
Engine
Lycoming O-320-D25, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Grandview Photos
Registered owner
Duffy Aircraft Sales & Leasing
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 8, 2002
Departed
Buffalo City, WI
Destination
ONA · Winona, MN

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
46
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
June 14, 2002
Seat
Left
Flight hours
5,230 total · 3,407 in this make and model · 5,123 as pilot in command · 264 in the last 90 days · 95 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 55 °F
Altimeter
30.04 inHg
Observed at
ONA, 12 nm away

Docket · 1

The files NTSB released with the investigation on October 17, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 323 KB 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.