CHI03FA088

NTSB accident investigation · Cessna 182R · North English, IA · March 22, 2003

Accident · FatalField investigationFinal report
Date
March 22, 2003, 15:44 local (21:44 UTC)
Place
North English, IA
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N6211ECessna 182R
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Continental Motors, FAA-Des Moines FSDO, Civil Air Patrol, National Headquarters
FAA report
20030322004159A
Case key
56684

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 pilot's failure to maintain adequate airspeed which resulted in a stall. Contributing to the accident was the CFI's improper decision to attempt to takeoff from a short, grass taxiway instead of departing from a runway aligned with the prevailing winds, the short, grass taxiway, the crosswind, trees, and transmission wires.

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.

Loss of control - in flightTakeoff - initial climb
Wrong runway - selectedPilot in command(cfi)Cause
Planning/decision - improperPilot in command(cfi)Cause
Airspeed - inadequatePilot in command(cfi)Cause
Stall - inadvertentPilot in command(cfi)
Terrain condition - grassFactor
Terrain condition - short runway/landing areaFactor
Weather condition - crosswindFactor
In flight collision with objectTakeoff - initial climb
Object - wire,transmission(marked)Factor
Object - tree(s)Factor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The airplane was destroyed by impact forces after a loss of control while attempting to avoid a power line and trees during takeoff climb from a grass taxiway (1,000 feet by 70 feet). The pilot receiving training reported that he and the certified flight instructor (CFI) briefed the flight and conducted an aircraft preflight. He reported the purpose of the flight was to practice dead reckoning navigation, and to do a grass strip landing. He reported that the airplane operated normally and there were no indications of mechanical difficulty. He reported the airplane touched down within 150 feet of the south end of the taxiway and he made a full stop landing. He back taxied and then performed a "short field" takeoff. He attempted to lift off at 65 knots indicated airspeed about one-half way down the taxiway, but the "aircraft was not climbing." He reported that the CFI came on the controls during the climb out. He recalled seeing the orange balls on the power lines located at the north end of the taxiway, and he heard the stall warning horn sounding. The airplane veered to the left, and then the right side of the airplane impacted the terrain. The Pilot's Operating Handbook indicated that the required takeoff distance to clear a 50 foot obstacle from a grass airstrip on a 15 degree Celsius day required approximately 1,409 feet. Runway 9/27 at the private airstrip was 2,400 feet by 70 feet. The prevailing wind at the time of the accident was 280 degrees at 10 knots. The inspection of the airplane revealed no pre-existing anomalies.

Factual narrative

History of flight

On March 22, 2003, at 1544 central standard time, a Cessna 182R, N6211E, operated by the Civil Air Patrol (CAP), was destroyed by impact forces after a loss of control while attempting to avoid a power line during takeoff climb from a grass taxiway at the White Pigeon Airport (7IA1), near North English, Iowa. The certified flight instructor (CFI) received fatal injuries, and the private pilot under training received serious injuries. The Title 14 CFR Part 91 instructional flight departed Ankeny Regional Airport (IKV), Ankeny, Iowa, at 1505, on a training flight. About 1540, the airplane landed to the north on the north/south oriented grass taxiway (1,000 feet by 70 feet) at 7IA1. The airplane back taxied on the taxiway and then attempted to departed to the north from the taxiway. Visual meteorological conditions prevailed. A VFR flight plan was filed.

The pilot receiving training reported that he and the CFI met at IKV and briefed the flight and conducted an aircraft preflight. He reported the purpose of the flight was to practice dead reckoning navigation. They also planned to do a grass strip landing at 7IA1, before continuing en route to the Ottumwa Industrial Airport (OTM), Ottumwa, Iowa, for refueling. After refueling, they planned to return to IKV. He reported that he had landed at 7IA1 before, but it had been on the east/west runway and not on the taxiway, which he referred to as a runway.

The pilot reported that the flight from IKV to 7IA1 had gone as planned. He reported that the airplane operated normally and there were no indications of mechanical difficulty. Once at 7IA1, he flew over the airport and entered a left downwind to land to the north on the north "runway." The airplane touched down within 150 feet of the south end of the taxiway and he made a full stop landing. He reported that as he back taxied for takeoff, he raised the flaps, but he could not remember if he lowered the flaps prior to takeoff. He reported that he was following the CFI's instructions for a "short field" takeoff, and he kept the airplane moving during the turn at the south end of the grass taxiway.

He reported that he performed a rolling takeoff. About one-half way down the runway he attempted to lift off at 65 knots indicated airspeed, but the "aircraft was not climbing." He reported that the CFI came on the controls during the climb out and stated, "What are we going to do?" He reported that he recalled seeing the orange balls on the power lines located at the north end of the taxiway, and he heard the stall warning horn sounding. He reported that the airplane veered to the left, and then the right side of the airplane impacted the terrain. He remained conscious but was trapped in the left front seat of the airplane because he could not release his seat belt. One of the first persons on the scene cut his seat belt and he was able to exit the airplane.

Personnel information

The 55-year old CFI held a commercial pilot certificate issued on April 9, 2002, with single engine land and instrument ratings. She also had private pilot privileges in multi-engine airplanes limited to VFR flight only. She held a certified flight instructor certificate issued on June 3, 2002, with single engine land and instrument ratings. She had logged approximately 1,126 total flight hours with 1,056 hours in single engine airplanes. She had logged approximately 182 hours as a CFI. She had flown 5.2 hours in the last 90 days and 1.3 hours in the last 30 days. She held a Second Class medical certificate.

She had joined the CAP on February 3, 1995, and held the rank of Major. She served as a CAP mission pilot and CAP check pilot.

The 52-year old private pilot receiving training had logged a total of 238 flight hours with 3 hours in make and model. He was receiving training in the Cessna 182 because he did not have a high performance airplane endorsement, a requirement for being pilot-in-command of a Cessna 182. He had last flown on December 31, 2002, in a Cessna 172. He held a Third Class medical certificate.

He had joined the CAP in January 22, 1998, and held the rank of Second Lieutenant. He had passed a CAP Form 5 check on June 5, 2002, which authorized him to fly as pilot-in-command of a Cessna 172.

Aircraft information

The airplane was a single engine Cessna 182R, serial number 18268352. The airplane seated four and had a maximum gross weight of 3,110 pounds. The engine was a 230 horsepower Continental O-470-U (17) engine. The last annual inspection was conducted on September 25, 2002. The airplane had flown 71 hours since the last inspection and had a total time of 4,148 hours.

The Cessna Model 182R Pilot's Operating Handbook stated the following procedure for a Short Field Takeoff:

1. Wing Flaps - 20 degrees.

2. Carburetor Heat - Cold.

3. Brakes - Apply.

4. Power - Full Throttle and 2400 RPM.

5. Mixture - Full Rich (mixture may be leaned about 5000 feet for smooth operation).

6. Brakes - Release.

7. Elevator Control - MAINTAIN SLIGHTLY TAIL LOW ATTITUDE.

8. Climb Speed - 59 KIAS (until all obstacles are cleared).

9. Wing Flaps - RETRACT slowly after reaching 70 KIAS.

The Standardization Instructor for the Iowa Wing CAP provided the calculated Takeoff Distance in reference to the Cessna 182R Pilot's Operating Handbook.

The calculations were based on the following assumptions:

Takeoff Weight: 2800 lbs.

Temperature: 15 degrees C

Altitude: 1000 feet pressure altitude

Headwind/Tailwind: 0

Grass Runway: Short, firm (Increase ground roll by 15%)

Runway Slope: Flat (Actual runway had an upslope for first one-half of runway)

Flaps: 20 degrees

Power: Set properly before brake release. Normal engine operation.

Proper speeds and techniques used.

Ground Roll at 15 degrees C: 1/2 (670 + 720) = 695 feet.

Ground Roll on Grass (+ 15%): 695 + 15% = 799 feet.

Distance to Climb to 50 feet AGL:

Distance at 15 degrees C: 1/2 (590 + 630) = 610

Takeoff Distance to 50 feet @ 15 degrees C: 799 + 610 = 1409 feet

Meterorological conditions

At 1545, the surface weather observation at Pella Airport (PEA) located approximately 40 nautical miles west was: wind 280 at 10 knots, sky clear, visibility 10 statute miles, temperature 15 degrees Celsius, dew point -3 degrees Celsius, altimeter 29.94 inches of mercury.

At 1552, the surface weather observation at Cedar Rapids Airport (CID) located approximately 33 nautical miles northeast was: wind 300 at 14 knots, sky clear, visibility 10 statute miles, temperature 12 degrees Celsius, dew point 1 degree Celsius, altimeter 29.93 inches of mercury.

Airport information

7IA1 is located 4 miles southwest of North English, Iowa. It is a private use airport, and permission to use the airport is required prior to landing. The airport information lists Runway 9/27 (2,400 feet by 70 feet, turf) as the only runway. There is no mention of a north/south runway or taxiway. The airport owner identified it as a taxiway and confirmed that Runway 9/27 was the only registered runway at the airport. The airport elevation is 875 feet mean sea level. The north/south taxiway is approximately 1,000 feet by 70 feet. The taxiway was rolled flat with no ruts. The grass was dry on the day of the accident. There is an elevation rise of about 5-7 feet upwards from south to north on the southern half of the taxiway. The northern half of the taxiway is flat. A hangar building is located at the northern end of the taxiway. Trees approximately 50 feet in height are located on the north side of the road on the centerline of the taxiway.

The CAP reported that between April 2001 and June of 2002, the airport owner and the wing commander of the Iowa CAP had made an agreement that the Iowa CAP airplanes could be flown to 7IA1 on maintenance flights. The airport owner,

Aircraft

Registration
N6211E
Reported as
Cessna 182R
Category
Airplane
Serial number
18268352
Airframe hours
4,148
Engine
Continental O-470-U(17), 230 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Registered owner
Civil Air Patrol, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 25, 2002 · 71 hours before
Departed
IKV · Ankeny, IA
Destination
OTM · Ottumwa, IA
Flight plan
VFR
Airport
7IA1 · White Pigeon Airport

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
55
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
June 26, 2002
Seat
Right
Toxicology
Performed
Flight hours
1,126 total · 908 as pilot in command · 5 in the last 90 days · 1 in the last 30 days
Role
Pilot
Age
52
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
March 30, 2002
Seat
Left
Flight hours
238 total · 30 in this make and model · 178 as pilot in command · 2 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 27 °F
Altimeter
29.94 inHg
Observed at
PEA, 40 nm away

Docket · 37

The files NTSB released with the investigation on May 3, 2004, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.2 MB in all.

Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1Item 1 · .PDF · 410 KBWreckage DiagramItem 2 · .PDF · 2.9 MBCAP Information Concerning White Pigeon AirportItem 3 · .PDF · 94 KBWhite Pigeon Airport InformationItem 4 · .PDF · 105 KBCAP InformationItem 5 · .PDF · 23 KBCAP Flight ManagementItem 6 · .PDF · 2.2 MBTakeoff Performance InformationItem 7 · .PDF · 685 KBPIC InformationItem 8 · .PDF · 880 KBPilot Under Instruction InformationItem 9 · .PDF · 538 KBIowa Wing Civil Air Patrol Reservation PageItem 10 · .PDF · 25 KBAircraft Monthly Flight LogItem 11 · .PDF · 76 KBAircraft Weight & BalanceItem 12 · .PDF · 293 KBAircraft Logbook EntriesItem 13 · .PDF · 992 KBToxicological ReportItem 14 · .PDF · 52 KBStatement of Party Representatives to NTSB InvestigationItem 15 · .PDF · 319 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 16 · .PDF · 40 KBPhoto 1. Facing North. View of WreckageItem 17 · .PDF · 216 KBPhoto 2. Outboard Section of Right WingtipItem 18 · .PDF · 222 KBPhoto 3. Rear of AircraftItem 19 · .PDF · 217 KBPhoto 4. View of Power Line WiresItem 20 · .PDF · 232 KBPhoto 5. Facing East. View of WreckageItem 21 · .PDF · 216 KBPhoto 6. Left Wing and Nose of AircraftItem 22 · .PDF · 216 KBPhoto 7. Belly of Aircraft. Hangar and Taxiway in the BackgroundItem 23 · .PDF · 214 KBPhoto 8. Left WingItem 24 · .PDF · 214 KBPhoto 9. Right Wing in Pieces Under the FuselageItem 25 · .PDF · 216 KBPhoto 10. Empennage and Right WingItem 26 · .PDF · 215 KBPhoto 11. CockpitItem 27 · .PDF · 216 KBPhoto 12. Propeller Blade TipItem 28 · .PDF · 223 KBPhoto 13. CockpitItem 29 · .PDF · 222 KBPhoto 14. Inverted CabinItem 30 · .PDF · 218 KBPhoto 15. Right Side of AircraftItem 31 · .PDF · 216 KBPhoto 16. Propeller BladeItem 32 · .PDF · 215 KBPhoto 17. Propeller Blade TipItem 33 · .PDF · 225 KBPhoto 18. Runway 09/27Item 34 · .PDF · 219 KBPhoto 19. Facing North on the Taxiway. Hangar, Trees, and Wires at the End of the TaxiwayItem 35 · .PDF · 217 KBPhoto 20. PropellerItem 36 · .PDF · 212 KBPhoto 21. Left Side of the AircraftItem 37 · .PDF · 213 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.