CHI03FA141

NTSB accident investigation · Cessna 182Q · Gettysburg, SD · June 3, 2003

Accident · FatalField investigationFinal report
Date
June 3, 2003, 09:42 local (14:42 UTC)
Place
Gettysburg, SD
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N630SWCessna 182Q
Weather
Instrument (IMC) · Day
Status
Completed · report June 30, 2004
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Cessna Aircraft Company, Federal Avaition Administration
FAA report
20030603010959A
Case key
57194

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 not maintaining aircraft control in cruise flight leading to his inadvertent spiral. A factor was the pilot's in-flight encounter with moderate to heavy rain.

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.

In flight encounter with weatherCruise
Weather condition - rainFactor
Loss of control - in flightCruise
Lack of recent instrument timePilot in command
Aircraft control - not maintainedPilot in commandCause
Spiral - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The airplane, piloted by an instrument rated private pilot, was destroyed on impact with terrain. Instrument meteorological conditions prevailed at the time of the accident. The pilot was fatally injured. No flight plan was on file. A witness stated that he dropped the pilot off at the departure airport for his return flight on June 3, 2003, at about 0730 mountain daylight time. The witness did not see the airplane depart. There was no record of a weather briefing for the accident flight. The flight was reported as missing when it did not return. The pilot had in his possession an expired third class medical certificate with no limitations. His logbook showed an entry for an instrument proficiency check on October 11, 2000, and an entry for a flight review on June 12, 2002. The logbook showed the pilot logged 2.4 hours of actual instrument flight time on October 13, 2000, and logged .4 hours of simulated instrument flight time on June 12, 2002. The airplane had a total time and hobbs time of 2,190.7 hours at that annual inspection. The aircraft impacted terrain nearly vertical. The fuselage was found crushed in an accordion like fashion with the empennage resting on top of the cabin area of the fuselage. The engine was disassembled and the crankshaft was found with a separation on the cheek between the fifth and sixth journals. Engine controls were traced from the cockpit to the engine. Both magnetos produced spark when rotated by hand. The Hobbs meter read 2,224.5 hours on-scene. Flight controls were taken to the coroner's office and were not able to be reviewed on scene. The indicated weather along a direct course was moderate to heavy rain around the time accident. Recorded National Track Analysis Program (NTAP) radar data of a flight in the area the accident site was plotted. The track of the flight was southeast. NTAP data showed that the flight, at 1434:45Z [Zulu], started a climb from a pressure altitude of 5,600 feet to a pressure altitude of 7,700 feet at 1439:33Z. The flight's altitude varied between 7,600 and 7,700 feet of pressure altitude until 1442:09Z. The remaining data points exhibited a pattern in the shape of a descending spiral.

Factual narrative

History of flight

On June 3, 2003, about 0942 central daylight time, a Cessna 182Q, N630SW, piloted by an instrument rated private pilot, was destroyed on impact with terrain near Gettysburg, South Dakota. The flight was operating under 14 CFR Part 91. Instrument meteorological conditions prevailed at the time of the accident. No flight plan was on file. The pilot was fatally injured. The personal flight originated from Dickinson Municipal Airport (DIK), near Dickinson, North Dakota, at time unknown and was destined for Lawrence Municipal Airport (LWC), near Lawrence, Kansas. The flight was returning from a fishing trip.

The airplane was fueled on May 30, 2003, when it arrived at DIK. The airplane was fueled with 53.3 gallons of 100 low lead fuel. The receipt for the fuel showed that the pilot purchased an instrument "low enroute" chart and "[terminal] procedures".

A witness stated that he dropped the pilot off at DIK for his return flight on June 3, 2003, at about 0730 mountain daylight time. The witness did not see the airplane depart. There was no record of a weather briefing for the accident flight.

The flight was reported as missing when it did not return at LWC. Civil Air Patrol and the Potter County Sheriff's Office performed a search for the aircraft. The aircraft was spotted at 0601 on June 4, 2003. It was found at 44 degrees 59.893 minutes North latitude and 100 degrees 12.711minutes West longitude.

Personnel information

The pilot held a private pilot certificate with single engine land, and instrument airplane ratings. That private pilot certificate was issued on December 14, 1994. The pilot had in his possession, a third class medical certificate with no limitations, dated April 10, 1997. His logbook showed an entry for an instrument proficiency check on October 11, 2000 and an entry for a flight review on June 12, 2002. The logbook showed the pilot logged 2.4 hours of actual instrument flight time on October 13, 2000 and logged .4 hours of simulated instrument flight time on June 12, 2002. The pilot's logbook had entries totaling 559.2 hours of total flight time. The logbook's last flight entry was dated November 11, 2002, and that entry did not list any flight time.

Aircraft information

N630SW, was a 1977-model Cessna 182Q, Skylane, serial number 18265516, single-engine, high-wing airplane. Its was powered by a 230-horsepower Continental O-470-U engine, serial number 273492-R. The propeller was a two bladed, constant speed, manufactured by McCauley. The airframe and engine underwent an annual inspection on November 13, 2002. The airplane had accumulated a total time of 2,190.7 hours at that annual inspection and the Hobbs meter had the same reading of 2,190.7 hours. The transponder, altimeter, altitude reporting system, and static pressure system checks were last performed on November 13, 2002.

Meteorological information

At 0953, the Pierre Regional Airport, Pierre, South Dakota, weather was recorded as: Wind 140 degrees at 10 knots; visibility 6 statute miles; present weather mist; sky condition overcast 700 feet; temperature 12 degrees C; dew point 10 degrees C; altimeter 29.91 inches of mercury.

A witness, who lives two miles northwest of the accident site, said that the weather present that morning was hazy conditions, showers, and hard rain. The rain began about 0800 and ended by 0930. He reported the visibility as poor. He noted the wind conditions were east northeast at about 25 mph.

Weather radar imagery was reviewed. The indicated weather along a direct course from DIK to LWC was moderate to heavy rain around the time accident.

Wreckage and impact information

The aircraft was found impacted in terrain. The aircraft was lifted out of the ground with a backhoe. Sheriff's photographs revealed that the aircraft impacted terrain nearly vertical. The aircraft heading was about 220 degrees magnetic. The propeller was recovered from about four feet below grade. The propeller was bent rearward from the hub outward. Both propeller blades exhibited s-shaped bending about six inches from their tips. Both wing's leading edges were flattened rearward. The fuel bladders were ruptured. A semicircular shaped area of vegetation southwest of the aircraft exhibited blight. The fuselage was found crushed in an accordion like fashion with the empennage resting on top of the cabin area of the fuselage. The recovered engine was found with its number six cylinder bent rearward. The oil cooler was flattened on the front of the engine's number five cylinder. The propeller flange was found resting on the front of the engine case. The engine was disassembled for examination. The crankshaft was found with a separation on the cheek between the fifth and sixth journals. The crankshaft was retained for further examination.

An on-scene investigation was conducted. Rudder cables were traced from the rudder pedals to their respective surfaces. All breaks in the rudder cable were consistent with overload. The flap servo was found in the retracted position. Elevator cables were traced from the elevator to the cabin area behind the rudder pedals. All breaks in the elevator cables were consistent with overload. Aileron cables were traced from the ailerons to the cabin area by the rudder pedals. All breaks in the aileron cables were consistent with overload. The cabin flight controls were taken to the coroner's office and were not able to be reviewed on-scene. Engine controls were traced from the cockpit to the engine. Both magnetos produced spark when rotated by hand. The vacuum pump was found destroyed. The pump's base remained attached to the engine and its shear coupler was found intact. The Hobbs meter read 2,224.5 hours on-scene. The altimeter's Kollsman window read 29.86 inches of mercury.

Medical and pathological information

The Potter County Coroner's office made arrangements for the autopsy on the pilot. The autopsy was performed on June 5, 2003.

The FAA Civil Aeromedical Institute prepared a Final Forensic Toxicology Accident Report. The report stated:

NO ETHANOL detected in Brain

28 (mg/dL, mg/hg) ETHANOL detected in Muscle

63 (mg/dL, mg/hg) ETHANOL detected in Blood

1 (mg/dL, mg/hg) N-PROPANOL detected in Muscle

3 (mg/dL, mg/hg) N-PROPANOL detected in Blood

9 (mg/dL, mg/hg) ACETALDEHYDE detected in Blood

Notes: The ethanol found in this case is from postmortem ethanol

formation and not from the ingestion of ethanol.

Tests and research

The FAA supplied Recorded National Track Analysis Program (NTAP) radar data of a flight in the area of the accident site. That NTAP data was plotted. According to the data, the track of the flight was southeast. The data showed that the flight, at 1434:45Z [Zulu], started a climb from a pressure altitude of 5,600 feet to a pressure altitude of 7,700 feet at 1439:33Z. The flight's altitude varied between 7,600 and 7,700 feet of pressure altitude until 1442:09Z. The remaining data points exhibited a pattern in the shape of a descending spiral. The last radar contact was recorded at 1442:33Z. That radar return indicated a pressure altitude of 2,700 feet and was located at 44.991940 degrees North latitude and 100.206110 degrees West longitude. The NTAP radar data plot is contained in the docket material associated with this accident report.

The retained crankshaft was sent to the National Transportation Safety Board's Materials Laboratory for detailed examination. The Materials Laboratory produced factual report number 04-001. The crankshaft separation revealed fracture surfaces consistent with "an overstress shearing action." The materials laboratory report is contained in the docket material associated with this accident report.

Additional information

The parties to the investigation included the FAA, Cessna, and Teledyne Continental Motors.

The aircraft wrec

Aircraft

Registration
N630SW
Reported as
Cessna 182Q
Category
Airplane
Serial number
18265516
Airframe hours
2,224.5
Engine
Continental O-470-U, 230 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Scott M. Radford
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 13, 2002 · 33.8 hours before
Departed
DIK · Dickinson, ND
Destination
LWC · Lawrence, KS

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
41
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Expired
Last flight review
June 12, 2002
Seat
Left
Toxicology
Performed
Flight hours
559 total

Weather

Conditions
Instrument (IMC) · Day
Wind
140° at 10 knots
Visibility
6 statute miles
Lowest ceiling
700 ft overcast
Temperature
54 °F, dew point 50 °F
Altimeter
29.90 inHg
Observed at
PIR, 40 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.