CHI92FA282

NTSB accident investigation · Cessna 152 · Ottawa, IL · September 20, 1992

Accident · FatalField investigationFinal report
Date
September 20, 1992, 18:15 local (23:15 UTC)
Place
Ottawa, IL
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N4591PCessna 152
Weather
Visual (VMC) · Day
Status
Completed · report September 14, 1993
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19920920037739A
Case key
15314

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

Pilot did not maintain a proper airspeed which led to an inadvertent stall/spin at a low altitude where the pilot could not perform a recovery.

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 engine power(partial) - mech failure/malfTakeoff - initial climb
Ignition system,magneto - failure,partialFactor
Ignition system,ignition points - burned
Ignition system,ignition harness - failure,partial
Loss of control - in flightManeuvering - turn to landing area (emergency)
Precautionary landing - attemptedPilot in command
Airspeed - not maintainedPilot in commandCause
Acft/equip,inadequate designManufacturerFactor
Inadequate certification/approval,manufacturerFaa(organization)Factor
Stall/spin - inadvertentPilot in commandFactor
Remedial action - not possiblePilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Shortly after takeoff, the airplane was observed turning as if to return for landing. A witness reported observing it maneuvering to line up for a landing on the runway opposite its takeoff runway. The witness stated he observed the airplane wings level and moving sideways. The airplane then stalled and spun to the ground. On-scene investigation revealed that the landing flaps were fully extended. The airplane was equipped with an faa-approved short takeoff or landing (stol) wing modification. The height of the wing flow fences were found to be incorrect according to the STC drawings. An FAA test pilot stated that he had required that the flow fences be lowered due to aerodynamic instabilities with fences too high. Other similar airplanes were found with the wing flow fences too high. Investigation into the pilot's flying habits revealed that he often performed wing's level rudder turns. The investigation also revealed a partial magneto failure which would have resulted in a partial loss of engine power.

Aircraft

Registration
N4591P
Reported as
Cessna 152
Category
Airplane
Serial number
15284775
Airframe hours
4,207
Engine
Lycoming O-235-L2C, 110 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Legends, R.E. & J.K. Brown
Registered owner
Legends, R.E. & J.K. Brown
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · September 2, 1992 · 18 hours before
Departed
C13
Destination
STL · St. Louis, MO
Flight plan
IFR
Airport
C13 · Ottawa, runway 5, 3,125 × 50 ft, asphalt

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
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
1,876 total · 1,500 in this make and model · 1,751 as pilot in command · 150 in the last 90 days · 60 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 14 knots
Visibility
2 statute miles
Lowest ceiling
5,000 ft overcast
Temperature
57 °F
Altimeter
29.00 inHg
Observed at
ARR, 34 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.