CHI95LA316

NTSB accident investigation · Cessna 188 · Greenville, MI · September 8, 1995

Accident · FatalLimited investigationFinal report
Date
September 8, 1995, 18:10 local (22:10 UTC)
Place
Greenville, MI
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N5623JCessna 188
Weather
Visual (VMC) · Day
Status
Completed · report January 17, 1997
Report
Approved by Office Director
FAA report
19950908028119A
Case key
10026

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

pilot incapacitation.

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
Aircraft control - uncontrolledPilot in commandCause
IncapacitationPilot in commandCause
In flight collision with objectDescent - uncontrolled
Object - tree(s)

Analysis

The airplane lifted off runway 18 beyond a point where witnesses were accustomed to seeing it lift off. Shortly after liftoff the airplane began striking trees along its flight path and descended onto the ground. The on-scene examination revealed a chemical dump on the runway about 130 feet north of the runway's departure end. The pilot's autopsy report showed myocarditis of the heart's left ventricle. It also showed hardening of the kidney's arteries. The pathologist's report stated the myocarditis may have caused an arhythmia which might have caused the pilot to lose consciousness. The FAA's toxicological report showed an unstated amount of norpropoxyphene in the urine sample.

Factual narrative

On September 8, 1995, at 1810 eastern daylight time (edt), a Cessna 188, N5623J, piloted by a commercial pilot, was destroyed by fire after colliding with trees and terrain during its initial climb after takeoff. The 14 CFR Part 137 flight was not operating on a flight plan. Visual meteorological conditions prevailed at the time of the accident. The pilot was fatally injured. The flight departed Greenville, Michigan, at 1810 edt.

According to the Kent County Sheriff's Department report, witnesses said N5623J's engine was "...cutting in and out... not running well... [and] not operating properly... ." These witnesses said they saw the airplane skimming the tree tops as it went past their vantage point. One witness resides on the airport boundary. She said the airplane appeared to have a later liftoff than those she has seen in the past. Federal Aviation Administration Principal Maintenance and Operations Inspectors (PMI and POI respectively) conducted the on-scene investigation. The PMI said the fuselage center section had been involved in an intense fire. The right wing was pointed about 80 degrees above the horizon and had been fire damaged. The left wing had separated from the fuselage and was lying next to the fuselage tail cone.

The POI said a chemical spill was found about 130 feet north of runway 18's departure end and continued to the accident site. Based upon his observation, N5623J began striking tree tops about 500 feet from the runway's departure end. N5623J continued for about 1,200 feet on a heading of 155 degrees magnetic, striking trees. After flying this distance N5623J's flight path made a turn to an easterly heading, descending into the trees and eventually onto the ground. A detailed drawing of N5623J's flight path is appended to this report.

The PMI reported control continuity for all three flight controls. He said the propeller blades were curled about 12 inches in from the tips. He said the leading edges of the propeller blades were nicked over their entire span. The chemical dump chute was found in the open position. The PMI reported the engine inspection revealed compression in all six cylinders. The magnetos produced spark when hand rotated. The engine driven fuel pump had a sheared drive shaft.

The NTSB Metallurgical Laboratory in Washington, D.C. examined the fuel pumps drive shaft. The metallurgist's report stated the sheared drive shaft displayed no evidence of pre- existing fracture areas. A microscopic examination of the shaft showed the separation was "...typical of a ductile shear overstress separation from torsional loading."

The pump could not be rotated by hand pressure. The report notes: "...there were no separations or obvious chips of material blocking [the] rotation of the pump." A sticky residue was noted within the pump cavity and on the cover plate.

The Kent County, Michigan, Medical examiners' autopsy report states the pilot's fatal injuries were the result of multiple injuries caused by the accident. The autopsy report states, "Myocardis predominantly involving the posterior wall of the [heart's] left ventricle." The report also showed the pilot had arteriolonephrosclerosis, a hardening of the arteries in the kidney. The pathologist stated, "The myocardis may have caused an arhythmia which might have caused the deceased to lose consciousness and thus lose control of the aircraft."

The FAA's Civil Medical Institute conducted the pilot's toxicological examination. The results of the examination revealed an unspecified amount of norpropoxyphene in the urine sample provided by the pathologist. Norpropoxyphene, according to the 1993 edition of the Physician's Desk Reference (PDR), is a derivative of propoxyphene. Propoxyphene is a "...centrally acting narcotic analgesic agent." Norpropoxyphene "...has substantially less central nervous system depressant effect than propoxyphene but a greater local anesthetic effect...," according to the PDR.

Aircraft

Registration
N5623J
Reported as
Cessna 188
Category
Airplane
Serial number
18800573
Airframe hours
3,366
Engine
Continental IO-520-D, 300 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Aerial application · Part 137
Registered owner
Wells Helicopter Service, Inc.
Airworthiness certificate
Special, Restricted (Special)
Departed
RLA · MI

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
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Center
Toxicology
Performed
Flight hours
1,200 total

Weather

Conditions
Visual (VMC) · Day
Temperature
66 °F
Observed at
6D6, 1 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.

Other investigations on N5623J · 1

Matched to the same aircraft by N-number and date.