DEN04FA119

NTSB accident investigation · Cessna 172P · Monarch Crest, CO · August 9, 2004

Accident · FatalField investigationFinal report
Date
August 9, 2004, 17:15 local (23:15 UTC)
Place
Monarch Crest, CO
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N911JRCessna 172P
Weather
Visual (VMC) · Day
Status
Completed · report January 24, 2005
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
FAA report
20040809018979A
Case key
59869

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 airspeed which resulted in a stall, and his decision to conduct flight beyond the performance capability of the aircraft. A contributing factor was the high density altitude, and an inadvertent stall.

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 flightManeuvering - turn to reverse direction
In-flight planning/decision - improperPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
Aircraft performance,climb capability - exceededFactor
Stall - inadvertentPilot in commandFactor
Weather condition - high density altitudeFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - mountainous/hilly

Analysis

The two pilots we en route home after a trip to the west coast. Two witnesses, hiking near the Continental Divide, heard an airplane approaching. They saw the airplane coming towards them "at eye level." It seemed to be stationary, then it banked hard to the right and went straight down. The accident took place at an elevation of 11,418 feet msl. The elevation of that portion of the Continental Divide is 11,530 feet msl. Later engine disassembly and examination disclosed no anomalies. Weather observed at a remote AWOS facility, located approximately 1 mile east of the accident site, was used to compute an estimated density altitude of 14,300 feet msl. According to the 1984 Cessna 172P Skyhawk "Information Manual," the airplane's service ceiling is 13,000 feet.

Factual narrative

History of flight

On August 9, 2004, approximately 1715 mountain daylight time, a Cessna 172P, N911JR, piloted by a private pilot, was destroyed when it impacted mountainous terrain while maneuvering near Monarch Pass, Monarch Crest, Colorado. A post-crash fire ensued. Visual meteorological conditions prevailed at the time of the accident. The personal flight was being conducted under the provisions of Title 14 CFR Part 91 without a flight plan. The two pilots sustained fatal injuries. The cross-country flight originated at Montrose, Colorado, at 1525, and was en route to McCook, Nebraska.

According to the operator, the pilots --- an uncle and nephew --- departed Alleghany County Airport, Pittsburgh, Pennsylvania, on Wednesday, August 4, 2004, and flew to Phoenix, Arizona, via Lexington, Kentucky. Flying three 3-hour legs each day, they arrived in Phoenix on Friday, August 6. They picked up a passenger and flew to San Diego, California. There, they spent Saturday, August 7, with the pilot's mother, who was celebrating her 60th birthday. They departed San Diego on Sunday, August 8, and flew back to Phoenix, where the passenger disembarked. From there, they flew to Bryce Canyon, Utah, and spent the night. The next morning (the day of the accident), the pilot telephoned his wife and told her they were en route home, and would fly to West Bend, Wisconsin, to see the pilot's father. The two pilots departed Bryce Canyon and flew to Montrose. The pilot telephoned the operator approximately 1400 and told them the weather was fine, and the airplane was performing well. FAA records indicate the pilot telephoned the Denver Automated Flight Service Station (AFSS) and received a weather briefing for a flight from Montrose to McCook. He did not file a flight plan. Approximately 1525, the airplane was serviced to capacity with 27.6 gallons of 100-LL fuel. The airplane departed Montrose approximately 1530. After takeoff, the pilot told the Unicom operator that they were going to "circle the area for a while."

Two Virginia tourists, hiking near the Continental Divide, heard an airplane approaching. One of the tourists turned and saw an airplane "at eye level, maybe 100 yards away, coming towards me. Then the plane seemed stationary in flight, the engine skipped, [the airplane] took a hard right hand turn, as I faced the plane, then the tail went straight up over the wing and it went straight down. Instantly into flames." The other tourist saw the airplane "come up [the] mountain [pass], [it] tried to turn around and went straight down." One of the tourists hitched a ride to nearby Monarch Ski Resort to report the accident; the other videotaped the burning airplane. The Chaffee County Sheriff's Office received the first 9-1-1 call at 1736 and, in turn, notified the Gunnison County Sheriff's Office. Both county sheriff and fire departments responded.

Crew information

The left seat pilot, age 31, held a private pilot certificate with airplane single-engine land and instrument ratings, dated June 18, 2002. He also held a first class airman medical certificate, dated January 28, 2003, with the limitation: "Holder shall wear corrective eye lenses while exercising the privileges of his airman certificate." When the pilot applied for the medical certificate, he estimated he had logged 171 total flight hours and 26 hours in the previous 6 months. According to the airplane operator's records, the pilot had logged approximately 190 flight hours.

The right seat pilot, age 54, held a private pilot certificate with airplane single-engine land and instrument ratings, dated December 09, 2002. He also held a second class airman medical certificate, dated January 15, 2004, with the limitation: "Holder shall wear corrective eye lenses while exercising the privileges of his airman certificate." When the pilot applied for the medical certificate, he estimated he had logged 256 total flight hours and 41 hours in the previous 6 months. According to the airplane operator's records, the pilot had logged approximately 234 flight hours.

Aircraft information

N911JR (s/n 17276224), a model 172P, was manufactured by the Cessna Aircraft Company in 1984. It was equipped with a Lycoming O-320-D2J engine (s/n L-11292-39A), rated at 160 hp, driving a McCauley 2-blade, all-metal, fixed-pitch propeller (m/n DTM7557M1, s/n EB117).

According to the airplane maintenance records, the last 100-hour inspection of the airframe, engine, and propeller was performed on July 21, 2004, at 10,327.7 hours. The last annual inspection of the airframe was accomplished on August 29, 2003, at 9,837.4 hours, and the last annual inspection of the engine and propeller was accomplished on November 26, 2003, at 10,029.3 hours. The engine was last overhauled on November 9, 2001, at 9,049.9 hours. As of the last 100-hour inspection, the engine had accumulated 1,277.8 hours since major overhaul. The last IFR certification check of the pitot-static system and altimeter was accomplished on April 4, 2003.

Meteorological information

Weather observed at 1711 at the Salida Mountain (MYP) remote AWOS (automated weather observation station) facility, located at coordinates 38 degrees, 29 minutes, 55 seconds north latitude, and 106 degrees, 20 minutes, 22 seconds west longitude, or approximately 1 mile east of the accident site, was as follows: Wind, calm; visibility, (greater than) 10 statute miles; sky condition, clear; temperature 17 degrees C.; dew point, -08 degrees C.; altimeter setting, 30.79 inches of mercury.

Weather observed at 1755 at the Gunnison Airport (GUC) AWOS, located 20 miles west of the accident site, was as follows: Wind, 320 degrees at 16 knots, gusts to 20 knots; visibility, (greater than) 10 statute miles; sky condition, clear; temperature, 27 degrees C.; dew point, -06 degrees C.; altimeter setting, 30.39 inches of mercury.

Weather observed at 1553 at the Montrose Airport (MTJ) AWOS facility, shortly after N911JR departed, was as follows: Wind, 340 degrees at 11 knots; visibility, (greater than) 10 statute miles; sky condition, clear; temperature, 33 degrees C.; dew point, 03 degrees C.; altimeter setting, 30.25 inches of mercury; remarks, sea level pressure, 1011.57 mb.

Wreckage and impact information

The accident site was located 221 feet inside the Gunnison-Chaffee County line, and 117 feet north of Gunnison County Road 237 (Old Monarch Pass Road). The coordinates were 38 degrees, 29.925 minutes north latitude, and 106 degrees, 20.347 minutes west longitude, and at an elevation of 11,418 feet msl. The summit of the Continental Divide, toward which the airplane was flying, is at an elevation of 11,530.

The airplane was aligned on a magnetic heading of 114 degrees. The nose section was canted to the right on a heading of 126 degrees. The left and right wings were aligned on magnetic headings of 065 degrees and 237 degrees, respectively. The airplane impacted perpendicular to the mountain slope. From the airplane, the uphill and downhill slopes measured +24 degrees (45%) and -37 degrees (75%), respectively. All major components of the airplane were accounted for at the accident site. The engine had been exposed to the fire, was sooted and black. All the accessories had been burned off. The descending propeller blade was bent slightly forward, and the ascending blade was twisted and curled aft. Both blades bore 90-degree chordwise scratches on the cambered surfaces, particularly at the tips. Flight control continuity was established. The flap actuator was not extended. The elevator trim actuator was extended 1.1 inches. According to the Cessna Aircraft Company's investigator, this equated to the flaps being up and the elevator trim being 5 degrees tab down (elevator up).

Medical and pathological information

Autopsies were performed on the two pilots by the Gunnison County Coroner's Office. In Addition FAA Civil Aeromedical Institute (CAMI) performed toxicolog

Aircraft

Registration
N911JR
Reported as
Cessna 172P
Category
Airplane
Serial number
17276224
Airframe hours
10,328
Engine
Lycoming O-320-D2J, 160 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Pittsburgh Flight Training Center
Registered owner
Keystone State Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · July 21, 2004
Departed
MTJ · Montrose, CO
Destination
MCK · McCook, NE

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
Pilot
Age
31
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
190 total
Role
Pilot
Age
54
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
256 total · 20 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
0° at 0 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 18 °F
Altimeter
30.78 inHg
Observed at
MYP, 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.