# NTSB ERA11LA491: Cessna TR182, N950RC, Stevensville, MD, September 5, 2011 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: September 5, 2011, 19:05 local (23:05 UTC) - Place: Stevensville, MD - Coordinates: 38.976387, -76.329444 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=38.9764&lon=-76.3294&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report March 20, 2012 - Report: Approved by Office Director - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO - NTSB case key (mKey): 81797 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA11LA491 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/81797/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=81797 - Page: https://openairdocs.org/ntsb/ERA11LA491 ## Probable cause The pilot did not maintain directional control during the landing roll. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Personnel issues](https://openairdocs.org/ntsb-findings/02060000): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna TR182, 2 cases](https://openairdocs.org/ntsb-findings/02060000/cases.md?model=2072735), [All aircraft, 137 cases](https://openairdocs.org/ntsb-findings/02060000/cases.md) - [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna TR182, 3 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=2072735), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md) - [Terrain: wet/muddy terrain](https://openairdocs.org/ntsb-findings/03021035): Environmental issues › Physical environment · Contributed to outcome; cases with it: [Cessna TR182, 1 case](https://openairdocs.org/ntsb-findings/03021035/cases.md?model=2072735), [All aircraft, 110 cases](https://openairdocs.org/ntsb-findings/03021035/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Cessna TR182, 4 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=2072735), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md) - [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Cessna TR182, 5 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=2072735), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) - [Landing-landing roll: Landing gear collapse](https://openairdocs.org/ntsb-events/094); cases with it: [Cessna TR182, 10 cases](https://openairdocs.org/ntsb-events/094/sequence.md?model=2072735), [All aircraft, 1,787 cases](https://openairdocs.org/ntsb-events/094/sequence.md) ## Analysis The pilot was cleared for a global positioning system approach to runway 29, which was damp/wet, although most of the approach was flown in visual meteorological conditions. He reported that he equally and moderately applied the brakes after touchdown but that the airplane pulled sharply to the left. He released the brakes and the airplane departed the left side of the runway and rolled onto wet grass with ineffective braking. The airplane then rolled into a swale, which partially collapsed the nose landing gear. No discrepancies of the brake system were noted by the pilot at the departure airport and a postaccident examination revealed no evidence of a preimpact failure or mechanical malfunction. There were no flat spots on either of the main landing gear tires and no leaks of the brake system were noted. ## Factual narrative On September 5, 2011, about 1905 eastern daylight time, a Cessna TR182, N950RC, registered to Coral Bay Company, operated by a private individual, had a runway excursion during the landing roll at Bay Bridge Airport (W29), Stevensville, Maryland. Instrument meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91 personal flight from Savannah/Hilton Head International Airport (SAV), Savannah, Georgia, to W29.The airplane sustained substantial damage and the certificated commercial pilot, the sole occupant, was not injured. The flight originated from SAV about 1600. The pilot stated that he executed a GPS approach to runway 29 though most of the approach was flown in visual meteorological conditions. It was not raining at the time of the accident but the runway was damp/wet and the wind was from 290 degrees at 4 knots based on the automated weather observing station located on the airport. The touchdown point was about 200 feet from the threshold of the approach end of runway 29, and after touchdown he equally and moderately applied the brakes. The airplane “pulled sharply” to the left and he released the brakes. The airplane departed the left side of the runway and rolled onto wet grass where he again applied the brakes but reported he was not able to brake effectively. The airplane rolled into a swale which partially collapsed the nose landing gear. The pilot further stated that he did not notice any discrepancy with the brakes at the departure airport. Postaccident inspection of the airplane by an FAA inspector revealed damage to the firewall. The airplane was raised on jacks and the normal brake system appeared to be in good shape with the exception that the brake caliper locating pins were “stiff” which did not allow the calipers to move freely. The brake reservoirs were full of fluid, and no leaks were noted. The brakes operationally checked satisfactory with no indications of a brake failure noted. Inspection of the main landing gear tires revealed no flat spots indicating that the brakes were locked up on landing. A surface observation taken at the accident airport at 1906, or about 1 minute after the accident indicated the wind was from 250 degrees at 3 knots. ## Aircraft - Registration: [N950RC](https://openairdocs.org/deregistered/N950RC-2020-02-12), registration cancelled 2020-02-12, S/N R18201039, built 1979 (OpenAirDocs) - Reported make and model: CESSNA TR182 - Registry model: [Cessna TR182](https://openairdocs.org/model/cessna-tr182) (registry code 2072735) (OpenAirDocs) - Registry engine: [Lycoming 0-540 series](https://openairdocs.org/engine/lycoming-0-540-series) (registry code 41532, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: R18201039 - Airframe hours: 3279 - Engines: LYCOMING O-540-L3C5D 235 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Standard, Normal - Last inspection: Annual, March 16, 2011, 157 hours before - Departed: SAV, Savannah, GA - Destination: W29, Stevensville, MD - Flight plan: IFR - Airport: W29, Bay Bridge Airport, runway 29, 2,903 × 60 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 63; injuries: none; commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, with waivers/limitations; last flight review December 19, 2010; seat: left; flight hours: 1,849 total, 842 in this make and model, 1,602 as pilot in command, 80 in the last 90 days, 12 in the last 30 days ## Weather - Conditions: Instrument (IMC), Dusk - Wind: 250° at 3 knots - Visibility: 2 statute miles - Lowest ceiling: 3,500 ft overcast - Temperature: 73 °F, dew point 73 °F - Altimeter: 29.76 inHg - Observed at: W29 ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20110905021489A](https://openairdocs.org/incident/20110905021489A), Sep 5, 2011: Cessna TR182, Stevensville, MD, Substantial damage. Pilot was returning from ksav on IFR flight plan. Landed at W29 on rwy 29. Aircraft ran off left side of rwy in a drainage ditch, causing substantial damage. ## Docket (4 files) The files NTSB released with the investigation on February 3, 2012, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=81797. 466 KB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 334 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40359899&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Weather Reports and Records (item 2, .PDF, 16 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40359900&FileExtension=.PDF&FileName=Weather%20Reports%20and%20Records-Master.PDF - FAA Inspector Statement (item 3, .PDF, 54 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40359901&FileExtension=.PDF&FileName=FAA%20Inspector%20Statement-Redacted.PDF - NTSB Record of Conversation with the Pilot (item 4, .PDF, 61 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40359902&FileExtension=.PDF&FileName=NTSB%20Record%20of%20Conversation%20with%20the%20Pilot-Redacted.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.