ERA14LA158

NTSB accident investigation · Cessna 172K · Elizabethton, TN · March 18, 2014

Accident · Minor injuriesLimited investigationFinal report
Date
March 18, 2014, 19:25 local (23:25 UTC)
Place
Elizabethton, TN
Injuries
2 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N46603Cessna 172K
Defining event
Enroute-climb to cruise: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed · report March 26, 2015
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, FAA/FSDO, Cessna Aircraft Company
FAA report
20140318003809A
Case key
88934

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 delayed decision to maneuver around rising terrain, which resulted in a collision with trees and terrain. Contributing to the accident was the pilot’s failure to calculate the performance requirements needed to climb over mountainous terrain before the flight.

Findings · 5

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Contributed to outcomeCessna 172K: 2 casesAll aircraft: 329 cases
Planning/preparation: flight planning/navigationPersonnel issues › Task performance · PilotCessna 172K: 1 caseAll aircraft: 179 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 172K: 7 casesAll aircraft: 1,310 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PilotCessna 172K: 5 casesAll aircraft: 1,386 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot and two passengers were returning home on a cross-country flight. The pilot departed on the accident flight from runway 06 on the left downwind leg with the intention of flying over a mountain range; the airport facility directory current at the time of the accident stated that departures from runway 06 were required to make right traffic, which is intended to provide departing aircraft with adequate clearance from the surrounding terrain. During the climb, the pilot became concerned that the airplane would not clear the approaching rising terrain, so he attempted to maneuver the airplane away from it; however, the airplane subsequently impacted trees and terrain. Examination of the wreckage revealed no preexisting mechanical anomalies with the airplane that would have precluded normal operation. The pilot did not calculate the performance requirements needed to clear the 3,000-ft-tall mountain peak before the flight. Performance calculations based on data reported by the pilot indicated that the airplane's climb rate was too low to provide clearance from terrain along the pilot's selected route.

Factual narrative

Airplane Performance The distance between the airport pattern and the top of the mountain is about 1.8 nautical miles (nm) and the elevation at the top of the mountain is about 3,000 feet msl. Based on the values reported by the pilot, at 78 knots the airplane would have travelled to the top of the mountain, 1.8nm, in 1 minute 23 seconds; however, at a 500 feet per minute climb rate, the airplane required 1 minute 48 seconds of flight time to reach the 3,000 foot mountain peak. Density altitude at the airport around the time of departure was about 1,800 feet. Research According to the FAA publication "Tips on Mountain Flying"(FAA-P-8740-60, AFS-803), "a normally aspirated engine will lose 3% of its power per thousand feet of density altitude increase. Next, as density altitude increases, the wings have less dense air which to create lift. Since a propeller is an airfoil, it, too, will be less efficient." The FAA also recommends that pilots cross mountain passes at an altitude at least 1000 feet above the pass elevation. The airplane was manufactured in 1968 and was equipped with a Lycoming O-320-E2D, 150-hp, carbureted reciprocating engine. According to maintenance records, the airplane's most recent 100-hour inspection was completed on November 20, 2013. The airplane's most recent engine overhaul was completed on September 9, 2007. At the time of the accident, the engine had accumulated 6,688 hours of total time in service, and 61 hours of time in service since the most recent inspection. The single asphalt runway at 0A9 was 4529 feet long by 70 feet wide and was configured in a 6/24 orientation at an elevation of 1593 feet msl. A parallel taxiway spanning the full length of the runway was present on the west side of the runway. The airport was not served by a local air traffic control tower. According to the FAA Airport/Facility Directory, effective February 6, 2014 to April 3, 2014, departures from runway 06 were required to make right traffic. On March 18, 2014, about 1930 eastern daylight time, a Cessna 172K airplane, N46603, was substantially damaged after it impacted mountainous terrain in Elizabethton Municipal Airport (0A9), Elizabethton, Tennessee. The private pilot and a passenger sustained serious injuries and another passenger received minor injuries. Visual meteorological conditions prevailed and no flight plan was filed for the flight, which originated from 0A9 about 1915 and was destined for Weltzien Skypark (15G), Wadsworth, OH. The personal flight was operated under the provisions of Title 14 Code of Federal Regulations Part 91. According to the pilot, he departed 15G three days prior to the accident to fly a family friend to South Carolina. The pilot originally intended to return to 15G the following day, but was delayed due to weather. On the day of the accident, the pilot and his passengers left South Carolina bound for 15G. The pilot made an unscheduled stop for fuel at 0A9, after discovering the fuel services at hisintended airport were closed. After refueling at 0A9 he departed runway 06 and flew the airport traffic pattern. He maintained an altitude of 500 feet above ground level (agl) and exited the traffic pattern on the left downwind leg on a course direct towards Holston Mountain. The pilot followed the upslope of the mountain at a 500 feet per minute rate of climb. Concerned that the airplane would not clear the approaching terrain, the pilot decided to turn the airplane towards a small valley to his right that appeared to have a lower terrain elevation. During the turn the airplane descended, impacted trees and then terrain before coming to rest. During the pilot's interview with a Federal Aviation Administration (FAA) inspector and the NTSB investigator-in-charge, the pilot stated he should have "gained more altitude" before starting his climb over the mountain. In an interview with an FAA inspector the pilot was asked if he had any mechanical issues with the aircraft, to which the pilot replied "No." The 1856 recorded weather at 0A9, located about 3 nautical miles south of the accident site, included calm wind, clear skies, 10 miles visibility, temperature 13 degrees C, dewpoint 4 degrees C, and an altimeter setting of 29.95 inches of mercury. According to the pilot and FAA records, he held a private pilot certificate for airplane single-engine land. The pilot's most recent third-class medical certificate was issued on May 4, 2013. The pilot reported 90 hours of total flight experience, of which 10 hours were in the accident airplane make and model. According to information provided by the FAA and the airframe manufacturer, the airplane came to rest on its left side about 3000 feet above mean sea level (msl) in a wooded area and was oriented on a 221 degree heading, the debris path was oriented on a 141 degree heading. All major components of the airplane were accounted for at the accident site. A section of the fuselage was bent downward and partially separated just aft of the main cabin. The vertical stabilizer and left horizontal stabilizer remained attached to the empennage, which was co-located with the main wreckage. The right horizontal stabilizer was located about 200 ft. from the main wreckage with the elevator attached. Both wings remained attached to the fuselage and sustained leading edge crush damage along their entire length. The right wing was bent in the positive direction about 45 degrees. Both propeller blades remained attached to the hub. One blade exhibited S-bending with some polishing and chordwise scratching. The outboard section of another propeller blade was bent and the tip was fractured and separated. The airframe was examined at the accident site by a representative of the airframe manufacturer under the supervision of a FAA inspector. Control continuity was traced from the cockpit area to each of the flight control surfaces. The flap actuator measured 0 degrees, which was consistent with a flaps retracted positon. Theengine was recovered to a secure facility in Springfield, Tennessee and a follow-up engine examination took place on May 5, 2014 and supervised by a NTSB investigator. Continuity of the engine's crankshaft and valvetrain were confirmed through rotation at the vacuum pump drive pad, and thumb compression was confirmed on all cylinders. The top and bottom spark plugs were removed and inspected; the top plugs and two of the bottom plugs exhibited normal wear and two of the bottom plugs were oil soaked. Both magnetos rotated freely by hand and exhibited normal sparking on all leads. The fuel strainer contained fuel and the strainer screen was free of debris. The carburetor fuel inlet screen was free of debris and no fuel stains were present on the carburetor surfaces.

Aircraft

Registration
N46603
Reported as
Cessna 172K
Category
Airplane
Serial number
17257379
Built
1968
Airframe hours
6,688
Engine
Lycoming O-320-E2D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Skypark Inc
Registered owner
Skypark Inc
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
100 hour · November 20, 2013 · 61 hours before
Departed
0A9 · Elizabethton, TN
Destination
15G · Wadsworth, OH
Airport
0A9 · Elizabethton Muni
Equipment
Stall warning system

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
24
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine sea
Medical
Class 3, Without waivers/limitations
Last flight review
October 28, 2013
Seat
Left
Restraint
Lap only
Flight hours
90 total · 10 in this make and model · 90 as pilot in command · 10 in the last 90 days · 8 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 39 °F
Altimeter
29.95 inHg
Observed at
0A9, 3 nm away

Docket · 12

The files NTSB released with the investigation on March 3, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.2 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.