ERA15CA329

NTSB accident investigation · Cessna 195 · Lancaster, NY · August 26, 2015

Accident · No injuriesData collectionFinal report
Date
August 26, 2015, 15:30 local (19:30 UTC)
Place
Lancaster, NY
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N1516DCessna 195
Defining event
Landing-landing roll: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed · report January 15, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20150826014569A
Case key
91874

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

The pilot's excessive application of brake pressure, which resulted in the airplane nosing over.

Findings · 2

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 195A: 13 casesAll aircraft: 9,295 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Incorrect use/operationCessna 195A: 2 casesAll aircraft: 297 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

According to the pilot, he had just completed a circuit in the airport traffic pattern. During the flare, the airplane began to "settle" when the wind speed decreased. He then applied engine power in order to arrest the descent. The airplane veered left and landed with the nose of the airplane pointing to the left side of the runway. During the landing roll, the pilot was concerned with exiting the paved portion of the runway and applied brake pressure. Subsequently, the airplane nosed over and came to rest inverted on the paved portion of the runway, which resulted in substantial damage to the rudder and vertical stabilizer. The pilot reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Factual narrative

According to the pilot, he had just completed a circuit in the airport traffic pattern. During the flare, the airplane began to "settle" when the wind speed decreased. He then applied engine power in order to arrest the descent. The airplane veered left and landed with the nose of the airplane pointing to the left side of the runway. During the landing roll, the pilot was concerned with exiting the paved portion of the runway and applied brake pressure. Subsequently, the airplane nosed over and came to rest inverted on the paved portion of the runway, which resulted in substantial damage to the rudder and vertical stabilizer. The pilot reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N1516D
Reported as
Cessna 195 (A)
Category
Airplane
Serial number
7738
Built
1951
Airframe hours
2,707
Engine
Jacobs R-755B2, 275 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 23, 2015
Departed
BQR · Lancaster, NY
Destination
BQR · Lancaster, NY
Airport
BQR · Buffalo-Lancaster Rgnl, runway 26, 3,200 × 75 ft, asphalt
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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
52
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
June 1, 2013
Seat
Left
Restraint
4-point
Flight hours
1,200 total · 50 in this make and model · 1,200 as pilot in command
Role
Flight instructor
Injuries
None
Certificates
Flight instructor, Commercial
Seat
Right
Restraint
4-point

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 12 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Observed at
BUF, 6 nm away

Docket · 3

The files NTSB released with the investigation on January 5, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.0 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.