# NTSB ERA16CA304: Cessna 195, N4352V, Livermore Falls, ME, August 27, 2016 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: August 27, 2016, 11:30 local (15:30 UTC) - Place: Livermore Falls, ME - Coordinates: 44, -70 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=44.0000&lon=-70.0000&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: 2 uninjured - Status: Completed, report December 5, 2016 - Report: Approved by Office Director - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO - NTSB case key (mKey): 93918 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA16CA304 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/93918/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=93918 - Page: https://openairdocs.org/ntsb/ERA16CA304 ## Probable cause The pilot's failure to maintain directional control during landing roll out. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [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 195, 11 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=2073102), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md) - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 195, 13 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2073102), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/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 195, 14 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=2073102), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md) ## Analysis The private pilot stated that the tail-wheel equipped airplane started to veer left during the landing roll out in calm wind conditions. In an attempt to bring the airplane back to the runway centerline, the tail of the airplane started to rise off the runway and he "got too aggressive" with the brakes. The airplane nosed-over on to its back, which resulted in substantial damage of the vertical stabilizer, left wing tip, and fuselage. The pilot said there were no mechanical issues with the airplane or engine that would have contributed to the accident. ## Factual narrative The private pilot stated that the tail-wheel equipped airplane started to veer left during the landing roll out in calm wind conditions. In an attempt to bring the airplane back to the runway centerline, the tail of the airplane started to rise off the runway and he "got too aggressive" with the brakes. The airplane nosed-over on to its back, which resulted in substantial damage of the vertical stabilizer, left wing tip, and fuselage. The pilot said there were no mechanical issues with the airplane or engine that would have contributed to the accident. ## Aircraft - Registration: [N4352V](https://openairdocs.org/aircraft/N4352V), registered now, S/N 7261 (OpenAirDocs) - Reported make and model: CESSNA 195 (UNDESIGNAT) - Registry model: [Cessna 195](https://openairdocs.org/model/cessna-195) (registry code 2073102) (OpenAirDocs) - Registry engine: [Jacobs L4 /R755-7](https://openairdocs.org/engine/jacobs-l4-r755-7) (registry code 35003, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 7261 - Year built: 1948 - Airframe hours: 2994 - Engines: JACOBS L4 /R755-7 245 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Standard, Normal - Last inspection: Annual, September 1, 2015, 27 hours before - Departed: LEB, Lebanon, NH - Destination: B10, Livermore Falls, ME - Airport: B10, Bowman Field, runway 20, 2,201 × 120 ft, grass/turf - Equipment: Onboard weather, Handheld GPS ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 67; injuries: none; private; airplane ratings: single-engine land; medical: class 3, waiver time limited special; last flight review September 1, 2015; seat: left; restraint: 4-point; flight hours: 768 total, 593 in this make and model, 15 in the last 90 days, 6 in the last 30 days, 0 in the last 24 hours - Check pilot; age 76; injuries: none; private, flight instructor, commercial; airplane ratings: single-engine land; instrument ratings: airplane; seat: right; restraint: 4-point ## Weather - Conditions: Visual (VMC), Day - Wind: calm - Lowest ceiling: none ## 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 20160827015369A](https://openairdocs.org/incident/20160827015369A), Aug 27, 2016: Cessna 195, Livermore Falls, ME, Substantial damage. Pilot departed kleb at approximately 10:45 EDT. Picked up 30 gallons of fuel. Flight to B10. Approached field using a midfield 45 degree left downwind for… ## Other investigations on N4352V (1) 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. - [NTSB IAD01LA085](https://openairdocs.org/ntsb/IAD01LA085), Jul 24, 2001: Cessna 195 (N4352V), Moultonboro, NH, substantial damage. Probable cause: The pilot's failure to maintain directional control of the airplane. A factor was the crosswind. ## Docket (3 files) The files NTSB released with the investigation on November 1, 2016, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=93918. 1.6 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 715 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40446003&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF - Pilot and Witness Statement (item 2, .PDF, 312 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40446004&FileExtension=.PDF&FileName=Pilot%20and%20Witness%20Statement-Master.PDF - Photo Array (item 3, .PDF, 2 photos, 601 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40446005&FileExtension=.PDF&FileName=Photo%20Array-Master.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.