ERA17FA155

NTSB accident investigation · Cessna 170 · Williston, FL · April 15, 2017

Accident · FatalField investigationFinal report
Date
April 15, 2017, 15:23 local (19:23 UTC)
Place
Williston, FL
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N4244VCessna 170
Defining event
Initial climb: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report September 4, 2018
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Continental Motors, FAA FSDO, Textron
FAA report
20170415004449A
Case key
95005

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 failure to maintain adequate airspeed during initial climb in gusty wind conditions, which resulted in the airplane exceeding its critical angle-of-attack and experiencing an aerodynamic stall/spin.

Findings · 4

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 170: 17 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 170: 2 casesAll aircraft: 1,681 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 170: 4 casesAll aircraft: 990 casesProbable cause
Wind: gustsEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 170: 1 caseAll aircraft: 1,199 cases

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

***This report was modified on October 15, 2018. Please see the docket for this accident to view the original report.*** The commercial pilot and three passengers were making a personal cross-country flight in the airplane. After a refueling stop, the airplane taxied to the runway and departed. Security video and flight data showed that the airplane had just departed the airport and was about 280 ft above the ground when it stalled and spun to the left, impacting the ground in a nose-down attitude. Post-accident examination of the engine and airframe revealed no evidence of a mechanical anomaly or failure that would have precluded normal operation of the airplane. The recorded weather at the airport at the time of the accident included a right-quartering headwind at 8 knots gusting to 17 knots. The flight data revealed that the airplane slowed to an estimated airspeed (ground speed with correction applied for reported wind conditions) of around 49 to 51 knots just before the stall occurred, which was near the airplane's published power-on stall speed of 46 knots; however, the gusting wind conditions likely resulted in a further decrease of the airplane's airspeed and increase of its angle-of-attack.

Factual narrative

The four-seat, high-wing, tailwheel-equipped airplane was manufactured in 1948. It was powered by a 145-horsepower Continental C-145-2H engine and equipped with a two-blade McCauley propeller. The last annual inspection was completed on June 3, 2016. At the time of the accident, the airframe and engine each had a total time of 3,657.4 hours and 46 hours since the annual inspection. The engine had 194.3 hours since major overhaul. The airplane owner's manual stated that the power-on stall speed with no flaps was 53 mph (46 knots). On April 15, 2017, about 1523 eastern daylight time, a Cessna 170, N4244V, was destroyed when it impacted terrain shortly after departure from Williston Municipal Airport (X60), Williston, Florida. The commercial pilot and three passengers were fatally injured. The airplane was owned and operated by the pilot in accordance with the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan was filed for the personal cross-country flight that was destined for Inverness Airport (INF), Inverness, Florida. According to a Federal Aviation Administration (FAA) inspector, earlier on the day of the accident, the airplane departed from its base at Eagles Landing Airport (5GA3), Williamson, Georgia. Fueling records showed that the airplane stopped at Thomaston-Upson County Airport (OPN), Thomaston, Georgia, and was fueled there at 1131. The airplane then flew from OPN to X60, and an airport security video showed the airplane being fueled at X60 about 1448. The video then showed the airplane as it taxied onto runway 5 at intersection C and took off. Video from another security camera at X60 showed the airplane immediately after takeoff as it climbed to about 280 ft above ground level and leveled off. The video then showed the airplane make a slight right turn followed by a sharp left turn and a steep descent as it rolled to an inverted position. Flight data was downloaded from a Stratus ADS-B receiver that was recovered from the airplane and forwarded to the NTSB Vehicle Records Laboratory, Washington, DC. Review of the downloaded data revealed that the airplane's ground speed was about 47 knots just before it began to roll to the right. The Office of the Medical Examiner, Gainesville, Florida, performed an autopsy of the pilot, and his cause of death was injuries sustained in the accident. The FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma performed forensic toxicology testing of specimens from the pilot; The tests were negative for carbon monoxide, drugs, and alcohol. At 1519, the recorded weather at X60 was wind from 080° at 8 knots gusting to 17 knots, visibility 10 statute miles, temperature 30°C, dew point temperature 14°C, and altimeter 30.23 inches of mercury. According to FAA records, the pilot held a commercial pilot certificate with ratings for airplane single-engine land, airplane multi-engine land, glider, and instrumentairplane. He held a flight instructor certificate with ratings for airplane single-engine, airplane multi-engine, and instrument airplane. He held an FAA second-class medical certificate, issued March 27, 2017. At the time of the medical examination for this medical certificate, the pilot reported 2,350 total hours of flight experience. The pilot's current logbooks could not be located. The wreckage was examined at the accident site, which was located near the departure end of runway 5 about 543 ft left of the runway's centerline. The airplane was resting on its nose and displayed signatures consistent with a nose-down attitude at ground impact. The wing leading edges were crushed aft by impact forces, and the engine was buried about 2 ft in the dirt. The fuselage was crushed (accordioned) aft by impact forces. The airplane came to rest on a magnetic heading of about 050°. The left-wing fabric was torn in several places. The fuel cap separated and was found next to the airplane. Aviation 100LL fuel was noted in the left tank, which appeared to be full of fuel. The left aileron and flap remained attached and intact. The right wing exhibited more severe leading-edge damage than the left wing. The leading edge was crushed by impact forces, and the fabric was torn in several places. The two fuel tanks in the right wing contained aviation 100LL fuel. The right fuel cap had separated and was found next to the airplane. The right flap and the aileron remained attached and intact. The tail of the airplane did not contact the ground; the rudder and elevator were intact and not damaged. Flight control continuity was confirmed to all primary flight controls. The elevator trim was in the neutral position. The cockpit was destroyed. The propeller remained attached to the engine. The propeller blades were bent aft. The engine and propeller were pushed into the instrument panel and upwards at a 45° angle. The engine remained attached to the airframe by the right rear engine mount only. The other three engine mounts were fractured by impact forces. The engine case was impact damaged, and several pieces of the case were fractured and missing in the front of the engine. All six cylinders remained attached to the engine case and displayed varying amounts of impact damage. Valve train continuity was established through the engine by visual confirmation during an engine teardown. There were no pre-impact anomalies noted during the teardown that would have prevented normal engine operation or production of rated horsepower.

Aircraft

Registration
N4244V
Reported as
Cessna 170 (UNDESIGNAT)
Category
Airplane
Serial number
18600
Built
1948
Airframe hours
3,657.4
Engine
Cont Motor C145-2H, 145 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 3, 2016 · 46 hours before
Departed
X60 · Williston, FL
Destination
INF · Inverness, FL
Airport
X60 · Williston Muni, runway 5, 6,999 × 100 ft, concrete
Equipment
Video recording device, Handheld GPS

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
37
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
Lap only
Toxicology
Performed
Flight hours
2,350 total

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 8 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 57 °F
Altimeter
30.22 inHg
Observed at
X60

Docket · 18

The files NTSB released with the investigation on August 23, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.2 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.