ERA19LA151

NTSB accident investigation · Cessna 150 · Fulton, NY · April 11, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
April 11, 2019, 14:30 local (18:30 UTC)
Place
Fulton, NY
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N3795JCessna 150
Defining event
Approach-VFR pattern base: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Continental Aero Technologies, Textron Aviation Inc
FAA report
20190411023629A
Case key
99259

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

A total loss of engine power due to carburetor icing. Contributing was the pilot’s failure to leave the carburetor heat on fully after his initial application of carburetor heat.

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 150G: 4 casesAll aircraft: 435 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PilotCessna 150G: 1 caseAll aircraft: 1,386 casesProbable cause
Ice/rain protection system: intake anti-ice, deiceAircraft › Aircraft systems · Incorrect use/operationCessna 150G: 1 caseAll aircraft: 108 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

After descending with the engine power above 2,000 rpm, the pilot entered the traffic pattern for the destination airport. Just after turning onto the base leg of the pattern, the pilot applied the carburetor heat and the engine “faltered” and lost partial power. The pilot then deactivated the carburetor heat, and the engine regained some power. He reapplied the carburetor heat, and the engine stopped. He attempted to restart the engine but was unsuccessful. While performing a forced landing to a road, the right wing impacted a utility pole and the airplane rolled over and sustained substantial damage to both wings and the fuselage. The weather conditions at the time of the accident were favorable for carburetor icing at altitude and at the surface. It is likely that carburetor ice developed during the descent; when the pilot applied the carburetor heat while in the traffic pattern, the ice began to melt, which introduced water into the engine intake and resulted in the engine losing partial power. The pilot’s subsequent cycling of the carburetor heat at a relatively low power setting likely resulted in the total loss of engine power.

Factual narrative

On April 11, 2019, about 1430 eastern daylight time, a Cessna 150G, N3795J, was substantially damaged when it was involved in an accident near Fulton, New York. The private pilot received serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that the airplane was last flown on July 21, 2018. The airplane had a supplemental type certificate for the use of automotive fuel, but the pilot kept it stored with 100LL aviation fuel. Before the accident flight, he added fewer than 5 gallons of 100LL aviation fuel to top off both tanks before departure. The 2-hour flight was uneventful, and he reduced engine power for the descent, but it remained above 2,000 rpm. Just after turning onto the base leg of the traffic pattern for landing, the pilot applied the carburetor heat as he prepared to reduce the engine power below 2,000 rpm. As soon as he applied the carburetor heat, the engine “faltered” and lost partial power. The engine noise decreased but did not cease. He then pushed the carburetor heat fully off, and the engine seemed to regain some, but not all, power. He then reapplied the carburetor heat and the engine lost all power. The pilot performed a forced landing to a road in a populated area about 1.3 nautical miles from the end of the runway. During landing, the right wing impacted a utility pole, and the airplane came to rest inverted with both wings partially separated from the fuselage. Examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed substantial damage to both wings and the fuselage. First responders observed fuel on the roadway and leaking from the airplane upon their arrival. The fuel selector was found in the “on” position. Engine crankshaft, valvetrain, and accessory gear continuity were confirmed when the crankshaft was rotated by hand. The exhaust, induction, and carburetor heat exchanger components were intact and showed no indication of leaks. Due to impact damage, the carburetor heat cable could not be tested; however, the control arm on the induction airbox operated normally. Both magnetos produced spark on all towers when rotated, and the ignition harness remained intact, with some damage noted to the Nos. 1 and 3 leads at the top spark plug ends. The spark plugs on cylinder Nos. 1 and 3 were oil-soaked. There was no sooting observed on any of the spark plugs and all insulators were appeared white in color. The carburetor floats, inlet valve jets, and accelerator pump were intact. The inlet screen was clear of any contaminants. The inlet valve functioned properly when air pressure was applied to the fuel inlet while float assembly was exercised up and down. A computer model of the weather conditions in the area of the accident site around the accident time indicated conditions favorable to the development of carburetor icing from the surface to 13,000 ft mean sea level at glide and cruise power settings. According toFAA Special Airworthiness Information Bulletin CE-09-35: Pilots should be aware that carburetor icing doesn’t just occur in freezing conditions, it can occur at temperatures well above freezing temperatures when there is visible moisture or high humidity. Icing can occur in the carburetor at temperatures above freezing because vaporization of fuel, combined with the expansion of air as it flows through the carburetor, (Venturi Effect) causes sudden cooling, sometimes by a significant amount within a fraction of a second. Carburetor ice can be detected by a drop in rpm in fixed pitch propeller airplanes and a drop in manifold pressure in constant speed propeller airplanes. In both types, usually there will be a roughness in engine operation… To recognize carburetor icing, the warning signs are: • A drop in rpm in fixed pitch propeller airplanes. • A drop in manifold pressure in constant speed propeller airplanes. • In both types, usually there will be a roughness in engine operation. The pilot should respond to carburetor icing by applying full carburetor heat immediately. The engine may run rough initially for short time while ice melts.

Aircraft

Registration
N3795J
Reported as
Cessna 150 (G)
Category
Airplane
Serial number
15065095
Built
1966
Airframe hours
3,583
Engine
Continental O-200-A, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · October 28, 2018 · 2 hours before
Departed
MAL · Malone, NY
Destination
FZY · Fulton, NY
Flight plan
VFR
Airport
FZY · Oswego County, runway 06, 3,997 × 100 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
49
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
January 18, 2019
Seat
Left
Restraint
4-point
Flight hours
147 total · 33 in this make and model · 62 as pilot in command · 3 in the last 90 days · 3 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 4 knots
Visibility
10 statute miles
Lowest ceiling
6,500 ft overcast
Temperature
41 °F, dew point 21 °F
Altimeter
30.22 inHg
Observed at
FZY, 2 nm away

Docket · 8

The files NTSB released with the investigation on December 9, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 39.9 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.

Other investigations on N3795J · 2

Matched to the same aircraft by N-number and date.