# NTSB ERA21FA178: Cessna 177B, N24RG, Great Valley, NY, April 7, 2021

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Class 3 · Field · Final report
- Date: April 7, 2021, 14:08 local (18:08 UTC)
- Place: Great Valley, NY · On Airport
- Coordinates: 42.205064, -78.647251
- Nearby events: https://openairdocs.org/map.md?lat=42.2051&lon=-78.6473&mi=10
- Phase of flight: [Takeoff](https://openairdocs.org/ntsb-phases/300) (OpenAirDocs' grouping)
- Defining event: [Takeoff: Loss of control in flight](https://openairdocs.org/ntsb-events/240)
- Highest injury: Fatal
- Injuries: 1 fatal, 1 serious
- Status: Completed
- Report: Approved by Office Director
- Investigation class: Class 3
- NTSB office: Eastern Region Aviation
- Parties: Lycoming, FAA/FSDO, Textron Aviation
- NTSB case key (mKey): 102891
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA21FA178
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/102891/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=102891
- Page: https://openairdocs.org/ntsb/ERA21FA178

## Probable cause

The pilot’s failure to maintain control during takeoff.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 177B, 25 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2073708), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Performance/control parameters](https://openairdocs.org/ntsb-findings/01062000): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna 177B, 4 cases](https://openairdocs.org/ntsb-findings/01062000/cases.md?model=2073708), [All aircraft, 1,269 cases](https://openairdocs.org/ntsb-findings/01062000/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Takeoff: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Cessna 177B, 8 cases](https://openairdocs.org/ntsb-events/240/sequence.md?model=2073708), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md)
- [Takeoff: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Cessna 177B, 20 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=2073708), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)

## Analysis

Witnesses who saw the accident airplane depart stated that it entered a 90° bank after becoming airborne. The airplane’s left wing struck the ground and the airplane cartwheeled and was consumed by a postimpact fire. The pilot told a responding law enforcement officer that he “lost it on the takeoff,” but later could not recall the accident. Examination of the airframe and engine revealed no mechanical deficiencies that would have precluded normal operation at the time of impact. It is likely that the pilot failed to maintain control of the airplane during takeoff, which resulted in impact with terrain.

## Factual narrative

HISTORY OF FLIGHT On April 7, 2021, about 1408 eastern daylight time, a Cessna 177B airplane, N24RG, was destroyed when it was involved in an accident near Great Valley, New York. The pilot was seriously injured, and the pilot-rated passenger was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot, who was the owner of the accident airplane, and passenger had flown to the airport for lunch with another pilot, who had also flown his airplane into the airport. After lunch, the other pilot departed runway 24 in his airplane without incident. He stated that he had a slight tailwind on takeoff, but the wind was not strong enough to move the windsock. A witness, who was outside across the street from the runway, saw the first airplane depart. He then heard the accident airplane’s engine “rev” up. When the witness saw the airplane, it was in a 90° bank. He told a co-worker that he was concerned about the airplane, so he got in his truck and drove to the airport. When he arrived, he saw that the airplane had crashed and was engulfed in flames. Another witness, who lived adjacent to the runway, had a full view of the runway from her living room and saw the accident airplane taking off. She said that the airplane “bounced a couple times” before it became airborne. The airplane climbed to about 20 ft above the ground, then entered a “hard” left bank, and she could see the tops of both wings. The witness said the left wing impacted the ground and it “crumbled” and then the airplane “collapsed.” She stated that she watches airplanes takeoff and land all the time, and by the time they pass her home, they are already airborne. She said that she did not see or hear anything unusual with the airplane or engine before the accident, except that it was “low” and “late” taking off. A responding law enforcement officer spoke to the pilot when he arrived on-scene. The pilot had been pulled away from the airplane because it was on fire. The pilot had obvious burns to his face/hands and his left ankle was injured. His eyes were closed, but he was able to understand and respond to the officer’s questions. The officer asked the pilot what happened, and the pilot said, “I lost it on the takeoff.” The pilot did not elaborate with additional details, and by that time, other law enforcement and rescue personnel arrived and began to tend to the pilot. In a follow up interview with a Federal Aviation Administration (FAA) inspector several months after the accident, the pilot said he had no recollection of the accident from the time they departed until after the accident. PILOT INFORMATION The pilot’s last FAA third class medical certificate was issued on July 24, 2015; however, he applied for and was operating under the provisions of BasicMed as of July 6, 2019. A review of the last page of the pilot’s personal flight logbook revealed that, as of March 1, 2021, he had accrued a total of 1,142.8 hours of flightexperience, and 3 hours in the 30 days preceding the accident. The pilot-rated passenger held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. He also held a flight instructor certificate with a rating for airplane single-engine. According to FAA records, the passenger’s last FAA third class medical certificate was issued on May 7, 2008, at which time he reported 2,438 total hours of flight experience. AIRPORT INFORMATION The airport was equipped with an approximate 3,800 foot-long by 90-foot-wide turf runway oriented 06/24. The field elevation was 1,450 ft mean sea level (msl). The takeoff portion of the runway was dry and free of obstructions, holes, or obstacles. WRECKAGE INFORMATION The airplane departed runway 24 and impacted the ground in a left-wing-low, nose-down attitude and cartwheeled. The airplane came to rest about 2,250 ft down and about 50 ft left of the runway. The left and right wings came to rest upright. The engine, fuselage, and tail were inverted. A post-impact fire consumed the fuselage, inboard left wing, left flap, and the outboard half of the left stabilator. All major components of the airplane were identified at the accident site. Examination of the airframe and engine revealed no mechanical deficiencies that would have precluded normal operation at the time of impact. MEDICAL AND PATHOLOGICAL INFORMATION Toxicology testing performed of the pilot at the FAA Forensic Sciences Laboratory was positive for ondansetron and irbesertan. Ondansetron, sometimes marketed as Zofran, is a prescription medication commonly used to treat nausea and vomiting. Multiple studies have found no significant effect of ondansetron on cognitive and psychomotor performance. Irbesertan, sometimes marketed as Avapro, is a prescription medication commonly used to treat high blood pressure/hypertension and is not considered impairing.

## Aircraft

- Registration: [N24RG](https://openairdocs.org/deregistered/N24RG-2023-04-26), registration cancelled 2023-04-26, S/N 17701953, built 1973 (OpenAirDocs)
- Reported make and model: CESSNA 177B (NO SERIES)
- Registry model: [Cessna 177B](https://openairdocs.org/model/cessna-177b) (registry code 2073708) (OpenAirDocs)
- Registry engine: [Lycoming O&VO-360 series](https://openairdocs.org/engine/lycoming-o-vo-360-series) (registry code 41514, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 17701953
- Year built: 1973
- Airframe hours: 1724
- Engines: Continental O-360-A1F6D 180 hp reciprocating
- Damage: Destroyed
- Fire: On-Ground
- Flight: Personal, Part 91
- Registered owner: Groetsch Raymond E
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, September 16, 2020
- Destination: 7G0, Brockport, NY
- Airport: N56, Great Valley Airport, runway 24, 3,800 × 90 ft, grass/turf
- Equipment: Stall warning system

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 72; injuries: serious; private; airplane ratings: single-engine land; medical: basicmed; last flight review May 31, 2021; seat: left; toxicology performed; flight hours: 1,142.8 total, 3 in the last 30 days, 0 in the last 24 hours
- Pilot-rated passenger; age 80; injuries: fatal; commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, with waivers/limitations; seat: left; restraint: 3-point; toxicology performed; flight hours: 2,438 total

## Weather

- Conditions: Visual (VMC), Day
- Wind: 360° at 5 knots
- Visibility: 10 statute miles
- Lowest ceiling: 5,000 ft broken
- Temperature: 64 °F, dew point 50 °F
- Altimeter: 29.99 inHg
- Observed at: OLE, 12 nm away

## 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 20210407005849A](https://openairdocs.org/incident/20210407005849A), Apr 7, 2021: Cessna 177B, Great Valley, NY, Destroyed, 1 fatal. At pprox. 1410 on 04/07/2021 N24RG crashed during takeoff from N56. The aircraft was departing rnwy 24. A witness reported they saw the aircraft bank left…

## Docket (12 files)

The files NTSB released with the investigation on February 24, 2023, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=102891. 14.9 MB in all.

- Wintness statement 1 (item 1, PDF, 2 pages, 2.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12573476&FileExtension=pdf&FileName=Witness%201_Redacted-Rel.pdf
- Witness statement 2 (item 2, PDF, 2 pages, 3.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12573143&FileExtension=pdf&FileName=Witness%202_Redacted-Rel.pdf
- NTSB record of conversation - responding police officer (item 3, PDF, 1 page, 120 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15060780&FileExtension=pdf&FileName=NTSB%20ROC%20Officer-Rel.pdf
- NTSB summary of email - FAA interview with pilot (item 4, PDF, 1 page, 122 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13193542&FileExtension=pdf&FileName=NTSB%20Summary%20of%20Email%20-%20FAA%20Interview%20of%20Pilot-Rel.pdf
- FAA record of conversation - friend of pilot and brockton NY airport manager (item 5, PDF, 1 page, 441 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13192803&FileExtension=pdf&FileName=Call%20record%20Gretchen%20Pennington%20and%20Nick%20Breslawski-Rel.pdf
- Photos (item 6, PDF, 6 pages, 6 photos, 2.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12572649&FileExtension=pdf&FileName=Photo%20Array-Rel.pdf
- NTSB airframe and engine exam report (item 7, PDF, 2 pages, 205 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13192054&FileExtension=pdf&FileName=Airframe%20and%20Engine%20Examination%20Report-Rel.pdf
- Maintenance records (item 8, PDF, 3 pages, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=12572860&FileExtension=pdf&FileName=Maintenance%20Records_Redacted-Rel.pdf
- Toxicological reports (item 9, PDF, 2 pages, 3.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13197305&FileExtension=pdf&FileName=Tox%20Reports_Redacted-Rel.pdf
- NTSB autopsy memo - pilot rated passenger (item 10, PDF, 1 page, 147 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13193137&FileExtension=pdf&FileName=OUO%20Autopsy%20Memo%20for%20Record%20Pilot%20Rated%20Passenger-Rel.pdf
- Statement of party representatives to NTSB investigation - Textron (item 11, PDF, 1 page, 63 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13197347&FileExtension=pdf&FileName=Textron%20Party%20Form_Redacted-Rel.pdf
- Statement of party representatives to NTSB investigation - Lycoming (item 12, PDF, 15 pages, 153 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=13197357&FileExtension=pdf&FileName=Lycoming%20Party%20Form_Redacted-Rel.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.

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