ERA22FA058

NTSB accident investigation · Cessna 172 · Branchville, NJ · November 11, 2021

Accident · FatalClass 3 · FieldFinal report
Date
November 11, 2021, 10:48 local (15:48 UTC)
Place
Branchville, NJ · Heavy wooded area
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N90559Cessna 172
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20211111020839A
Case key
104237

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 flight instructor’s failure to recover from a steep spiral turn during an instructional flight.

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 172S: 21 casesAll aircraft: 1,269 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotCessna 172S: 206 casesAll aircraft: 9,295 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

While on an instructional flight, control of the airplane was lost during a flight maneuver, and the airplane impacted the terrain in a heavily wooded area. Data recovered from the Garmin G1000 integrated flight instrument system revealed that the airplane climbed to a cruise altitude of about 6,400 ft and remained on a northwesterly heading for the first 17 minutes of the flight. The airplane’s airspeed began to decrease due to an engine power reduction from 2,400 rpm to 1,300 rpm. The airplane began to pitch nose up, ultimately reaching a maximum pitch attitude of about 37° as the airspeed slowed to 28 knots indicated. The airplane reached a left-wing-down bank angle of 102° and a nose-down pitch attitude of 79°. The G1000 recorded the airplane’s descent rate at over 8,000 ft/minute 3 seconds later. A surveillance security video showed the airplane in a very steep spiral turn that continued until the airplane was out of view of the camera. Based on the data recovered from the G1000, the reduction of power was intentional, and the aerodynamic stall was induced. The flight instructor’s logbook and receipts from previous flights show the flight instructor and private pilot had practiced steep spiral turns on several occasions. All the major airplane components were located at the accident site. Examination of the airplane and the engine did not reveal any anomalies with the flight controls that would have precluded normal operation. Although toxicological testing of the flight instructor’s blood was positive for THC and the THC metabolite THC-COOH, given the circumstances of this accident and the low concentration found in his blood, it is unlikely that the flight instructor’s performance was impaired by THC at the time of the accident.

Factual narrative

HISTORY OF FLIGHT On November 11, 2021, about 1048 eastern standard time, a Cessna 172S, N90559, was destroyed when it was involved in an accident near Hampton Township, New Jersey. The flight instructor and a private pilot were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. A witness in the vicinity of the accident site reported that he heard an airplane maneuvering near his home and noticed various engine pitch changes. He listened to the airplane for a few minutes before returning home. Upon his return, emergency vehicles were in his driveway, prompting him to report what he heard to the authorities. An airplane performance study was conducted using data from the airplane's Garmin G1000 integrated flight instrument system. The G1000 recorded time, position, altitude, attitude, airspeed, acceleration, and engine parameters. The data indicated that the flight departed Essex County Airport (CDW), Caldwell, New Jersey, around 1029. The airplane climbed to a cruise altitude of about 6,400 ft and maintained a northwesterly heading for the first 17 minutes of the flight. At 10:46:30, the airspeed began to decrease due to a power reduction from about 2,400 rpm to 1,300 rpm. Shortly before 1047, the airplane pitched nose up, reaching a maximum pitch attitude of about 37° at 10:47:04 as the airspeed slowed to 28 knots indicated. At 10:47:10, the airplane reached a left-wing-down bank angle of 102° and a nose-down pitch attitude of 79°. The G1000 recorded the airplane’s descent rate at over 8,000 ft/minute 3 seconds later. The recorded airplane data indicated that the pilot initiated a recovery attempt between 10:47:10 and 10:47:30. The pitch attitude increased to 32°, the rate of climb rose to over 2,000 ft/minute, and the airplane was wings-level for 20 seconds as power was increased to 2,400 rpm. However, airspeed only momentarily recovered at 10:47:16. The G1000 did not capture load factors for the final seconds of the flight, likely due to buffering between volatile and non-volatile memory (See “NTSB Vehicle Performance Study” in the public docket). A surveillance video from a camera located at the Sussex County Sheriff’s Communications Center showed the airplane in a very steep spiral turn, continuing this maneuver until it was out of view of the surveillance camera. PILOT INFORMATION A review of the private pilot's logbook revealed that the flight instructor had provided training for the "steep spiral turn" maneuver on numerous occasions during the private pilot's flight training. The "steep spiral turn" is a maneuver requiring specific techniques, and if not executed correctly, common errors can occur. These errors are outlined in the Airplane Flying Handbook (FAA-H-8083-3C), Chapter 10, Performance Maneuvers. Understanding and addressing these potential errors are crucial for safe flight operations. Section 4, Normal Procedures, of the Cessna 172 Pilot Operating Handbook, page4-40, explains the procedure for spin training and exiting spins. WRECKAGE AND IMPACT EXAMINATION The airplane came to rest oriented on a magnetic heading of 330°, and all major components of the airplane were located at the accident site. The fuselage, from the firewall to the empennage, revealed crush and other related impact damage. The instrument panel and cockpit were destroyed by impact forces. Both wings remained partially attached to the fuselage, and the ailerons and flaps were impact damaged. Flight control surface cable continuity was observed from the flight surfaces to the cockpit controls. The horizontal stabilizers and vertical stabilizer remained attached to the empennage; however, they displayed damage consistent with impact. Both elevators were impact-damaged and remained partially attached to the horizontal stabilizers. The rudder remained attached to the vertical stabilizer and displayed impact damage. Examination of the engine did not reveal any pre-impact mechanical malfunctions or failures that would have precluded normal operation. The propeller remained attached to the engine and displayed chordwise scoring and aft bending. Tree branches showing fresh cuts consistent with propeller slash marks were noted on several trees at the accident site. MEDICAL AND PATHOLOGICAL INFORMATION Certified flight instructor According to the autopsy report by the County of Morris Medical Examiner, Morristown, New Jersey, the cause of death for the flight instructor was multiple injuries and the manner of death was accident. Toxicological testing detected THC in the flight instructor’s blood at 1.5 and 9.3 ng/mL. THC-COOH was detected in one blood specimen at 2.7 ng/mL, another testing facility found the specimen unsuitable for testing. THC and THC-COOH were not detected in vitreous fluid. The flight instructor’s peripheral blood was also positive for caffeine and cotinine. Private pilot According to the autopsy report, the cause of the private pilot’s death was multiple injuries and the manner of death was accident. Toxicological testing did not detect any ethanol or tested-for drugs in the private pilot’s blood.

Aircraft

Registration
N90559
Reported as
Cessna 172 (S)
Category
Airplane
Serial number
172S11076
Built
2011
Airframe hours
4,868.7
Engine
Lycoming IO-360-L2A, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · November 10, 2021
Departed
CDW · Caldwell, NJ
Equipment
Electronic multifunction display, Electronic primary flight display, Stall warning system, ADS-B, Auto-pilot, Data recorder

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
Flight instructor
Age
54
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Right
Restraint
3-point
Toxicology
Performed
Flight hours
14,750 total · 14,750 in this make and model
Role
Student pilot
Age
49
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
440 total · 369 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 34 °F
Altimeter
30.32 inHg
Observed at
CDW, 15 nm away
METAR
METAR KCDW 111453Z 08006KT 10SM CLR 11/01 A3032 RMK AO2 SLP275 T01110006 50000

Docket · 18

The files NTSB released with the investigation on January 4, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 158 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.