FTW89FA134

NTSB accident investigation · Cessna 150L · Fort Worth, TX · July 11, 1989

Accident · Serious injuriesField investigationFinal report
Date
July 11, 1989, 18:42 local (23:42 UTC)
Place
Fort Worth, TX
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Standing
Aircraft
N17250Cessna 150L
Weather
Visual (VMC) · Day
Status
Completed · report June 22, 1992
Report
Approved by Office Director
FAA report
19890711021879A
Case key
22780

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

A loss of control of the airplane due to the pilot's inability to raise the flaps which resulted in a stall. The flap failure and subsequent full flap takeoff were the result of the operator's improper maintenance of the airplane and the operator's use of a custom checklist that deviated significantly from the manufacturer's approved checklist. Contributing to the accident were the pilot's failure to ensure that the flaps were fully retracted prior to takeoff, and the operator's inadequate initial training of the pilot.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionStanding - engine(s) operating
Flt control syst,wing flap control - improperCause
Maintenance,adjustment - improperCompany maintenance personnelCause
Electrical system,fuse - incorrectCause
Maintenance,replacement - improperCompany maintenance personnelCause
Loss of control - in flightApproach - vfr pattern - base leg/base to final
Checklist - inadequateCompany/operator managementCause
Aircraft preflight - inadequatePilot in commandFactor
Inadequate initial trainingCompany/operator managementFactor
Raising of flaps - not possiblePilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterApproach - vfr pattern - base leg/base to final

Analysis

Immediately after liftoff the newly-certificated pilot became aware that the flaps were full down. He was unable to raise them and the aircraft stalled while in a closed traffic pattern. An AGS-15 non-sloblo fuse was found to be blown. The flap down limit switch was out of adjustment resulting in the jackscrew traveling to the mechanical limit & eventually causing an electrical overload. The fuse was replaced twice within the previous 45 days. Four other aircraft of the operator's fleet also had incorrect fuses installed. The pilot had lowered the flaps for his walk-around. The operator (school) had developed their own checklist different from that contained in the approved owner's manual. This checklist called for lowering of flaps during pre-start inspection and raising of flaps during after-start. The checklist did not contain a specific entry to check that the flaps were up prior to takeoff.

Aircraft

Registration
N17250
Reported as
Cessna 150L
Category
Airplane
Serial number
15073686
Airframe hours
3,007
Engine
Continental O-200-A, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Pegasus Flight Center, Inc.
Airworthiness certificate
Standard, Utility
Last inspection
100 hour · June 24, 1989 · 42 hours before
Departed
FTW
Destination
FTW
Airport
FTW · Meacham, runway 27, 4,050 × 100 ft, asphalt

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
21
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
53 total · 48 in this make and model · 2 as pilot in command · 53 in the last 90 days · 18 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 11 knots
Visibility
15 statute miles
Lowest ceiling
25,000 ft broken
Temperature
90 °F, dew point 73 °F
Altimeter
30.00 inHg
Observed at
FTW

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.