FTW94FA050

NTSB accident investigation · Cessna 172M · Lancaster, TX · December 20, 1993

Accident · FatalField investigationFinal report
Date
December 19, 1993, 23:00 local (Dec 20, 1993, 05:00 UTC)
Place
Lancaster, TX
Injuries
1 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N13051Cessna 172M
Weather
Instrument (IMC) · Night/dark
Status
Completed · report October 20, 1994
Report
Approved by Office Director
FAA report
19931219046919A
Case key
18874

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

was THE FAILURE OF THE PILOT TO MAINTAIN AIRCRAFT CONTROL DUE TO PHYSICAL IMPAIRMENT (ALCOHOL).

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.

In flight collision with objectTakeoff - initial climb
Object - tree(s)
Aircraft control - not maintainedPilot in commandCause
Impairment(alcohol)Pilot in commandCause
Fuel system,carburetor - worn
Fuel system,carburetor float - deteriorated
In flight collision with terrain/waterDescent - uncontrolled

Analysis

DURING DETERIORATING DARK NIGHT IMC THE PILOT TOOK OFF FROM RUNWAY 13. VERY SHORTLY THEREAFTER THE AIRPLANE FLEW INTO TREES AND THE TERRAIN ON A HEADING OF 090 DEGREES. THE PILOT CONSUMED WINE AT A SOCIAL GATHERING PRIOR TO THE FLIGHT. TOXICOLOGICAL LEVELS OF ALCOHOL WERE THE FOLLOWING: 81.000 (mg/dl) IN BLOOD; 103.000 (mg/dl) IN VITREOUS HUMOR; 86.000 (mg/dl) IN BRAIN; AND 118.000 (mg/dl) IN URINE. IN THE OPINION OF THE REGIONAL FLIGHT SURGEON, THE TOXICOLOGICAL LEVELS OF ETHANOL DETECTED ARE CONSISTENT WITH THE INGESTION OF ALCOHOL AND WOULD HAVE CAUSED IMPAIRMENT.

Factual narrative

History of flight:

On December 19, 1993, at 2300 central standard time, a Cessna 172M, N13051, sustained substantial damage near Lancaster, Texas, during an attempted takeoff. The instrument rated commercial pilot received fatal injuries and the sole passenger sustained serious injuries. Instrument meteorological conditions prevailed throughout the area for the local personal flight.

The passenger stated that following the takeoff from runway 13 at the Lancaster, Texas, Municipal Airport the visibility was much less than it had seemed on the ground. He further stated the airplane appeared level as it was banking to the left. He looked out the right window of the airplane and thought they were flying low when the airplane impacted. The passenger said that "everything appeared normal with the airplane" prior to the accident.

Personnel information:

Pilot logbooks indicated a night flight on June 21, 1993, and an instrument proficiency check on July 17, 1993. The last logbook entry was November 1, 1993; however, relatives stated the pilot had flown a number of times, including some night flights, since that date.

During telephone interviews, relatives reported the pilot drank a few glasses of wine at a social gathering and went Christmas caroling for several hours prior to the flight. They said the pilot decided to take his son for an aerial view of the Christmas lights.

Aircraft information:

Maintenance logbook entries were made on December 13, 1984, approving use of automotive fuel. However, FAA records did not contain Form 337 and placards for automotive fuel were not found installed on the airplane. Maintenance records did not indicate completion of service letters, service bulletins, or airworthiness directives for the carburetor.

Meteorological information;

A pilot of another airplane (enclosed statement) reported that at 2100 weather was overcast with a ceiling at 1,700 feet MSL to 1,500 feet MSL with a visibility of 4 to 5 miles and decreasing. Surface observations from Navy Dallas (21 miles northwest of the site) at 2255 reported ceilings from 500 to 700 feet above the ground with visibility from 5 to 7 miles due to fog. Airport elevation is 500 feet MSL.

Wreckage and impact information:

Wreckage was found approximately one mile from the departure airport. The terrain was marked by trees 35 feet to 45 feet high. The distribution path (enclosed diagram) was on a measured magnetic heading of 090 degrees. Numerous broken limbs were found along the distribution path. The left wing came to rest in the 10 feet deep creek bed with the fuselage in an inverted position on the slope of the creek bed. Propeller hub and blades with yellow painted tips remained attached to the engine which came to rest 35 feet beyond the main wreckage. Both propeller blades exhibited scrapes and were bent aft. A slashed tree branch containing yellow smears was found 15 feet beyond the engine.

The left wing leading edge was crushed aft to the main spar. A cedar twig was found wedged under an inspection panel screw on the lower surface of the left wing. A piece of material resembling the wood fibers was found wedged along the left wing skin. Fuel tank integrity was compromised. One gallon of fuel was obtained from the left fuel tank. Flight control continuity was established.

Medical and pathological information;

The Southwest Institute of Forensic Sciences at Dallas, Texas, performed the autopsy. The Southwest Regional Flight Surgeon, stated that the toxicological levels of ethanol detected are consistent with the ingestion of alcohol and would have caused impairment. A toxicological report is enclosed.

Test and research:

An engine test run was conducted on December 21, 1993, at Air Salvage of Dallas in Lancaster, Texas. The engine was serviced with fuel taken from the left wing fuel tank. Due to an engine vibration and an oil leak, the engine run was discontinued. An examination revealed the crankshaft flange was bent. The engine run was continued; however, the run was limited to 1800 RPM due to the continued vibration. During the engine run, fuel was observed leaking from the carburetor. The carburetor MA4-SPA, P/N 10-50009, S/N BL-20-9883 was removed and found to contain a composite float P/N 30-759/47 which sank in the fuel originally obtained from the left wing of the airplane.

The carburetor composite float was further examined (enclosed report) on December 28, 1993, at a FAA certified repair station by a Federal Aviation Administration (FAA) inspector. The composite float P/N 30-759/47 weighed 32 grams. New composite float specification weight is 17 to 23 grams.

Other carburetor components were examined (enclosed report) on January 6, 1994, at a FAA certified repair station by the FAA inspector. Excessive wear was found on the throttle shaft. Wear and perforation was noted on the accelerator pump. Grooves were found along the needle surfaces. The accelerator pump discharge check valve P/N 36-540 leaked fuel during testing from 1 PSI through 6 PSI.

Additional information:

The airplane was released to the owner's representative.

Aircraft

Registration
N13051
Reported as
Cessna 172M
Category
Airplane
Serial number
17262458
Airframe hours
2,358
Engine
Lycoming O-320-E2D, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Montgomery, Anthony J.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 1993 · 28 hours before
Destination
LNC

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
56
Certificates
Commercial, Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
937 total · 621 as pilot in command · 12 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
190° at 4 knots
Visibility
5 statute miles
Lowest ceiling
500 ft overcast
Temperature
52 °F, dew point 46 °F
Altimeter
29.00 inHg
Observed at
NBE, 21 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.