FTW94FA057

NTSB accident investigation · Cessna 177RG · Van Horn, TX · December 29, 1993

Accident · FatalField investigationFinal report
Date
December 29, 1993, 14:30 local (20:30 UTC)
Place
Van Horn, TX
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N1527HCessna 177RG
Weather
Instrument (IMC) · Day
Status
Completed · report September 13, 1994
Report
Approved by Office Director
FAA report
19931229047379A
Case key
18876

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

The pilot exceeded the design stress limits of the aircraft after a loss of control which resulted from VFR flight into instrument meteorological conditions. Factors were the weather, the pilot's lack of instrument training and experience, and his failure to update his weather briefing.

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 encounter with weatherCruise - normal
Weather condition - fogFactor
Weather condition - low ceilingFactor
Weather condition - turbulenceFactor
Weather condition - icing conditionsFactor
Updating of recorded weather information - not obtainedPilot in commandFactor
Vfr flight into imc - continuedPilot in commandCause
Loss of control - in flightDescent - uncontrolled
Aircraft control - not maintainedPilot in commandCause
Lack of total instrument timePilot in commandFactor
Lack of recent instrument timePilot in commandFactor
Airframe/component/system failure/malfunctionDescent - uncontrolled
Wing - overload
Design stress limits of aircraft - exceededPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

A non-instrument rated private pilot on a day VFR cross country flight attempted to continue to his destination airport after encountering low ceilings, fog, and turbulence over the mountains within 100 miles of his destination. Control was lost and the airplane descended out of control, breaking up in flight prior to impacting the mountainous terrain. The wreckage was spread over 2,263 feet on a heading of 030 degrees. A weather briefing received about 5 hours before the accident did not include the conditions encountered. At approximately 1400 the pilot was informed of weather conditions at the Van Horn airport via UNICOM.

Factual narrative

History of flight

On December 29, 1993, at approximately 1430 central standard time, a Cessna 177RG, N1527H, was destroyed upon impact with terrain following a loss of control while in cruise flight near Van Horn, Texas. The non-instrument rated private pilot and his two passengers were fatally injured. Instrument meteorological conditions prevailed throughout the area for the personal flight.

The flight originated at the Mexia-Limestone County Airport (TX06), with the El Paso International Airport (ELP) as its destination. An intermediate stop was planned at the San Angelo, Texas, Airport (SJT) for fuel. The tower at San Angelo reported that the airplane departed at 1226.

The last contact with the airplane was made at 1400 by the UNICOM at the airport at Van Horn, Texas, when he was provided with the weather. The UNICOM operator estimated, based on the clarity of the radio transmissions, that the airplane "was most likely within a 20 mile radius from the airport."

The airplane was reported missing on December 30, 1993, and later located by units of the Civil Air Patrol in rolling terrain within the Delaware Mountains, approximately 46 miles north of Van Horn, Texas.

There were no reported eye witnesses to the accident.

Aircraft information

The airplane was topped off with 15 gallons of 100LL aviation fuel at his intermediate stop at San Angelo, Texas. A review of the airframe and engine records by the Federal Aviation Administration (FAA) inspector did not reveal any anomalies or uncorrected maintenance defects prior to the flight. The pilot was reported to own one-fourth interest in the airplane.

Meteorological information

According to the National Weather Service, the southwest was under the influence of a weather system which produced marginal VFR and icing conditions in clouds, as well as occasional low ceilings, mountain obscuration, freezing precipitation, and low level turbulence. Observations within 60 to 100 miles from the accident site verify the existence of low ceilings, gusty winds, light precipitation, and freezing temperatures.

Prior to his departure from Mexia, Texas, the pilot obtained a weather briefing at 0947. The weather briefing did not forecast that the weather would deteriorate to the point that VFR flight would not be recommended. The forecast for the El Paso area was amended twice, once at 0909 and again at 1418, to reflect the deteriorating conditions encountered. An updated forecast was available to the pilot when he stopped for fuel at San Angelo, Texas; however, the pilot did not call or visit the Flight Service Station (FSS) for an update on his weather briefing.

At approximately 1400, the pilot contacted the UNICOM at The Culberson County Airport, near Van Horn, Texas, asking for the current weather at Van Horn. He was given a report of 500 feet overcast with freezing drizzle, fog, and wind from the northeast gusting to 20 knots. The temperature was estimated at 34 to 36 degrees.

A ranch worker in the vicinity of the property owner's house, approximately 15 miles from the accident site, stated that the weather for that entire afternoon was "cold, foggy, and very windy." Detailed weather reports and forecasts for the area are enclosed in this report.

Communications

The transcripts from all pertinent communications between the airplane and the ATC facilities are enclosed in this report.

Wreckage and impact information

Airframe components were retrieved from 2,180 feet short of the resting place of the main wreckage. The farthest pieces that were found were fragments of the windshield, interior trim, and wing tip fairing. Following these pieces, were various fragments of several of the control surfaces, followed by increasingly large segments of both wings, followed by the ground scars at the initial point of ground impact. See the enclosed wreckage diagram for wreckage distribution pattern.

Both propeller blades were found separated from the hub and exhibited "S" type bending and chordwise gouging. The propeller hub assembly was found separated at the crankshaft flange.

Examination of the airplane and engine at the accident site did not disclose any pre-impact discrepancies or mechanical defects.

Medical and pathological information

An autopsy and toxicological tests were ordered and performed. The autopsy was performed by Juan U. Contin, M.D., Medical Examiner, County of El Paso. Toxicology tests were found positive for Fluoxerine and Norfluoxetine (Prozac). In the opinion of Dr. Canfield, of the Civil Aero Medical Institute (CAMI), "the 4.9 mg/kg Fluoxetine (Prozac) detected in the lung and 56 mg/kg Norfluoxetine (metabolite of Prozac), detected in the lung are within therapeutic levels. The pilot should not have been taking Prozac for two reasons: (1) Definitely for the medication should not have been taken while performing pilot duties, (2) Possibly for the underlying condition that was being treated (psychiatric, severe depression) are disqualifying conditions."

Test and research

The leading edge of the vertical stabilizer was found crushed, and showed evidence of white paint transfer. Those paint transfers were matched to those of the left wing. Physical evidence demonstrated that the right horizontal stabilator separated in an upward and aft direction. The left wing exhibited evidence of having separated in an upward and aft direction. No pre-impact discrepancies were observed with the airframe or aircraft systems.

Additional information

The wreckage was released to the owner's representative.

Aircraft

Registration
N1527H
Reported as
Cessna 177RG
Category
Airplane
Serial number
177RG0703
Airframe hours
2,270
Engine
Lycoming IO-360-A1B6D, 200 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Four Yankee Golf, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 29, 1993 · 22 hours before
Departed
SJT · San Angelo, TX
Destination
ELP · El Paso, TX

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
46
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
250 total · 30 in this make and model · 6 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
45° at 12 knots, gusting 20
Visibility
1 statute miles
Lowest ceiling
500 ft overcast
Temperature
34 °F

FAA reports on this event · 1

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