FTW95FA147

NTSB accident investigation · Cessna R172E · Gladewater, TX · March 27, 1995

Accident · FatalField investigationFinal report
Date
March 27, 1995, 09:00 local (15:00 UTC)
Place
Gladewater, TX
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N1438ZCessna R172E
Weather
Visual (VMC) · Day
Status
Completed · report September 24, 1995
Report
Approved by Office Director
FAA report
19950327005729A
Case key
19217

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's failure to maintain an airspeed above stall speed, resulting in an inadvertent stall. A factor was the pilot's performance of an abrupt maneuver immediately after takeoff.

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.

Loss of control - in flightTakeoff - initial climb
Maneuver - abruptPilot in commandFactor
Airspeed(vs) - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled

Analysis

During takeoff initial climb witnesses observed the airplane at 500 feet above ground level in a 90 degree left bank, 'nosed over to almost vertical.' Prior to the airplane descending out of view it 'looked like the pilot was trying to get the nose up and wings level.' According to a FAA inspector, several sources reported that the pilot demonstrated a past history of abrupt maneuvers at low altitude. Examination of the airplane and engine did not reveal any structural or mechanical anomalies.

Factual narrative

History of flight

On March 27, 1995, approximately 0900 central standard time, a Cessna R172E, N1438Z was destroyed during an uncontrolled descent shortly after takeoff at Gladewater Municipal Airport, Gladewater, Texas. The commercial pilot was fatally injured. Visual meteorological conditions prevailed for the pipeline inspection flight.

Witnesses reported the following information to the investigator- in-charge. The airplane was preflighted and fueled. The pilot taxied the airplane to runway 31 where a runup was completed. "The takeoff and lift off looked normal," and the "engine sounded normal." The next time the airplane was observed it was at 500 feet and had "nosed over to almost vertical" and was in a 90 degree bank to the left. Prior to the airplane descending out of view it "looked like the pilot was trying to get the nose up and wings level."

Personnel information

According to a Federal Aviation Administration (FAA) inspector, the pilot was observed on previous flights making "abrupt maneuvers on takeoff." The pilot often made "knife edge turns and came back over the hangars at approximately 300 feet."

Aircraft information

The airplane's airframe and engine log books were not located. The operator reported that the log books were normally kept in the airplane, which was destroyed by a post impact fire.

The person who performed the annual inspection on November 12, 1994, stated the airplane was in "excellent condition." He also stated he installed outer wing and fuselage fuel tanks on December 15, 1994.

Wreckage and impact information

The wreckage distribution path was on a centerline of 255 degrees magnetic. The aircraft came to rest 63 feet from the initial ground scar on a magnetic heading of 020 degrees. There was a post impact fire. The green wing tip light was found in the initial ground scar. A tree located 53 feet from the wreckage had branches separated 16 feet above the ground. A cut limb with aluminum transfer marks was found on the ground near the tree. Another cut tree limb with aluminum transfer marks was found 55 feet along the energy path, 25 feet to the left.

Continuity was established to all flight control surfaces; however, the right aileron control cable was found separated about 13 feet, 8 inches from the outer bell crank attachment. The separated pieces of the cable were shipped to the National Transportation Safety Board, Office of Research and Engineering, Materials Laboratory, Washington, D.C., for further examination and evaluation. The examination and evaluation revealed "most of the wires were elongated near the fracture ends and contained cup-and-cone or slant fracture features, typical of overstress tensile separations." See enclosed report.

Examination of the airplane and engine did not disclose any mechanical anomalies. See enclosed wreckage diagram for wreckage distribution details.

Medical and pathological information

The autopsy was performed by James R. Bruce, M.D., at the Lufkin Pathology Laboratory, Lufkin, Texas. Toxicology findings were negative.

Additional data

The airplane wreckage was released to the owner's representative.

Aircraft

Registration
N1438Z
Reported as
Cessna R172E
Category
Airplane
Serial number
R172-0232
Airframe hours
7,700
Engine
Lycoming O-360-A1A, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Aerial observation · Part 91
Registered owner
Laurence E. Stratton
Airworthiness certificate
Standard, Normal
Departed
07F
Destination
CRP · Corpus Christi, 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
51
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
6,000 total · 5,000 in this make and model · 200 in the last 90 days · 70 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
315° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F

FAA reports on this event · 1

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