FTW95FA349

NTSB accident investigation · Cessna 172D · Tsaile, AZ · April 24, 1995

Accident · FatalField investigationFinal report
Date
April 24, 1995, 09:55 local (16:55 UTC)
Place
Tsaile, AZ
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N2587YCessna 172D
Weather
Visual (VMC) · Day
Status
Completed · report February 14, 1996
Report
Approved by Office Director
FAA report
19950424025469A
Case key
19245

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 terrain clearance. Factors were the pilot's lack of mountain flying experience and the rising terrain.

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 objectManeuvering
Object - tree(s)
Clearance - not maintainedPilot in commandCause
Lack of experiencePilot in commandFactor
Terrain condition - risingFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The airplane departed page municipal airport, page, Arizona, approximately 0845 for addison, Texas, with planned fuel stops at santa fe, new Mexico and plainview, Texas. A flight plan was not filed and no weather briefing received. The aircraft wreckage was located by a navajo shepherd seven NM east northeast of Tsaile, Arizona on the western slope of the chuska mountains near the summit at an elevation of approximately 9,000 feet. It was established that at the altitude described, the aircraft was within the designed performance limit. An estimate of the weight of the airplane at the time of the accident was 2,316 pounds. The maximum allowable gross weight of the airplane is 2,300 pounds. Examination of the airplane did not disclose any mechanical anomalies. The flight control cables were verified for their continuity from the control surfaces through the cabin area. The engine, after replacing damaged parts, ran normally. The pilot had no known mountain flying experience, and his last known biennial flight review was on October 1, 1991.

Factual narrative

History of flight

On April 24, 1995, approximately 0955 mountain standard time, a Cessna 172D, N2587Y, was destroyed after impacting the terrain near Tsaile, Arizona. The private pilot and three passengers were fatally injured. Visual meteorological conditions prevailed for the Title 14 CFR Part 91 business cross country flight. The airplane departed Page Municipal Airport, Page, Arizona, approximately 0845 for Addison, Texas, with planned fuel stops at Santa Fe, New Mexico, and Plainview, Texas. A flight plan was not filed and there were no known communications with the pilot after departure. No weather briefing was obtained for the cross country flight.

The wreckage of the airplane was located by a Navajo shepherd on August 19, 1995. There were no reported witnesses to the accident.

Personnel information

The private pilot's last known biennial flight review was on October 1, 1991. A review of the pilot's logbook revealed that his flights were within northeastern Texas, and there was no mountain flying experience logged. (see enclosed pilot log). His most recent Federal Aviation Administration (FAA) medical examination was a third class dated August 30, 1991.

The pilot was a certificated airframe and powerplant mechanic and had performed all the required maintenance on the airplane for approximately one year.

Aircraft information

Performance and weight and balance calculations were performed using data provided by the manufacturer, and does not include a remote compact disc unit and two speakers, nor a stereo cassette player installed in the instrument panel. These modifications were not reflected in the aircraft maintenance records. The weights of the persons on board, which are used in the calculation, were provided by the passenger's next of kin and the pilot's last FAA medical examination. An estimate of the weight of the airplane at the time of the accident was 2,316 pounds. According to the manufacturer, the maximum gross weight of the airplane is 2,300 pounds, and the approved center-of-gravity envelope is undefined above the maximum weight.

Performance data indicates the airplane's best rate-of-climb was 230 feet per minute with an indicated airspeed of 77 miles per hour at an altitude of 10,000 feet mean sea level. The service ceiling for the airplane is 13,100 feet.

The fuel handler, who fueled the airplane at Page, Arizona, stated to a local law enforcement officer during an interview, that he did not remember fueling the aircraft; however, since it was on top of the Fuel Log Report, it had to have been one of the first airplanes to be fueled on the morning of April 24, 1995. He further stated, "by putting 14.8 gallons he believes it was probably topped off and that the plane had full fuel tanks."

Meteorological information

Visual meteorological conditions prevailed throughout the area. (See enclosure.)

Wreckage and impact information

The aircraft wreckage was located four nautical miles (NM) south of a direct course between Page, Arizona and Santa Fe, New Mexico on the western slope of the Chuska Mountains near the summit. It was in a wooded area seven NM east northeast of Tsaile, Arizona, at latitude 36 degrees 18.4 minutes north and longitude 109 degrees 04 minutes west. The elevation of the accident site was approximately 9,000 feet. The direction of the aircraft's path through the trees was 140 degrees for 102 feet and then 110 degrees for 87 feet. The aircraft came to rest on it's nose at the initial ground scar on a measured magnetic heading of 160 degrees. See enclosed wreckage diagram for wreckage distribution details.

Both wings remained attached to the aircraft except for the three foot outboard sections of each wing. Bark scuff marks were observed along the leading edge of the right wing and it's separated outboard section. An unmeasured quantity of fuel was present in the left tank. No fuel was observed in the right tank. The engine compartment was crushed aft and left. The cabin area appeared to be generally uncompromised. The empennage, was swept right and twisted clockwise about 45 degrees. The vertical stabilizer, rudder, right stabilizer, and right elevator exhibited minor damage. The Emergency Locator Transmitter (ELT) antenna wire was separated.

The propeller remained attached to the engine and was partially buried. One blade appeared to be undamaged, while the other blade was bent aft about 1/3 span from the hub. It exhibited no leading edge damage or scratches.

The engine remained attached to the fuselage. The left magneto and oil filter were separated and the starter was partially separated from the engine. The carburetor heat control was separated at the actuating arm and the carburetor mixture control was partially pulled out of the carburetor. The carburetor fuel screen was clean and clear. As the propeller was rotated, the vacuum pump was observed rotating. The left and right magnetos sparked at all terminals. The engine was shipped to the engine manufacturer's facility in Mobile, Alabama, for further examination.

Examination of the airplane did not disclose any mechanical anomalies. The flight control cables were verified for their continuity from the control surfaces through the cabin area. A review of the airframe and engine records by a FAA inspector did not reveal any anomalies or uncorrected maintenance defects.

Medical and pathological information

The autopsy was performed by Vernon Armbrustmacher, M.D., and Patricia J. McFeeley, M.D., at the University of New Mexico School of Medicine, Albuquerque, New Mexico. Toxicological analysis was not performed due to specimens not being available.

Tests and research

An examination and test run of the engine was accomplished on November 3, 1995. The engine after replacing damaged parts, ran normally on the two full power runs. (See enclosed report.)

Additional information

The airplane was released to the operator.

Aircraft

Registration
N2587Y
Reported as
Cessna 172D
Category
Airplane
Serial number
17259987
Airframe hours
3,619
Engine
Continental O-300-D, 145 lbs thrust, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Operator
Bob Werra, doing business as Univesco
Registered owner
Airport Of Harbor Point, L.C.
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · June 10, 1994 · 32 hours before
Departed
PGA · Page, AZ
Destination
ADS · Addison, 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
45
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Expired
Seat
Left
Flight hours
1,745 total · 1,744 as pilot in command · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 5 knots
Visibility
50 statute miles
Lowest ceiling
None
Altimeter
30.00 inHg
Observed at
FMN, 49 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.