FTW95LA074

NTSB accident investigation · Cessna 150H · Monahans, TX · December 27, 1994

Accident · Serious injuriesLimited investigationFinal report
Date
December 27, 1994, 08:06 local (14:06 UTC)
Place
Monahans, TX
Injuries
2 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N6417SCessna 150H
Weather
Visual (VMC) · Day
Status
Completed · report June 19, 1995
Report
Approved by Office Director
FAA report
19941227042339A
Case key
19328

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 use the carburetor heat and failure to maintain airspeed. A factor was the icing conditions.

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 engine power(partial) - nonmechanicalTakeoff - initial climb
Weather condition - icing conditionsFactor
Fuel system,carburetor - iceCause
Anti-ice/deice system,carburetor/heat - not activatedCause
Loss of engine power(total) - nonmechanicalManeuvering - turn to landing area (emergency)
Forced landingEmergency landing after takeoff
On ground/water collision with objectDescent - uncontrolled
Airspeed(vs) - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
Object - fence

Analysis

During the initial climb, 200 feet above ground level, the pilot experienced a rough running engine followed by a complete loss of power. Following the onset of the rough running engine the pilot decreased power initially and then added full power to sustain level flight. During the attempt to maintain level flight the pilot realized that he was losing altitude, so he executed a descending left turn in an attempt to return to the runway. The pilot lowered the flaps to 20 degrees during the descent. During the descent the pilot heard the stall warning horn. The aircraft impacted the ground and slid sideways into a fence surrounding a gas line. The aircraft was consumed by fire. According to the carburetor icing probability chart the aircraft was operating in serious icing conditions. The temperature was 45 degrees and the dew point was 43 degrees.

Factual narrative

On December 27, 1994, at 0806 central standard time, a Cessna 150H, N6417S, was destroyed during a forced landing near Monahans, Texas. The airplane, owned and operated by the passenger, had just departed from the airport on what was to have been a local personal flight. There was no flight plan filed and visual meteorological conditions prevailed. The commercial pilot and the pilot rated passenger sustained serious injuries.

In a written report submitted by the pilot, he stated that he planned the flight to check the engine recently installed. He further stated that he performed a pre-flight and executed a "normal" takeoff. During the initial climb (200 feet above ground level) and at a point close to the end of the runway the engine began "running rough." Power was reduced so that he could land on the remaining runway. The rated passenger checked the fuel mixture shortly after the engine began to run rough. When the pilot realized that he could not make the runway he "added full power and levelled off at his current altitude." After levelling off the engine began to lose power as the pilot executed a left descending turn and added 20 degrees of flaps in preparation for landing.

Both the pilot and passenger reported that at some point they both heard the stall warning horn. The pilot stated that "touchdown was very hard and the ground roll was very short due to the low airspeed." Following touchdown, the aircraft slid sideways into a fence, around a gas pipe line. Following the impact with the fence the aircraft was consumed by fire. The pilot further stated that he thought "he had experienced carburetor icing." No evidence of carburetor heat being applied was found and the pilot did not report that he had used it.

An examination of the aircraft records revealed that the engine was installed on December 26, 1994 (date of sign off in log books).

A physical inspection of the engine revealed that the rocker arms were installed incorrectly. It was noted that the engine would not rotate because the thrust flange was broken and pushed to the rear. The carburetor assembly melted off of its mounting point. Inspection of the oil pump revealed that it rotated freely.

Temperature at the time of the accident was reported to be 45 degrees and the dew point was 43 degrees. A review of the icing probability chart established that the aircraft was operating in an area of serious icing conditions.

Aircraft

Registration
N6417S
Reported as
Cessna 150H
Category
Airplane
Serial number
15067217
Airframe hours
3,414
Engine
Continental O-200A, 100 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Henry R. Cutbirth
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 26, 1994 · 1 hours before

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
40
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
1,168 total · 156 in this make and model · 964 as pilot in command · 13 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 4 knots
Visibility
10 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
45 °F, dew point 43 °F
Altimeter
30.00 inHg
Observed at
INK

FAA reports on this event · 1

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

Other investigations on N6417S · 2

Matched to the same aircraft by N-number and date.