# NTSB FTW95LA152: Cessna 195A, N1048D, Albuquerque, NM, March 31, 1995 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: March 31, 1995, 15:05 local (22:05 UTC) - Place: Albuquerque, NM - Coordinates: 35.059009, -106.620864 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=35.0590&lon=-106.6209&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report June 19, 1995 - Report: Approved by Office Director - NTSB case key (mKey): 19379 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=FTW95LA152 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/19379/pdf - Page: https://openairdocs.org/ntsb/FTW95LA152 ## Probable cause A PARTIAL FAILURE OF THE AIRPLANE BRAKE SYSTEM (LEFT BRAKE). A FACTOR WAS THE RIGHT QUARTERING TAILWIND. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - on ground/water, landing - roll - landing gear,normal brake system - failure,total (cause) - weather condition - crosswind (contributing factor) - weather condition - tailwind (contributing factor) - Dragged wing,rotor,pod,float or tail/skid, landing - roll - ground loop/swerve - encountered ## Analysis ATIS REPORTED THE WIND TO BE FROM 290 DEGREES AT 8 KNOTS, AND THE PILOT ACCEPTED A CLEARANCE TO LAND ON RUNWAY 17. ON FINAL APPROACH HE WAS ADVISED THAT THE WINDS WERE CALM, BUT HE REALIZED THERE WAS A RIGHT QUARTERING TAILWIND. DURING THE LANDING ROLL, THE AIRPLANE DRIFTED LEFT, AND THIS WAS CORRECTED BY RIGHT RUDDER AND BRAKE APPLICATION. THE AIRPLANE THEN DRIFTED RIGHT. LEFT RUDDER AND BRAKE APPLICATION HAD NO EFFECT AND THE AIRPLANE GROUNDLOOPED, COLLAPSING THE LEFT MAIN LANDING GEAR. POST-ACCIDENT EXAMINATION REVEALED THE LEFT BRAKE ASSEMBLY PUCK CLIPS WERE MISSING. ## Factual narrative On March 31, 1995, approximately 1505 mountain standard time, a Cessna 195A, N1048D, was substantially damaged during landing at Albuquerque, New Mexico. The commercial pilot and pilot rated passenger were not injured. Visual meteorological conditions prevailed. The following is based on the pilot/operator report. As the pilot made his approach to Albuquerque, ATIS (automatic terminal information service) the reported winds were from 290 degrees at 8 knots. He was cleared to land on runway 35, but this was subsequently changed to runway 17. The pilot asked for a wind check, and was advised that the winds were calm. On final approach, the pilot realized there was a right quartering tailwind. The pilot flared "a little high" and the airplane bounced. A recovery was made with power. During rollout, the airplane began drifting to the left that was corrected by right rudder and brake application. The airplane then began drifting to the right. Left rudder and brake application had no effect and the airplane ground looped, collapsing the left main landing gear. Post-accident examination of the braking system revealed that the left brake assembly was missing the puck retaining clips. According to the aircraft maintenance manuals if the clips are not installed the brake will not respond to inputs from the pilot.. The pilot added, "I should not have accepted (a landing clearance in) a quartering right tailwind until I was more familiar with the airplane." ## Aircraft - Registration: [N1048D](https://openairdocs.org/deregistered/N1048D-1996-08-12), registration cancelled 1996-08-12, S/N 7660 (OpenAirDocs) - Reported make and model: CESSNA 195A - Registry model: [Cessna 195A](https://openairdocs.org/model/cessna-195a) (registry code 2073110) (OpenAirDocs) - Category: Airplane - Serial number: 7660 - Airframe hours: 2100 - Engines: JACOBS R-755-B2 275 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Registered owner: Wilson, Patrick W. - Airworthiness certificate: Standard, Normal - Last inspection: Annual, March 27, 1995, 7 hours before - Departed: PVW, PLAINVIEW, TX - Airport: ABQ, Albuquerque International, runway 17, 10,010 × 150 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 67; flight instructor, commercial; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 2, valid medical--w/ waivers/lim; seat: left; flight hours: 4,440 total, 60 in this make and model, 46 in the last 90 days, 12 in the last 30 days, 2 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 10° at 5 knots - Visibility: 60 statute miles - Lowest ceiling: none - Temperature: 57 °F, dew point 16 °F - Altimeter: 30.00 inHg - Observed at: ABQ ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 19950331006459A](https://openairdocs.org/incident/19950331006459A), Mar 31, 1995: Cessna 195A, Albuquerque, NM, Substantial damage. Landed in right quartering tailwind, left brake failed. Ground looped. Folded gear. No brake puck retaining clips. ## Other investigations on N1048D (2) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB MKC69F0046](https://openairdocs.org/ntsb/MKC69F0046-201090), Jun 3, 1968: Cessna 195A (N1048D), Minot, ND, substantial damage - [NTSB UNK64X3178](https://openairdocs.org/ntsb/UNK64X3178), Aug 2, 1964: Cessna 195A (N1048D), Montrose, CO, substantial damage From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.