GAA16CA419

NTSB accident investigation · Cessna 172 · Lewiston, MT · August 2, 2016

Accident · No injuriesData collectionFinal report
Date
August 2, 2016, 16:30 local (22:30 UTC)
Place
Lewiston, MT
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N734GMCessna 172
Defining event
Takeoff: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed · report January 18, 2017
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20160802012979A
Case key
93775

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot's failure to ensure that his seat was adjusted and locked, which resulted in his seat sliding aft during the takeoff roll, and the subsequent loss of directional control and runway excursion.

Findings · 6

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Fuselage: seat/cargo attach fittingAircraft › Aircraft structures · Incorrect use/operationCessna 172N: 3 casesAll aircraft: 27 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 172N: 10 casesAll aircraft: 1,391 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotCessna 172N: 3 casesAll aircraft: 336 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 172N: 150 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 172N: 82 casesAll aircraft: 3,958 casesProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeCessna 172N: 5 casesAll aircraft: 313 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

According to the pilot, during the takeoff roll about 30 knots indicated airspeed, his seat slid back a few inches. He reported that, "The slight movement of the pilot seat aft during takeoff roll was inconvenient. Had I done nothing at this point, it most likely would have been a manageable situation." However, the pilot reported that, "My reaction to move the seat forward using the adjustment bar during takeoff roll acceleration is what caused the pilot seat to move to the full aft position." He reported that the full aft seat movement caused him to pull back on the yoke, the nose landing gear came off the ground, and the airplane veered left and exited the runway to the left, and struck a fence before coming to a halt. The airplane sustained substantial damage to both wings, horizontal stabilizer, and elevator. The pilot reported that there were no mechanical malfunctions or anomalies with the airplane during the takeoff roll that would have prevented normal flight operations. Federal Aviation Administration Aviation Safety Inspector's examined the pilot's seat, track and adjustment assembly and found that there were no failures or anomalies. According to the manufacturer's Pilot Operating Handbook, item number three of the Before Start Checklist states: Seats/Belts –Adjusted and locked

Factual narrative

According to the pilot, during the takeoff roll about 30 knots indicated airspeed, his seat slid back a few inches. He reported that, "The slight movement of the pilot seat aft during takeoff roll was inconvenient. Had I done nothing at this point, it most likely would have been a manageable situation." However, the pilot reported that, "My reaction to move the seat forward using the adjustment bar during takeoff roll acceleration is what caused the pilot seat to move to the full aft position." He reported that the full aft seat movement caused him to pull back on the yoke, the nose landing gear came off the ground, and the airplane veered left and exited the runway to the left, and struck a fence before coming to a halt. The airplane sustained substantial damage to both wings, horizontal stabilizer, and elevator. The pilot reported that there were no mechanical malfunctions or anomalies with the airplane during the takeoff roll that would have prevented normal flight operations. Federal Aviation Administration Aviation Safety Inspector's examined the pilot's seat, track and adjustment assembly and found that there were no failures or anomalies. According to the manufacturer's Pilot Operating Handbook, item number three of the Before Start Checklist states: Seats/Belts –Adjusted and locked

Aircraft

Registration
N734GM
Reported as
Cessna 172 (N)
Category
Airplane
Serial number
17268843
Built
1977
Airframe hours
5,970.2
Engine
Lycoming 0-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Wheels Down LLC
Registered owner
Wheels Down LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 19, 2016
Departed
MT56 · Lewistown, MT
Destination
BZM · Bozeman, MT
Airport
MT65 · Smithfield, runway 24, 2,646 × 50 ft, asphalt
Equipment
ADS-B, Stall warning system, Electronic flight bag or handheld device

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
48
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
October 21, 2015
Seat
Left
Restraint
3-point
Flight hours
1,132 total · 247 in this make and model · 878 as pilot in command · 12 in the last 90 days · 2 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 13 knots, gusting 18
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 52 °F
Altimeter
29.96 inHg
Observed at
KLWT, 5 nm away

Docket · 3

The files NTSB released with the investigation on November 10, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.0 MB in all.

FAA reports on this event · 1

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