GAA16CA422

NTSB accident investigation · Cessna 195 · Hillsborough, OR · August 6, 2016

Accident · No injuriesData collectionFinal report
Date
August 6, 2016, 08:20 local (15:20 UTC)
Place
Hillsborough, OR
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N4026ACessna 195
Defining event
Landing-flare/touchdown: Loss of visual reference
Weather
Visual (VMC) · Day
Status
Completed · report January 18, 2017
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20160806014039A
Case key
93793

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 attain a proper touchdown point and loss of directional control and her subsequent excessive brake application, which resulted in a nose-over.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 195A: 13 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 195A: 11 casesAll aircraft: 3,958 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Incorrect use/operationCessna 195A: 2 casesAll aircraft: 297 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 195A: 1 caseAll aircraft: 1,391 casesProbable cause
Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 195A: 1 caseAll aircraft: 809 casesProbable cause
Performance/control parameters: surface speed/brakingAircraft › Aircraft oper/perf/capability · Incorrect use/operationCessna 195A: 1 caseAll aircraft: 238 casesProbable cause

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

The pilot of the tailwheel-equipped airplane reported that during the landing flare she could not see forward beyond the engine cowl, and due to the side-by-side seat configuration of the airplane she lost sight of right side of runway. She recalled that the airplane touched down slightly left of the center line and continued to roll further left. She reported that she applied full right rudder and applied the brakes in order prevent a runway excursion to the left, but the airplane nosed over and partially exited the left side of the runway. The airplane sustained substantial damage to the left wing, the vertical and horizontal stabilizer, and the rudder. The pilot reported that there were no mechanical malfunctions or anomalies with any portion of the airplane during the flight that would have prevented normal flight operation.

Factual narrative

The pilot of the tailwheel-equipped airplane reported that during the landing flare she could not see forward beyond the engine cowl, and due to the side-by-side seat configuration of the airplane she lost sight of right side of runway. She recalled that the airplane touched down slightly left of the center line and continued to roll further left. She reported that she applied full right rudder and applied the brakes in order prevent a runway excursion to the left, but the airplane nosed over and partially exited the left side of the runway. The airplane sustained substantial damage to the left wing, the vertical and horizontal stabilizer, and the rudder. The pilot reported that there were no mechanical malfunctions or anomalies with any portion of the airplane during the flight that would have prevented normal flight operation.

Aircraft

Registration
N4026A
Reported as
Cessna 195 (A)
Category
Airplane
Serial number
7830
Built
1952
Airframe hours
4,325.43
Engine
Jacobs R755B SERIES, 275 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 28, 2015
Departed
SLE · Salem, OR
Destination
7S3 · Hillsborough, OR
Airport
7S3 · Stark'S Twin Oaks Airpark, runway 02, 2,465 × 48 ft, asphalt
Equipment
Electronic flight bag or handheld device, Handheld GPS

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
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
January 27, 2016
Seat
Left
Restraint
4-point
Flight hours
755 total · 308 in this make and model · 633 as pilot in command · 52 in the last 90 days · 45 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 48 °F
Altimeter
30.02 inHg
Observed at
KHIO, 7 nm away

Docket · 3

The files NTSB released with the investigation on November 18, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 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.

Other investigations on N4026A · 2

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