GAA17CA415

NTSB accident investigation · Cessna 195 · Leavenworth, KS · July 17, 2017

Accident · No injuriesData collectionFinal report
Date
July 17, 2017, 11:20 local (16:20 UTC)
Place
Leavenworth, KS
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N4432CCessna 195
Defining event
Landing-landing roll: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report December 15, 2017
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20170717015449A
Case key
95601

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 inadvertent toe brake application during the landing roll, which resulted in a runway excursion and a ground loop.

Findings · 3

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.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 195B: 13 casesAll aircraft: 3,958 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 195B: 3 casesAll aircraft: 1,391 casesProbable cause
Landing gear system: brakeAircraft › Aircraft systems · Unintentional use/operationCessna 195B: 1 caseAll aircraft: 297 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 airplane reported that he made a normal approach to an asphalt runway. During the landing roll, the tail started to move to the left, and he corrected with left rudder application, but he recalled that "I may have unintentionally put pressure on the left toe brake." The airplane veered to the left and exited the left side of the runway. The airplane entered a drainage culvert and ground looped to the left. The right main landing gear (MLG) collapsed, and the right wing tip struck the ground. The airplane sustained substantial damage to the right MLG attachment point. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Factual narrative

The pilot of the tailwheel airplane reported that he made a normal approach to an asphalt runway. During the landing roll, the tail started to move to the left and he corrected with left rudder application, but he recalled that, "I may have unintentionally put pressure on the left toe brake." The airplane veered to the left and exited the left side of the runway. The airplane entered a drainage culvert and ground looped to the left. The right main landing gear collapsed, and the right wing tip struck the ground. The airplane sustained substantial damage to the right main landing gear attachment point. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N4432C
Reported as
Cessna 195 (B)
Category
Airplane
Serial number
16017
Built
1952
Airframe hours
3,554
Engine
Jacobs R755B SERIES, 275 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2017
Departed
GLD · Goodland, KS
Destination
FLV · Leavenworth, KS
Airport
FLV · Sherman Aaf, runway 16, 5,318 × 102 ft, asphalt
Equipment
Auto-pilot, 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
69
Injuries
None
Certificates
Private, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
July 15, 2016
Seat
Left
Restraint
3-point
Flight hours
4,000 total · 38 in this make and model · 40 in the last 90 days · 38 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 72 °F
Altimeter
30.02 inHg
Observed at
KMCI, 10 nm away

Docket · 2

The files NTSB released with the investigation on November 27, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.8 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.