GAA18CA166

NTSB accident investigation · Cessna 140 · Madison, SD · March 12, 2018

Accident · No injuriesData collectionFinal report
Date
March 12, 2018, 17:15 local (22:15 UTC)
Place
Madison, SD
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N2011NCessna 140
Defining event
Takeoff: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report June 14, 2018
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20180312002339A
Case key
96890

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 flight instructor’s delayed aborted takeoff on a soft, wet, grass runway, which resulted in a runway overrun.

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.

Action: delayed actionPersonnel issues › Action/decision · Instructor/check pilotCessna 140: 6 casesAll aircraft: 894 casesProbable cause
Runway/land/takeoff/taxi surface: soft surfaceEnvironmental issues › Physical environment · Effect on operationCessna 140: 4 casesAll aircraft: 264 cases
Runway/land/takeoff/taxi surface: wet surfaceEnvironmental issues › Physical environment · Effect on operationCessna 140: 5 casesAll aircraft: 141 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

The flight instructor, acting as a safety pilot, in the tailwheel-equipped airplane reported that, to expedite takeoff, he decided to take off from the grass runway instead of the concrete runway. He added that, about midway into the soft-field takeoff roll, he observed that the airplane was "struggling to build airspeed." He added that the runway had previously thawed and was "wet spongy sod." He reduced power and began to apply the brakes to abort the takeoff, but the airplane overran the runway, impacted a snow bank, and nosed over. The airplane sustained substantial damage to the fuselage. The flight instructor reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation.

Factual narrative

The flight instructor, acting as a safety pilot, in the tailwheel-equipped airplane reported that, to expedite takeoff, he decided to takeoff from the grass runway instead of the concrete runway. He added that, about midway into the soft-field takeoff roll, he observed that the airplane was "struggling to build airspeed". He added that the runway had previously thawed and was "wet spongy sod". He reduced power and began to apply the brakes to abort the takeoff, but the airplane overran the runway, impacted a snow bank, and nosed over. The airplane sustained substantial damage to the fuselage. The flight instructor reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation.

Aircraft

Registration
N2011N
Reported as
Cessna 140 (UNDESIGNAT)
Category
Airplane
Serial number
12247
Built
1947
Airframe hours
1,324
Engine
Cont Motor C-85-12F, 85 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 14, 2017
Departed
MDS · Madison, SD
Destination
MDS · Madison, SD
Airport
MDS · Madison Muni, runway 03, 2,380 × 200 ft, grass/turf
Equipment
None

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
30
Injuries
None
Certificate
Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 22, 2018
Seat
Right
Restraint
Lap only
Flight hours
500 total · 10 in this make and model · 418 as pilot in command
Role
Pilot-rated passenger
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Unknown
Seat
Left
Restraint
Lap only

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
32 °F, dew point 32 °F
Altimeter
30.36 inHg
Observed at
KMDS

Docket · 1

The files NTSB released with the investigation on April 26, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 599 KB 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.