IAD05FA040

NTSB accident investigation · Cessna 182P · West Milford, NJ · February 27, 2005

Accident · FatalField investigationFinal report
Date
February 27, 2005, 13:05 local (18:05 UTC)
Place
West Milford, NJ
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N6685MCessna 182P
Weather
Visual (VMC) · Day
Status
Completed · report April 25, 2006
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Teledyne Continental Motors Inc., FAA FSDO-25
FAA report
20050227020279A
Case key
61065

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 inadequate preflight inspection, which resulted in a total loss of engine power due to fuel ice, during the initial climb after takeoff.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - nonmechanicalTakeoff - initial climb
Fluid,fuel - iceCause
Aircraft preflight - inadequatePilot in commandCause
Forced landingDescent - emergency
In flight collision with objectDescent - emergency
Object - tree(s)

Analysis

During the initial climb after takeoff, the engine experienced a total loss of power. The airplane lost altitude and touched down about 20 feet from the end of the runway pavement, became airborne again, sank below the level of the runway and out of view. After striking several trees and a power line, the airplane came to rest next to a road 362 feet northeast of the departure end of the runway. Examination of the runway revealed that it had a 340 foot displaced threshold that had been marked as a taxiway due to encroachment in the airport safety zone. Examination of the airplane and engine did not reveal any preimpact mechanical malfunctions; however, water was obtained from the fuel strainer, and a large piece of ice with visible contaminants suspended in it was found attached to the filter assembly. The airplane was stored out of doors and had not flown for almost 6 months. The owners manual stated that "if the aircraft is to be stored temporarily, or indefinitely, refer to the service manual for proper storage procedures." The service manual stated in the returning aircraft to service section to "Check fuel strainer. Remove and clean filter screen."

Factual narrative

History of flight

On February 27, 2005, at 1305 eastern standard time, a Cessna 182P, N6685M, was destroyed when it impacted terrain following a loss of engine power during the initial climb from Greenwood Lake Airport (4N1), West Milford, New Jersey. The certificated private pilot/owner and pilot rated passenger were fatally injured. Visual meteorological conditions prevailed, and no flight plan was filed for the local personal flight conducted under 14 CFR Part 91.

According to witness statements, prior to the accident flight the airplane was placed in a hangar for approximately 1 hour, for preflight inspection and "de-ice," and was then placed outside. The pilot was observed rocking the wings up and down with his hands, and carrying a fuel sample cup. After the preflight, the pilot performed a "lengthy" run-up, and taxied into position for takeoff at the threshold of runway 06. Engine power increased, and the airplane lifted off about 400 to 500 feet later. After climbing to an approximate height of 50 to 200 feet above the ground, and at a point about 1,300 feet down the runway, a "puff of blackish" or "dark" smoke was observed coming from the area of the engine cowl. The airplane then lost altitude, and touched down approximately 20 feet from the end of the runway pavement. It briefly became airborne again, and then sank below the level of the runway, and out of view.

Personnel information

The pilot held a private pilot certificate with a rating for airplane single-engine land. He reported a total flight time of 600 hours on his most recent application for a Federal Aviation Administration (FAA) third-class medical certificate, dated January 13, 2005.

Aircraft information

The airplane was manufactured in 1975. The Airplane's original logbooks were destroyed by a house fire in 1992. It was equipped with the original engine, which according to the post fire maintenance records, had been overhauled in 1988 at 3,122.5 hours of operation. On November 15, 1988 Cessna fuel cap kit SK-182-85 was installed to prevent power loss or engine stoppage due to water contamination of the fuel system. The airplane's most recent annual inspection was completed on May 10, 2004, and at that time, it had accumulated 4,231.5 total hours of operation.

According to the maintenance and pilot records, during the period between the two most recent annual inspections, the airplane was operated a total of 3.4 hours. Between August 1, 1998 and September 4, 2004, the airplane was operated a total of 37.9 hours.

Meteorological information

A weather observation taken about 12 minutes prior to the accident at the Sussex Airport (FWN), Sussex, New Jersey, located approximately 14 nautical miles west of the accident site, recorded the wind as variable at 3 knots, visibility 10 miles, sky clear, temperature 30 degrees Fahrenheit, dew point 9 degrees Fahrenheit, and an altimeter setting of 30.26 inches of mercury.

Airport information

Greenwood Lake airport experienced approximately 30,000 aircraft movements per year. It had one runway, 06/24. The runway was asphalt, and in good condition. The total length was 4,000 feet long and 60 feet wide. The threshold for runway 06 had been relocated 340 feet northeast on June 6, 2003, as a result of encroachment in the airport safety zone.

Examination of the 340 feet of pavement revealed that it was not marked as a displaced threshold, which according to the Aeronautical Information Manual would have made it "available for takeoffs in either direction and landings from the opposite direction. Further examination showed that in actuality, it was marked as a taxiway aligned with a runway, and could only be used for aircraft ground movement.

Due to the 340 feet of pavement marked as a taxiway aligned with a runway, and a chevroned runway safety area on the departure end of runway 06, the usable length was actually 3,470 feet.

Wreckage and impact information

The accident occurred during the hours of daylight. The wreckage was located at 41 degrees, 07.953 minutes north latitude, 74 degrees, 20.418 minutes west longitude, at an elevation of about 757 feet msl.

After striking several trees and a power line, the airplane came to rest next to a road 362 feet northeast of the departure end of runway 06, and about 51 feet in elevation below it.

The debris path was about 20 feet long, and orientated on a heading of 086 degrees magnetic.

All the major components of the airplane were accounted for at the accident site.

The main wreckage displayed varying degrees of impact damage, and a postcrash fire consumed the majority of the cockpit and cabin. The left wing, right wing, and tail section, along with all the associated flight control surfaces displayed different degrees of damage. The main wreckage was partially inverted, and the right wing had separated from the airframe. The flap actuator and surviving portions of the flap tracks correlated to the flaps up position. The elevator trim correlated to approximately neutral. Flight control continuity was confirmed from the ailerons to the surviving inboard portions of the wings, and from the elevator and rudder panels to the approximate location of the cabin.

Examination of the cockpit revealed that the throttle control was in the maximum power position, the mixture control was full rich, and the propeller control was set to high RPM.

Examination of the propeller revealed that both propeller blades displayed slight scratching on the propeller tips and minimal impact damage with the exception of one blade that exhibited slight bending in the rearward direction. Both blades had remained attached to the hub. However, the blades could be separately rotated from the low pitch setting to the high pitch setting by hand.

Examination of the engine revealed minimal impact and postcrash fire damage with the exception of the No. 5 cylinder valve cover, which had a 3/8-inch diameter, puncture hole, and the right magneto, which exhibited impact damage. Both left-hand engine mounts were fractured. Continuity of the intake system, exhaust system, valve train, and crankshaft was confirmed. The crankshaft was then rotated by hand, and no binding was noted. Thumb compression and spark continuity was obtained on all six cylinders, and all spark plugs electrodes were intact and appeared normal.

Examination of the fuel system from the firewall forward was conducted. The fuel line from the fuel strainer to the carburetor was removed, and a fuel sample was obtained for examination. The sample appeared to be dull, cloudy and visible contamination was evident. The carburetor was removed and disassembled to inspect the inside of the float bowl. The internal portion of the float bowl was clean, and free of sediment and debris.

A fluid sample was obtained from the fuel strainer. When the fluid sample was applied to a coupon containing water-finding paste, the paste turned to a reddish-pink color, indicating the presence of water. The fuel strainer bowl was then removed and a large piece of ice with visible contaminants suspended in it was found attached to the filter assembly.

Survival factors information

Shoulder harnesses were installed by the manufacturer as standard equipment for the pilot and front passenger seat positions.

During examination of the occupant restraint system, it was revealed that the shoulder harness retaining studs on both the pilot and front passenger seat positions, were not snapped on to the seat belt assemblies.

According to the FAA Civil Aerospace Medical Institute's publication AM-400-90/2, seat belts will only protect occupants in minor impacts; however the use of shoulder belts will reduce major injuries by 88 percent and fatalities by 20 percent.

Medical and pathological information

Autopsies were performed on the pilot and pilot rated passenger by the New Jersey Office of the Regional Medical Examiner,

Aircraft

Registration
N6685M
Reported as
Cessna 182P
Category
Airplane
Serial number
18263799
Airframe hours
4,237
Engine
Continental O-470-S, 230 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2004 · 6 hours before
Departed
4N1 · West Milford, NJ
Destination
4N1
Airport
4N1 · Greenwood Lake Airport, runway 6, 3,470 × 60 ft, asphalt

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
Pilot
Age
56
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
August 1, 2004
Seat
Left
Toxicology
Performed
Flight hours
600 total
Role
Other flight crew
Age
79
Injuries
Fatal
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
November 1, 2004
Seat
Right
Toxicology
Performed
Flight hours
26,830 total · 23,335 as pilot in command · 77 in the last 90 days · 35 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
30 °F, dew point 9 °F
Altimeter
30.26 inHg
Observed at
FWN, 14 nm away

FAA reports on this event · 1

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