LAX01FA198

NTSB accident investigation · Cessna 150L · Tulare, CA · June 3, 2001

Accident · FatalField investigationFinal report
Date
June 3, 2001, 10:00 local (17:00 UTC)
Place
Tulare, CA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N10531Cessna 150L
Weather
Visual (VMC) · Day
Status
Completed · report February 7, 2002
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Teledyne Continental Motors, Federal Aviation Administration
FAA report
20010603009969A
Case key
52401

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 student's failure to maintain adequate airspeed during the crosswind climb that resulted in a stall/spin at low altitude and the airplane's subsequent ground impact. A factor was the student's failure to retract the wing flaps.

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 control - in flightTakeoff - initial climb
Raising of flaps - not performedPilot in commandFactor
Lack of experiencePilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Airspeed - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in commandCause

Analysis

The airplane departed Visalia, California, approximately 0945, for the 10-mile flight to Mefford Field. The flight purpose was to practice takeoffs and landings on the student's eighth solo flight. Two witnesses were at the Farm Exposition grounds, located adjacent to, and at the departure end, of runway 31 at Mefford Field. They noticed that the wing flaps were extended to what was believed to be the full down position. They saw the airplane climb straight out until it reached what was estimated to be 200 to 250 feet above the ground. One witness noticed the airplane begin a turn to the left, in a westerly direction, and saw the nose come up to a higher attitude. He remarked that the airplane was going to stall. Shortly thereafter, the witness saw the airplane snap to the left, make one complete rotation to the left, with the left wing slightly lower of the right, and disappear behind some buildings. The second witness, who is a certificated pilot, was conversing with the first witness. He turned to speak to the first witness, who remarked, "It's going to stall." When he turned back to look, the airplane had disappeared behind the buildings. During the post crash examination of the wreckage, the flap jackscrew actuator was measured. It was extended 5.9 inches, which indicates a flap position of 40 degrees down. The cockpit flap switch was operated, and the switch locked in the up position when activated. The flap fuse was removed and tested. It was shown that the fuse had continuity. Power was applied to the wing flap motor using a 12-volt battery and electrical leads. The motor ran and moved the wing flap jackscrew throughout its range of motion in both directions. The flight instructor who had completed all of the pilot's training was interviewed. The instructor stated he had verbally restricted the student to make full stop landings only, for this particular flight. The instructor did not include this restriction on the solo endorsement. It was not determined if the student had done a full stop, touch-and-go, or a go-around.

Factual narrative

History of flight

On June 3, 2001, at 1000 hours Pacific daylight time, a Cessna 150L, N10531, was substantially damaged when it crashed into a farm equipment yard shortly after takeoff from Mefford Field (TLR), Tulare, California. The student pilot was fatally injured. The airplane was operated by Anthony P. Sario, and rented by the student for the local solo practice flight, under 14 CFR Part 91. The airplane departed Visalia, California, approximately 0945 for the 10-mile flight to Mefford Field. The student was going to practice takeoffs and landings. Visual meteorological conditions prevailed for the flight, and no flight plan was filed.

A witness was at the Farm Exposition grounds, located adjacent to, and at the departure end, of runway 31 at Mefford Field. He was participating in remote control (R.C.) airplane flying at a runway located on the grounds. He witnessed the airplane as it was climbing from a departure on runway 31. He noticed that the wing flaps were extended to what he believed was the full down position. He saw the airplane climb straight out until it reached what he estimated to be 200 to 250 feet above the ground. He then noticed the airplane begin a turn to the left, in a westerly direction, and saw the nose come up to a higher attitude. He remarked to a friend that the airplane was going to stall. Shortly thereafter, the witness saw the airplane snap to the left, make one complete rotation to the left, with the left wing slightly lower than the right, and disappear behind some buildings.

A second witness, who is a certificated pilot, was conversing with the first witness. He also noted that the flaps were full down. He turned around to speak to the first witness, who then remarked, "It's going to stall." When he turned back to look, the airplane had disappeared behind the buildings.

Personnel information

A review of the Federal Aviation Administration (FAA) airman records revealed that the pilot held a third-class medical certificate and student pilot certificate number FF-0041212, issued October 9, 2000, with no limitations. The student pilot certificate had been endorsed for solo flight in a Cessna 150 on February 17, 2001. The student had a total flight time of 48 hours, all of which were in the accident airplane. She had accomplished her first solo flight on February 17, 2001, and had subsequently logged 5.4 hours of solo flight time prior to the accident. The flight just prior to the accident had been on May 29, 2001, and was a dual lesson from the Visalia Airport to Mefford Field and return to Visalia. The student had a logbook endorsement from a flight instructor certifying proficiency in takeoffs and landings at Visalia and Mefford Field dated March 24, 2001.

Aircraft information

The airplane was a 1974 Cessna 150L, serial number 15074904. A review of the airplane maintenance logbooks revealed an annual inspection had been performed on May 15, 2001. The airplane had a Teledyne Continental Motors O-200-A engine, serial number 254216. The total time on the engine as of the last annual was 376.6 hours since major overhaul. The total time of the airframe as of the accident date was 7,001.8 hours. The airplane had flown approximately 20 hours since the last recorded annual inspection to the date of the accident.

Meteorological information

The closest weather observation available was from the Visalia airport Automated Weather Observation System (AWOS), located 10 nautical miles from the accident site on a magnetic bearing of 327 degrees. The Visalia AWOS indicated clear skies and a visibility of 10 miles or greater at the time of the accident. The winds were generally from 320 degrees at 8 knots. The runway heading on which the accident airplane departed was 310 degrees.

Wreckage and impact infromation

The wreckage was found in a farm equipment yard approximately .19 miles from the end of runway 31 at Mefford Field, on a magnetic bearing of 300 degrees. The airplane was resting on an asphalt surface, and the fuselage was pointed on a magnetic heading of approximately 240 degrees. Several large vehicles were parked behind, to the right, and in front of the wreckage. There was a large commercial building 30 feet from the wreckage on a magnetic bearing of 260 degrees. A large tractor with a piece of farm equipment approximately 12 feet in height was 12 feet behind the cabin on a magnetic bearing of 080 degrees. The vehicles had been parked there prior to the accident. The equipment yard was closed and secured when rescue equipment arrived. A lock had to be cut by fire department personnel in order to gain entry to the crash site.

There were no impact marks around the wreckage. No equipment had been disturbed and the buildings and vehicles directly surrounding the wreckage were not damaged. Only one impact mark was seen, directly under the engine. The engine cowling was crushed flat, with crush lines running 80 degrees to the longitudinal axis of the fuselage. The right wing was standing up on the leading edge and tilted aft approximately 20 degrees from vertical. The leading edge was crushed flat against the surface. The right aileron was in the full up position. The aft fuselage was bent down to an angle of approximately 20 degrees to the surface. Fold lines were observed directly aft of the cabin on the left side and were at an 80-degree angle to the longitudinal axis. The horizontal and vertical stabilizers were completely undamaged. The entire aft fuselage was bent to the left at approximately 20 degrees. The left wing was also resting on the leading edge in a vertical attitude, tilted aft approximately 20 degrees. The left wing had slightly more leading edge crush damage than the right, especially at the wing tip. The left aileron was also in the full up position. The entire roof assembly was tilted forward above the seats and was at the same angle as the wings. The engine case was cracked and the forward portion of the camshaft was visible through a large hole. The spinner was crushed flat against propeller and back plate. One propeller blade was bent forward 90 degrees and exhibited torsional bending with deep chordwise striations at the last third of its span. The other blade was bent forward along the full span, tapering outward to approximately 30 degrees at the tip.

Medical and pathological information

The Tulare County Sheriff/Coroner's office performed a post mortem examination of the pilot. Toxicological examinations of the pilot were conducted by the FAA Toxicology and Accident Research Laboratory, Oklahoma City, Oklahoma. Negative results for all screened drugs were reported. A copy of the toxicology information is attached to this report.

Tests and research

The airplane was recovered to a secure hangar facility and a post crash wreckage examination was completed. Representatives from Teledyne Continental Motors and Cessna Aircraft Company were present. The engine was examined. The crankshaft was bent at the prop flange and fractured, making it impossible to turn the engine. One propeller blade was twisted aft and inward nearly 180 degrees at the last third of its span. The other blade was bent forward approximately 10 degrees from the root to the tip. The spark plugs were removed and examined, and exhibited a light gray color with no other anomalies noted. According to the Champion Spark Plug chart, they indicated normal engine operation. The number 3 and 4 cylinders were removed and inspected. The inside of the cylinder head exhibited a light brown powdery appearance. The walls of each cylinder were smooth. There was no scoring noted. The number 3 and 4 pistons and rings were examined. The piston heads exhibited the same light brown powdery appearance as the cylinders. The piston rings were intact. The forward portion of the cam shaft was observed to be clean and showed no evidence of co

Aircraft

Registration
N10531
Reported as
Cessna 150L
Category
Airplane
Serial number
15074904
Airframe hours
7,001.8
Engine
Continental O-200-A, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Anthony P. Sario
Airworthiness certificate
Standard, Utility
Last inspection
Annual · May 15, 2001 · 20 hours before
Departed
VIS · Visalia, CA
Destination
TLR · Tulare, CA
Airport
TLR · Mefford Field, runway 31, 3,900 × 75 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

As NTSB recorded them. NTSB leaves out names.

Role
Student pilot
Age
16
Injuries
Fatal
Certificate
Student
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
48 total · 48 in this make and model · 5 as pilot in command · 18 in the last 90 days · 11 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 45 °F
Altimeter
29.87 inHg
Observed at
VIS, 10 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.

Other investigations on N10531 · 2

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