# NTSB LAX06FA059: Cessna 172S, N542SP, Hana, HI, December 16, 2005 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: December 15, 2005, 14:52 local (Dec 16, 2005, 00:52 UTC) - Place: Hana, HI - Coordinates: 20.776945, -156.067504 - Nearby events: https://openairdocs.org/map.md?lat=20.7769&lon=-156.0675&mi=10 - Phase of flight: [Unknown](https://openairdocs.org/ntsb-phases/990) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report April 25, 2007 - Report: Approved by Office Director - Parties: Federal Aviation Administration, Textron Lycoming, Cessna Aircraft Company - NTSB case key (mKey): 62975 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX06FA059 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/62975/pdf - Page: https://openairdocs.org/ntsb/LAX06FA059 ## Probable cause Collision with mountainous terrain for undetermined reasons. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - In flight collision with terrain/water, unknown - reason for occurrence undetermined (cause) - terrain condition - mountainous/hilly ## Analysis The airplane impacted steep rising terrain in a near vertical angle at an elevation of 2,300 feet mean sea level. The pilot had been vacationing in the area, and received a check-out in the accident airplane about 3 weeks prior to the accident. The pilot advised flight school personnel that he would be flying to a local airport and returning to the departure airport that evening. A local helicopter pilot spotted the burning wreckage and notified emergency personnel. The helicopter pilot noted that the skies were clear and there was no turbulence. Investigators examined the wreckage following its recovery from the accident site. No mechanical malfunctions were noted with the airframe controls or the engine during the detailed examination. The pilot began flying about 30 years prior to the accident and then stopped. About 3 years prior to the accident, the pilot began flying again. ## Factual narrative HISTORY OF FLIGHT On December 15, 2005, at 1452 Hawaiian standard time, a Cessna 172S, N542SP, collided with mountainous terrain approximately 3 nautical miles southwest of Hana Airport, Hana, Hawaii. Maui Aviators, LLC, who was also the registered owner of the airplane, was operating it under the provisions of 14 CFR Part 91. The commercial pilot, the sole occupant, sustained fatal injuries; the airplane was destroyed. Visual meteorological conditions prevailed and no flight plan had been filed. The pilot originally departed from Kahului Airport, Kahului, Hawaii, at 1230, and was destined for Hana. He planned to return to Kahului later that afternoon. The certified flight instructor (CFI) was interviewed by telephone regarding the accident. He reported that the pilot received a check-out on November 26 in the accident airplane. The pilot arrived 2 hours early for the check-out flight. The purpose of the flight was to familiarize the pilot with the local area, and to practice maneuvers and landings. During the flight, the CFI and pilot flew southeast toward Hana and practiced stalls, steep turns, and slow flight. They did not fly to Hana but returned to Kahului where they did seven landings. The total flight time logged was 1.3 hours and the total ground time was 1 hour. Approximately 30 minutes of the ground time was consumed by paperwork and the other 30 minutes was for flight instruction. The accident pilot expressed an interest in a flight to Hana, and the CFI briefed him on procedures for flight around the island, which included information on Hana airport. The CFI reported that pilots were free to fly anywhere over the island and that normally pilots would receive additional instruction if they were transitioning to other islands. The pilot told the CFI that he was on vacation by himself for a few weeks. He received his primary training in Oahu in 1969, and reported flying cargo there at one time. The CFI felt that the pilot was competent, although he described the pilot's communications skills as rough. The CFI stated that during the initial check-out, the pilot talked nonstop. At the end of the check-out flight, the pilot continued to talk to the CFI. As the CFI was attempting to close the flight school, the pilot went out to his car and asked the CFI to take photos of him and the airplane. The pilot went back to the car and asked the CFI if he wanted beer. The CFI said, "No," but the pilot came in with a nylon bag and gave it to him. The CFI attempted to return the nylon bag but the pilot said that he could keep it. On December 15, the pilot arrived early for his flight. He had the airplane scheduled from 1200 until 1700, as well as a flight scheduled for the same time the following day (December 16). The CFI listened to the pilot get his clearance; the pilot requested a southwest departure to go around the island from the northwest to the northeast tip. The CFI monitored the tower frequency and noted that following his departure about 1130, the accident pilot incorrectly made a left turn, and after some confusion was back on course. During this departure the Kahului tower did not receive the airplane's transponder. The pilot conducted a closed pattern flight, and on the downwind leg of the traffic pattern, Kahului tower personnel verified that the transponder was functioning properly. The pilot then departed normally. On the day of the accident, the pilot gave the CFI a pair of leather gloves. Almost immediately upon arrival, the pilot asked if he could leave his backpack at the flight school. The CFI told him to bring it with him in the airplane (either in the baggage area or the backseat) but the pilot reported that he did not have room. The CFI also advised the pilot that the school would be closed by the time he returned from his flight so that he should bring the backpack with him. After a long discussion, the CFI relented and advised the pilot that he could leave his backpack at the school and pick it up the following day. Following the accident, local police detectives retrieved the backpack. Looking through it they discovered the pilot's rental car keys, wallet, a camera, binoculars, 5 to 6 small bottles of liquor, various bottles of pills, and other personal effects. The CFI reported that the pilot seemed exactly like he was the first day, and he did not smell any alcohol on the pilot. WITNESS INFORMATION About 1550, a local helicopter pilot spraying miconia chemical on the fauna, noted smoke about 100 yards from where he had been working. He flew to the site, and saw a white fuselage, which he believed to be a Cessna 172. He searched for survivors but the impact appeared nonsurvivable. The helicopter pilot then notified his ground crew who radioed the local fire department for air support assistance. Due to a low fuel state, the helicopter pilot departed the area. According to the helicopter pilot, based on the impact site, the airplane appeared to be flying in a west-southwest direction, prior to impacting the mountain at an elevation of about 2,200 feet. The engine and cockpit area were buried approximately 6 feet into the ground. There were two volcanic cinder cones that culminated at the top of a volcano that rose to an elevation of 13,396 feet. The helicopter pilot stated that the direction of flight was not consistent with a normal approach or departure from the Hana airport and that the pilot's direction of flight would have ensured the airplane's eventual impact with rising terrain. The National Transportation Safety Board investigator interviewed a car rental company employee based at the Hana airport that was working at the time of the accident. The employee did not recall seeing the airplane at Hana airport the day of the accident. RADAR INFORMATION Federal Aviation Administration (FAA) and military radar data were reviewed to determine if the flight track of the airplane had been captured just prior to accident. No flight track consistent with the location of the accident site was identified. PERSONNEL INFORMATION The pilot held a commercial pilot certificate, and was authorized to fly single and multiengine airplanes. The pilot also held an airplane instrument rating. He was issued a third-class medical certificate on February 15, 2005, with no limitations. On his last FAA medical application, he indicated about 570 hours total flight time with 0 hours flown in the last 6 months. The pilot did not list any allergies or indicate the use of any medications on his medical application form. No personal flight logbooks were located for the pilot. On the pilot's rental disclosure and agreement for Maui Aviators dated November 26, 2005, he reported 541 total hours, with 97 hours in the last 90 days and 35 hours in a Cessna 172. He reported that his last flight review was conducted on April 21, 2005. The Safety Board investigator interviewed the pilot's brother via telephone. He reported that his brother began flying in the 1970's, and had career aspirations to fly as a commercial airline pilot. After some time, he quit flying and then started back up again about 3 years ago. Although his brother always desired a flying career, his commercial aspirations did not come about so all of his flying was done privately. According to the brother, the pilot was a private person who lived alone and worked in sales. They were not close. The pilot's brother did not know if his brother's business ventures were successful. The last person to speak to the pilot was their mother about 1 week prior to the accident. The pilot seemed normal during the conversation and nothing unusual was noted. Additionally, the pilot's brother indicated that they lived in Hawaii for about 7 years while they were growing up. The pilot did his initial flight training there, and it was common for him to vacation in the area. The pilot traveled frequ ## Aircraft - Registration: [N542SP](https://openairdocs.org/deregistered/N542SP-2007-07-31), registration cancelled 2007-07-31, S/N 172S8397, built 2000 (OpenAirDocs) - Reported make and model: Cessna 172S - Registry model: [Cessna 172S](https://openairdocs.org/model/cessna-172s) (registry code 2072439) (OpenAirDocs) - Registry engine: [Lycoming I0360 SER A&C](https://openairdocs.org/engine/lycoming-i0360-ser-a-c) (registry code 41511, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 172S8397 - Airframe hours: 2255 - Engines: Textron Lycoming IO-360-L2A 160 horsepower reciprocating - Damage: Substantial damage - Fire: On-Ground - Flight: Personal, Part 91 - Registered owner: Maui Aviators, LLC - Airworthiness certificate: Standard, Utility; Standard, Normal - Last inspection: 100 hour, November 1, 2005, 46 hours before - Departed: OGG, Kahului Airport, HI - Destination: HNM, Hana, HI ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 58; injuries: fatal; commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 3, without waivers/limitations; last flight review April 1, 2005; seat: left; toxicology performed; flight hours: 541 total, 35 in this make and model, 97 in the last 90 days ## Weather - Conditions: Visual (VMC), Day - Wind: 330° at 7 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 81 °F, dew point 63 °F - Altimeter: 30.03 inHg - Observed at: OGG, 24 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 (OpenAirDocs). - [Accident 20051216030459A](https://openairdocs.org/incident/20051216030459A), Dec 16, 2005: Cessna 172S, Hana, HI, Destroyed, 1 fatal. (-23) On December 15, 2005 at approximately 1145 local time, aircraft N542SP departed kahului airport. The aircraft departed day VFR with no filed flight plan… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.