LAX08FA049

NTSB accident investigation · Cessna 172N · Corona, CA · January 20, 2008

Accident · FatalField investigationFinal report
Date
January 20, 2008, 15:34 local (23:34 UTC)
Place
Corona, CA
Injuries
5 fatal; on the ground: 1 fatal
Phase of flight
Approach
Aircraft
N737EJCessna 172NN4008VCessna 150M
Defining events
Approach-VFR pattern downwind: Midair collisionApproach-VFR pattern downwind: Midair collision
Weather
Visual (VMC) · Day
Status
Completed · report June 11, 2009
Report
Approved by Office Director
Parties
Federal Aviation Administration, Cessna Aircraft Company
Case key
67411

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 failure of both pilots to see and avoid the other airplane.

Findings · 4

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.

N737EJ · Cessna 172N

Action: lack of actionPersonnel issues › Action/decision · PilotCessna 172N: 10 casesAll aircraft: 792 casesProbable cause

N4008V · Cessna 150M

Action: lack of actionPersonnel issues › Action/decision · PilotCessna 150M: 5 casesAll aircraft: 792 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.

N737EJ · Cessna 172N

Midair collisionApproach-VFR pattern downwindCessna 172N: 6 casesAll aircraft: 196 casesDefining event

N4008V · Cessna 150M

Midair collisionApproach-VFR pattern downwindCessna 150M: 2 casesAll aircraft: 196 casesDefining event

Analysis

A Cessna 172N and a Cessna 150M collided in-flight while maneuvering 1.4 miles southwest of the uncontrolled airport during day visual meteorological conditions. The midair collision occurred about 2 minutes after the Cessna 150M had taken off from runway 25, turned crosswind, and was entering on the downwind leg. Radar data shows that during this time, a Cessna 172N completed a course change maneuver and was proceeding inbound toward the airport on a 034-degree true course, which approximated the 45-degree traffic pattern's entry path to the downwind leg. The north-northeast-bound Cessna 172N impacted the right side of the southeast-bound Cessna 150M after the airplanes were flying on converging courses for about 13 seconds. The collision angle was about 70 degrees. The four occupants in the airplanes and one person on the ground were killed. Calculations based on radar data show that the Cessna 150M pilot turned onto the crosswind leg prior to reaching 700 feet above ground level, which is contrary to the Federal Aviation Administration's recommended procedures. A visibility study determined that while on the crosswind leg and during the turn onto the downwind leg, the Cessna 150M pilot had 14-second window of opportunity to observe the approaching Cessna 172N, which was travelling at 106 knots (ground speed), but was likely not able to see it in the final 9 seconds prior to the collision as the Cessna 150 was turning left onto the downwind leg. According to Cessna, the field of view (visual angle) from the cockpit of the Cessna 150M as it was turning to the downwind was limited in the area from which the Cessna 172N was converging by the door post structures. As the Cessna 172N's pilot was approaching the airport, the Cessna 150M, which was travelling at 74 knots (ground speed), would have been in his view at the 10:30 to 11:00 o'clock position and low in the windscreen. A witness reported that neither airplane appeared to alter its course during the final seconds of flight. No airport facilities or any of the pilots flying in the vicinity reported hearing any communication from either airplane.

Factual narrative

History of flight

On January 20, 2008, at 1534 Pacific standard time, a Cessna 172N, N737EJ, and a Cessna 150M, N4008V, collided while maneuvering about 1.4 miles south-southwest of the Corona Municipal Airport (AJO), Corona, California. The midair collision occurred at a location and flight direction consistent with the Cessna 172N on an approximate 45-degree entry leg into Corona's left-hand traffic pattern for runway 25, while the Cessna 150M was entering the pattern's downwind leg, following takeoff from runway 25. The commercial pilot and passenger in the Cessna 172N were killed. The pilot and pilot-rated passenger in the Cessna 150M were also killed, along with one person on the ground who was impacted by falling components from the Cessna 150M. Both airplanes were fragmented during the collision sequence, and were destroyed during their uncontrolled nose down descents into underlying cars, buildings, and parking lots. The Cessna 172N was operated by Funoutside, based in Fullerton, California. The Cessna 150M was operated by Fly Corona, Inc., d.b.a. Corona Flight Academy, based in Corona. The personal flights were operated under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time, and no flight plans were filed. The Cessna 172N's local area flight originated upon its renter pilot's departure from Fullerton, where the airplane was based, at an undetermined time. The Cessna 150M's flight originated from Corona, upon its renter pilot's departure about 1532.

Several witnesses reported being within a 1/2-mile radius of the accident site and observed or heard the midair collision. The National Transportation Safety Board investigator and Corona Police Department personnel interviewed witnesses who observed the airplanes seconds prior to and during the collision sequence. None of the witnesses reported observing evidence of fire or smoke trailing from either airplane prior to the collision.

One of the witnesses was located about 1/2-mile southwest of the accident site in the backyard of her hillside residence, at an approximate elevation of 750 feet mean sea level (msl). This witness reported continuously observing both airplanes cruising toward each other for at least 5 seconds preceding the midair collision. In pertinent part, the witness stated that the airplane that flew nearly over her location was flying in a northerly direction toward AJO, while the other airplane was flying in an easterly direction and was south of the airport. Neither airplane appeared to change course, rock their wings, or commence an avoidance maneuver prior to colliding. The witness indicated that, from her vantage point, it appeared as though the northbound airplane and the eastbound airplane collided with each other at nearly a perpendicular angle. The northbound airplane impacted the right side of the eastbound airplane, near the midsection of its fuselage. Upon colliding, parts of the airplanes separated from each other; the parts looked like wings. The witness further reported that as she observed the airplanes, no evidence of fire or trailing smoke was noted. The engine of the northbound airplane sounded typical of a normally operating light airplane engine, and no missing or sputtering sound was evident.

Recorded radar data was received from the Federal Aviation Administration's (FAA) Southern California Terminal Radar Approach Control facility (SOCAL) for the time and location of the accident. The data was reviewed by FAA and Safety Board personnel. The data included two targets that exhibited flight paths (speeds, altitudes, courses) that matched the convergent tracks of the accident Cessna airplanes. (See the airplanes' Flight Path Diagrams that are included in the docket for this accident.) In summary, the radar depicts the following tracks for the airplanes:

Cessna 172N Flight Track

During the last 5 minutes of the airplane's recorded flight, starting about 1529:27, the Cessna 172N was about 8 statute miles east of AJO, and about 5 miles south of the Riverside Municipal Airport. The Cessna was cruising in a westerly direction and was at 2,400 feet, as indicated by the airplane's altitude reporting transponder. The Cessna proceeded on a course nearly parallel to, but south of, Highway 91, and it descended.

By 1533:51, the westbound Cessna 172N had descended to 1,300 feet and was about 2 miles south-southwest of AJO. About this time, the airplane commenced a 110-degree (approximate) right turn consistent with a maneuver that would position the airplane onto the 45-degree entry leg into the traffic pattern for runway 25. About 1534:05, the airplane was established on the entry leg. Its average ground speed was about 106 knots, and it was tracking on an approximate 21-degree magnetic course while remaining at 1,300 feet. The collision occurred when the Cessna 172N was within 0.1 mile north of Highway 91, about 13 seconds after establishment on the traffic pattern's entry leg, about 1534:18.

Cessna 150M Flight Track

The Cessna 150M's flight track began upon the airplane's takeoff from runway 25, and it ended about 1.4 miles south-southwest of the airport during the midair collision. About 1532:42, the airplane was airborne and was passing the departure end of runway 25. (For undetermined reasons, SOCAL did not receive and/or record any altitude information from the airplane's altitude reporting transponder).

About 1/2-minute later, the airplane began turning in a southerly direction toward the left crosswind leg. By 1533:42, the airplane was flying southbound, was established on the left crosswind leg, and was about 1.0 mile southwest of the runway's end. The airplane subsequently turned left toward the downwind leg. Between 1534:05 and the last radar hit at 1534:14, when the airplane was about 0.1 mile north of Highway 91, the airplane was tracking on an approximate 121-degree magnetic course at an average ground speed of 74 knots.

Other damage

Approximately 1/2 dozen automobiles sustained various degrees of impact damage. One commercial structure's roof was penetrated by a falling engine and attached airframe components.

Personnel information

Cessna 172N Pilot, Left Seat

The pilot, age 73, held a commercial pilot certificate with the following ratings: airplane single-engine land, rotorcraft-helicopter, and instrument airplane and helicopter. The pilot's flight record logbook indicated his total flight time was about 4,190 hours. The pilot's last flight review was accomplished in a Cessna 172 on December 20, 2007.

The pilot's last aviation medical certificate was issued January 2007, in the third class, with the restriction that he must have available glasses for near vision. The pilot's reported height and weight was 71 inches and 212 pounds.

Cessna 172N Passenger, Right Front Seat

A review of FAA records indicated that the passenger did not hold any FAA certificate. He had no FAA record of flight time.

Cessna 150M Pilot, Left Seat

The pilot, age 24, was issued a combined student pilot and first class aviation medical certificate (without restrictions or limitations) on November 1, 2007, and a private pilot certificate on November 25, 2007, with the following ratings: airplane single-engine land. The pilot successfully passed an examination for issuance of an instrument airplane rating on January 20, 2008, about 3 hours prior to the accident flight.

The designated pilot examiner (DPE) who administered the instrument rating check ride reported that during the oral examination he covered special emphasis areas related to operations at uncontrolled airports, collision avoidance, and proper scanning techniques. The examiner reported that because their "flight profile included Corona Airport, I provided additional cautionary admonishment related to this operation." He further stated that the pilot's "flight instructor reinforced m

Aircraft · 2

Registration
N737EJ
Reported as
Cessna 172N
Category
Airplane
Serial number
17269358
Airframe hours
3,576
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Funoutside
Registered owner
William A. Reinke
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · September 27, 2007 · 95 hours before
Departed
Fullerton, CA
Destination
Corona, CA
Airport
runway 25, 3,200 × 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.

Registration
N4008V
Reported as
Cessna 150M
Category
Airplane
Serial number
15076677
Airframe hours
10,890
Engine
Continental O-200-A, 100 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Fly Corona, Inc., doing business as Corona Flight Academy
Registered owner
Air Corona, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 2, 2008
Departed
Corona, CA
Destination
Corona, CA
Airport
runway 25, 3,200 × 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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N737EJ
Age
73
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 3, With waivers/limitations
Last flight review
December 20, 2007
Seat
Left
Toxicology
Performed
Flight hours
4,190 total · 2,658 as pilot in command · 9 in the last 90 days · 1 in the last 30 days
Role
Pilot, aircraft N4008V
Age
24
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 20, 2008
Seat
Left
Toxicology
Performed
Flight hours
140 total · 96 as pilot in command · 1 in the last 24 hours
Role
Pilot, aircraft N4008V
Age
24
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
October 1, 2007
Seat
Right
Toxicology
Performed
Flight hours
193 total · 87 in this make and model · 74 as pilot in command · 12 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 36 °F
Altimeter
29.90 inHg
Observed at
AJO, 1 nm away

Docket · 57

The files NTSB released with the investigation on March 9, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 63.0 MB in all.

Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1, N737EJItem 1 · .PDF · 603 KBPilot/Operator Aircraft Accident Report, NTSB Form 6120.1, N4008VItem 2 · .PDF · 619 KBWitness StatementsItem 3 · .PDF · 223 KBMaps or Charts of Accident Area, Wreckage DiagramsItem 4 · .PDF · 1.6 MBWreckage Distribution Image, from GPS data (partial list)Item 5 · .PDF · 178 KBWreckage Distribution Image fm Total Station (complete list)Item 6 · .PDF · 1.9 MBWeather ReportItem 7 · .PDF · 12 KBDrawings, Scratch Marks & Impact AnglesItem 8 · .PDF · 74 KBCorona Police Department ReportsItem 9 · .PDF · 788 KBToxicological ReportsItem 10 · .PDF · 234 KBStatement of Party Representatives to NTSB InvestigationItem 11 · .PDF · 396 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 12 · .PDF · 123 KBCorrespondence from M. Brannigan (Fly Corona!)Item 13 · .PDF · 413 KBStatement from T. McCauleyItem 14 · .PDF · 50 KBStatement from M. DilulloItem 15 · .PDF · 193 KBE-mail, Oglesby to FergusonItem 16 · .PDF · 36 KBCorona Police Department E-mailItem 17 · .PDF · 44 KBStatement About the Condition of N4008VItem 18 · .PDF · 50 KBFlight Record Logbook (Extract)Item 19 · .PDF · 656 KBAircraft Logbook, N737EJ (Extract)Item 20 · .PDF · 872 KBAircraft Logbook, N4008V (Extract)Item 21 · .PDF · 623 KBOperating Handbook C-172N (Extract)Item 22 · .PDF · 393 KBOwner's Manual C-150M (Extract)Item 23 · .PDF · 309 KBFAA Handbook of Aero Knowledge (Extract)Item 24 · .PDF · 177 KBCessna 150M Weight ComputationItem 25 · .PDF · 21 KBRadar Data, Plots & Aircraft TracksItem 26 · .PDF · 965 KBFAA Radar ATC plot, expanded view targets A1-A16Item 27 · .PDF · 7 KBFAA Radar ATC plot, targets A001-A016Item 28 · .PDF · 21 KBFAA Radar Data - Primary TargetsItem 29 · .PDF · 47 KBFAA Radar Data Files , CDRItem 30 · .PDF · 12 KBPhoto 1. Aerial view, north.Item 31 · .PDF · 2.6 MBPhoto 2. Aerial view, south.Item 32 · .PDF · 3.1 MBPhoto 3. Aerial view, east.Item 33 · .PDF · 2.7 MBPhoto 4. Aerial view, west.Item 34 · .PDF · 2.7 MBPhoto 5. C-172 side view with attached left wing.Item 35 · .PDF · 3.5 MBPhoto 6. C-172, front view.Item 36 · .PDF · 3.2 MBPhoto 7. C-172, tail.Item 37 · .PDF · 3.5 MBPhoto 8. C-172, right outboard wing section.Item 38 · .PDF · 2.7 MBPhoto 9. C-172, left wing, bottom.Item 39 · .PDF · 1.1 MBPhoto 10. C-172, propeller gouge.Item 40 · .PDF · 3.5 MBPhoto 11. C-172, scratch mark, example.Item 41 · .PDF · 880 KBPhoto 12. C-150, left wing.Item 42 · .PDF · 1.1 MBPhoto 13. C-150, right wing.Item 43 · .PDF · 981 KBPhoto 14. C-150, cockpit.Item 44 · .PDF · 1.1 MBPhoto 15. C-150, right seat track floor cut & C-172 prop.Item 45 · .PDF · 1.1 MBPhoto 16. C-150, measurement of floor cut angle.Item 46 · .PDF · 4.3 MBPhoto 17. C-150, right lift strut cut.Item 47 · .PDF · 931 KBPhoto 18. C-150, size of strut similar to C-172 prop gouge.Item 48 · .PDF · 816 KBPhoto 19. C-150, strut cut prop evidence.Item 49 · .PDF · 772 KBPhoto 20. C-150, measurement of right strut cut.Item 50 · .PDF · 3.6 MBPhoto 21. C-150, right strut cut measurement.Item 51 · .PDF · 917 KBPhoto 22. C-150, right strut, lower portion.Item 52 · .PDF · 1.0 MBPhoto 23. Layout, C-150 overall tail view.Item 53 · .PDF · 1.1 MBPhoto 24. Layout, C-150 front view.Item 54 · .PDF · 1.0 MBPhoto 25. Layout, C-150, left side.Item 55 · .PDF · 1.1 MBPhoto 26. Layout, C-150, left side tail & C-172 left wing (raised).Item 56 · .PDF · 1.0 MBPhoto 27. Layout, C-150, right side tail & C-172 left wing (raised).Item 57 · .PDF · 1.1 MB

FAA reports on this event · 2

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