LAX88FA314

NTSB accident investigation · Cessna 177RG · San Luis Obispo, CA · September 8, 1988

Accident · FatalField investigationFinal report
Date
September 7, 1988, 20:39 local (Sep 8, 1988, 03:39 UTC)
Place
San Luis Obispo, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N33283Cessna 177RG
Weather
Instrument (IMC) · Night/dark
Status
Completed · report July 9, 1990
Report
Approved by Office Director
FAA report
19880907038399A
Case key
25863

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

Pilots erroneous interpretation of his missed approach clearance, and, his performance of the published missed approach procedure for the santa maria ILS instead of the San Luis Obispo localizer.

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.

In flight collision with terrain/waterMissed approach (ifr)
Terrain condition - mountainous/hilly
Atc clearance - not understoodPilot in commandCause
Light condition - dark nightFactor
Ifr procedure - misreadPilot in commandCause
Missed approach - improperPilot in commandCause

Analysis

While enroute IFR to santa barbara the wx conditions went below minimums. The plt first asked about santa maria (smx) as an alternate but the wx was below minimums as well. The plt then selected San Luis Obispo (sbp) for his alternate dest. Radar data showed the acft was high during the localizer approach to sbp and passed over the airport at 2,600 ft MSL (2,300 AGL). The controller issued a climb to 5,000 ft and told the plt to execute the missed approach as published. There was confusion about the instruction. The plt stated 'missed approach as published,' to which the controller responded 'affirmative'. Radar data showed the acft descended to 2,200 ft, where radar contact was lost. On site exam revealed the acft hit the top of a hill in a level std rate turn to the left. Two approach plates were on the plts clipboard, the smx ILS & the sbp localizer. The smx missed approach specifies a climbing left turn to 2,000 back to the VOR. Both approach plates look similiar.

Aircraft

Registration
N33283
Reported as
Cessna 177RG
Category
Airplane
Serial number
177RG0942
Airframe hours
1,359
Engine
Lycoming IO-360-A1B6D, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Lutzelmann, Andreas M.
Registered owner
Irving S Sobel
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 1987 · 92 hours before
Departed
MRY · Monterey, CA
Destination
SBA · Santa Barbara, CA
Flight plan
IFR
Airport
SBP · San Luis Obispo, runway 11, 4,799 × 150 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
Pilot
Age
35
Certificates
Commercial, Foreign
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
551 total · 5 in this make and model · 404 as pilot in command · 36 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
300° at 4 knots
Visibility
5 statute miles
Lowest ceiling
700 ft overcast
Temperature
55 °F, dew point 54 °F
Altimeter
29.00 inHg
Observed at
SBP, 6 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.