LAX93FA110

NTSB accident investigation · Cessna 172K · Gorman, CA · February 7, 1993

Accident · FatalField investigationFinal report
Date
February 7, 1993, 12:27 local (20:27 UTC)
Place
Gorman, CA
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N79411Cessna 172K
Weather
Instrument (IMC) · Day
Status
Completed · report November 15, 1993
Report
Approved by Office Director
FAA report
19930207001889A
Case key
28317

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 continued flight into known adverse weather conditions and continued visual flight into instrument meteorological conditions

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/waterCruise
Terrain condition - mountainous/hilly
Weather condition - low ceiling
Flight into known adverse weather - continuedPilot in commandCause
Vfr flight into imc - continuedPilot in commandCause

Analysis

The certificated private pilot obtained a standard weather briefing before departing on a cross country flight with three passengers. VFR flight was not recommended due to low ceilings and rain that existed along the intended route of flight. Ground witnesses observed the airplane following a highway toward an area of rising terrain and low clouds. The airplane crashed into a hillside, about 200 feet below a VOR station that was located on the route of flight

Factual narrative

History of the Flight

On February 7, 1993, at about 1227 hours Pacific standard time, a Cessna 172-K, N79411, collided with terrain, about 1/2 mile north of Gorman, California. The airplane was being operated as a visual flight rules (VFR) cross country personal flight to San Jose, California, when the accident occurred. The airplane, co-owned and operated by the pilot, was destroyed. The certificated private pilot and three passengers received fatal injuries. Instrument meteorological conditions prevailed at the accident site and a flight plan was not filed. The flight originated from Burbank, California, at about 1156 hours.

At about 1119 hours, the pilot obtained a weather briefing from the Riverside Automated Flight Service Station (AFSS) for the intended route of flight from Burbank to San Jose with an intermediate stop in Bakersfield, California. The pilot was informed that VFR flight was not recommended. The airplane departed Burbank from runway 8 to the north and the pilot contacted the Burbank Terminal Radar Approach Control (TRACON) facility.

At about 1208 hours, the air traffic control specialist advised the pilot that radar contact with the airplane was lost, to change his transponder code to 1200 (VFR), and advised that a frequency change was approved. The pilot acknowledged the transmission. No further contact with the airplane was received.

A witness reported that she was driving northbound on Interstate 5 around 1230 hours in the area of I-5 and Highway 138, which is located about 3 miles southeast of Gorman. She observed a high wing airplane that appeared to be following the highway northbound at an altitude of less than 200 feet above the ground (AGL). She estimated that the airplane was traveling about 95 MPH, and lost sight of the airplane in the area of Gorman. She reported that the weather conditions at the time were overcast conditions with the cloud base about 200 to 300 feet AGL. Due to rising terrain, the cloud base at Gorman was estimated at 150 feet AGL. The witness also indicated that the clouds obscured the surrounding mountain tops and the visibility below the clouds was about 1 mile.

The flight was reported overdue on February 7, 1993, and was located by search personnel at about 1611 hours on February 8, 1993, about 3/4 mile northwest of Gorman.

The accident occurred during the hours of daylight at latitude 34 degrees 48.08 minutes north and longitude 118 degrees 51.48 minutes west.

Crew Information

The pilot held a private pilot certificate with airplane single engine land and instrument airplane ratings. The most recent third class medical certificate was issued to the pilot on August 12, 1992, and contained no limitations. According to the pilot's logbook, the last entry was dated January 23, 1993. As of that date, the pilot's total aeronautical experience consisted of about 985.2 hours, of which at least 500 hours were accrued in the accident aircraft make and model. In the preceding 90 and 30 days prior to the accident, the logbook lists a total of 13.5 and 3.5 hours, respectively flown.

The pilot received an airplane instrument rating on April 25, 1991. Since that date, the pilot had accrued an additional 5.4 hours under actual instrument conditions, and 8.5 hours under simulated instrument conditions, for a total of 11.3 hours of actual instrument and 74.5 hours of simulated instrument flight. In the previous 6 months, the pilot had accrued 1.4 hours and 4.4 hours, respectively.

Aircraft Information

The airplane maintenance records were not located by Safety Board investigators. Family members and the airplane's co-owner could not locate the records. The co-owner of the airplane provided information from the certificated airframe and powerplant mechanic who performed the last annual inspection.

The records indicate that the last annual inspection was performed on April 4, 1992. At that time, the aircraft had a recording hour meter reading of 3,354.0 hours of operation.

Notations found in the airplane indicated that the hour meter reading at the end of a flight conducted on February 6, 1993, was 3,439.04. The hour meter reading at the accident site was 3,439.55.

Meteorological Information

The closest official weather observation station south of the accident site is Burbank, California, which is located 43 nautical miles southeast of the accident site. At 1246 hours, a surface observation was reporting in part:

Sky condition and ceiling, sky partially obscured, measured ceiling 2,000 feet overcast; visibility, 2 1/2 miles in light rain showers and fog; temperature, 59 degrees F; dew point, 52 degrees F; wind, 120 degrees at 20 knots; altimeter, 29.83 inHg.

Bakersfield, California, the planned intermediate stop, is located 38 nautical miles north of the accident site. At 1054 hours, a surface observation was reporting in part:

Sky condition and ceiling, 8,000 feet scattered, 15,000 feet scattered, estimated 20,000 feet overcast; visibility, 10 miles; temperature, 72 degrees F; dew point, 47 degrees F; wind, 140 degrees at 12 knots with gusts to 23 knots; altimeter, 29.76 inHg; remarks, blowing dust with visibility lower to the southeast through west. A pilot for the Los Angeles County Sheriff's Department reported that he was operating a departmental helicopter from a substation in Gorman on the accident date. At about 1210 to 1215 hours, he was forced to depart Gorman for another station located at a lower altitude. He indicated that at the time of his departure, the sky was overcast with a 200 foot ceiling. The surrounding mountain tops were obscured by clouds, including the hill northwest of the Gorman substation on which the Gorman VOR is located.

The National Weather Service maintains an automated weather observation station at Sandberg, California, located about 9 miles east of Gorman. The 0800 and 0900 hours observation was indicating that the ceiling and visibility was zero/zero. The 1000 hours observation indicated that the ceiling was clear, visibility 5 miles. The 1100 to 1300 hour observation was missing. The 1400 hour observation was indicating that the ceiling and visibility was zero/zero; temperature, 45 degrees F; dew point, 44 degrees F; wind 140 degrees at 17 knots, gusts to 22 knots.

Communications

The pilot received a standard weather briefing before the flight. The flight service station specialist informed the pilot that flight precautions were in effect for the intended route of flight, including moderate icing conditions above 9,000 feet; moderate turbulence below 10,000 feet; mountain obscurement due to clouds and rain; VFR flight was not recommended.

A transcript of the telephonic weather briefing between the pilot and the Riverside Automated Flight Service Station facility appears as Item 7 of this report.

A continuous data recording (CDR) radar track of the airplane's flight path was retrieved from the Burbank TRACON. Review of the radar information revealed that after departure, the airplane was in radar contact with departure control until it was about 15 miles northwest of Burbank. The altitude of the airplane varied from 2,400 feet mean sea level (MSL) to 2,200 feet until radar contact was lost and VFR advisories terminated at about 1207 hours.

A copy of the CDR plot appears as Item 12 of this report.

Wreckage and Impact Information

Safety Board investigators examined the airplane wreckage at the accident site on February 9, 1993. The accident site was located on the south face of a hill on which the Gorman VOR is installed. A VOR is a ground based electronic navigation aid transmitting very high frequency navigation signals, 360 degrees in azimuth, oriented from magnetic north. The elevation of the VOR station is about 4,900 feet mean sea level (MSL). Ground scars and the wreckage examination revealed that the airplane collided with the 31 degree upsloping ter

Aircraft

Registration
N79411
Reported as
Cessna 172K
Category
Airplane
Serial number
17258062
Airframe hours
3,440
Engine
Lycoming O-320-E2D, 150 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Paul Schmidt
Registered owner
Thomas Atkinson
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 4, 1992 · 86 hours before
Departed
BUR · Burbank, CA
Destination
RHV · San Jose, CA

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
48
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
985 total · 500 in this make and model · 898 as pilot in command · 14 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Wind
120° at 20 knots
Visibility
2.5 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
59 °F, dew point 52 °F
Altimeter
29.00 inHg
Observed at
BUR, 43 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.