MIA06LA041

NTSB accident investigation · Cessna 195 · St. Augustine, FL · December 18, 2005

Accident · FatalLimited investigationFinal report
Date
December 18, 2005, 13:33 local (18:33 UTC)
Place
St. Augustine, FL
Injuries
3 fatal, 1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N22LCessna 195
Weather
Instrument (IMC) · Day
Status
Completed · report January 31, 2008
Report
Approved by Office Director
Parties
FAA Orlando
FAA report
20051218031799A
Case key
63059

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 loss of engine power during cruise flight for an undetermined reason, which resulted in an emergency descent and ditching. Factors contributing to the survivability of the accident were the low ceilings and rough water.

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 engine powerCruise - normal
Reason for occurrence undeterminedCause
DitchingEmergency descent/landing
Terrain condition - water,roughFactor
Weather condition - low ceilingFactor

Analysis

The commercial pilot was on an instrument flight rules personal cross-country flight under Title 14, CFR Part 91. The pilot reported a loss of engine power in instrument meteorological conditions to air traffic control. The controller vectored the flight for an instrument approach to the nearest airport, but the airplane was unable to reach the airport, and the pilot ditched in the ocean. The sole surviving occupant, who was seated behind the pilot, reported that the engine lost power, and the pilot restarted the engine, but it lost power again. She said she and the other passengers attempted to don life jackets as the pilot glided the airplane toward the water. She said when the airplane struck the water she was thrown into the rear baggage compartment where she escaped through a baggage door. She did not see any of the other occupants exit the airplane. Conditions in area of the ditching included a low overcast, and 7 to 10 foot swells. The airplane wreckage was located, and the pilot was recovered by divers. An autopsy revealed that the cause of death was drowning. The airplane was not recovered, and has not been examined by the National Transportation Safety Board. Receipts revealed that the airplane was fueled prior to departure, and tests of the fuel supply did not reveal any anomalies. Records indicate the airplane annual inspection was timely, and no history of mechanical issues was discovered. An examination of the pilot's log books disclosed he was appropriately certificated and current.

Factual narrative

On December 18, 2005, about 1333 eastern standard time, a Cessna 195, N22L, was ditched in the Atlantic Ocean near St. Augustine, Florida, following a reported loss of engine power. Instrument meteorological conditions prevailed in the area at the time. An instrument flight rules (IFR) flight plan was filed for the 14 CFR, Part 91, personal flight from Craig Municipal Airport, Jacksonville, Florida, to St. Lucie County International Airport, Fort Pierce, Florida. The airplane has not been recovered, and is presumed to have sustained substantial damage. Of the four people aboard, the commercial pilot and two passengers were fatally injured, and one passenger sustained minor injuries. The flight originated about 1315 from Craig Municipal Airport.

Air traffic control (ATC) information, from Jacksonville Air Traffic Control Tower, indicated that after takeoff, the flight was cleared to climb to 6,000 feet. When near St. Augustine, level at 6,000 feet, the pilot advised the controller of a rough running engine. The controller vectored the flight for an instrument approach to runway 31 at the St. Augustine Airport, but the airplane was unable to reach the airport and the pilot subsequently ditched in the ocean. The surviving passenger reported to law enforcement personnel that she was asleep, and when awakened, heard a discussion about adverse weather. The airplane contacted the water, and she was thrown back into the baggage compartment where she exited the airplane. She swam toward shore, and was subsequently rescued.

ATC transcripts revealed the airplane was climbing through 4,400 feet at 1322, and at 1326 reported they had "just lost an engine," and requested vectors to a beach. The pilot then reported a rough running engine. ATC provided vectors to intercept the instrument landing system (ILS) approach at the St. Augustine Airport, as-well-as appropriate communications and navigation frequencies. ATC advised the pilot to check carburetor heat, to which the pilot replied he already "had it out." At 1328 the pilot advised the airplane was unable to maintain altitude, and ATC vectored the pilot directly toward the airport, reported an overcast ceiling of 500 feet, with visibility three miles in light rain. At 1330, ATC advised the pilot they had lost radar contact, and at 1331 the pilot advise he was over water, and not going to make it to land. Contact with the airplane was lost, and a search was initiated.

According to a Sheriff's Office representative, conditions in area of the ditching were overcast about 500 feet, visibility 1 to 3 miles, and the sea was running 7 to 10 feet. He said the surviving passenger was picked up by a boat while attempting to swim to shore. A deceased passenger was also recovered during the initial search. During an interview at the Sheriff's office, the passenger reported she had been seated behind the pilot, and that the engine quit. She said the pilot restarted the engine, but it quit again. She said she and the other passengers attempted to don life jackets as the pilot glided the airplane toward the water. She said she was attempting to give her life jacket to the front seat passenger when the airplane struck the water. The passenger said she was thrown into the rear baggage compartment of the airplane, and found a partially opened baggage door, through which she escaped. She said the airplane on the surface of the water appeared to be intact, but sank rapidly. She did not see any of the other occupants exit the airplane. She said she started swimming toward the shore, which she estimated to be 2 miles away.

On January 2, 2006, the body of the third passenger was recovered by fisherman. The airplane wreckage was located, and the pilot was recovered by scuba divers. An autopsy performed under the authority of the Medical Examiner revealed that the cause of the pilot's death was asphyxiation due to saltwater drowning.

The airplane was not recovered, and has not been examined by the National Transportation Safety Board. Receipts revealed that the airplane was fueled prior to departure, and tests of the fuel supply did not reveal any anomalies. Examination of records determined the airplane's annual inspection was timely, and no history of mechanical issues were discovered. An examination of pilot log books showed the pilot was appropriately certificated and current.

Aircraft

Registration
N22L
Reported as
Cessna 195
Category
Airplane
Serial number
7961
Airframe hours
3,706
Engine
Jacobs R-755-A2, 330 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Gary E. Tillman
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 1, 2005
Departed
KCRG · Jacksonville, FL
Destination
KFPR · Fort Pierce, FL
Flight plan
IFR

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
47
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
February 1, 2005
Seat
Left
Toxicology
Performed
Flight hours
2,123 total

Weather

Conditions
Instrument (IMC) · Day
Wind
10° at 14 knots, gusting 20
Visibility
3 statute miles
Lowest ceiling
500 ft overcast
Temperature
54 °F, dew point 52 °F
Altimeter
30.22 inHg
Observed at
KSGJ, 1 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.