MIA96FA047

NTSB accident investigation · Cessna 205 · Culebra, PR · December 18, 1995

Accident · FatalField investigationFinal report
Date
December 17, 1995, 20:00 local (Dec 18, 1995, 00:00 UTC)
Place
Culebra, PR
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N8415ZCessna 205
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 6, 1996
Report
Approved by Office Director
FAA report
19951217041469A
Case key
37886

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

Failure of the pilot to maintain sufficient altitude/clearance above the terrain, while maneuvering at night. Factors relating to the accident were: darkness with no visible horizon, and the pilot's lack of recent experience in night flight.

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/waterManeuvering
Light condition - dark nightFactor
Weather condition - low ceiling
Weather condition - rain
Altitude/clearance - not maintainedPilot in commandCause
Lack of recent experience in type operationPilot in commandFactor

Analysis

Witnesses stated they observed the airplane takeoff at night and fly (depart) over the city until it disappeared from view behind the mountains. The weather was windy with rain about to fall, and the ceiling was about 1,000 feet. The only visible light was over the city. The airplane was located 2 days later. Examination of the crash site revealed the airplane collided with the terrain, while in a descending left turn. Examination of the airframe, flight controls, engine assembly and accessories revealed no evidence of a precrash mechanical failure or malfunction. The pilot's last recorded night flight was 3 years 9 months before the accident.

Factual narrative

History of flight

On December 17, 1995, a Cessna 205, N8415Z, registered to a private owner, operating as a 14 CFR Part 91 personal, crashed in the Culebra National Wildlife Refuge, on Cayo De Luis Pena at an undetermined time. Visual meteorological conditions were being reported at the time of the accident and no flight plan was filed. The airplane was destroyed. The noninstrument-rated private pilot and two passengers were fatally injured. The flight originated from Isla De Culebra Airport, Culebra, Puerto Rico. The airplane was located on December 19, 1995, about 2 miles southwest of the airport.

Witnesses stated the airplane departed the Culebra Airport after 2000. The airplane flew over the city at about 500 to 600 feet towards Cayo De Luis Pena and disappeared from view behind the mountains.

Personnel information

Review of the pilot's logbook revealed the last recorded biennial flight review was April 3, 1993. The pilot's last recorded flight was January 6, 1994. The pilot's last recorded night flight was March 5, 1991. No night flights had been recorded in the Cessna 205 airplane. The pilot's last recorded medical was December 18, 1991.

Aircraft information

The aircraft logbooks were given to the NTSB investigator- in-charge by an airframe and powerplant mechanic (A&P) on December 21, 1995. The registered owner requested the A&P mechanic to perform an annual inspection on the airplane in May 1992. The owner did not deliver the airplane to the A&P mechanic, and the annual inspection was not performed. The A&P mechanic stated the owner continued to fly the airplane and performed his own maintenance. The owner did not have an airframe and powerplant certificate. Review of the aircraft logbooks revealed the last annual inspection was conducted on April 20, 1991, at a tach time of 1034.0. A personal trip logbook found at the crash site revealed maintenance that the owner had recorded as having been performed on the airplane. The last recorded tach time in the personal trip logbook was 1484.83 on September 6, 1995, and the airplane had flown 450.83 hours since the last recorded annual inspection.

Meteorological information

The nearest weather reporting facility at the time of the accident was Roosevelt Roads Naval air Station, Puerto Rico, located 18 miles to the southwest of Culebra Airport. The altitude of the moon was -81.9 degrees with 22 percent illumination. Visual meteorological conditions were being reported at the time of the accident. Witnesses at the Culebra Airport stated it was about to rain, very windy, and the ceiling was estimated at about 1,000 feet. The only visible light was over the city and towards Fajardo, Puerto Rico.

Wreckage and impact information

Examination of the crash site revealed the airplane collided with a tree in a descending left turn on a heading of about 250 degrees magnetic, separating the left wing strut, and left wing about 6 feet above the base of the tree. The airplane rolled left, continued forward, and collided with the ground about 32 feet from the initial point of impact on a heading of 260 degrees magnetic. The airplane rotated around the vertical axis to the right separating the right wing strut, right wing, engine assembly, and propeller from the propeller flange. Torsional twisting, "s" bending and chordwise scarring was present on both propeller blades. The fuselage bounced and came to rest 210 feet from the initial point of impact on a heading of 170 degrees magnetic. The fuselage was compressed aft of the baggage compartment aft bulkhead. The left and right fuel tanks were ruptured. The vegetation in the area adjacent to the airplane wreckage showed evidence of damage consistent with fuel spillage.

Examination of the airframe, flight controls, and propeller assembly revealed no evidence of a precrash failure or malfunction. All components necessary for flight were present at the crash site. Continuity of the flight control system was confirmed for pitch, roll, and yaw.

Examination of the engine assembly revealed no evidence of a precrash failure or malfunction. All cylinders on the left side of the engine had separated during the impact sequence. The crankshaft could not be rotated by hand. All accessory drive gears were in normal position, but could not be confirmed due to impact damage. Valve train continuity could not be confirmed due to cylinder separation. All engine accessories except for the fuel injector distributor valve had separated and were not located. The fuel injector distributor valve remained attached to the engine by one remaining fuel injection line. The spark plugs were removed from all cylinders. Examination of the spark plug electrodes, revealed the color, wear, and deposits were consistent with normal wear. The oil screen was coated with oil, and no metal particles were found on the screen. The oil sump sustained impact damage and oil was found under the engine on the ground.

Medical and pathological information

Post-mortem examination of the pilot and two passengers was conducted by Dr. Francisco Cortes, Institute of Forensic Science, San Juan, Puerto Rico, on December 20, 1995. The cause of death was severe body trauma. Post-mortem studies of specimens from the pilot was performed by the Institute of Forensic Science, San Juan, Puerto Rico. These studies were positive for alcohol 0.02 percent, and was negative for cocaine, and morphine. Post-mortem studies of specimens from the pilot was performed by the Forensic Toxicology Research Section, Federal Aviation Administration, Oklahoma City, Oklahoma. These studies were positive for ethanol, 39.000 mg/dl, detected in muscle secondary to putrefaction. Chlorpheniramine and phenylpropano was detected. No acidic and basic drugs were detected. Post-mortem studies of specimens from the two passengers was performed by the Institute of Forensic Science, San Juan, Puerto Ricco. These studies were positive for alcohol, 0.22 percent and 0.14 percent were present in the blood.

Test and research

Review of the Airport/Facility Directory for the Southeast United States and Puerto Rico, revealed the Culebra Airport is closed from sunset to sunrise. Official sunset was 1750 and end of twilight was 1814.

Additional information

The wreckage was released to Police Officer Sandra L. Rivera, Puerto Rico Police Department on December 20, 1995. The aircraft logbooks, pilot logbooks and personal trip logbook was released to Mr. Joaquin Camacho, FAA Caribbean FSDO on December 20, 1995.

Aircraft

Registration
N8415Z
Reported as
Cessna 205
Category
Airplane
Serial number
05-0415
Airframe hours
2,320
Engine
Continental IO-470-S, 260 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Emigdio L. Nunez
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 11, 1992 · 451 hours before
Departed
CPX · PR
Destination
SIG · Isla Granda, PR

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
53
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
762 total · 315 in this make and model · 762 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
10° at 8 knots
Visibility
6 statute miles
Temperature
77 °F, dew point 73 °F
Altimeter
29.00 inHg
Observed at
TJN, 18 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.