MIA98FA045

NTSB accident investigation · Cessna 172M · Raleigh-Durham, NC · December 25, 1997

Accident · FatalField investigationFinal report
Date
December 24, 1997, 20:08 local (Dec 25, 1997, 01:08 UTC)
Place
Raleigh-Durham, NC
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N12172Cessna 172M
Weather
Instrument (IMC) · Night/dark
Status
Completed · report February 28, 2000
Report
Approved by Office Director
Case key
38383

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 NTSB’s determination of the probable cause, and any contributing factors.

Was loss of control of the airplane on initial climb after entering instrument flight conditions resulting in a turn opposite in direction from that given by ATC, and eventual collision with terrain.

Analysis

The single piloted Cessna 172, (N12172) launched into 400 feet overcast, 6 miles visibility in light rain and fog weather conditions, at night, and when queried by the Raleigh-Durham departure controller what his heading was, he responded, '172 has got uh a vacuum problem'. Contrary to departure instructions to commence a right turn after take-off, N12172 entered a left turn after take-off that continued for 2 1/2 minutes until ground impact about 1.3 miles northwest of the airport.

Factual narrative

The factual narrative1,262 words

History of flight

On December 24, 1997, about 2008 eastern standard time, a Cessna 172M, N12172, registered to a private individual, operating as a 14 CFR Part 91 personal flight, crashed shortly after takeoff from Raleigh-Durham International Airport, Raleigh-Durham, North Carolina. Instrument meteorological conditions prevailed and an IFR flight plan was filed. The aircraft was destroyed, and the instrument rated private pilot sustained fatal injuries. The flight departed 2 1/2 minutes before the accident.

The pilot used N12172 to commute to his hospital emergency room practice in Florence, S. C., from his home in Ahoskie, N. C. The pilot and N12172 arrived at the Raleigh-Durham Airport on December 19, 1997, and N12172 was parked until December 24, 1997, on the ramp of Piedmont Aviation, a local FBO. During that time the pilot and his family flew commercially to Denver for a vacation. On the day of the accident, the pilot and family had returned to Raleigh-Durham, where the family drove home, and the pilot planned to fly N12172 to his work in Florence.

According to taped conversations between a person identifying himself as the pilot of N12172 and Raleigh-Durham AFSS, for the time frame planned for his flight, a cold front was moving through the area. A low pressure area was centered west of the Carolinas, "pushing to the east" and a high pressure area prevailed to the northeast of the Piedmont area with clearing not forecast until about 0800 the next morning. The observed and forecast weather along his intended route, in general, was; ceilings between 200 and 1200 agl, reduced visibility in rain, mist, fog, and an occasional thunderstorm. En-route winds at the requested altitude, 6,000 feet, were 190 degrees at 32 to 34 knots, and level 3 precipitation could be expected nearer Florence.

A person identified as the pilot of N12172 received five weather briefings from the Raleigh-Durham Automated Flight Service Station for an IFR flight: one at 1709 where he says, "I'm not gonna file IFR, I'm gonna check again", another at 1806, where he suggests that he will get a new forecast at 7 P.M., a third at 1904 where he says, "thank you sir, I'll think this over a minute", a fourth at 1915 where he files his IFR flight plan to Florence, and the final brief at 1939. When the AFSS briefer queries the pilot about his choice of alternate airports, the pilot mentions his concern about a suitable alternate and answers, " Raleigh-Durham, barely".

According to transcripts of communications with the FAA ATCT at Raleigh-Durham, shortly after takeoff , the pilot made the following transmissions at the times indicated: (1) 0106:38, he read back a new altimeter setting given by the local controller by repeating, "two nine eight eight one seven two, (2) 0107:20, "...do you..(unintelligible)..", (3) 0107:21, when requested by the local controller to state his heading, the pilot of N12172 responded, "172 has got uh a vacuum problem". The departure clearance would have required a right turn after takeoff, but radar data shows N12172 commencing a left turn that continued until ground impact about 1.3 miles northwest of the tower on a heading of about 82 degrees.

Personnel information

The pilot's current logbook was not recovered. At the time of the pilot's application for his third class medical on August 8, 1997, he had stated his flight time as 693 hours with 100 hours flown within the last 6 months. FBO personnel in Florence estimated the pilot had been commuting there by private airplane for about 1.5 years.

Aircraft information

Neither the airplane nor the engine logbooks could be located. The only airplane records obtained were the various work orders and billing statements from those FBOs known to have been patronized by the pilot. According to the pilot's family, it would be likely that two round trips from the pilot's home to his work, about 6 hours, could be added to the airplane's total tachometer time since its annual inspection to estimate airframe total time.

The airplane had been modified with the Penn Yan Aero 180 HP Superhawk conversion STC, (SA 703GL) by Williamsburg Aviation of Williamsburg-Jamestown Airport, Virginia, in November, 1994. A standby vacuum system STC manufactured by Precise Flight, Inc., the SVS III, (SA2162NM) had been installed by Carolina Air Services, Inc., of Florence, South Carolina, in December, 1996. The FBO also replaced the artificial horizon with an overhauled unit in early May, 1997. The altimeter, static system, and altitude reporting feature of the transponder had been inspected for proper operation on June 28, 1997, by Bay Avionics of Hampton Roads, Virginia. The airplane had undergone a vacuum pump change due to a sheared shaft, by ISO Aero Service, Inc. of Kinston, North Carolina, on November 25, 1997, at a tachometer recorded time of 2264 hours. The airplane had undergone an annual inspection by Carolina Air Services, 20 days before the accident, on December 4, 1997, at a tachometer recorded time of 2275.7 hours.

Meteorological information

The 1951weather observation for the Raleigh-Durham Airport was: 6 miles visibility in light rain and mist, sky condition, 400 feet overcast, temperature, 46 degrees F., dew point, 46 degrees F., altimeter setting, 29.89 inches of mercury, remarks, rain ended 2006, and rain began 2027. WRECKAGE AND IMPACT INFORMATION

The wreckage of N12172 was located about 1.3 miles northwest of the geographic center of the Raleigh-Durham International Airport, about 500 yards west of the west perimeter road called Aviation Parkway, in dense pinewoods within the airport boundary, but outside the fenced area. Initial impact appeared to be with tree tops about 40 feet above ground level by the left wing, in a near wings level attitude, on a heading of 82 degrees. The wreckage path was about 120 feet long with some scattering of fuselage fragments up to 180 feet from initial impact. The descent angle, relative to the terrain, was about 18 degrees from initial collision to ground collision. The left wing and strut were found on the ground near initial impact. The main wreckage consisted of the fuselage, engine and propeller, empennage, and right wing. There was a postcrash fire from about the instrument panel forward. Most through-firewall hoses and cockpit instruments were destroyed by the fire. The propeller, still attached to the crankshaft flange, exhibited uniform rearward bending of both blades, with about 4 inches fractured and missing from one blade. Chordwise striations and burnishing, heavier at the leading edges, were evident on both blades. Two sections of pine tree trunk exhibited helical shaped carving with faint transfer of gray paint. The engine had torn loose from its mount and was displaced right-of-centerline, about 4 feet from the main wreckage, inverted, and exhibited evidence of impact with trees prior to ground collision. The vacuum pump, oil filter/housing and oil-cooler bypass, alternator, carburetor, and muffler assembly had broken their respective mounts, and were found detached.

All airframe components were found in the immediate area. Flight controls and airframe components showed no signs of precrash failure or malfunction. Integrity of all flight controls was established. It was reported the ELT activated on impact, but was not recovered. The ELT bracket and antenna were found intact. Examination of the engine at the crash site revealed the engine assembly rotated and continuity was established with the crankshaft, camshaft, valve train, and accessory drive gears. Both magnetos produced spark at the four leads during hand rotation. The top spark plugs exhibited deposit coloring consistent with normal engine operation. Engine oil appeared new and uncontaminated. The carburetor exhibited fracture consistent with impact overload. Teardown inspection of the ca

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 control - in flightTakeoff - initial climb
Reason for occurrence undeterminedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Light condition - dark night
Weather condition - low ceiling
Terrain condition - wet

Aircraft

Registration
N12172
Reported as
Cessna 172M
Category
Airplane
Serial number
17261858
Airframe hours
2,282
Engine
Lycoming O-360A4M, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Robert F. Brown
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · December 4, 1997 · 6 hours before
Departed
RDU
Destination
FLO · Florence, SC
Flight plan
IFR
Airport
RDU · Raleigh-Durham Int'L, runway 5R, 7,500 × 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
42
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
700 total

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
100° at 9 knots
Visibility
6 statute miles
Lowest ceiling
400 ft overcast
Temperature
46 °F, dew point 46 °F
Altimeter
29.00 inHg
Observed at
RDU, 1 nm away