NYC03FA058

NTSB accident investigation · Cessna 182G · Renfrew, PA · February 28, 2003

Accident · FatalField investigationFinal report
Date
February 27, 2003, 21:35 local (Feb 28, 2003, 02:35 UTC)
Place
Renfrew, PA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3404SCessna 182G
Weather
Visual (VMC) · Night/dark
Status
Completed · report December 3, 2004
Report
Approved by Office Director
Parties
Cessna Aircraft, Teledyne Continental Motors, FAA
FAA report
20030227005279A
Case key
56550

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 failure to maintain control of the airplane while maneuvering to land. Factors in the accident were the pilot's decision to fly into forecasted\known icing conditions, and the accumulation of structural ice.

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 encounter with weatherCruise
Planning/decision - improperPilot in commandFactor
Weather condition - icing conditions
Loss of control - in flightApproach
Aircraft control - not maintainedPilot in commandCause
Wing - iceFactor
Horizontal stabilizer - iceFactor
In flight collision with objectDescent - uncontrolled
Object - tree(s)

Analysis

The pilot received three preflight briefings before departing on the accident flight, and changed his planned departure time twice before departing. During all three briefings the pilot was advised of icing conditions in the area and along his planned route of flight. While en route, the pilot reported accumulating a significant amount of ice. During descent, the pilot reported the airport in sight, and was cleared for the visual approach to runway 8. The airplane impacted the ground about 1/2 mile from the airport, and approximately 100 feet left of the extended centerline for runway 8. Ice fragments were located at and near the main wreckage. The fragments were approximately 2 inches thick, 4.5 inches high, and shaped consistent with wing and tailplane ice accumulations. The airplane was not certified or equipped for flight into icing conditions. Examination of the wreckage revealed no preimpact failures or malfunctions.

Factual narrative

History of flight

On February 27, 2003, about 2135 eastern standard time, a Cessna 182G, N3404S, was substantially damaged when it impacted terrain near Renfrew, Pennsylvania, while executing a visual approach to runway 8 at the Butler County Airport (BTP), Butler, Pennsylvania. The certificated private pilot was fatally injured. Night visual meteorological conditions prevailed for the business flight that departed Philadelphia International Airport (PHL), Philadelphia, Pennsylvania, destined for Butler. An instrument flight rules (IFR) flight plan was filed and activated for the flight conducted under 14 CFR Part 91.

A review of Automated Flight Service Station (AFSS) audio recordings revealed that the pilot received three separate preflight briefings before departing on the accident flight about 1920.

At 0727, the pilot filed an IFR flight plan with a planned departure time of 1400. The briefer advised the pilot of a weather advisory for occasional moderate rime icing from 4,000 to 8,000, and that a 1400 departure would put the airplane ahead of a storm approaching from the south.

At 1418, the pilot changed his departure time to 1435, and received an updated briefing. The briefer advised the pilot that the storm system was still to the south, and being blocked by high pressure. The briefer added that moderate rime icing in clouds below 8,000 were forecasted along the pilot's route of flight, and that IFR conditions and mountain obscuration were forecasted for the southern half of Pennsylvania.

At 1745, the pilot filed another IFR flight plan with a planned departure time of 1750, a cruise altitude of 6,000 feet msl, and a route of flight through the southern half of Pennsylvania. Once the flight plan was filed, the briefer advised the pilot of occasional moderate rime and mixed icing in clouds and precipitation below 16,000 for the entire route of flight, occasional IFR conditions and mountain obscuration for the entire route, and that the precipitation associated with the storm approaching from the south had crossed into the "extreme" southern portions of Pennsylvania. The briefer added that 35 to 40 minutes prior to the briefing, the pilot of a Cessna 208 had reported light clear icing during climbout. The briefer did not give the location of the pilot report.

According to air traffic control (ATC) data, the pilot reported accumulating a significant amount of ice while en route to Butler. Once in the Butler area, he advised the controller he had the airport in sight, and was cleared for the visual approach to runway 8. No report of mechanical problems was received from the pilot before the accident. When the airplane failed to arrive at Butler, it was listed as missing, and search and rescue operations were initiated.

According to a witness that was approximately 1.2 miles northwest of the accident site, the airplane was "very low," and descending rapidly while making a 180-degree turn. He reported that the airplane appeared to be stable and that the landing light was on. He could not recall if he heard any engine noise, but added he was inside, and his television was on. He did not witness the airplane impact the ground.

According to another witness that was approximately 400 feet from the accident site, the airplane was very low, and unstable when it flew by her bedroom window. The wings were rocking back and forth, and believed she heard the engine, but was not 100 percent sure. She did not witness the airplane impact the ground, and was not aware of the accident until advised by local authorities.

The accident occurred during the hours of darkness. The wreckage was located at 40 degrees, 46.220 minutes north latitude, 79 degrees, 58.714 minutes west longitude, and an elevation of approximately 1,160 feet msl.

Personnel information

The pilot held a private pilot certificate with an airplane single-engine-land rating, and airplane instrument rating. On his last Federal Aviation Administration (FAA) third-class medical certificate, dated April 23, 2002, he reported a total flight experience of 466 hours.

Wreckage and impact information

The airplane impacted the ground about 1/2 mile from the airport, and approximately 100 feet left of the extended centerline for runway 8. Terrain in the area consisted of rolling hills, farmland, and patches of forest. The debris path was approximately 50 feet long, orientated on a magnetic heading of 100 degrees, and up slope approximately 5 degrees. The start of the debris path was marked by freshly broken tree branches at the top of a 15-foot tree. The debris path then consisted of one continuous ground scar, miscellaneous airframe components, and the main wreckage. All the structural components of the airplane were accounted for at the accident site. In addition, ice fragments were located at and near the main wreckage. The fragments were approximately 2 inches thick and 4.5 inches high. The color of the fragments was clear to opaque, and the shapes were consistent with the leading edge surfaces of the wing and tailplane.

On February 28, 2003, the wreckage was moved to the Butler County Airport, and placed in a secure hangar. On March 1, 2003, the engine and airframe were examined.

Examination of the cockpit revealed that the airplane was not equipped with shoulder harnesses. The seat tracks were bent and broken, and the breaks matched the curvature of the floor. The right seat was intact, the left seat had separated from the floor, and the cushion along with its associated structure had separated from the seat at all four of its connecting points. All four fracture surfaces were gray in color and consistent with overload.

Flight control continuity was confirmed from both ailerons to both control yokes. Continuity of the elevator was confirmed from the elevator to the base of the instrument panel, but not to the control yokes because of impact damage. Rudder control continuity was confirmed from the rudder to the forward part of the cockpit, but not to the actual pedals because of impact damage. Elevator trim was approximately neutral, and continuity was confirmed. The flap switch was in the neutral position, the flap indicator showed up, and the flaps were in the "UP" position.

The airspeed indicator displayed zero, and the vertical speed indicator displayed 350 FPM down. The pilot altimeter indicated 7,560 feet and was set to 29.95 inches of mercury. The copilot altimeter indicated 7,150 feet and was set to 29.95 inches of mercury. The alternate static air was closed, and the pitot heat was "ON." The attitude indicator displayed nose high and approximately 45 degrees left wing low, the turn and bank indicator displayed right wing low, and the ball was free in the race. The No. 1 course deviation indicator (CDI) was set to 266 degrees, showed on course, and full deflection below glideslope. The No. 2 CDI was set to 254 degrees, indicated three dots right of course, and full deflection above glideslope. The directional gyro indicated 231 degrees, and the magnetic compass indicated 221 degrees. The ADF needle indicated 225 degrees, and the card was set to 035 degrees. In addition, no indication of "needle slap" was identified on any of the flight or navigation instruments.

The ICS control panel was configured with speaker and headphone for the No. 1 communication radio, nothing for the No. 2 communication radio, and nothing for the No. 1 navigation radio. Speaker and headphone were selected for the No. 2 navigation radio, and headphone was selected for the DME. Speaker and headphone were selected for the marker beacon, and speaker was selected for the ADF. In addition, the transmit selector was set to the No. 1 communication radio.

The No. 1 and No. 2 communication radios were "ON," and the volumes were mid range. The No. 1 and No. 2 navigation radios were "ON" and the volumes were approximately maximum. Th

Aircraft

Registration
N3404S
Reported as
Cessna 182G
Category
Airplane
Serial number
18255804
Airframe hours
2,784
Engine
Continental O-470, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
David C. Howard
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2002 · 57 hours before
Departed
PHL · Philadelphia, PA
Destination
BTP · Butler, PA
Flight plan
IFR
Airport
BTP · Butler County/K W Scholter Fie, runway 8, 3,998 × 100 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
50
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
September 9, 2002
Seat
Left
Toxicology
Performed
Flight hours
442 total · 352 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
90° at 5 knots
Visibility
10 statute miles
Lowest ceiling
3,700 ft overcast
Temperature
30 °F, dew point 23 °F
Altimeter
29.95 inHg
Observed at
BTP, 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.