# NTSB NYC05FA075: Cessna 172R, N61AF, Armonk, NY, April 23, 2005 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: April 23, 2005, 15:17 local (19:17 UTC) - Place: Armonk, NY - Coordinates: 41.086944, -73.725555 - Nearby events: https://openairdocs.org/map.md?lat=41.0869&lon=-73.7256&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 2 fatal - Status: Completed, report October 3, 2006 - Report: Approved by Office Director - Parties: FAA Farmingdale FSDO, Textron Lycoming, Cessna Aircraft Company - NTSB case key (mKey): 61354 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC05FA075 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/61354/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=61354 - Page: https://openairdocs.org/ntsb/NYC05FA075 ## Probable cause The flight instructor's failure to maintain the proper altitude\clearance during the approach, which resulted in an in-flight collision with trees. Factors in this accident were low ceilings, fog, and gusty wind conditions. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - In flight collision with terrain/water, approach - altitude/clearance - not maintained, pilot in command (cause) - weather condition - low ceiling (contributing factor) - weather condition - fog (contributing factor) - weather condition - gusts (contributing factor) ## Analysis The flight instructor was conducting an instrument training flight with a student pilot. At 1513:45, the airplane was on the ILS Runway 16 approach, when the pilot contacted the air traffic control tower. The airplane was subsequently cleared to land, and the controller also informed the flight instructor that the pilot of a landing Cessna Citation reported that he "broke out" at 200 feet. At 1517:25, the controller observed the airplane's radar target at 900 feet. He then issued the pilot a low altitude alert and provided the current altimeter setting. The pilot acknowledged the transmission, read back the altimeter setting, and reported that he was at an altitude of 800 feet. There were no further communications from the pilot, and the airplane's last radar target was observed at 1517:39, at an altitude of 600 feet. The airplane impacted trees and came to rest in a wooded area, about 1 mile from the approach end of runway 16. Examination of the airplane did not reveal any pre-impact malfunctions. A weather observation taken at the airport around the time of the accident, reported: wind from 190 degrees at 12 knots, gusting to 16 knots; visibility 1/2 statue mile in fog; ceiling 200 feet overcast; temperature and dew point both 12 degrees C; altimeter 29.51 in/hg. Review of the approach diagram for the ILS Runway 16 approach revealed a decision height of 639 feet msl (200 feet agl), and an approach minimum of 1,800 feet runway visual range (RVR), or 1/2-mile visibility. The flight instructor had accumulated about 815 hours of total flight experience. He had logged about 80 hours of flight time as "actual instrument conditions," which included about 7 hours of flight time, and 6 instrument landing system approaches during the preceding 90 days. The student pilot had accumulated about 32 hours of total flight experience. ## Factual narrative HISTORY OF FLIGHT On April 23, 2005, about 1517 eastern daylight time, a Cessna 172R, N61AF, was destroyed when it impacted terrain in Armonk, New York; while on approach to the Westchester County Airport (HPN), White Plains, New York. The certificated flight instructor (CFI) and student pilot were fatally injured. Instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan was filed for the flight that departed Albany International Airport (ALB), Albany, New York. The instructional flight was conducted under 14 CFR Part 91. The airplane was operated by Aviation Training Enterprises of New York (d.b.a. American Flyers) flight school, and utilized for flight training conducted under 14 CFR Part 61. The airplane was based at HPN. According to information obtained from the Federal Aviation Administration (FAA), at 1111, the pilot contacted the New York automated flight service station (AFSS) by telephone to file two flight plans. One from HPN to ALB, and one from ALB to HPN. According to the respective flight plans, the flights were for the purpose of "IFR training." The pilot and student pilot departed HPN, about 1210, and flew to ALB. They then departed ALB about 1345, to return to HPN. At 1513:45, the airplane was on the ILS Runway 16 approach, when the pilot contacted the HPN air traffic control tower. The airplane was cleared to land at 1514:15. The controller also informed the accident pilot that the pilot of a landing Cessna Citation reported that he "broke out" at 200 feet. At 1517:25, the controller observed the airplane's radar target at 900 feet. He then issued the pilot a low altitude alert and provided the current altimeter setting. The pilot acknowledged the transmission, read back the altimeter setting, and reported that he was at an altitude of 800 feet. There were no further communications from the pilot, and the airplane's last radar target was observed at 1517:39, at an altitude of 600 feet. The accident occurred during the hours of daylight, located approximately 41 degrees, 05.214 minutes north latitude, and 73 degrees, 43.531 minutes west longitude. PERSONNEL INFORMATION The CFI held a commercial pilot certificate with ratings for airplane single engine land, and instrument airplane. He also held a flight instructor certificate for airplane single engine land and instrument airplane, which was issued on March 22, 2004. At the time of the accident, he had accumulated about 815 hours of total flight experience, which included about 615 hours in Cessna 172 series airplanes. According to logbook records, the CFI had logged about 80 hours of flight time as "actual instrument conditions," which included about 7 hours of flight time, and 6 instrument landing system approaches during the preceding 90 days. The CFI's most recent FAA second class medical certificate was issued on March 7, 2003. The student pilot held a student pilot certificate. According to training records, the student pilot had accumulated approximately 31.9 hours of total flight experience, which included about 30 hours in the same make and model as the accident airplane, since April 6, 2005. The student pilot had not accumulated any "solo" flight experience. The student pilot held an FAA second class medical certificate, which was issued on March 24, 2005. AIRCRAFT INFORMATION The airplane had been operated for about 4,265 total hours since new, and the engine had accumulated about 200 hours since it was overhauled. The airplane had been operated for about 72 hours since its most recent 100-hour inspection, which was performed on April 5, 2005. According to fueling records, the airplane had been "topped off," with 17 gallons of 100-low-lead aviation gasoline at ALB. METEOROLOGICAL INFORMATION Flight school personnel had access to a "WSI" weather terminal for flight planning purposes. After the pilot filed the two flight plans with the New York AFSS, he asked the briefer if there were any pilot reports. The briefer told the pilot that there were no pilot reports and provided the "Airmets" and "Convective Sigments" for the routing. Airman's Meteorological Information (AIRMET) Sierra update 2 for IFR conditions and mountain obscuration was issued at 0945 and was valid until 1600. The AIRMET called for occasional ceilings below 1,000 feet with 3 statute mile visibility in precipitation and mist. The AIRMET also reported the possibility of mountain obscuration due to clouds, precipitation and mist. The conditions were forecast to continue until 2200. AIRMET Tango update 2 for turbulence and low level wind shear was issued at 0945 and was valid until 1600. The AIRMET called for occasional moderate turbulence below 12,000 feet due to increasing low level winds ahead of a developing low pressure. The AIRMET also reported the possibility of wind shear below 2,000 feet due to strong low level winds. The conditions were expected to continue until 2200. Both AIRMETS encompassed the accident site. A weather observation taken at HPN, at 1456, reported: wind from 190 degrees at 12 knots, gusting to 16 knots; visibility 1/2 statue mile in fog; ceiling 200 feet overcast; temperature and dew point both 12 degrees C; altimeter 29.51 in/hg. AERODROME INFORMATION The Westchester County Airport was located at an elevation of 439 feet msl. Runway 16 was 6,548-feet-long, 150-feet-wide, and constructed of grooved asphalt. In addition, runway 16 was equipped with a medium intensity approach lighting system, with runway alignment indicator lights. A post accident check of the approach lighting system did not reveal any malfunctions. Review of the approach diagram for the ILS Runway 16 approach revealed a decision height of 639 feet msl (200 feet agl), and an approach minimum of 1,800 feet runway visual range (RVR), or 1/2-mile visibility. WRECKAGE AND IMPACT INFORMATION The airplane impacted trees and came to rest in a wooded area, about 1 mile from the approach end of runway 16. The terrain around the accident site sloped upward from the Kensico Reservoir, and contained trees that were about 65 feet tall. A debris path, which measured about 150 feet long, and was oriented on a magnetic course of about 145 degrees extended from a freshly broken tree. All major portions of the airplane were located at the accident site. Both wings, the left horizontal stabilizer, and the left elevator were separated from the fuselage and located along the debris path. A 9-foot portion of the left wing was observed about 40 feet from the initial tree strike. The fuselage came to rest inverted, about 115 feet from the initial tree strike. A post crash fire destroyed the fuselage from the engine firewall, through the aft end of the baggage compartment. In addition, the fire also destroyed the inboard portion of the left wing. A 10-foot-long, 5-foot-wide ground scar was observed near the fuselage. The right wing was separated at the wing root, and was located about 35 feet beyond the fuselage. The inboard portion of the right wing was fire damaged. Flight control continuity was confirmed from the rudder and elevator control surfaces to the forward cockpit area. In addition, both the left and right aileron cables remained attached to their respective control surfaces, and were intact up to their respective wing separation. The flap actuator jackscrew was in the flap retracted position. The engine was crushed back into the firewall. The engine was rotated via an accessory drive gear. Crankshaft continuity was observed through the accessory section. In addition, valve train continuity and thumb compression was attained on all cylinders. A borescope inspection of all cylinders piston heads and valves also did not reveal any mechanical malfunctions. The accessory section was destroyed by fire, and both magnetos could not be sparked. All spark ## Aircraft - Registration: [N61AF](https://openairdocs.org/deregistered/N61AF-2017-06-30), registration cancelled 2017-06-30, S/N 17281047, built 2001 (OpenAirDocs) - Reported make and model: Cessna 172R - Registry model: [Cessna 172R](https://openairdocs.org/model/cessna-172r) (registry code 2072401) (OpenAirDocs) - Registry engine: [Lycoming I0360 series](https://openairdocs.org/engine/lycoming-i0360-series) (registry code 41515, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 17281047 - Airframe hours: 4193 - Engines: Lycoming IO-360-L2A 160 horsepower reciprocating - Damage: Destroyed - Fire: On-Ground - Flight: Instructional, Part 91 - Operator: American Flyers - Registered owner: Aviation Training Enterprises of Illinios - Airworthiness certificate: Standard, Normal - Last inspection: 100 hour, April 1, 2005, 72 hours before - Departed: ALB, Albany, NY - Destination: HPN, White Plains, NY - Flight plan: IFR - Airport: HPN, Westchester County, runway 16, 6,548 × 150 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Flight instructor; age 45; injuries: fatal; flight instructor, commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 2, without waivers/limitations; last flight review March 1, 2004; seat: right; toxicology performed; flight hours: 815 total, 613 in this make and model, 722 as pilot in command, 101 in the last 90 days, 36 in the last 30 days - Student pilot; age 23; injuries: fatal; student; medical: class 2, with waivers/limitations; seat: left; flight hours: 32 total, 30 in this make and model, 0 as pilot in command, 30 in the last 90 days, 30 in the last 30 days ## Weather - Conditions: Instrument (IMC), Day - Wind: 190° at 12 knots, gusting 16 - Visibility: 0.5 statute miles - Lowest ceiling: 200 ft overcast - Temperature: 54 °F, dew point 54 °F - Altimeter: 29.51 inHg - Observed at: HPN, 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 (OpenAirDocs). - [Accident 20050423017219A](https://openairdocs.org/incident/20050423017219A), Apr 23, 2005: Cessna 172R, White Plains, NY, Destroyed, 2 fatal. (-23) A Cessna 172-R approaching to land at Westchester country airport (khpn) on an ILS approach to runway 16 was given a low altitude alert from the local… ## Docket (19 files) The files NTSB released with the investigation on June 8, 2006, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=61354. 6.6 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1/2 (item 1, .PDF, 305 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261788&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1%2F2-Redacted.PDF - FAA Air Traffic Control Summary (item 2, .PDF, 181 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261772&FileExtension=.PDF&FileName=FAA%20Air%20Traffic%20Control%20Summary-Master.PDF - FAA Air Traffic Control Transcript (item 3, .PDF, 87 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261776&FileExtension=.PDF&FileName=FAA%20Air%20Traffic%20Control%20Transcript-Redacted.PDF - Air Traffic Controller Statement (item 4, .PDF, 80 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261797&FileExtension=.PDF&FileName=Air%20Traffic%20Controller%20Statement-Redacted.PDF - Radar Data Printout (item 5, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261782&FileExtension=.PDF&FileName=Radar%20Data%20Printout-Redacted.PDF - Radar Flight Track (item 6, .PDF, 621 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261789&FileExtension=.PDF&FileName=Radar%20Flight%20Track-Master.PDF - Radar Profile Track (1) (item 7, .PDF, 857 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261790&FileExtension=.PDF&FileName=Radar%20Profile%20Track%20(1)-Master.PDF - Radar Profile Track (2) (item 8, .PDF, 771 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261791&FileExtension=.PDF&FileName=Radar%20Profile%20Track%20(2)-Master.PDF - Runway 16 ILS Approach Diagram (item 9, .PDF, 63 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261794&FileExtension=.PDF&FileName=Runway%2016%20ILS%20Approach%20Diagram-Master.PDF - CFI Logbook (excerpts) (item 10, .PDF, 188 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261795&FileExtension=.PDF&FileName=CFI%20Logbook%20(excerpts)-Master.PDF - HPN Weather Observations (item 11, .PDF, 115 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261792&FileExtension=.PDF&FileName=HPN%20Weather%20Observations-Master.PDF - AIRMET Data (item 12, .PDF, 64 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261793&FileExtension=.PDF&FileName=AIRMET%20Data-Master.PDF - Maintenance Records (excerpts) (item 13, .PDF, 113 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40411390&FileExtension=.PDF&FileName=Maintenance%20Records%20(excerpts)-Redacted.PDF - Fuel Receipt (item 14, .PDF, 47 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261799&FileExtension=.PDF&FileName=Fuel%20Receipt-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 15, .PDF, 74 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261807&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 16, .PDF, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261808&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Redacted.PDF - FAA Toxicology Reports (item 17, .PDF, 115 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261800&FileExtension=.PDF&FileName=FAA%20Toxicology%20Reports-Redacted.PDF - Photograph # 1: Airplane as it came to rest (item 18, .PDF, 813 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261809&FileExtension=.PDF&FileName=Photograph%20%23%201%3A%20Airplane%20as%20it%20came%20to%20rest-Master.PDF - Photograph # 2: Engine (item 19, .PDF, 899 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40261810&FileExtension=.PDF&FileName=Photograph%20%23%202%3A%20Engine-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.