NYC06FA154

NTSB accident investigation · Cessna 172N · Newry, ME · June 22, 2006

Accident · FatalField investigationFinal report
Date
June 22, 2006, 14:10 local (18:10 UTC)
Place
Newry, ME
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N572BACessna 172N
Weather
Visual (VMC) · Day
Status
Completed · report July 25, 2007
Report
Approved by Office Director
Parties
Cessna Aircraft Company, Textron Lycoming, FAA/FSDO, Twin Cities Air Service LLC.
FAA report
20060622022619A
Case key
63957

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 flight instructor's failure to maintain altitude/clearance while maneuvering, which resulted in an impact with trees.

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 objectManeuvering
Object - tree(s)
Altitude/clearance - not maintainedPilot in command(cfi)Cause

Analysis

After boarding three Air Force Junior Reserve Officers Training Corps cadets for an orientation flight, the flight instructor of the Cessna 172 executed a takeoff. Once airborne, the airplane made an "immediate" right turn directly towards a mountain. The airplane continued towards the mountain, paralleled the mountain's face, then passed over the mountain and out of sight. The wreckage was located in a heavily wooded area 2,070 feet above sea level. The debris path and impact marks were consistent with a near vertical impact. Also, no preimpact mechanical malfunctions were discovered when the wreckage was examined. The flight instructor had a history of flying low and performing maneuvers bordering on excessive with cadets onboard. The day of the accident and on the flight prior to the accident flight, cadets experienced zero-g maneuvers, along with near vertical climbs and descents with the pilot recovering between 75 to 100 feet above the ground.

Factual narrative

History of flight

On June 22, 2006, about 1410 eastern daylight time, a Cessna 172N, N572BA, operated by Twin Cities Air Service LLC. was destroyed when it impacted terrain while maneuvering near Newry, Maine. The certificated flight instructor and the three passengers were fatally injured. Visual meteorological conditions prevailed for the local flight that departed Bethel Regional Airport (0B1) Bethel, Maine, about 1400. No flight plan was filed for the local instructional flight conducted under 14 CFR Part 91.

According to an Air Force Junior Reserve Officers Training Corps (AFJROTC) instructor, the passengers were high school students receiving a cadet orientation flight as part of a summer camp program.

According to witnesses, the Cessna 172 and a Cessna 152 that were to be used for the day's cadet orientation flights arrived about 30 minutes late. The Cessna 172 landed "longer than expected." After a short discussion with an AFJORTC instructor about duration of the flights, the flight instructor performed a "fast" preflight inspection of the Cessna 172, and boarded three cadets for the first of several planned orientation flights.

Both airplanes then departed. After takeoff, the Cessna 152 remained in the traffic pattern; however, the Cessna 172 proceeded towards Barker Mountain. It then turned right through a pass on the near side of the mountain and disappeared from view. Approximately 20 minutes later, the Cessna 172 returned for landing. The Cessna 152 also landed, after flying a "normal traffic pattern," however; the Cessna 172 approached the runway "with a good angling correction" from the northeast, and flew a "real tight" traffic pattern with flaps extended. It then entered a side slip to a point about 30 feet above runway 32, and touched down with a "slight wing rock," once again landing long.

The flight instructor then loaded another three cadets and departed. The Cessna 172 made an "immediate" right turn directly towards Barker Mountain in a tail low attitude. As it approached the mountain it turned farther right until it was paralleling the mountain face. It then passed over the mountain and disappeared from view.

The accident occurred during the hours of daylight. The wreckage was located at 44 degrees, 27.257 minutes north latitude, and 70 degrees, 53.091 minutes west longitude.

Personnel information

According to Federal Aviation Administration (FAA) records, the flight instructor held a commercial pilot certificate with ratings for airplane single-engine-land, airplane-multiengine-land, and instrument airplane. His most recent FAA first-class medical certificate was issued May 19, 2006. Examination of his logbook revealed he had accrued 861.6 total hours of flight experience.

Aircraft information

According to FAA and maintenance records, the airplane was manufactured in 1979. The airplane's most recent 100-hour inspection was completed on June 21, 2006. At the time of the inspection, the airplane had accrued 6,750.9 total hours of operation and the engine had accrued 863.1 hours of operation since its last overhaul.

Meteorological information

A weather observation taken about 18 minutes before the accident, at Berlin Municipal Airport (BML), Berlin, New Hampshire, located approximately 19 nautical miles northwest of the accident site, recorded the winds as 160 degrees at 4 knots, visibility 10 miles, few clouds at 6,000 feet, temperature 73 degrees Fahrenheit, dew point 61 degrees Fahrenheit, and an altimeter setting of 30.00 inches of mercury.

Wreckage and impact information

The main wreckage came to rest in a heavily wooded area, 2,070 feet above sea level on Barker Mountain. Impact marks, along with broken portions of tree trunks, were visible 43 feet north of the main wreckage approximately 60 feet up the surviving portions of the trees. Multiple portions of fragmented tree trunks, which exhibited propeller strike marks perpendicular to the longitudinal axis of the trunk existed throughout the accident site.

All major components of the airplane were accounted for at the accident site, and no preimpact malfunctions of the airplane or engine were discovered.

The cabin was consumed by a postimpact fire. The engine, firewall, and remains of the instrument panel were orientated on a heading of 180 degrees magnetic, and canted 20 degrees to the left. An approximate 8-foot section of the aft fuselage along with the empennage was inverted, displayed varying degrees of impact damage, and was orientated on a heading of 260 degrees. The left and right wings were found in their respective mounting locations, in close proximity to the remains of the fuselage. Their leading edges displayed multiple impact marks.

All flight control surfaces displayed differing degrees of damage. The flap actuator correlated to a 10-degree flap position. The elevator trim correlated to approximately neutral. Flight control continuity was confirmed for the aileron, rudder, elevator, and pitch trim control systems.

Examination of the cockpit revealed that the throttle control was full open and the mixture control was in the full rich position. Both cabin door latch assemblies were in the closed and locked position, and exhibited scratches at the door latch pins.

Examination of the propeller revealed that it had remained attached to the engine and exhibited chordwise twisting, leading edge gouging, leading edge polishing, and chordwise scratching.

Examination of the engine revealed that the aft portion was fire damaged. Continuity of the intake system, exhaust system, valve train, and crankshaft were confirmed. The single drive, dual magneto was consumed by fire. Only the impulse coupling and drive shaft remained. The ignition harness was broken at multiple locations and exhibited fire related damage. All spark plugs were removed for inspection, and their electrodes were intact. All four cylinders were examined internally with a lighted borescope, and no anomalies were observed. The crankshaft was rotated through an accessory drive, and compression was noted on all four cylinders. The valve covers were removed, and oil was noted in all rocker boxes. The oil suction screen and oil filter were examined, and no contamination was observed.

Examination of the fuel system revealed that both wing tanks were breached. No blockages or preimpact anomalies of the surviving portions of the fuel tanks and fuel lines were noted. The fuel strainer screen was intact and showed no evidence of prefire discoloration or debris on its face. No evidence consistent with a preimpact failure or malfunction of the carburetor was observed, and the finger screen was clean and absent of debris.

Medical and pathological information

A postmortem examination was performed on the flight instructor by the State of Maine's Office of the Chief Medical Examiner.

Toxicological testing of the flight instructor was conducted at the FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma.

Additional information

According to a cadet who had flown with the flight instructor on a previous occasion and on the day of the accident, the accident day flight was "different" from the flight he had participated in with the same flight instructor on a previous occasion.

According to the cadet, during a flight with a group of Civil Air Patrol cadets in February of 2006, the flight instructor asked the cadets if they were getting bored. He then performed two "dips" which were "pretty steep," and then did what the cadet described as a "zero g" maneuver. During the maneuver the flight instructor climbed the airplane to approximately 3,500 feet msl and then descended to "less than" 2,000 feet msl. The cadet also observed, "stuff floating around" and a pen "came off" the top of the airplane's instrument panel.

A witness reported that on the day of the accident tw

Aircraft

Registration
N572BA
Reported as
Cessna 172N
Category
Airplane
Serial number
17271675
Airframe hours
6,751
Engine
Lycoming O-320-H2AD, 160 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Instructional · Part 91
Registered owner
Twin Cities Air Service, LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 1, 2006
Departed
0B1 · Bethel, ME
Destination
0B1
Airport
0B1 · Bethel Regional Airport

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
24
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 1, 2005
Seat
Right
Toxicology
Performed
Flight hours
861 total · 619 as pilot in command · 251 in the last 90 days · 88 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 61 °F
Altimeter
30.00 inHg
Observed at
BML, 19 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.