NYC98FA066

NTSB accident investigation · Cessna 172P · York, PA · February 22, 1998

Accident · FatalField investigationFinal report
Date
February 22, 1998, 12:25 local (17:25 UTC)
Place
York, PA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N54172Cessna 172P
Weather
Visual (VMC) · Day
Status
Completed · report February 15, 2001
Report
Approved by Office Director
FAA report
19980222001549A
Case key
39464

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 airspeed during final approach which resulted in an inadvertent stall/spin.

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 flightApproach - vfr pattern - final approach
Airspeed - not maintainedPilot in commandCause
Stall/spin - inadvertent
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - grass

Analysis

The airplane was on final approach to a 4,448 foot long runway with a displaced threshold of 740 feet. A passenger in a landing helicopter stated '...Our position was approx. 1/3 down the runway and as far left in the taxiway area finishing final approach. We were down to 15-20 ft. As I continued to observe the aircraft. The wings began to seesaw left and right, back and forth and then the airplane dropped sharply and I observed debris fly up from below the drop off at the end of the runway.' Another witnesses observed the airplane pitched down more than 60 degrees and in a turn. The airplane impacted a grass knoll about 300 feet from the displaced threshold of the runway, and came to rest inverted. Examination of the wreckage did not reveal any pre-impact malfunctions of the airframe or engine.

Factual narrative

History of flight

On February 22, 1998, about 1225 eastern standard time, a Cessna 172P, N54172, was substantially damaged when it impacted the ground during an approach to the York Airport (THV), York, Pennsylvania. The certificated private pilot was fatality injured. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan had been filed for the flight that departed Gaithersburg, Maryland, destined for THV. The personal flight was conducted under 14 CFR Part 91.

According to Air Traffic Control records, the pilot flew an NDB approach to runway 17, and canceled her IFR flight plan at 1224.

According to witnesses, the airplane was in the traffic pattern for runway 35, a 4,448 foot long runway with a displaced threshold of 740 feet. A passenger in a United States Army National Guard UH-1 helicopter on final approach to runway 35, observed the airplane. The passenger stated:

"I picked up my line of sight on the Cessna as it turned from the downwind leg and began approaching our aircraft at a 90 degree angle. The pilot's took precautionary measures at this time. [The Cessna] appeared on the right of our aircraft. She made a steep turn from base to final and now paralleled our course approx. 1/3 to 1/4 miles back, to the right, and above us. When the Cessna was 150-200 ft. Our position was approx. 1/3 down the runway and as far as possible to the left in the taxiway area finishing final approach. We were down to 15-20 ft. As I continued to observe the aircraft. The wings began to seesaw left and right, back and forth and then the airplane dropped sharply and I observed debris fly up from below the drop off at the end of the runway."

The pilot of the UH-1 stated:

"...I was originally set up for an approach to 'the numbers' of runway 35 but because I knew I had a fixed wing somewhere close behind, decided to execute my approach to the runway 35 parallel taxi way...I flew the UH-1 as far left as possible with the intention of minimizing the effects of our rotor wash on the Cessna as I expected her to pass by our right as she rolled out from her landing on the runway. As I was terminating the approach, about a third of the way up the runway, the passenger announced that 'she is all over the place' and a second later said 'she is down...she has crashed....'"

A passenger of an airplane which landed before the accident occurred stated, he looked up and saw the accident aircraft 10-20 feet above the ground in a 60 degree nose down position, in a turn. The airplane then dropped below his field of view.

The accident occurred during the hours of daylight approximately 39 degrees, 54 minutes north latitude, and 76 degrees, 52 minutes west longitude.

Personnel information

The pilot held a private pilot certificate for single engine land airplanes. She also held an instrument rating.

Her most recent Federal Aviation Administration (FAA) Third Class Medical Certificate was issued on November 26, 1997.

A review of the pilot's log book revealed that her total flight experience was in excess of 1,500 hours. The pilot had flown about 85 hours in the 12 months prior to the accident, all in the accident airplane.

Meteorological information

The weather reported at THV, at 1253, was as follows: winds from 310 degrees at 5 knots; visibility 10 miles; ceiling 3,500 feet broken; temperature 45 F; dewpoint 34 F; altimeter 30.13.

Wreckage and impact information

The airplane wreckage was examined at the accident site on February 23 and 24, 1998. The examination revealed that all major components of the airplane were accounted for at the scene. The airplane impacted a grass knoll about 300 feet from the displaced threshold for runway 35, and came to rest inverted, on a magnetic course of 255 degrees.

The airplane's nose section was crushed aft towards the fire wall. Both wing leading edges were buckled and compressed aft, the compression increased progressively from the wing roots to the wing tips. The right wing was buckled and compressed aft more significantly then the left wing. The fuselage was torn open just aft of the main cabin and bent towards the right wing. The empanage sustained minor damage.

Flight control continuity was confirmed from the aileron control surface to the pilot's control yoke. Rudder and elevator flight control continuity was confirmed from the control surfaces to the pilot's station.

Examination of the flap actuator jack screw indicated a flap setting of 30 degrees, which corresponded with the flap indicator in the cockpit.

The engine was examined in a hangar at THV. The engine was rotated by hand using a socket fitted into the vacuum pump drive. Valve train continuity and thumb compression was obtained on all cylinders. The left and right magnetos were rotated by hand and both produced spark on all towers. All spark plug electrodes were intact and gray in appearance. Fuel was found in the carburetor bowl, and the inlet fuel screen was absent of debris.

The propeller remained attached to the crankshaft flange. One propeller blade was bent aft about 45 degrees, about 10 inches from the hub. This blade displayed chordwise scratches, paint removal and deep leading edge gouges. The other propeller blade was bent slightly aft, and displayed some leading edge nicks and scratches in a chordwise direction.

Medical and pathological information

An autopsy was performed on the pilot, on February 23, 1998, by Dr. Samuel Land, of Forensic Pathology Associates, Inc, Bethlehem, Pennsylvania.

The toxicological testing report from the FAA Toxicology Accident Research Laboratory, Oklahoma City, Oklahoma, was negative for drugs and alcohol for the pilot.

Additional information

Refueling Records

According to records obtained from the operator, the airplane was last refueled at 1100 on the day of the accident. At that time, the fuel tanks were "topped off" with 19 gallons of 100LL fuel.

Wreckage Release

The airplane wreckage was released on February 24, 1998, to John Cooley, a representative of the owners insurance company.

Aircraft

Registration
N54172
Reported as
Cessna 172P
Category
Airplane
Serial number
17274902
Airframe hours
9,600
Engine
Lycoming O-320, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Montgomery Aviation Ltd.
Registered owner
Yuri K. Vanduyne
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · January 15, 1998 · 47 hours before
Departed
GAI · Gaithersburg, MD
Destination
THV
Flight plan
IFR
Airport
THV · York, runway 35, 5,188 × 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
62
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,545 total · 1,410 as pilot in command · 9 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 5 knots
Visibility
10 statute miles
Lowest ceiling
3,500 ft broken
Temperature
45 °F, dew point 34 °F
Altimeter
30.00 inHg
Observed at
THV

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.