# NTSB SEA06CA020: Cessna 195A, N1528D, Heber City, UT, November 25, 2005 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: November 25, 2005, 12:15 local (19:15 UTC) - Place: Heber City, UT - Coordinates: 40.481945, -111.428886 - Nearby events: https://openairdocs.org/map.md?lat=40.4819&lon=-111.4289&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report February 28, 2006 - Report: Approved by Office Director - NTSB case key (mKey): 62882 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=SEA06CA020 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/62882/pdf - Page: https://openairdocs.org/ntsb/SEA06CA020 ## Probable cause The failure of the right brake, which resulted in a loss of directional control during the landing roll and a nose down. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - on ground/water, landing - roll - landing gear,normal brake system - failure (cause) - directional control - not possible, pilot in command (cause) - ground loop/swerve - encountered, pilot in command - Nose down, landing - roll ## Analysis The pilot reported that the landing and roll out were normal until the airspeed slowed to about 40 knots "when brakes were required to maintain directional control." He applied both brakes, and initially, the right brake held, but then it failed. The airplane swerved to the left, departed the runway, tipped to the right dragging the right wing, and then nosed down. The outboard section of the right wing sustained structural damage. ## Factual narrative On November 25, 2005, about 1215 mountain standard time, a Cessna 195A, N1528D, sustained substantial damage when it nosed down following a loss of control during the landing roll on runway 21 at the Heber City Municipal Airport, Heber City, Utah. The private pilot and his passenger were not injured. The airplane was registered to and operated by the pilot. Visual meteorological conditions prevailed and no flight plan was filed for the 14 CFR Part 91 personal local flight. The flight departed from the Heber City Airport about 1100. The pilot reported that the landing and roll out were normal until the airspeed slowed to about 40 knots "when brakes were required to maintain directional control." He applied both brakes, and initially, the right brake held, but then it failed. The airplane swerved to the left, departed the runway, tipped to the right dragging the right wing, and then nosed down. The outboard section of the right wing sustained structural damage. Additionally, the pilot reported the following information about the right brake: Goodyear brake caliper assembly 95-2851 Cessna part #0341015 Fluid leaking - seal failure Visually inspected at annual - not overhauled The pilot commented that "the Goodyear brake system has been a concern to me because of age and the systems poor performance. I now know that the seals should be replaced and the piston-cylinders disassembled for inspection. A visual is not enough to insure reliability. A conversion to Cleveland brakes is a must - in hindsight - as it would resolve all the problems associated with the old Goodyear brakes. If either of these measures, although not required, had been done - the accident would not have occurred." ## Aircraft - Registration: [N1528D](https://openairdocs.org/aircraft/N1528D), registered now, S/N 7750, built 1952 (OpenAirDocs) - Reported make and model: Cessna 195A - Registry model: [Cessna 195A](https://openairdocs.org/model/cessna-195a) (registry code 2073110) (OpenAirDocs) - Registry engine: [Jacobs L4 /R755-7](https://openairdocs.org/engine/jacobs-l4-r755-7) (registry code 35003, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 7750 - Engines: Jacobs 755S reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Standard, Normal - Departed: 36U, Heber City, UT - Airport: 36U, Heber City Municipal Airport, runway 21 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 57; injuries: none; private; airplane ratings: single-engine land; medical: class 3; flight hours: 2,164 total, 116 in this make and model, 12 in the last 90 days, 5 in the last 30 days ## Weather - Conditions: Visual (VMC), Day ## 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 20051125027719A](https://openairdocs.org/incident/20051125027719A), Nov 25, 2005: Cessna 195A, Heber, UT, Substantial damage. (-23) 32. After disassembly of the brake cylinder there may be a determination of the part and cause of the failure. At that time an amendment will be… ## Other investigations on N1528D (1) 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. - [NTSB SEA74DTI06](https://openairdocs.org/ntsb/SEA74DTI06-201625), Jul 19, 1973: Cessna 195A (N1528D), Heart Butte, MT, substantial damage 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.