SEA08LA142

NTSB accident investigation · Cessna 172M · Big Bear City, CA · May 28, 2008

Accident · Serious injuriesLimited investigationFinal report
Date
May 28, 2008, 11:51 local (18:51 UTC)
Place
Big Bear City, CA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N21134Cessna 172M
Defining event
Landing: Windshear or thunderstorm
Weather
Visual (VMC) · Day
Status
Completed · report August 28, 2008
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20080528857659A
Case key
68107

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 NTSB’s determination of the probable cause, and any contributing factors.

The pilot's failure to maintain adequate airspeed while on approach to landing that resulted in a stall/mush. Contributing to the accident was the wind shear and the high density altitude condition.

Findings · 5

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The pilot was on approach to runway 26 about 80 feet over the runway, when she believed she experienced a severe windshear, which caused the airplane to veer to the left. The pilot raised the flaps, added full power, and initiated a go-around, but was initially unable to get the airplane to climb. A pilot witness reported observing the airplane about 50 feet over the runway, slowing but not descending, and thought it was going to stall. The witness stated that the airplane slowed even more, then banked left and right at up to a 45-degree angle of bank. The witness saw the airplane's wings continue to oscillate in roll, then it banked sharply to the left as the nose achieved a steep nose up attitude, while remaining at 40 to 50 feet above the ground. The airplane then impacted a set of power lines. Wind gusts at the time of the accident were reported at 12 knots. There were no anomalies reported with the airplane prior to the flight. The density altitude at the mountain airport was calculated to be about 7,700 feet.

Factual narrative

The factual narrative794 words

On May 28, 2008, about 1151 Pacific daylight time, a Cessna 172M, N21134, sustained substantial damage after impacting powerlines and terrain during an attempted go-around at the Big Bear City Airport (L35), Big Bear City, California. The certificated private pilot, the sole occupant, sustained serious injures. Visual meteorological conditions prevailed for the cross-country flight, which was operated in accordance with 14 Code of Federal Regulations Part 91, and a flight plan was not filed. The flight departed Zamperini Field (TOA), Torrance, California, about 1020, with L35 as its destination. In a statement provided by the pilot, upon arriving at L35 she checked the automated weather report and utilized the vertical slope indicator lights (VASI) during her approach to Runway 26. The pilot reported that when she was about 80 feet over the runway she believed she experienced a severe windshear, which blew her off course to the left. The pilot further reported, "...at this point my airspeed was too slow, so I put up flaps and full throttle and proceeded to do a go-around. At this point my plane would not climb." The pilot stated that she could not put the airplane's nose down in fear of impacting trees, homes, or powerlines; however, she was able to establish enough of a climb to get over powerlines and aimed the airplane to pass between two tall trees. The pilot revealed that the airplane subsequently caught a powerline with one wheel, "...and then I guess I crashed between trees and two houses, landing on a boat." According to a pilot who was waiting in the runup area to depart, he initially observed the accident airplane on final approach. The witness stated that the airplane crossed over the [Runway] 26 numbers about 50 feet above ground level (agl), "...slowing quickly but not descending. The airplane continued at that altitude, slowing even more with an increasingly nose up attitude. I couldn't believe the plane was still airborne at that slow speed, which I thought was about 30 miles per hour." The witness further stated that he thought the airplane was going to stall and drop 40 to 50 feet onto the runway, but it remained airborne and began banking sharply to the left, then right; he estimated the bank angle to be 45 degrees at one point. The witness revealed that the airplane continued the "wild swings" back and forth until midfield, when it banked sharply to the left in a steep nose up attitude, remaining at 40 to 50 feet agl. The witness reported that he transmitted "Go around," and a few seconds later the accident pilot replied, "I'm trying." The witness stated that he lost sight of the airplane as it crossed in front of the airport terminal building. A Federal Aviation Administration aviation safety inspector, who responded to the accident site, reported that the airplane had impacted a set of transmission wires prior to impacting the eve of a house and a boat. The airplane subsequently came to rest in an upright position betweentwo houses and partially on the boat. There was no postcrash fire. No anomalies were reported with the airplane prior to the flight, and the FAA inspector reported that all airplane components necessary for flight were accounted for at the accident site. When asked during an interview by the FAA inspector how many times she had flown in to L35, the pilot stated that she had flown into L35 on two previous occasions. When the inspector asked the pilot if she had returned the mixture contol to the full rich position prior to landing the pilot replied, "No, it wasn't, [be]cause you have to keep your mixture lean because you're up so high." At 1151, the L35 Automated Weather Observing System (AWOS) reported wind 240 degrees at 9 knots, gusts to 12 knots, visibility 10 miles, sky clear, temperature 53 degrees Fahrenheit, dew point 16 degrees Fahrenheit, and an altimeter setting of 30.11 inches of Mercury. The airplane's Pilot's Operating Handbook (POH) states that a balked landing is performed by reducing the wing flap setting to 20 degrees immediately after full power is applied. If the flaps were extended to 40 degrees, the reduction to 20 degrees may be approximated by placing the flap switch in the UP position for two seconds and then returning the switch to neutral. If obstacles must be cleared during the go-around climb, leave the wing flaps in the 10 degree to 20 degree range and maintain a climb speed of 65 to 75 miles per hour (MPH) until the obstacles are cleared. Above 3,000 feet, lean the mixture to obtain maximum RPM. After clearing any obstacles, the flaps may be retracted as the aircraft accelerates to the normal flaps-up climb speed of 80 to 90 MPH.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

Aircraft

Registration
N21134
Reported as
Cessna 172M
Category
Airplane
Serial number
17263896
Airframe hours
5,589
Engine
Lycoming O-320, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 1, 2007 · 20 hours before
Departed
TOA · Torrance, CA
Destination
L35 · Big Bear City, CA
Airport
L35 · Big Bear City, runway 26, 5,850 × 75 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
39
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
February 1, 2007
Seat
Left
Flight hours
186 total · 176 in this make and model · 117 as pilot in command · 10 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 9 knots, gusting 12
Visibility
19 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 16 °F
Altimeter
30.11 inHg
Observed at
L35

FAA reports on this event · 1

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