SEA91FA059

NTSB accident investigation · Cessna 172 · Oregon City, OR · February 28, 1991

Accident · FatalField investigationFinal report
Date
February 27, 1991, 17:35 local (Feb 28, 1991, 01:35 UTC)
Place
Oregon City, OR
Injuries
1 fatal, 2 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N7119TCessna 172
Weather
Visual (VMC) · Day
Status
Completed · report May 7, 1993
Report
Approved by Office Director
FAA report
19910227003599A
Case key
41305

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 attain proper airspeed before takeoff. Factors relating to the accident were the binding brake, the uphill grass airstrip, the tail wind weather conditions, and the improper annual inspection that was just completed on the aircraft.

Analysis

The pilot initiated a takeoff uphill on a grass airstrip in tailwind weather conditions. The acft lifted off near mid-field, settled back to the ground, and took off again 150 feet from the end of the strip. The acft impacted berry vines at the end of the strip, rolled 90 degrees to the right and impacted a tree off the end of the airstrip. Exam of the wreckage revealed the right brake cylinder was corroded and the brake was binding. The a & p mechanic who signed off an annual inspection of the acft just before the accident did not have acft insp auth.

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 flightTakeoff - initial climb
Landing gear,normal brake system - binding(mechanical)Factor
Airspeed(vlof) - not attainedPilot in commandCause
Terrain condition - uphillFactor
Weather condition - tailwindFactor
Maintenance,annual inspection - improperOther maintenance personnelFactor
In flight collision with objectTakeoff
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Aircraft

Registration
N7119T
Reported as
Cessna 172
Category
Airplane
Serial number
17246719
Airframe hours
1,533
Engine
Continental O-300-A, 145 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Merle D. Kirchem
Registered owner
Merle D. Kirchem
Last inspection
Annual · February 27, 1991 · 1 hours before
Airport
19S · Aero Acres, runway 21, 1,835 × 300 ft, grass/turf

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
41
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Flight hours
308 total · 225 in this make and model · 284 as pilot in command · 21 in the last 90 days · 8 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 6 knots
Visibility
45 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 39 °F
Altimeter
29.00 inHg
Observed at
SLE, 27 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.