SEA92FA026

NTSB accident investigation · Cessna 172P · Snohomish, WA · December 7, 1991

Accident · FatalField investigationFinal report
Date
December 7, 1991, 13:07 local (21:07 UTC)
Place
Snohomish, WA
Injuries
7 fatal
Phase of flight
Enroute
Aircraft
N65831Cessna 172PCFAECPiper PA-23-250
Weather
Visual (VMC) · Day
Status
Completed · report April 27, 1993
Report
Approved by Office Director
FAA report
19911207055012A
Case key
41565

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

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

A visual lookout was not maintained.

Visual lookout was not maintained.

Analysis

During a VFR cross country flight on a VFR flight plan from boundary bay, Canada, to seattle, Washington, the canadian registered Piper PA-23-250 was involved in a mid-air collision with a Cessna 172 that was operating on an IFR flight plan, practicing approaches at everett, Washington. The collision occurred at 2,200 feet in VMC. The Cessna was performing a missed approach procedure and had been instructed to turn to 70 degrees and maintain 2,000 feet. The canadian airplane was travelling in a southerly direction operating below an overcast layer in VMC. The canadian airplane was not in communication with ATC at the time. The Cessna was in communication with seattle ARTCC and was awaiting further instructions when the collision occurred. Post-crash toxicological testing revealed that the pilot tested positive for tetrahydrocannabinol in blood and thc in blood and urine.

The flight was being conducted for the purpose of practice instrument approaches on a local IFR flight. The flight reported the missed approach to the controller and was instructed to turn to 70 degrees and climb and maintain 2,000 feet. The pilot responded to the instructions. When approximately five miles east of the airport, the flight was involved in a mid-air collision at 2,200 feet in VMC with a VFR aircraft. The VFR aircraft was in cruise flight and flying in a southerly direction on a VFR flight plan. The IFR aircraft was level at 2,200 feet. The VFR flight was not in communications with air traffic control.

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.

Midair collisionCruise - normal
Visual lookout - not maintainedPilot in commandCause
Midair collisionCruise - normal
Visual lookout - not maintainedPilot in commandCause
Impairment(drugs)Pilot in command

Aircraft · 2

Registration
N65831
Reported as
Cessna 172P
Category
Airplane
Serial number
17275902
Airframe hours
4,215
Engine
Lycoming O-320-D2J, 160 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Operator
Arlington Aeronautical
Registered owner
Arlington Aeronautical
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 9, 1991 · 40 hours before
Departed
S88 · Arlington, WA
Flight plan
IFR

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.

Registration
CFAEC
Reported as
Piper PA-23-250
Category
Airplane
Serial number
273679
Airframe hours
4,440
Engine
Lycoming IO-540-C4B5, 250 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Perez, Raphael
Registered owner
Slater, Charles
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 9, 1991 · 35 hours before
Departed
CZBB · Delta
Destination
BFI · Seattle, WA
Flight plan
VFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N65831
Age
30
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
847 total · 561 in this make and model · 715 as pilot in command · 272 in the last 90 days · 73 in the last 30 days
Role
Pilot, aircraft 2
Age
25
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
200 total

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 9 knots
Visibility
20 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
45 °F, dew point 39 °F
Altimeter
30.00 inHg
Observed at
PAE, 5 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.