SEA93LA090

NTSB accident investigation · Cessna 182M · Hamilton, MT · April 8, 1993

Accident · Minor injuriesLimited investigationFinal report
Date
April 7, 1993, 19:15 local (Apr 8, 1993, 01:15 UTC)
Place
Hamilton, MT
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N71654Cessna 182M
Weather
Visual (VMC) · Day
Status
Completed · report August 26, 1994
Report
Approved by Office Director
FAA report
19930407012519A
Case key
41710

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 improper use of carburetor heat. A factor which contributed to the accident was the carburetor icing conditions.

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 engine power(partial) - nonmechanicalApproach - vfr pattern - final approach
Weather condition - carburetor icing conditionsFactor
Carburetor heat - improper use ofPilot in commandCause
Fuel system,carburetor - ice
Forced landingApproach - vfr pattern - final approach
Nose overLanding - flare/touchdown
Terrain condition - softFactor

Analysis

After about 15 min of flight, the pilot descended from his cruise altitude of 6,000 ft MSL to 4,600 ft MSL prior to entering the traffic pattern. He executed a 360 for spacing, entered downwind, and performed his pre-landing checklist. According to the pilot, he did not apply carburetor heat until he was established on final and had selected full flaps, reduced power to 15 in mp, and advanced the propeller full forward. When the carburetor heat was supplied, the engine experienced a 'severe/significant' power loss. The airplane touched down hard in soft terrain short of the runway and flipped over. The owners manual 'let-down' checklist calls for carburetor heat to be applied 'if icing conditions exist.' In the existing weather conditions, severe carburetor icing could occur at glide power.

Factual narrative

On April 7, 1993, at approximately 1915 mountain daylight time (MDT), a Cessna 182M, N71654, flipped over during an attempted emergency landing about 200 feet short of the runway at Ravalli County Airport, Hamilton, Montana. The FAA certificated private pilot, who was the sole occupant of the aircraft, received minor injuries, and the aircraft sustained substantial damage. The personal pleasure flight, which had departed Missoula, Montana, approximately 15 minutes earlier, was operating in visual meteorological conditions at the time of the accident. The pilot had not filed a flight plan, and there was no report of an ELT activation.

The pilot stated that he descended from his cruise altitude of 6,000 feet to 4,600 feet Mean Sea Level (MSL), prior to entering the pattern. He then executed a 360 degree turn for spacing, entered the downwind, and performed his pre landing checklist. He made a power reduction, flap position change, and RPM adjustment prior to turning final. According to the pilot, he did not apply carburetor heat until after he was established on final approach and had selected full flaps, reduced the power to 15 inches of manifold pressure, and advanced the propeller to full froward. Then, when carburetor heat was applied, the engine experienced a "severe"/"significant" power loss.

The pilot then advanced the throttle to the full forward position in an attempt to correct the loss of power. When this did not work, the pilot pulled the power to full idle, and then advanced the throttle one half inch forward. The pilot said that with the throttle at that position, he turned the ignition switch to the "off" position, then to the "on" position, and finally to "both." These actions did not restore power, and therefore the pilot elected to attempt a forced landing short of the runway. He said that during the attempted forced landing, his airspeed got low, the aircraft descended very steeply, and then touched down hard on the soft terrain. After the hard touchdown, the aircraft flipped over, coming to rest in the inverted position.

In a telephone conversation after the accident, the pilot was advised that the "Let-Down" checklist, from the Owner's Manual for the year in which this aircraft was manufactured, calls for carburetor heat to be applied "if icing conditions exist." He was also advised that according to the FAA/DOT Carburetor Icing Probability Chart, he was flying in conditions where carburetor icing may occur at both glide and cruise power, and where "severe icing" may occur at glide power. The pilot responded to this information by saying, he had not been made familiar with any charts that showed conditions under which carburetor icing may occur, and he had made the decision to delay application of carburetor heat until established on final, based upon the fact that he had not observed any visible moisture in the air.

After the accident, the aircraft was checked by an FAA Airworthiness Inspector, and no evidence of pre impact malfunction or discrepancies was found. The engine was then run at various power settings, and no loss of power was experienced.

Aircraft

Registration
N71654
Reported as
Cessna 182M
Category
Airplane
Serial number
18259705
Engine
Continental O-470-R, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Calderwood; Mcmullin; Smith
Registered owner
Calderwood; Mcmullin; Smith
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 2, 2000 · 1 hours before
Departed
MSO · Missoula, MT
Airport
6S5 · Ravalle County, runway 34, 4,200 × 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
33
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
161 total · 48 in this make and model · 104 as pilot in command · 4 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 3 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 34 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

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

Other investigations on N71654 · 1

Matched to the same aircraft by N-number and date.