SEA97FA027

NTSB accident investigation · Cessna P210N · Boring, OR · November 15, 1996

Accident · FatalField investigationFinal report
Date
November 15, 1996, 07:40 local (15:40 UTC)
Place
Boring, OR
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N7823KCessna P210N
Weather
Instrument (IMC) · Day
Status
Completed · report March 31, 1998
Report
Approved by Office Director
FAA report
19961115035849A
Case key
42486

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 attempt to conduct visual flight into instrument meteorological conditions. A factor contributing to the accident was the presence of thick fog.

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.

In flight collision with terrain/waterManeuvering
Terrain condition - mountainous/hilly
Weather condition - fogFactor
Vfr flight into imc - attemptedPilot in commandCause

Analysis

The flight was initially conducted on an instrument flight rules (IFR) flight plan above an overcast layer of clouds. As the pilot neared the destination airport, he was told by air traffic control (ATC) that there would be a delay in issuing the pilot a clearance for an approach due to other traffic in the area. The pilot elected not to wait. He requested and received vectors to an area of known visual conditions, and then reported that he saw a 'big hole' in the clouds. He canceled his IFR clearance and told ATC that he was going to initiate a circling descent to get underneath the clouds. The airplane dropped below ATC's radar coverage and the pilot was cleared to the destination via his own navigation. About 7 minutes later, the airplane impacted rapidly rising terrain that was shrouded in thick fog.

Factual narrative

History of flight

On November 15, 1996, about 0740 Pacific standard time, N7823K, a Cessna P210N, operated by the owner/pilot, impacted mountainous terrain and was destroyed while maneuvering near Boring, Oregon. The commercial pilot, the sole occupant, was fatally injured. Instrument meteorological conditions prevailed. An instrument flight rules (IFR) flight plan had been filed and later canceled by the pilot, in flight, immediately prior to the accident. The personal flight departed from Roseburg, Oregon, at 0630 and was destined for Troutdale, Oregon. The flight was conducted under 14 CFR 91.

According to an acquaintance of the pilot, the purpose of the flight was so that the pilot could have some aircraft radio repair work performed on the accident airplane in Troutdale. The acquaintance also reported that the pilot was well-rested prior to the flight and did not complain of any personal or aircraft problems on the day prior to the flight.

According to Federal Aviation Administration (FAA) transcripts (attached), a man identifying himself as the pilot of N7823K telephoned the McMinnville Automated Flight Service Station (AFSS) at 0557 on the morning of the accident and received a weather briefing. The briefing lasted for about 4 minutes, and the briefer described IFR and marginal visual flight rules (VFR) conditions near the pilot's destination. After receiving the briefing, the pilot immediately filed an IFR flight plan from Roseburg to the Portland-Troutdale Airport. He also filed a flight plan for a return trip that same day.

The pilot contacted the McMinnville FSS again to receive clearance to depart from Roseburg at 0630. At 0659, the pilot transmitted a pilot report to the FSS, and he reported that he received "no ice on the climb" out of Roseburg.

According to radar data and voice recordings (radar data attached) obtained from the FAA Portland International Airport Air Traffic Control (ATC) facility, the pilot reported in with Portland Approach Control at 10,000 feet msl at 0716. The controller told the pilot that the Portland-Troutdale airport was "VFR" and he read the most recent reported weather conditions for the airport.

At 0719, the controller asked an Alaska Airlines pilot if he could "see Troutdale there about twelve o'clock and a mile?" The Alaska Airlines pilot responded with "Actually, no. Troutdale is under that low scattered deck I was telling you about. An we just entered the clouds at five thousand five hundred."

Three minutes later, at 0721, the controller told the pilot:

There's probably a couple of options for you sir. I don't think the NDB alpha to Troutdale would be available without a lengthy delay. There's lots of departure traffic lining up to come off of Portland. There are [airplanes] VFR south of Portland at three thousand five hundred. If you like, I can take you to that area for vectors for VFR conditions, then cancel to get underneath the layer to Troutdale. Or, if you want, we can go out for the [instrument landing system approach] to Portland. We can do the [instrument landing system approach] here at Portland and then cancel and go along north to Troutdale.

The pilot responded with "I like the VFR. Get me below the [cloud] deck so I can proceed VFR." At 0721, the controller provided vectors to an area of known VFR conditions and cleared the pilot to descend to 7,000 feet. At 0725, the controller cleared the pilot to descend to 3,000 feet. The pilot complied with the request.

At 0727, the controller cleared the airplane to descend to 2,500 feet. The pilot complied with the request. Two minutes later, the controller told the pilot "...that's the lowest altitude I can give you ... if you're unable to cancel [IFR] in 5 to 6 miles, we';; take you out for another approach." The pilot responded with "Actually, I can see the Willamette River. What's the base of the layer below me?" The controller responded with "I'm not sure... [Troutdale] is reported at one thousand six-hundred overcast. Stand by, we're checking." The pilot immediately replied: "Well, I got a big hole here. I can go ahead and make a circle and go VFR." The pilot then canceled his IFR clearance with ATC and stated that he was going to "...circle to the left and get down below" the cloud deck. The controller acknowledged and cleared the airplane via the pilot's "...own navigation to Troutdale, VFR." The pilot acknowledged.

From 0731:11 until 0731:43 (a period of 32 seconds), the airplane descended from 2,000 feet msl to 1,200 feet msl at a rate of 1,600 feet per minute. During this time, the airplane's ground speed increased from 170 knots to 225 knots. The airplane then leveled out, and its ground speed gradually decreased back toward 170 knots.

About one minute later, at 0733:02, the controller advised: "...you've dropped below my radar coverage at this time. At the appropriate time, contact Troutdale tower." The pilot acknowledged; this was the pilot's last recorded transmission. At the time of the aircraft's last recorded radar hit at 0732:48, the aircraft was traveling at 157 knots along a ground track of 099 degrees magnetic while flying at an altitude of 1,100 feet msl. No distress calls had been transmitted by the pilot. According to personnel at the Portland-Troutdale ATC tower, the pilot never reported in.

The Safety Board personally interviewed (synopses attached) numerous witnesses who resided within 1/2-mile of the accident site. One witness was in his home when he heard an airplane flying overhead toward the northwest. He stated that the engine was "running perfectly," and then "just stopped." He also stated that there were "low clouds" at the time. Another witness, also inside of his house, stated that he heard an airplane flying "low." He said the engine sounded "very normal" and the time was about 0730. A third witness stated he was in his home when he heard a "loud explosion followed by two mild explosions" at 0738. A fourth witness, who was the property owner of the accident site, stated that he was outside of his home, about 300 feet from the accident site, when he heard an aircraft engine at "full bore..." about 0740. He then heard a "tremendous explosion" and he could see fire as he looked up. He saw that the trees were on fire. He stated that there was "no question [the airplane] had power" at the time of the accident, and that the engine sounded "steady." He stated that it was "foggy" throughout the "whole valley." He stated that the fog was "in through the trees" and he remembered seeing the fire through the fog.

The airplane wreckage was located in mountainous terrain 6.2 nautical miles from the Portland-Troutdale Airport at an elevation of about 1,100 feet msl. The accident occurred during the hours of daylight at the following coordinates: 45 degrees, 27.18 minutes North and 122 degrees, 27.14 minutes West.

Personnel information

The pilot, a 56-year-old retired dentist, was a certificated commercial pilot and was instrument rated in both single and multiengine land airplanes. According to FAA records, the pilot was issued an FAA Third Class Medical Certificate on July 21, 1995, with the limitation that he "must wear corrective lenses." The Safety Board was unable to recover the pilot's personal flight log books; however, the pilot's insurance company provided a copy of an application that the pilot completed 9 months prior to the accident. According to the application, the pilot had logged a total of 3,800 flight hours, including 800 hours in type.

Aircraft information

The airplane, a 1979 Cessna P210N, is designed as a six-place, all metal, high-wing, turbocharged, pressurized, single-engine airplane. The airplane's engine and airframe logbooks were not found and are presumed to have been destroyed in the aircraft accident.

Meteorological information

The fo

Aircraft

Registration
N7823K
Reported as
Cessna P210N
Category
Airplane
Serial number
P21000432
Engine
Continental TSIO-520-P(6), 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Schmid, Thomas J.
Airworthiness certificate
Standard, Normal
Departed
RBG · Roseburg, OR
Destination
TTD · Troutdale, OR
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.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
4,000 total

Weather

Conditions
Instrument (IMC) · Day
Wind
Calm
Visibility
5 statute miles
Lowest ceiling
500 ft broken
Temperature
43 °F, dew point 41 °F
Altimeter
29.00 inHg
Observed at
TTD, 6 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.