# NTSB WPR09CA465: Cessna 195A, N195MD, Upland, CA, September 25, 2009

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Data collection · Final report
- Date: September 25, 2009, 09:00 local (16:00 UTC)
- Place: Upland, CA
- Coordinates: 34.111389, -117.687225 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=34.1114&lon=-117.6872&mi=10
- Phase of flight: [Takeoff](https://openairdocs.org/ntsb-phases/300) (OpenAirDocs' grouping)
- Defining event: [Takeoff: Loss of control on ground](https://openairdocs.org/ntsb-events/230)
- Highest injury: No injuries
- Injuries: 1 uninjured
- Status: Completed, report December 15, 2009
- Report: Approved by Office Director
- NTSB office: Western Pacific Region
- Parties: Federal Aviation Administration
- NTSB case key (mKey): 74801
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR09CA465
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/74801/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=74801
- Page: https://openairdocs.org/ntsb/WPR09CA465

## Probable cause

The pilot's failure to maintain directional control of the airplane during the takeoff roll.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 195A, 13 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2073110), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna 195A, 11 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=2073110), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Takeoff: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Cessna 195A, 12 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=2073110), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md)

## Analysis

The pilot stated that during the takeoff roll he corrected a slight right drift with rudder control, and as the tail lifted from the runway the airplane veered left. He corrected with right rudder control and lost directional control of the airplane. The airplane swerved right and nosed over. The pilot stated that the airplane and engine experienced no mechanical failures or malfunctions during the event.

## Factual narrative

The pilot stated that during the takeoff roll he corrected a slight right drift with rudder control, and as the tail lifted from the runway the airplane veered left. He corrected with right rudder control and lost directional control of the airplane. The airplane swerved right and nosed over. The pilot stated that the airplane and engine experienced no mechanical failures or malfunctions during the event.

## Aircraft

- Registration: [N195MD](https://openairdocs.org/deregistered/N195MD-2017-04-18), registration cancelled 2017-04-18, S/N 7787, built 1952 (OpenAirDocs)
- Reported make and model: CESSNA 195A
- Registry model: [Cessna 195A](https://openairdocs.org/model/cessna-195a) (registry code 2073110) (OpenAirDocs)
- Registry engine: [Jacobs L4 /R755-7](https://openairdocs.org/engine/jacobs-l4-r755-7) (registry code 35003, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 7787
- Airframe hours: 3514
- Engines: JACOBS L4 /R755-7 275 horsepower reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, September 17, 2009
- Departed: KCCB, Upland, CA
- Destination: KCCB, Upland, CA
- Airport: KCCB, Cable Airport, runway 24, 3,800 × 75 ft, asphalt

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 43; injuries: none; commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 2, with waivers/limitations; last flight review January 24, 2009; seat: left; flight hours: 1,035 total, 5 in this make and model, 968 as pilot in command, 22 in the last 90 days, 8 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: variable at 4 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Altimeter: 29.95 inHg
- Observed at: KPOC, 4 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 (OpenAirDocs).

- [Accident 20090925019399A](https://openairdocs.org/incident/20090925019399A), Sep 25, 2009: Cessna 195A, Upland, CA, Substantial damage. During takeoff roll on rwy 24, the aircraft nosed over, causing damage to the prop, upper fuselage, left wheel, tail and vertical stabilizer. The pilot stated…

## Other investigations on N195MD (1)

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

- [NTSB LAX92LA052](https://openairdocs.org/ntsb/LAX92LA052), Nov 5, 1991: Cessna 195A (N195MD), Camarillo, CA, substantial damage. Probable cause: THE FAILURE OF THE PILOT TO MAINTAIN DIRECTIONAL CONTROL DURING THE LANDING GROUND ROLL.

## Docket (2 files)

The files NTSB released with the investigation on October 14, 2009, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=74801. 369 KB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 358 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40319960&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF
- Pilot record of conversation (item 2, .PDF, 11 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40319934&FileExtension=.PDF&FileName=Pilot%20record%20of%20conversation-Redacted.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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