WPR10CA101

NTSB accident investigation · Cessna 195B · Palm Springs, CA · January 7, 2010

Accident · Minor injuriesData collectionFinal report
Date
January 7, 2010, 13:00 local (21:00 UTC)
Place
Palm Springs, CA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N2171CCessna 195B
Defining event
Landing-landing roll: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed · report March 23, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20100107025919A
Case key
75245

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 brakes during landing.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Landing gear system: landing gear brakes systemAircraft › Aircraft systems · Incorrect use/operationCessna 195B: 1 caseAll aircraft: 92 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 195B: 3 casesAll aircraft: 1,391 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The commercial pilot reported that he was landing the tailwheel-equipped airplane on a dry, hard-surfaced runway. He stated that during the landing rollout, as he was transitioning his feet from the bottom of the rudder pedals to the top, he applied too much brake pressure and the airplane nosed over. He further stated that he suffers from diabetic neuropathy and did not initially realize how much brake pressure he applied. The airplane sustained substantial damage to the fuselage and the tail assembly. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane. The pilot does not possess a current Federal Aviation Administration medical certificate.

Factual narrative

The commercial pilot reported he was landing the tail wheel-equipped airplane on a dry, hard-surfaced runway. He stated that during the landing roll out, as he was transitioning his feet from the bottom of the rudder pedals to the top, he applied too much brake pressure and the airplane nosed over. He further stated that he suffers from diabetic neuropathy and did not initially realize how much brake pressure he applied. The airplane sustained substantial damage to the fuselage and tail assembly. The pilot reported that there were no pre-accident mechanical failures or malfunctions with the airplane. The pilot does not possess a current FAA medical certificate.

Aircraft

Registration
N2171C
Reported as
Cessna 195B
Category
Airplane
Serial number
16156
Engine
Jacobs R755B SERIES, 275 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Danny R. Brignac
Registered owner
Danny R. Brignac
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 30, 2009
Departed
KPVF · Placerville, CA
Destination
KTRM · Palm Springs, CA
Airport
KTRM · Jacqueline Cochran Regional, runway 17, 8,500 × 150 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
61
Injuries
Minor
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Seat
Left
Flight hours
19,600 total · 5 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None

Docket · 1

The files NTSB released with the investigation on January 25, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 804 KB in all.

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 N2171C · 2

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