WPR10FA324

NTSB accident investigation · Cessna 182P · Avalon, CA · July 1, 2010

Accident · FatalField investigationFinal report
Date
July 1, 2010, 13:00 local (20:00 UTC)
Place
Avalon, CA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N222CGCessna 182P
Defining event
Approach: Miscellaneous/other
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20100701037999A
Case key
76522

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 pilot's incapacitation due to a heart attack, which resulted in a loss of airplane control.

Findings · 3

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 182P: 48 casesAll aircraft: 9,295 casesProbable cause
Terrain: sloped/uneven terrainEnvironmental issues › Physical environment · Not specifiedCessna 182P: 3 casesAll aircraft: 270 cases

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

While on approach to land, the pilot reported over the UNICOM frequency that he was not able to feel his left side. Subsequently, the airplane crashed about 2 miles from the airport. A postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Although diphenhydramine, an impairing medication, was detected in the pilot’s liver and brain, the available information does not allow a determination of postmortem levels. The autopsy findings noted severe coronary artery disease of the left and right coronary arteries. It is likely that the pilot suffered an incapacitating heart attack while in flight, which led to a loss of airplane control.

Factual narrative

HISTORY OF FLIGHT On July 1, 2010, about 1300 Pacific daylight time, a Cessna 182P, N222CG, impacted terrain about 2 miles northeast of Catalina Airport (AVX), Avalon, California. The pilot was fatally injured and the airplane was substantially damaged in the post-impact fire. The pilot/owner operated the airplane under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight that departed the Gillespie Airport (SEE), San Diego, California, at an undetermined time. The airplane was destined for Catalina, and no flight plan had been filed. According to the airport manager, who was monitoring the airport's UNICOM frequency at the time, the pilot reported no feeling on his right side and that he thought he was having a heart attack. The airport manager reported no further communications with the pilot. Shortly after the pilot radioed that he was having a medical issue, smoke was observed by one of the conservancy park rangers near Echo Lake. Responding personnel from the Los Angeles County fire department reported an airplane crash with an ensuing 20-acre fire. A Federal Aviation Administration (FAA) inspector responded to the accident site the following day. He reported that the main wreckage came to rest on about a 45-degree slope and appeared to have tumbled as the wings were in their normal relative position, but upside down. He stated that both wings, a portion of the tail section, and the engine were not consumed by the post impact fire. PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed that the 54-year-old pilot held a private pilot certificate with ratings for airplane single-engine land, which he received on October 18, 2007. The pilot held a third-class medical certificate issued on May 6, 2009. It had the limitations that the pilot must wear lenses for distant vision. An examination of the pilot's logbook revealed that the pilot had recorded a total flight time of 702.2 hours. He logged 16.7 hours in the last 90 days, and 0 hours in the last 30 days. He had an estimated 131 hours in the accident airplane make and model, and had completed a flight review on October 13, 2009. AIRCRAFT INFORMATION Investigators were not able to locate the airplane’s logbooks. They were, however, able to obtain copies of the most current inspections from the maintenance facility that had performed the last annual inspection on February 18, 2010. The airplane, a Cessna 182P serial number 18263934, had a total time of 1,697.3 hours. The total time since major overhaul for the Continental O-470-S2K engine, serial number 819162-R, was 220.5 hours. Total time for the McCauley propeller 2A34C203-C, serial number 982234, was 441.7 hours (time since new). MEDICAL AND PATHOLOGICAL INFORMATION The Department of Coroner, County of Los Angeles, completed an autopsy on July 3, 2010. The FAA Bioaeronautical Sciences Research Laboratory, OklahomaCity, Oklahoma, performed toxicological testing of specimens from the pilot. The autopsy noted severe coronary atherosclerosis 90-percent narrowing of the right and left coronary arteries, and soot in the upper and lower airways. The Forensic Science Laboratory detected less than 0.50 ug/ml of diphenhydramine. The cause of death was listed as traumatic injury with thermal burns; other conditions contributing to, but not related to the immediate cause of death was listed as occlusive coronary arteriosclerosis. Analysis of the specimens for the pilot detected diphenhydramine in the liver and brain. There was no ethanol detected in volatiles test. They did not perform tests for carbon monoxide or cyanide. TESTS AND RESEARCH Examination of the wreckage revealed that fire had consumed most of the airplane’s structure. The cabin floor where the main gear attached was the largest identifiable portion of the cabin. Recovery personnel reported having to cut all of the control cables to facilitate the recovery of the airplane. The aileron control cables were connected to each aileron bellcrank and the control column. The rudder cables were attached to the rudder horn and the rudder pedal bars. The elevator cables were attached to the rear elevator bellcrank. Investigators noted that the fuel system had been consumed by the post-impact fire. The fuel selector valve and handle were not located. The fuel strainer screen was clear of debris. They were not able to determine the ignition switch position. The engine sustained significant fire damage. Portions of all valve covers were melted. The cylinder head for the number 5 cylinder was melted. The top of the crankcase had melted away; consequently investigators were not able to rotate the engine. The right magneto had partially melted away, and the carburetor was found in multiple pieces. The two-bladed propeller remained attached to the propeller hub. One propeller blade had melted off near the hub. The other propeller blade was bent aft and exhibited scrape marks along its forward side and had leading edge damage. The inspection of the airframe and engine revealed no abnormalities that would have prevented normal operation.

Aircraft

Registration
N222CG
Reported as
Cessna 182P
Category
Airplane
Serial number
18263934
Engine
Cont Motor O-470 SERIES, 230 hp, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 18, 2010
Departed
SEE · San Diego, CA
Destination
AVX · Avalon, CA
Airport
AVX · Catalina Airport

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
53
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
October 13, 2009
Toxicology
Performed
Flight hours
702 total

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots
Visibility
5 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 61 °F
Altimeter
29.85 inHg
Observed at
LGB, 28 nm away

Docket · 11

The files NTSB released with the investigation on September 3, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.5 MB 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.