# NTSB WPR11CA408: Cessna 140, N2719N, Kent, WA, August 27, 2011 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: August 27, 2011, 10:36 local (17:36 UTC) - Place: Kent, WA - Coordinates: 47.337223, -122.103614 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=47.3372&lon=-122.1036&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-landing roll: Nose over/nose down](https://openairdocs.org/ntsb-events/096) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report November 3, 2011 - Report: Approved by Office Director - NTSB office: Western Pacific Region - Parties: Federal Aviation Administration - NTSB case key (mKey): 81609 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR11CA408 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/81609/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=81609 - Page: https://openairdocs.org/ntsb/WPR11CA408 ## Probable cause The student pilot's inadvertent application of the brakes during the landing roll, which resulted in the airplane nosing over. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Action: incorrect action performance](https://openairdocs.org/ntsb-findings/02041015): Personnel issues › Action/decision · Student/instructed pilot (probable cause); cases with it: [Cessna 140, 8 cases](https://openairdocs.org/ntsb-findings/02041015/cases.md?model=2071602), [All aircraft, 1,386 cases](https://openairdocs.org/ntsb-findings/02041015/cases.md) - [Landing gear system: brake](https://openairdocs.org/ntsb-findings/01023242): Aircraft › Aircraft systems · Unintentional use/operation (probable cause); cases with it: [Cessna 140, 11 cases](https://openairdocs.org/ntsb-findings/01023242/cases.md?model=2071602), [All aircraft, 297 cases](https://openairdocs.org/ntsb-findings/01023242/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing-landing roll: Nose over/nose down](https://openairdocs.org/ntsb-events/096) (defining event); cases with it: [Cessna 140, 49 cases](https://openairdocs.org/ntsb-events/096/sequence.md?model=2071602), [All aircraft, 2,287 cases](https://openairdocs.org/ntsb-events/096/sequence.md) - [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Cessna 140, 18 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=2071602), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) ## Analysis The certified flight instructor (CFI) and his student were practicing landings in a tailwheel-configured airplane in preparation for the student's first solo. On the fourth landing the student inadvertently applied brakes during the landing roll, which resulted in the airplane nosing over, causing substantial damage to the fuselage and tail. The CFI stated that the airplane and engine had no mechanical failures or malfunctions during the flight. ## Factual narrative The certified flight instructor (CFI) and his student were doing landing practice in an tail wheel configured airplane in preparation for the student's first solo. On the fourth landing the student inadvertently applied brakes during the landing roll, which resulted in the airplane nosing over, causing substantial damage to the fuselage and tail. The CFI stated that the airplane and engine had no mechanical failures or malfunctions during the flight. ## Aircraft - Registration: [N2719N](https://openairdocs.org/deregistered/N2719N-2012-11-16), registration cancelled 2012-11-16, S/N 12977, built 1947 (OpenAirDocs) - Reported make and model: CESSNA 140 - Registry model: [Cessna 140](https://openairdocs.org/model/cessna-140) (registry code 2071602) (OpenAirDocs) - Registry engine: [Continental C85 series](https://openairdocs.org/engine/continental-c85-series) (registry code 17008, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 12977 - Airframe hours: 4439 - Engines: CONT MOTOR C85 SERIES 85 horsepower reciprocating - Damage: Substantial damage - Flight: Instructional, Part 91 - Airworthiness certificate: Standard, Normal - Last inspection: Annual, April 21, 2011 - Departed: KRNT, Renton, WA - Destination: KS36, Kent, WA - Airport: KS36, Kent, runway 15, 3,288 × 40 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Flight instructor; age 55; injuries: none; flight instructor, airline transport; airplane ratings: single-engine sea, multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, without waivers/limitations; last flight review July 15, 2010; seat: right; flight hours: 16,000 total, 20 in this make and model - Student pilot; age 26; injuries: none; student; medical: class 3, without waivers/limitations; seat: left; flight hours: 8 total, 8 in this make and model, 8 in the last 90 days, 8 in the last 30 days, 1 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 340° at 3 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 72 °F, dew point 59 °F - Altimeter: 30.05 inHg - Observed at: KRNT, 11 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 20110827017919A](https://openairdocs.org/incident/20110827017919A), Aug 27, 2011: Cessna 140, Kent, WA, Substantial damage. Upon landing at crest airpark, (S36), on runway 15, the aircraft flipped over on its back at approximately mid field. The aircraft came to rest partially off… ## Docket (2 files) The files NTSB released with the investigation on September 23, 2011, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=81609. 1.1 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 652 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40354434&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Photo - Nose over (item 2, .PDF, 410 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40354435&FileExtension=.PDF&FileName=Photo%20-%20Nose%20over-Master.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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.