WPR11FA117

NTSB accident investigation · Cessna 172 · Glendora, CA · January 31, 2011

Accident · Serious injuriesField investigationFinal report
Date
January 31, 2011, 15:25 local (23:25 UTC)
Place
Glendora, CA
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N6922ACessna 172
Defining event
Maneuvering: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report November 29, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20110131002409A
Case key
78252

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 flight crew's failure to maintain adequate terrain clearance while maneuvering in downdraft conditions over mountains.

Findings · 4

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.

Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 172: 8 casesAll aircraft: 1,310 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Not specifiedCessna 172: 4 casesAll aircraft: 329 cases
Wind: downdraftEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 172: 3 casesAll aircraft: 178 cases
Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Flight crewCessna 172: 19 casesAll aircraft: 3,098 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 flight instructor reported that he and the commercially certificated student flew to mountainous terrain to practice using orographic lift. The flight instructor stated that the lift they were flying in began to dissipate so he took the flight controls and added full power to depart the area. Suddenly, they encountered a strong downdraft and moments later they impacted the terrain. It is likely that the airplane was not at a sufficient altitude for the pilot to recover from the downdraft encounter and clear the terrain. The flight instructor told local authorities at the time of his rescue that there were no problems with the airplane. A postaccident examination revealed no evidence of any preimpact mechanical anomalies with the airframe or engine that would have precluded normal operation.

Factual narrative

HISTORY OF FLIGHT On January 31, 2011, approximately 1525 Pacific standard time, a Cessna 172, N6922A, sustained substantial damage when it impacted mountainous terrain while maneuvering near Glendora, California. The flight instructor received serious injuries and the commercial pilot receiving instruction received minor injuries. The flight instructor/owner was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the local instructional flight, which had originated from Brackett Field (POC), La Verne, California, about 2 hours 30 minutes before the accident. No flight plan had been filed. The flight instructor said that this was a training mission for his student to get more experience in a tail wheel equipped airplane and flying in mountainous terrain. After approximately 2 hours of traffic pattern work with touch-and-go landings, they departed for a local practice area for some air work. Due to air traffic congestion in the practice area, they flew to more mountainous terrain to practice utilizing orographic lift. The flight instructor said the lift they were flying in began to dissipate. He took the flight controls and added full power to depart the area. Suddenly, they encountered a strong downdraft and moments later they impacted the terrain. Rescue teams were sent to the area, and because of the steepness of the terrain a helicopter was used to evacuate the two injured occupants. The flight instructor told local authorities, at the time of his rescue, that “they had no problems with the airplane.” PERSONNEL INFORMATION The 53-year-old flight instructor’s most recent second-class Federal Aviation Administration (FAA) medical certificate was issued on February 2, 2010. He held a flight instructor certificate with single engine land airplane rating, a commercial pilot certificate with a single engine land and multi-engine land airplane ratings, and an instrument airplane rating. He estimated that his total flight time was about 1,800 hours. The 37-year-old commercial pilot receiving instruction held a second-class FAA medical certificate, which was issued on January 7, 2010. He held a commercial pilot certificate with a single engine land airplane rating. At the time of his rescue, he told local authorities that he had approximately 300 hours of flight experience. AIRCRAFT INFORMATION The airplane was a single-engine, propeller-driven, four seat airplane, with dual flight controls, which was manufactured by Cessna Aircraft Company in 1956. Its maximum takeoff gross weight was 2,300 pounds. It was powered by a Continental O-300-A reciprocating, direct-drive, air-cooled, normally aspirated engine, which had a maximum takeoff rating of 145 horsepower at sea level. Maintenance records indicate that the last 100-hour inspection was performed on January 30, 2011. The airplane had been converted from a tricycle landing gear configuration to a tail wheel landing gearconfiguration. METEOROLOGICAL INFORMATION At 1553, the reported weather conditions at Chino, California, located 130 degrees for 16 nautical miles from the accident site, were as follows: wind from 260 at 8 knots; visibility 10 statute miles; few clouds at 4,000 feet and scattered clouds at 25,000 feet; temperature 63 degrees Fahrenheit; dew point 45 degrees Fahrenheit; altimeter setting 30.09 inches of Mercury. WRECKAGE AND IMPACT INFORMATION The airplane was found about 400 feet below a 2,300-foot elevation ridge line on steep terrain. Examination of photos taken by local authorities revealed that a ground scar of approximately 100 degrees led to the wreckage. The nose of the airplane was compressed aft and up into the cockpit. The fuselage, just in front of the empennage, was compressed and wrinkled; both horizontal stabilizers were bent and wrinkled. Half of the left elevator was torn away, and both wings were bent and wrinkled. An airframe and engine exam was performed on February 9, 2011, by a National Transportation Safety Board Senior Air Safety Investigator and representatives from both the airframe and engine manufacturers. Flight control cable continuity was confirmed for all flight controls, though several of the cables had been cut for aircraft recovery. The propeller assembly remained attached to the engine’s crankshaft. The upper spark plugs were removed from the engine and noted to exhibit normal wear. The engine’s crankshaft was free to rotate and thumb compression was observed in proper order on all six cylinders. Mechanical continuity was established throughout the rotating group, valve train, and accessory section during hand rotation of the propeller. No evidence of any preimpact mechanical anomalies were noted with the airframe or engine that would have precluded normal operation.

Aircraft

Registration
N6922A
Reported as
Cessna 172
Category
Airplane
Serial number
29022
Airframe hours
2,796
Engine
Continental O-300A, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Gene A. Yu
Registered owner
Gene A. Yu
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · January 30, 2011
Departed
POC · La Verne, CA
Destination
POC · La Verne, CA

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
53
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
1,800 total · 1 in the last 24 hours
Role
Student pilot
Age
37
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
November 22, 2010
Seat
Right
Flight hours
300 total · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 45 °F
Altimeter
30.09 inHg
Observed at
CNO, 16 nm away

Docket · 14

The files NTSB released with the investigation on October 17, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.4 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.