WPR12LA384

NTSB accident investigation · Cessna 182R · St. Johns, AZ · August 31, 2012

Accident · Minor injuriesLimited investigationFinal report
Date
August 31, 2012, 16:10 local (23:10 UTC)
Place
St. Johns, AZ
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N5458NCessna 182R
Defining event
Landing-landing roll: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed · report May 21, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20120831018979A
Case key
84882

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 delay in executing a go-around, which resulted in a runway overrun. Contributing to the accident were the pilot’s failure to establish the proper glidepath and airspeed on final approach and his improper use of flaps during the go-around.

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.

Action: delayed actionPersonnel issues › Action/decision · PilotCessna 182R: 2 casesAll aircraft: 894 casesProbable cause
Use of equip/info: use of policy/procedurePersonnel issues › Task performance · PilotCessna 182R: 1 caseAll aircraft: 191 casesProbable cause
Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 182R: 3 casesAll aircraft: 809 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 pilot reported that the airplane was high and fast on final approach for landing, so he lowered the flaps to 40 degrees and raised the nose to slow down. The pilot then decided to go around, so he applied full power and raised the flaps to 30 degrees. The airplane began to climb, but then it started descending. The pilot reduced the engine power, landed the airplane, and applied heavy braking. The airplane subsequently overran the end of the runway and went through the perimeter fence. After he exited the airplane, the pilot found the flaps fully retracted. The airplane's Pilot Operating Handbook stated that go-arounds should be performed with the flaps at 20 degrees. Further, the pilot should have performed a go-around when he first noticed that the airplane was too high and fast on the final approach.

Factual narrative

On August 31, 2012, about 1610 mountain standard time, a Cessna 182R, N5458N, sustained substantial damage during a runway overrun while landing at St. Johns, Arizona. The private pilot, the sole occupant, received minor injuries. The pilot/owner was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the personal cross-country flight, which had originated from Dalhart, Texas, about 3 hours before the accident. A flight plan had not been filed. The pilot said that he started his traffic pattern higher than recommended due to his high density altitude concerns. He said his final approach was longer than normal and his speed was fast. He put the flaps down full and raised the nose to bleed off more airspeed. A witness on the ground said the airplane passed the midfield intersection and was still quite high off the runway. The witness said the accident pilot appeared to be performing a go-around. But then the airplane descended to the runway and touched down with about 3/4 of its length behind him. The pilot said that he realized that the airplane was high, fast, and long for a normal landing. He decided to go around. He applied full power; he reduced flaps by 10 degrees, and the airplane started to climb. However, the airplane then began to descend; "it was sort of mushing out of the sky." He reduced the engine power, landed, and began heavy braking. A witness on the ground said that he observed black smoke coming from the main landing gear tires after the airplane touched down. The airplane departed the end of the runway and went through the airport's perimeter fence. The airplane came to rest on its nose with the right wing strut bent, and both wings bent and wrinkled. After he exited the airplane, the pilot discovered that the flaps were fully retracted. The airplane's manufacturer published a Pilot's Operating Handbook, which states that after the throttle is moved to full power for a go-around, the wing flaps shall be retracted from 40 to 20 degrees. The pilot stated that he had just purchased this particular airplane 4 days earlier. He said he practiced two full stop landings and takeoffs, but he did not practice any go-arounds. The pilot stated that the accident might have been avoided if he had practiced go-arounds with incremental raising of the flaps, or stopped the approach and exited the traffic pattern when he realized he was too high.

Aircraft

Registration
N5458N
Reported as
Cessna 182R
Category
Airplane
Serial number
18267729
Built
1980
Airframe hours
2,359
Engine
Cont Motor IO-470 SERIES, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bruce D. Lisle
Registered owner
Bruce D. Lisle
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 18, 2012
Departed
DHT · Dalhart, TX
Destination
SJN · St. Johns, AZ
Flight plan
Unknown
Airport
SJN · St Johns Industrial Air Park, runway 14, 5,322 × 75 ft, asphalt
Equipment
Stall warning system

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
71
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
1,550 total · 750 in this make and model · 11 in the last 90 days · 9 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 45 °F
Altimeter
30.12 inHg
Observed at
SJN

Docket · 3

The files NTSB released with the investigation on April 28, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 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.