# NTSB WPR14CA155: Cessna 172M, N19982, Anacortes, WA, April 1, 2014 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: April 1, 2014, 14:35 local (21:35 UTC) - Place: Anacortes, WA - Coordinates: 48.502223, -122.666114 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=48.5022&lon=-122.6661&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report June 5, 2014 - Report: Approved by Office Director - NTSB office: Western Pacific Region - Parties: Federal Aviation Administration - NTSB case key (mKey): 89001 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR14CA155 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/89001/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=89001 - Page: https://openairdocs.org/ntsb/WPR14CA155 ## Probable cause The pilot's improper application of brakes during the landing roll resulted in a runway excursion and nose over. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: surface speed/braking](https://openairdocs.org/ntsb-findings/01062045): Aircraft › Aircraft oper/perf/capability · Incorrect use/operation (probable cause); cases with it: [Cessna 172M, 1 case](https://openairdocs.org/ntsb-findings/01062045/cases.md?model=2072418), [All aircraft, 238 cases](https://openairdocs.org/ntsb-findings/01062045/cases.md) - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 172M, 123 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2072418), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) - [Terrain: sloped/uneven terrain](https://openairdocs.org/ntsb-findings/03021017): Environmental issues › Physical environment · Contributed to outcome; cases with it: [Cessna 172M, 4 cases](https://openairdocs.org/ntsb-findings/03021017/cases.md?model=2072418), [All aircraft, 270 cases](https://openairdocs.org/ntsb-findings/03021017/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: Runway excursion](https://openairdocs.org/ntsb-events/300) (defining event); cases with it: [Cessna 172M, 51 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=2072418), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) - [Landing-landing roll: Nose over/nose down](https://openairdocs.org/ntsb-events/096); cases with it: [Cessna 172M, 33 cases](https://openairdocs.org/ntsb-events/096/sequence.md?model=2072418), [All aircraft, 2,287 cases](https://openairdocs.org/ntsb-events/096/sequence.md) ## Analysis The pilot reported that during the landing and rollout, the airplane was going faster than he wanted at his normal turnoff point on the runway so he continued to the next turnoff. While turning, he applied the brakes, raised the flaps, and pushed in the carburetor heat control. At that time, he realized that the airplane was not stopping so he applied more braking, but the airplane did not slow down or stop. Before he could move his feet higher onto the toe brakes, the airplane departed the runway surface onto bumpy ground, headed over a bank, and nosed over. The wings, vertical stabilizer and rudder were substantially damaged. The pilot reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation. ## Factual narrative The pilot reported that during the landing and rollout, the airplane was going faster than he wanted at his normal turnoff point on the runway so he continued to the next turnoff. While turning, he applied the brakes, raised the flaps, and pushed in the carburetor heat control. At that time, he realized that the airplane was not stopping so he applied more braking, but the airplane did not slow down or stop. Before he could move his feet higher onto the toe brakes, the airplane departed the runway surface onto bumpy ground, headed over a bank, and nosed over. The wings, vertical stabilizer and rudder were substantially damaged. The pilot reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation. ## Aircraft - Registration: [N19982](https://openairdocs.org/aircraft/N19982), registered now, S/N 17260909, built 1972 (OpenAirDocs) - Reported make and model: CESSNA 172M (M) - Registry model: [Cessna 172M](https://openairdocs.org/model/cessna-172m) (registry code 2072418) (OpenAirDocs) - Registry engine: [Lycoming 0-320 series](https://openairdocs.org/engine/lycoming-0-320-series) (registry code 41508, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 17260909 - Year built: 1972 - Airframe hours: 3752 - Engines: LYCOMING O-320 SERIES reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Jamison Vernon Leo - Registered owner: Jamison Vernon Leo - Airworthiness certificate: Standard, Normal - Last inspection: Annual, May 11, 2013 - Departed: BVS, Burlington, WA - Destination: 74S, Anacortes, WA - Airport: 74S, Anacortes, runway 36, 3,015 × 60 ft, asphalt - Equipment: Stall warning system ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 82; injuries: none; private; airplane ratings: single-engine land; medical: class 3, with waivers/limitations; last flight review February 25, 2014; seat: left; restraint: 3-point; flight hours: 429 total, 429 in this make and model, 429 as pilot in command ## Weather - Conditions: Visual (VMC), Day - Wind: 300° at 7 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 55 °F, dew point 43 °F - Altimeter: 29.85 inHg - Observed at: KBVS ## 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 20140401003759A](https://openairdocs.org/incident/20140401003759A), Apr 1, 2014: Cessna 172M, Anacortes, WA, Substantial damage. Approx at 1345LOCAL a/c N19982 upon landing at Anacortes landed long and ran off the north end of the runway, on roll out the aircraft had to much speed to… ## Other investigations on N19982 (1) 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. - [NTSB SEA75DYG22](https://openairdocs.org/ntsb/SEA75DYG22-146892), Mar 2, 1975: Cessna 172 (N19982), Rockford, WA, substantial damage ## Docket (4 files) The files NTSB released with the investigation on May 27, 2014, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=89001. 4.1 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40412709&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Anacortes Police Report (item 2, .PDF, 2.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40412710&FileExtension=.PDF&FileName=Anacortes%20Police%20Report-Redacted.PDF - Record of Conversation - Officer Wakefield (item 3, .PDF, 76 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40412757&FileExtension=.PDF&FileName=Record%20of%20Conversation%20-%20Officer%20Wakefield-Master.PDF - Record of Conversation - Pilot (item 4, .PDF, 71 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40412758&FileExtension=.PDF&FileName=Record%20of%20Conversation%20-%20Pilot-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.