WPR18LA259

NTSB accident investigation · Cessna 172 · Roche Harbor, WA · September 12, 2018

Accident · No injuriesClass 3 · LimitedFinal report
Date
September 12, 2018, 08:10 local (15:10 UTC)
Place
Roche Harbor, WA · on airport
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Prior to flight
Aircraft
N24MECessna 172
Defining event
Prior to flight: Preflight or dispatch event
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20180912013449A
Case key
98285

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 failure to secure his seat position prior to takeoff, which resulted in a loss of airplane control and subsequent hard landing.

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: incomplete actionPersonnel issues › Action/decision · PilotCessna 172S: 2 casesAll aircraft: 105 casesProbable cause
Misc hardware: fastenersAircraft › Fluids/misc hardware · Incorrect use/operationCessna 172S: 1 caseAll aircraft: 58 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 172S: 206 casesAll aircraft: 9,295 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 he adjusted his seat and “wiggled it” prior to takeoff to ensure it was locked in place. However, during the takeoff roll, the seat moved all the way aft, and the pilot was not able to reach the throttle or the rudder pedals. The airplane veered to the left and lifted off the ground. Shortly after, the tail struck the ground, followed by the left wing, and the airplane came to rest on its nose. A postaccident examination of the seat rail and latching mechanism revealed no anomalies. There was proper hole engagement with the seat pin and holes in the seat rail; the seat did not move once the stop was engaged with the hole. Therefore, it is likely that although the pilot attempted to secure his seat before takeoff, the seat pin was likely not engaged in the corresponding hole in the seat rail, which resulted in its aft movement when the airplane gained speed during the takeoff roll.

Factual narrative

On September 12, 2018, at 0810 Pacific daylight time, a Cessna 172 airplane, N24ME, was substantially damaged when it was involved in an accident near Roche Harbor, Washington. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 positioning flight. According to the pilot, just prior to takeoff, he adjusted his seat and “wiggled it” to ensure it was locked. During the takeoff roll, the seat moved all the way aft, and the pilot was not able to reach the throttle or the rudder pedals. The airplane veered to the left and lifted off the ground. Shortly after, the tail struck the ground, followed by the left wing, and the airplane came to rest on its nose. A Federal Aviation Administration (FAA) inspector responded to the accident site. The FAA inspector observed the pilot’s seat in the farthest aft position with the stops engaged in the aft holes. He further reported that the seat moved freely in both directions, to each stop, with no binding encountered. Additionally, there was proper hole engagement with the seat pin and holes in the seat rail; the seat did not move once the stop was engaged with the hole.

Aircraft

Registration
N24ME
Reported as
Cessna 172 (S)
Category
Airplane
Serial number
172S8463
Built
2000
Engine
Lycoming IO-540 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Island Air
Registered owner
Cannery Leasing Ltd
Airworthiness certificate
Standard, Normal
Destination
BLI · Bellingham, WA
Airport
WA09 · Roche Harbor, runway 25, 3,593 × 30 ft, asphalt
Equipment
Unknown

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
48
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Left
Flight hours
5,030 total · 0 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
0.5 statute miles
Lowest ceiling
400 ft overcast
Temperature
55 °F, dew point 54 °F
Altimeter
29.92 inHg
Observed at
KFHR, 7 nm away
METAR
METAR KFHR 121453Z AUTO 00000KT 2 1/2SM BR OVC004 13/12 A2992

Docket · 2

The files NTSB released with the investigation on March 24, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.6 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.