# NTSB WPR24LA145: Cessna 195, N2193C, Big Bear, CA, May 9, 2024 - Type: NTSB accident investigation - Classification: Accident · No injuries · Class 4 · Limited · Final report - Date: May 9, 2024, 13:20 local (20:20 UTC) - Place: Big Bear, CA - Coordinates: 34.263851, -116.85548 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=34.2639&lon=-116.8555&mi=10 - Phase of flight: [Takeoff](https://openairdocs.org/ntsb-phases/300) (OpenAirDocs' grouping) - Defining event: [Takeoff: Loss of control on ground](https://openairdocs.org/ntsb-events/230) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed - Report: Approved by Office Director - Investigation class: Class 4 - Basic report with no Prelim publish - NTSB office: Western Pacific Region - Parties: Federal Aviation Administration - NTSB case key (mKey): 194232 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=WPR24LA145 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/194232/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=194232 - Page: https://openairdocs.org/ntsb/WPR24LA145 ## Probable cause The pilot’s failure to maintain directional control during takeoff with a gusty crosswind. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna 195B, 13 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=2073112), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/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 195B, 8 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2073112), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) - [Wind: crosswind](https://openairdocs.org/ntsb-findings/03034040): Environmental issues › Conditions/weather/phenomena · Contributed to outcome (probable cause); cases with it: [Cessna 195B, 3 cases](https://openairdocs.org/ntsb-findings/03034040/cases.md?model=2073112), [All aircraft, 1,008 cases](https://openairdocs.org/ntsb-findings/03034040/cases.md) - [Wind: gusts](https://openairdocs.org/ntsb-findings/03034045): Environmental issues › Conditions/weather/phenomena · Contributed to outcome (probable cause); cases with it: [Cessna 195B, 1 case](https://openairdocs.org/ntsb-findings/03034045/cases.md?model=2073112), [All aircraft, 1,199 cases](https://openairdocs.org/ntsb-findings/03034045/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Takeoff: Other weather encounter](https://openairdocs.org/ntsb-events/400); cases with it: [Cessna 195B, 1 case](https://openairdocs.org/ntsb-events/400/sequence.md?model=2073112), [All aircraft, 1,127 cases](https://openairdocs.org/ntsb-events/400/sequence.md) - [Takeoff: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Cessna 195B, 12 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=2073112), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md) - [Takeoff: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Cessna 195B, 6 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=2073112), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) - [Takeoff: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Cessna 195B, 4 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=2073112), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) - [Takeoff: Landing gear collapse](https://openairdocs.org/ntsb-events/094); cases with it: [Cessna 195B, 7 cases](https://openairdocs.org/ntsb-events/094/sequence.md?model=2073112), [All aircraft, 1,787 cases](https://openairdocs.org/ntsb-events/094/sequence.md) ## Analysis The pilot of the tailwheel-equipped airplane reported that during the takeoff roll, he applied control inputs to compensate for the crosswind, however, as the airplane’s tail lifted up, the airplane encountered a sudden strong crosswind gust. The airplane weather-vaned to the left, exited the runway surface and collided with the precision approach position indicator lights before it came to rest upright in an adjacent ditch. During the accident sequence, the airplane sustained substantial damage to both wings and the fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. At the time of the accident, the pilot was departing runway 8, with wind from 050° at 6 to 10 knots gusting to 8 to 15 knots. ## Aircraft - Registration: [N2193C](https://openairdocs.org/aircraft/N2193C), registered now, S/N 16178, built 1955 (OpenAirDocs) - Reported make and model: CESSNA 195 (B) - Registry model: [Cessna 195B](https://openairdocs.org/model/cessna-195b) (registry code 2073112) (OpenAirDocs) - Registry engine: [Jacobs R755A series](https://openairdocs.org/engine/jacobs-r755a-series) (registry code 35006, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 16178 - Year built: 1955 - Airframe hours: 4074.1 - Engines: Jacobs R-755-A2 SERIES 300 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Standard, Normal - Last inspection: Annual, March 21, 2024, 5.5 hours before - Departed: L35, Big Bear, CA - Destination: FUL, Fullerton, CA - Airport: L35, Big Bear Airport, runway 8, 5,850 × 75 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 65; injuries: none; flight engineer, airline transport, commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, with waivers/limitations; last flight review April 23, 2024; seat: left; restraint: 3-point; flight hours: 26,396 total, 83.3 in this make and model, 14,864 as pilot in command, 17.7 in the last 90 days, 7.8 in the last 30 days, 1.4 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 350° at 5 knots, gusting 14 - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 52 °F, dew point 18 °F - Altimeter: 30.10 inHg - Observed at: KL35 - METAR: KL35 092035Z AUTO 35005G14KT 10SM CLR 11/M08 A3010 RMK AO2 ## 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 20240509004859A](https://openairdocs.org/incident/20240509004859A), May 9, 2024: Cessna 195B, Big Bear, CA, Substantial damage. On 05/09/2024 the riverside FSDO received notice of an aircraft accident at Big Bear airport CA. From the NTSB and dispatched an inspector from riverside… ## Docket (2 files) The files NTSB released with the investigation on November 19, 2024, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=194232. 5.6 MB in all. - Pilot/operator aircraft accident report, NTSB form 6120.1 (item 1, PDF, 7 pages, 5.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17219498&FileExtension=pdf&FileName=Z%20-%20Attachment%2001%20-%206120_Redacted-Rel.pdf - Pictures (provided by federal aviation administration) (item 2, PDF, 2 pages, 608 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17219369&FileExtension=pdf&FileName=Z-%20Attachment%2002%20-Photos-Rel.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.