Friday, January 10, 2020

Loss of Control in Flight: Cessna 150F, N7990F; fatal accident occurred August 28, 2018 near Benton Field Airport (O85), Redding, Shasta County, California

N7990F, Front Left View

Left Wing View

Left Side Fuselage View

Empennage View

Right Side fuselage View

Right Wing View


Right Front View


The National Transportation Safety Board traveled to the scene of this accident.

Additional Participating Entities:  

Federal Aviation Administration / Flight Standards District Office; Sacramento, California
Continental Motors; Mobile, Alabama
Textron Aviation; Wichita, Kansas

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf


Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms 
 
https://registry.faa.gov/N7990F 


Location: Redding, CA
Accident Number: WPR18FA244
Date & Time: 08/29/2018, 1100 PDT
Registration: N7990F
Aircraft: Cessna 150
Aircraft Damage: Substantial
Defining Event: Loss of control in flight
Injuries: 1 Fatal 
Flight Conducted Under: Part 91: General Aviation - Personal 

On August 29, 2018, about 1100 Pacific daylight time, a Cessna 150F airplane, N7990F, impacted terrain shortly after takeoff from Benton Field Airport (O85), Redding, California. The private pilot was fatally injured, and the airplane sustained substantial damage. The airplane was privately owned and operated as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed in the area, and no flight plan was filed for the local flight, which was originating at the time of the accident.

Multiple witnesses saw the airplane during the initial climb shortly after its takeoff from runway 33; several stated that their attention was drawn to the airplane due to its abnormal engine sound. Many of the statements provided by witnesses were consistent in describing the airplane's nose-high attitude and slow airspeed before it turned left and descended to ground contact. One witness, a mechanic, stated that the engine was "misfiring" during the initial climb; the airplane stalled, and the left wing dropped "aggressively." 


Richard Joseph Engel and Frodo
Engel, along with his dog, were killed when his Cessna 150F crashed shortly after taking off from the Benton Field Airport (O85) on August 28th, 2018.


Pilot Information

Certificate: Private
Age: 71, Male
Airplane Rating(s): Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): None
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: Yes
Medical Certification: Class 3 With Waivers/Limitations
Last FAA Medical Exam: 06/27/2017
Occupational Pilot: Yes
Last Flight Review or Equivalent: 09/19/2017
Flight Time: (Estimated) 195 hours (Total, all aircraft), 161.4 hours (Total, this make and model), 136.3 hours (Pilot In Command, all aircraft), 0.8 hours (Last 90 days, all aircraft), 0 hours (Last 30 days, all aircraft), 0 hours (Last 24 hours, all aircraft) 

The 71-year-old pilot held a private pilot certificate with a rating for airplane single-engine land issued on September 21, 2017. The pilot's most recent Federal Aviation Administration (FAA) third-class medical certificate was issued on June 27, 2017, with a limitation stating, "must have available glasses for near vision." At the time of his medical examination, he reported 110 total hours of flight experience. About 5.5 hours were logged in the previous 6 months; .8 hour in the previous 90 days and 0 hour in the previous 60 days. The pilot logged a total of 14.7 hours in the accident airplane. The pilot's most recent flight review took place on September 19, 2017.



Aircraft and Owner/Operator Information

Aircraft Make: Cessna
Registration: N7990F
Model/Series: 150 F
Aircraft Category: Airplane
Year of Manufacture: 1966
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: 15064090
Landing Gear Type: Tricycle
Seats: 2
Date/Type of Last Inspection:
Certified Max Gross Wt.: 1601 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time:
Engine Manufacturer: Continental
ELT:
Engine Model/Series: O-200 SERIES
Registered Owner: On file
Rated Power: 100 hp
Operator: On file
Operating Certificate(s) Held: None

The airplane was manufactured in 1966 and purchased by the pilot on December 20, 2017. The airplane was equipped with a Continental O-200A engine, serial number 63876-6-A, and a two-blade, fixed-pitch propeller.

A review of the airframe and engine logbooks revealed that the most recent annual inspection was completed on October 20, 2017, at an airframe total time of 4,814.54 hours. The engine was last overhauled on August 7, 1998, at a tachometer time of 4,304.11 hours. At the time of the accident, the airplane had accumulated 27.39 hours since the most recent annual inspection, and the engine had accumulated 537.82 hours since major overhaul. 



Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: RDD, 739 ft msl
Distance from Accident Site: 7 Nautical Miles
Observation Time: 1753 UTC
Direction from Accident Site: 127°
Lowest Cloud Condition: Clear
Visibility:  10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 3 knots /
Turbulence Type Forecast/Actual: None / None
Wind Direction: 210°
Turbulence Severity Forecast/Actual: N/A / N/A
Altimeter Setting: 29.89 inches Hg
Temperature/Dew Point: 26°C / 9°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Redding, CA (O85)
Type of Flight Plan Filed: None
Destination: Redding, CA (O85)
Type of Clearance: None
Departure Time: 1055 PDT
Type of Airspace: Class G

At 1053, the automated weather observation station at Redding Municipal Airport (RDD), Redding, California, about 7.5 miles southeast of the accident site, reported wind from 150° at 4 knots, clear sky, 10 statute miles visibility, temperature 25°C, dew point 13°C, and an altimeter setting of 29.89 inches of mercury. Using the reported weather conditions and field elevation, the calculated density altitude about the time of the accident was about 2,343 ft.

Airport Information

Airport: Benton Field Airport (O85)
Runway Surface Type: Asphalt
Airport Elevation: 723 ft
Runway Surface Condition: Dry
Runway Used: 33
IFR Approach: None
Runway Length/Width: 2420 ft / 75 ft
VFR Approach/Landing: None



Wreckage and Impact Information

Crew Injuries: 1 Fatal
Aircraft Damage: Substantial
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 1 Fatal
Latitude, Longitude: 40.578056, -122.409722 (est) 

The airplane came to rest upright on a magnetic heading about 125° on a generally level, wooded area of private property about 500 ft northwest of the runway 33 centerline and 680 ft from the departure end of the runway. The wreckage was contained in an approximate 30-square-ft area. All major components of the airplane were found at the site. The first point of impact was about 20 ft above the ground on a tree about 7 ft to the left and behind the wreckage.

The fuselage displayed damage from underneath the engine nacelle extending upward and aft. The fuselage was buckled and fractured open just aft of the main landing gear. The wings displayed four concave dents in which traces of tree bark were embedded, consistent with tree impact. A portion of the left wing, about 15 inches from the wing tip inboard, was separated near a large concave dent on the leading edge. The left wing and cabin ceiling separated from the fuselage and was displaced forward about 15°. The right wing separated from the fuselage, was displaced forward about 5°, and came to rest against a tree near the wing root. The main landing gear remained intact and attached to the fuselage. The nose landing gear was displaced aft.

The propeller remained attached to the crankshaft propeller flange. The spinner was crushed aft around the propeller. One blade displayed moderate aft bending along with leading edge gouging and chordwise striations along the blade face; the other displayed minor aft bending, some leading edge gouging, and few striations along the blade face.

The fuel selector was found in the ON position. About 2 gallons of fuel were drained from the left wing tank and 6 gallons were drained from the right wing tank. The fuel tested negative for water. The last fuel receipt discovered was dated August 15, 2018, for 17.0 gallons.

Flight control continuity was established from all flight control surfaces to the cabin flight controls. The flap selector was found in the down position, the flap actuator was at 3.25 inches, consistent with the flaps being between 10° to 20°. The flaps were extended about 20°. Elevator trim continuity was established and was found 1.44 inches, consistent with a neutral setting. The engine was examined at the accident site.

The engine remained attached to the firewall. The rear of the engine was pushed up towards the pilot's glare shield. The engine sustained impact damage, which had fractured the intake manifold allowing the carburetor to separate. The mixture control arm and the throttle control arm moved freely throughout their full range. The carburetor bowl was removed to examine the floats. The float bowls were brass in appearance and moved through their full travel. The floats displayed hydraulic damage. The airframe fuel strainer was damaged and there was no presence of fuel. No contaminations were found on the carburetor fuel finger strainer. The accelerator pump functioned normally. A blue fluid with the appearance and smell of aviation gasoline was found in the carburetor bowl. This fluid tested negative for water and was free of debris. The upper spark plugs were removed at the scene and appeared undamaged. Spark plugs number 1, 2, and 3 appeared dark in color and dry. Sparkplug number 4, appeared darker in color and wet. Thumb compression was obtained on all four cylinders. All rocker arms moved freely when the engine was rotated. The carburetor had a red Precision Airmotive Corporation data tag riveted to it. The data tag displayed the following information: Model: MA-35PA, Part No.: 10-4894, Serial Number: 3E-0-231 or BE-0-231. The vacuum pump had separated but remained attached via hoses. The oil filter was examined, and the filtering medium exhibited no foreign or metal material.

On November 26, 2018, the engine was further examined at Continental Motors, Mobile, AL. During this examination the engine could be rotated freely by turning the propeller mounting flange. All cylinders appeared intact without damage. The lower spark plugs were removed. Spark plugs number 1, 2, and 3 appeared dark in color, dry and undamaged. Spark plug number 4, appeared darker in color and wet. Various shields and non-system items were removed. The starter motor appeared normal. The oil filter attachment bracket had a mounting tab broken. The other tab was cracked. Deposits were found trapped in the oil screen but estimated to be less than 10% blockage. The oil pump attachment bolts did not have safety wire but appeared to retain their torque. The oil pump gears appeared normal. The engine was verified to be timed correctly at 24°. The left magneto, Left, S/N: A58836, was test run and verified to function correctly. The right magneto, S/N: A58837, was test run and verified to function correctly. The generator appeared normal. The exhaust mufflers appeared normal. The intake manifold was broken at the carburetor mount, otherwise it appeared normal. Cylinders 1, 3, and 4 were standard nitrated steel cylinders. Cylinder 2 had been channel-chrome plated. All cylinders, valves, valve lifter bodies, connecting rods, rod end bearings, wrist pins, cam, and cam bearing surfaces exhibited normal wear patterns. All pistons exhibited normal wear patterns with light to medium combustion deposits on all four piston domes. The pistons were a standard bore size. The number 2 intake and number 3 exhaust valve lifter faces exhibited spalling where the cam lobes meet the lifter face. The number 2 intake and number 3 exhaust guides were pitting at the point where the cam lobes meet the guide. The crank case and bearing surfaces exhibited normal wear patterns.

Medical And Pathological Information

An autopsy of the pilot was performed by the Shasta County Sheriff-Coroner, Redding, California. The cause of death was blunt trauma.

Toxicology testing performed at the FAA Forensic Sciences Laboratory identified Tamsulosin in blood and in urine, Delta-9-THC in blood (cavity) and urine, Carboxy-Delta-9-THC in blood (cavity) and urine, and 11-Hydroxy-Delta-9-THC in urine.

Tamsulosin is an a1a-selective alpha blocker used in the symptomatic treatment of benign prostatic hyperplasia. It is not generally considered impairing.

THC (tetrahydrocannabinol) has mood-altering effects, including euphoria, relaxed inhibitions, disorientation, image distortion, and psychosis. In addition, THC is lipophilic and stored in liver and lung for long periods after smoking. The cavity blood taken from the chest was in close proximity to the liver and lung, and postmortem levels may therefore be significantly elevated compared with antemortem levels.

Additional Information

The Cessna 150 Owner's Manual stated that normal and obstacle clearance takeoffs should be performed with flaps retracted. A flap extension setting of 10° would shorten the airplane's ground roll during takeoff by about 10% but reduces the climb to a 50-ft obstacle.

The FAA Airplane Flying Handbook (FAA-H-8083-3B), Chapter 8, Approaches and Landings, stated:

Flap extension has a definite effect on the airplane's pitch behavior. The increased camber from flap deflection produces lift primarily on the rear portion of the wing. This produces a nose-down pitching moment; however, the change in tail loads from the downwash deflected by the flaps over the horizontal tail has a significant influence on the pitching moment. Consequently, pitch behavior depends on the design features of the particular airplane.

Flap deflection of up to 15° primarily produces lift with minimal drag… Flap deflection beyond 15° produces a large increase in drag. Also, deflection beyond 15° produces a significant nose-up pitching moment in high-wing airplanes because the resulting downwash increases the airflow over the horizontal tail.

2 comments:

  1. Abnormal engine sound from witness, most likely stuck exhaust valve caused by too much lead in the fuel for that engine.

    ReplyDelete
  2. Abnormal engine sound from witness, most likely stuck exhaust valve caused by too much lead in the fuel for that engine.

    ReplyDelete