N78304

Substantial
Fatal

CESSNA 172KS/N: 17257561

Accident Details

Date
Sunday, November 18, 2012
NTSB Number
ERA13FA062
Location
Savannah, GA
Event ID
20121119X04932
Coordinates
31.935277, -81.195556
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
1
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
1

Probable Cause and Findings

The pilot's failure to maintain airplane control while operating in night, instrument meteorological conditions, due to spatial disorientation.

Aircraft Information

Registration
N78304
Make
CESSNA
Serial Number
17257561
Engine Type
Reciprocating
Year Built
1968
Model / ICAO
172KC172
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
COSGROVE RODDY L
Address
6909 BIG TREE LN
Status
Deregistered
City
LIBERTY
State / Zip Code
NC 27298-8169
Country
United States

Analysis

HISTORY OF FLIGHT

On November 18, 2012, about 1855 eastern standard time, a Cessna 172K, N78304, was substantially damaged following a loss of aircraft control and collision with terrain during approach to Savannah/Hilton Head International Airport (SAV), Savannah, Georgia. The private pilot was fatally injured. The airplane was registered to a private individual and was operated by the pilot under the provisions of 14 CFR Part 91 as a personal flight. Night, instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan was filed. The local flight originated at Causey Airport (2A5), Liberty, North Carolina, about 1642.

Prior to the flight, the pilot filed an IFR flight plan and obtained a weather briefing through the Direct User Access Terminal Service (DUATS). The flight departed 2A5 and the pilot checked in with Greensboro South Radar (SR) controller at 1643. At 1646, the pilot was issued an IFR clearance to SAV. About 1718, the Florence, South Carolina approach controller issued a heading of 180 degrees after noticing the pilot executing a turn of about 90 degrees. The pilot later stated that the turn was due to weather conditions.

About 1827, the pilot contacted the Savannah approach controller at 4,000 feet above mean sea level (msl) and was told to expect the instrument landing system (ILS) approach to runway 1. From 1833 until 1851, the pilot was issued seven vectors. They were, in chronological order, 180, 200, 210, 230, 250, 260, and 270 degrees. At 1852, the controller informed the pilot that he was four miles from MIZLU, was issued a right turn to heading 340, was instructed to maintain 2,000 feet until established on the localizer and was cleared for the ILS runway 1 approach. The pilot acknowledged.

Recorded radar data revealed that, after being cleared for the approach, the airplane continued on a southwesterly heading for about 90 seconds, and then a right turn to an easterly heading was observed. At 1853, the controller directed the pilot to turn left to a heading of 320, that he was five miles from MIZLU intersection, and re-cleared the pilot for the ILS approach to runway 1. At that time, the control advised the pilot that it appeared that the wind was pushing the aircraft off course. The pilot acknowledged.

Radar data indicated that the pilot completed a left turn to the west, roughly perpendicular to the localizer course. After crossing through the localizer, the airplane was observed in a right turn of about 270 degrees until it was on a southerly heading. The airplane then continued the right turn back toward the localizer. At 1855:15 (HHMM:SS), the controller directed the pilot to maintain 2,000 feet until established on the localizer. He then asked the pilot to "say your altitude." The last return with altitude readout was at 1855:11 (1,600 feet). At 1855:26, the last transmission was received from the pilot, "three zero four we’re trying to recover." The last radar return was observed at 1855:30.

The wreckage was located about 0005 on November 19, 2012, about 1/4 nautical mile west-southwest of the last radar return. There were no known witnesses to the accident.

PERSONNEL INFORMATION

The private pilot held airplane single engine land and instrument airplane ratings. He was issued a temporary airman certificate for an instrument airplane rating on May 27, 2012. On his additional rating application, he reported a total flying experience of 188.5 hours, including 111.4 hours as pilot in command (PIC). On the same application, he reported 65.8 hours of cross country time, 42.6 hours of instrument time, and 20.5 hours of night PIC time.

The pilot's personal logbooks were not recovered or located after the accident. A friend of the pilot, who was also his flight instructor during instrument training, reported that the accident pilot had logged about 234 hours total time about a week prior to the accident, and all but about 5 hours were flown in Cessna 172 airplanes. He also reported that the pilot used an iPad to fly approaches, as well as a Garmin 155XL GPS. He and the accident pilot accomplished a majority of their training at night, and the accident pilot was comfortable flying at night.

AIRCRAFT INFORMATION

The airplane was a single-engine, high-wing, fixed tricycle gear airplane, serial number 17257561. It was powered by a Lycoming O-320-E2D engine rated at 150 horsepower.

A review of the aircraft maintenance records indicated that an annual inspection of the airframe and engine was performed on June 29, 2012. The aircraft total time at the time of the annual inspection was 8,340.04 hours. The most recent maintenance logbook entry was recorded on November 14, 2012, at 8,373.12 hours total time (transponder inspection).

METEOROLOGICAL INFORMATION

The 1853 surface weather observation for SAV included scattered clouds at 600 feet, broken clouds at 1,300 feet, an overcast layer at 2,000 feet, wind from 350 degrees at 11 knots, 3 miles visibility with light rain and mist, temperature 12 degrees C, dew point 11 degrees C, and altimeter 30.24 inches of mercury. Sunset occurred about 1723 and evening civil twilight ended about 1749. The phase of the moon on November 18 consisted of a waxing crescent with 28 percent of the moon's visible disk illuminated.

WRECKAGE AND IMPACT INFORMATION

The wreckage was found in a salt marsh, about 12 miles south of SAV. The airframe was fragmented, and several sections were submerged in mud and salt water. There were no indications of fire. The wreckage was recovered on November 19 and 20, and was transported to a storage facility for subsequent examination by the investigation team. The accident site conditions prevented the investigation team from performing an on-scene examination of the wreckage.

On December 3 and 10, 2012, the wreckage was examined under the direction of the NTSB investigator-in-charge (IIC) at a storage facility in Griffin, Georgia.

All primary flight control surfaces were accounted for in the wreckage. The right wing was fragmented into multiple sections. The left wing remained generally intact with leading edge crushing in an aft direction throughout its entire length. The cockpit connections for the aileron control cables were damaged by impact forces. The cables remained attached to the aileron bell cranks in the wings. The wing flap actuator was found in the retracted (flaps up) position.

The empennage was generally intact aft of the baggage compartment. The cockpit and cabin were fragmented into multiple sections. The instrument panel was crushed and separated from the fuselage. No scoring was observed on the vacuum or electric gyro rotors or housings. The airspeed indicator needle was observed at the "188 knots" position. No engine instruments were observed in the recovered wreckage.

The right horizontal stabilizer separated from the right elevator during ground impact. The left horizontal stabilizer and left elevator remained attached to each other and were separated from the empennage. The vertical stabilizer was separated from the empennage. The rudder was separated from the vertical stabilizer and was fragmented by impact forces. The rudder and elevator control cables were attached at the control surfaces and at the cockpit controls. All cable separations exhibited tension overload signatures or were cut by recovery personnel. The elevator trim actuator was found in the "10-degree tab up" position.

The fuel strainer bowl was found separated from the fuel strainer. The strainer screen was clogged with mud that was similar in appearance to the mud found at the accident site. The fuel tank selector valve was disassembled and found in the "both tanks" position.

The emergency locator transmitter (ELT) was found generally intact and the power switch was found in the "OFF" position. The ELT, a model EBC-102A, was affixed with a decal stating that the battery replacement date was May, 2011. An entry was found in the aircraft logbook stating that the ELT battery was replaced during the annual inspection on May 20, 2011.

The propeller assembly remained attached to the crankshaft flange. Both blades exhibited aft bending and blade twisting. The tip of one blade was missing and was not recovered; however, there was a witness mark on the number three cylinder rocker cover that mated with the end of the fractured blade.

The engine was attached to a hoist to facilitate its examination. The carburetor was broken free from the oil sump and was not recovered. There was a puncture hole in the oil sump and the sump contained mud. The vacuum pump was disassembled. The pump drive coupling and internal vanes were intact. All rocker covers and spark plugs were removed. The spark plugs that were not impacted with mud displayed color and wear consistent with normal combustion when compared to a Champion Spark Plug wear guide. The engine was manually rotated using the propeller; suction and compression were observed on all cylinders. The valve rocker arms were observed moving in a normal manner. The accessory gears were observed rotating. All cylinders were examined using a lighted bore scope; no defects were observed. The oil filter was opened for examination; the paper element was free of particulates. Nothing was observed during the course of the examination that would have precluded the engine from making rated power prior to impact.

MEDICAL AND PATHOLOGICAL INFORMATION

A postmortem examination of the pilot was performed at the Georgia Bureau of Investigation Coastal Regional Medical Examiner’s Office, Savannah, Georgia, on November 20, 2012. The autopsy report noted the cause of death as "Blunt force injury" and the manner of death was "Accident."

Forensic toxicology testing was performed on specimens of the pilot by the Federal Aviation Administration (FAA) Bioaeronautical Sciences Research Laboratory (CAMI), Oklahoma City, Oklahoma. The CAMI ...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA13FA062