N4585F

Substantial
Fatal

CESSNA A185FS/N: 1851092

Accident Details

Date
Saturday, June 25, 2016
NTSB Number
WPR16FA131
Location
Coeur d'Alene, ID
Event ID
20160625X01739
Coordinates
47.833610, -116.483612
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 clearance from trees while maneuvering at low altitude in mountainous terrain.

Aircraft Information

Registration
N4585F
Make
CESSNA
Serial Number
1851092
Engine Type
Reciprocating
Year Built
1966
Model / ICAO
A185FC185
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
CHAPMAN KENNETH D
Address
4906 E 15TH AVE
Status
Deregistered
City
SPOKANE VALLEY
State / Zip Code
WA 99212-3408
Country
United States

Analysis

HISTORY OF FLIGHTOn June 25, 2016, about 1200 Pacific daylight time, a Cessna A185F airplane, N4585F, was substantially damaged when it collided with terrain about 15 miles northeast of Coeur d'Alene, Idaho. The private pilot was fatally injured. The airplane was registered to and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight. The airplane departed Felts Field Airport (SFF) Spokane, Washington, about 1126.

A witness located at the Horse Haven Airstrip, a remote private airstrip about 1 mile southwest of the accident site, reported seeing the airplane flying northeast before it "came back around buzzing us as if to land on the airstrip." Another witness located at the airstrip stated that the airplane made two passes over the airstrip: the first pass was "very high, and the second pass was just above the tree tops in a northeast direction." The witness further reported that after the second pass, the airplane never returned, and that no noise was heard after the airplane did not return.

There were no witnesses to the impact. The wreckage was discovered later in the day by an individual passing through the area. PERSONNEL INFORMATIONThe pilot, age 70, held a private pilot certificate with an airplane single-engine land rating. The pilot was issued a Federal Aviation Administration (FAA) third-class airman medical certificate on March 29, 2016, with the limitation that he must wear corrective lenses. The pilot reported on the application for this medical certificate that he had accumulated 3,505 total flight hours and had logged no flight hours in the last 6 months. The pilot's logbook was not located during the investigation. AIRCRAFT INFORMATIONThe high-wing, fixed gear airplane, was manufactured in 1966. It was powered by a 300 horsepower Continental IO-520-F-C-D (9) reciprocating engine driving a two-bladed McCauley D2A34C58 constant speed propeller.

A maintenance invoice indicated that the airplane's most recent annual and 100-hour inspections were completed on April 11, 2016. At the time of the accident, the airplane had been flown 11.2 hours since the annual inspection.

According to the performance section of the owner's manual for the airplane, the airplane's maximum rate of climb at 5,000 ft, and a temperature of 41° C, was 1,425 feet per minute (fpm) at a gross weight of 2,300 pounds (lowest weight listed) and 1,050 fpm at a gross weight of 2,800 pounds. METEOROLOGICAL INFORMATIONThe 1155 weather observation at Coeur d'Alene Airport – Pappy Boyington Field, Coeur d'Alene, Idaho, located about 16 miles southwest of the accident site, reported wind, 140° at 6 knots with gusts to 15 knots, visibility 10 statute miles, few clouds at 3,500 ft, scattered clouds at 4,300 ft, broken clouds at 5,000 ft, temperature 17º C, dew point 8º C, and an altimeter setting of 30.22 inches of mercury.

A review of the weather information revealed that no significant weather or turbulence was reported or forecast in the accident area. No AIRMETS or SIGMETS were valid in the area at the time of the accident. The wind speed was estimated to be about 5 to 15 knots.

Given the atmospheric conditions on the day of the accident, the density altitude at the accident location was calculated to be about 3,859 ft. AIRPORT INFORMATIONThe high-wing, fixed gear airplane, was manufactured in 1966. It was powered by a 300 horsepower Continental IO-520-F-C-D (9) reciprocating engine driving a two-bladed McCauley D2A34C58 constant speed propeller.

A maintenance invoice indicated that the airplane's most recent annual and 100-hour inspections were completed on April 11, 2016. At the time of the accident, the airplane had been flown 11.2 hours since the annual inspection.

According to the performance section of the owner's manual for the airplane, the airplane's maximum rate of climb at 5,000 ft, and a temperature of 41° C, was 1,425 feet per minute (fpm) at a gross weight of 2,300 pounds (lowest weight listed) and 1,050 fpm at a gross weight of 2,800 pounds. WRECKAGE AND IMPACT INFORMATIONThe airplane was examined at the accident site by investigators from the National Transportation Safety Board (NTSB), Continental Motors, and Textron Aviation. The airplane impacted heavily wooded terrain, at an elevation of about 3,133 ft, and came to rest inverted on a canyon hillside, with a slope of about 45.° The ridgelines surrounding the site were separated by a distance of about 3,500 ft and were several hundred feet above the accident site elevation. The canyon was orientated southwest to northeast and narrowed to the northeast, with the distances between ridgelines decreasing to about 2,200 ft about 1/3 mile northeast of the accident site. The canyon continued to narrow a couple miles further northeast, with the canyon floor elevation increasing by several hundred feet, and the ridgelines increasing to about 1,500 ft above the elevation of the accident site.

The debris path was about 150 ft long on a heading of 220° magnetic and began with an initial impact to a tree top about 100 ft in height. The second point of impact was a group of 4 trees about 50 ft west of the initial impact point. The last portion of the debris path was a disturbed area of dirt about 25 ft long, 3 ft wide, and 2 inches deep, that led to the main wreckage. All major components of the airplane were located along the debris path. Flight control continuity was established to the empennage. One personal electronic device was recovered from the wreckage.

The left wing was separated at the fuselage and located about 15 ft downhill from the main wreckage. The left wing exhibited "accordion type" crushing damage to the leading edge mid-span. Both the aileron and flap remained attached to the wing.

The right wing was separated from the fuselage at the wing root but remained located with the main wreckage. The aileron and flap remained attached to the wing. Impact damage was observed on the bottom side of the wing from the leading edge to trailing edge. A small amount of fuel was drained from the right wing and tested negative for water contamination.

The forward upper portion of the passenger cabin was crushed from impact. The heading indicator displayed 230° magnetic and the fuel selector was in the both position. The ignition switch was selected to both.

The left horizontal stabilizer was separated from the empennage and located about 31 ft east of the main wreckage. The left stabilizer exhibited crushing impact damage to the inboard portion of the leading edge and the elevator remained attached. The vertical stabilizer and rudder remained attached. The leading edge of the vertical stabilizer exhibited crushing damage, and the tip fin assembly that contained the beacon light was separated from the vertical stabilizer and located about 30 ft east of the main wreckage. The right horizontal stabilizer and elevator remained attached and were intact.

The on-scene examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Following the on-scene examination, the airplane wreckage was recovered to a secure facility for further examination.

The postaccident examination of the engine revealed that all engine components and accessories were present. The crankshaft could be manually rotated by hand by the propeller and continuity was established throughout the crankshaft and drivetrain. The combustion chamber of each cylinder was examined using a borescope and revealed evidence of normal operational conditions.

The examination of the engine revealed no evidence of pre-impact mechanical malfunctions or failures that would have precluded normal operation. MEDICAL AND PATHOLOGICAL INFORMATIONThe Spokane County Medical Examiner's Office, Spokane, Washington, conducted an autopsy on the pilot. The medical examiner determined that the cause of death was "blunt force trauma."

The FAA's Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed toxicological testing on the pilot. Testing was negative for carbon monoxide and volatiles. Drug testing detected bupropion in liver and cavity blood; tramadol at 0.943 ug/g in liver, at 0.476 ug/g in lung, and at 0.102 ug/ml in cavity blood; and zolpidem at 0.065 ug/g in lung, at 0.01 ug/g in liver, and not in blood.

Bupropion is an antidepressant used to treat depression and help patients quit smoking, often marketed with the names Wellbutrin and Zyban. Its carries a warning and advises patients not to drive or use heavy machinery until the medication's effects are known and there is a dose-dependent risk of seizures.

Tramadol is a prescription opioid available as a Schedule IV controlled substance, that is used to treat pain. Typical therapeutic levels of tramadol are between 0.05 and 0.50 ug/ml. It carries the warning: "… may impair the mental and or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery. The patient using this drug should be cautioned accordingly." Additionally, it increases the risk of seizures via an unknown mechanism, even when used at usual doses. The FAA advises pilots not to fly while using tramadol. Individual tolerances to opioid medications and postmortem changes can affect the drug's concentration.

Zolpidem is a prescription central nervous system depressant used as a short-acting sleep aid, often sold with the name Ambien. It carries the warning, "due to the rapid onset of action, zolpidem tartrate should only be taken immediately prior to going to bed."

According to a family-provided summary of personal medical records from April and June of 2016, the pilot's active medical conditions included high blood pressure controlled with losartan; (losartan is generally not considered to be impairing...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# WPR16FA131