N4395R

Substantial
Fatal

CESSNA 172MS/N: 17263145

Accident Details

Date
Friday, December 29, 2017
NTSB Number
WPR18FA063
Location
Ogden, UT
Event ID
20180104X85338
Coordinates
41.330001, -112.663612
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
2
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
2

Probable Cause and Findings

The pilot's failure to maintain clearance from the water while flying over a lake with glassy surface conditions. Contributing to the accident was the pilot's use of three impairing medications.

Aircraft Information

Registration
N4395R
Make
CESSNA
Serial Number
17263145
Engine Type
Reciprocating
Year Built
1974
Model / ICAO
172MC172
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
HILL FLYING CLUB INC
Address
PO BOX 160537
Status
Deregistered
City
CLEARFIELD
State / Zip Code
UT 84016-0537
Country
United States

Analysis

HISTORY OF FLIGHTOn December 29, 2017, about 1441 mountain standard time, a Cessna 172M, N4395R, was substantially damaged when it impacted the northern portion of the Great Salt Lake near Ogden, Utah. The commercial pilot and a private pilot-rated passenger were fatally injured. The airplane was registered to the Hill Flying Club Inc. and was operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Visual meteorological conditions prevailed, and no flight plan was filed for the local flight which originated from Ogden-Hinckley Airport (OGD), Ogden, Utah, about 1420.

A review of the OpsVue flight data, which uses NextGen data that includes flight location data, indicated that the airplane departed OGD and flew towards the west. During the initial climb, the groundspeed varied between 73 and 102 knots. About 5 minutes after takeoff, the airplane leveled off about 6,250 ft mean sea level (msl) and began to fly over the lake, south of Promontory Point. Shortly thereafter, the airplane entered a slight climb to a peak altitude of 6,575 ft msl (about 2,377 ft above ground level). The airplane then turned to a northwest heading, initiated a descent, to fly over the peninsula, west of high terrain and Promontory Point. The last point of data indicated that the airplane continued on a northwest heading, was located on the western edge of the peninsula, and was about to fly over the lake again. The airplane was descending from an altitude of 5,350 ft msl and the groundspeed was 98 knots.

After family members reported that the pilots had failed to return from their flight, the Federal Aviation Administration (FAA) issued an Alert Notice (ALNOT) for the airplane. A ground and air search ensued; however, the search was terminated on January 2, 2018. The airplane was located by a private search on January 13, 2018, under 20 ft of water about 5 miles northwest of the last data point and about 26.5 miles west-northwest of OGD.

Based on the flight track information and the location of the wreckage, the airplane descended about 1,152 ft over about 5 miles, which corresponds to a descent rate of about 230 ft per mile, or a descent angle of less than 2° at 100 mph. PERSONNEL INFORMATIONCommercial Pilot

The pilot held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. In addition, he held a flight instructor certificate with a rating for airplane single-engine. The pilot held a third-class FAA airman medical certificate issued on July 11, 2016, with the limitation, "must have available glasses for near vision." On the application for that certificate, the pilot reported 5,587 total hours of flight experience.

Pilot Rated Passenger

The pilot-rated passenger held a private pilot certificate with an airplane single-engine land rating. Review of his logbook indicated 375.1 total hours of flight experience. His most recent third-class FAA airman medical certificate was issued on April 10, 2014, with a limitation that stated, "must have available glasses for near vision." His medical certificate expired for all classes in April 2016. AIRCRAFT INFORMATIONThe four-seat, high-wing, fixed-gear airplane was manufactured in 1974. It was powered by a Lycoming O-320-E2D engine rated at 160 horsepower and equipped with a fixed pitch propeller.

Review of the airframe and engine logbooks revealed that the most recent annual inspection was completed on November 24, 2017, at a tachometer time of 1,580.5 hours, and an engine time since major overhaul of 1,580.5 hours. At the time of the accident, the airplane had flown 18.5 flight hours since the inspection. METEOROLOGICAL INFORMATIONThe 1453 recorded weather observation at OGD, included wind from 320° at 4 knots, 10 miles visibility, clear sky, temperature 6°C, dew point, -2°C, and an altimeter setting of 30.15 inches of mercury.

No significant weather or precipitation was present in the area at the time of the accident. AIRPORT INFORMATIONThe four-seat, high-wing, fixed-gear airplane was manufactured in 1974. It was powered by a Lycoming O-320-E2D engine rated at 160 horsepower and equipped with a fixed pitch propeller.

Review of the airframe and engine logbooks revealed that the most recent annual inspection was completed on November 24, 2017, at a tachometer time of 1,580.5 hours, and an engine time since major overhaul of 1,580.5 hours. At the time of the accident, the airplane had flown 18.5 flight hours since the inspection. WRECKAGE AND IMPACT INFORMATIONAccording to the recovery specialist, the wreckage was located in the northern portion of the Great Salt Lake at a depth of about 20 ft and elevation of about 4,198 ft, msl. Sonar imagery indicated that the main wreckage came to rest inverted, oriented on a heading of about 195°. The engine was about 110 ft from the main wreckage on a heading of about 108°.

A diver who participated in the recovery stated that the visibility in the water was less than 1 ft. He reported that the vertical stabilizer and the left horizontal stabilizer and elevator appeared to be intact. He also confirmed that the airplane was inverted. He felt his way to the forward portion of the fuselage and stated that there appeared to be no damage, wrinkling, or buckling of the left side of the fuselage. The door windows were broken on each door, in order to give access to the door handle and open the door during the recovery.

The wreckage was recovered from the lake on March 8, 2018. The main wreckage was mostly intact and consisted of both wings, the fuselage, and the empennage. The rudder counterweight and the right fuel cap had separated and were not recovered. All flight control surfaces remained attached. Flight control cable continuity was established when the airplane was removed from the water by the recovery personnel. The aileron cables were then cut to aid in recovery.

Airframe Examination

The wind screen was fragmented, and the firewall and instrument panel were partially attached. Both cabin doors remained attached. The right door window was separated and located with the main wreckage. The baggage door was closed and locked.

The fuel selector handle was observed in the right tank position; however, it was separated from the valve and free to rotate. The fuel selector valve was removed and found in the "both" position. The valve was functionally tested in all positions with no anomalies. The magneto switch was in the "both" position and the flap selector handle was in the retracted position. All circuit breakers were observed in the closed position.

The right wing remained attached to the fuselage at the wing root and was separated during the recovery. The wing was bent upward about 135° near midspan and displayed extensive damage. The leading edge was displaced downward about 45° from the root to about midspan. The fuel tank wing skin was removed, and no damage was noted to the fuel cell. The fuel screen was clear of contaminates. The right flap and aileron were attached and remained mostly intact. The flap jack screw was in the flaps-retracted position.

The left wing remained attached to the fuselage and sustained damage. The leading edge was displaced downward about 30° from the root to about midspan. According to the recovery specialist, the fuel cap was removed during the recovery to drain water from the tank. The fuel tank wing skin was removed, and no damage was noted to the fuel cell. The fuel screen was clear of contaminants. The left flap and aileron were attached and remained mostly intact. The vented fuel cap and filler neck lock ring were undamaged.

The empennage remained mostly attached to the fuselage. The vertical stabilizer was folded to the left and exhibited extensive damage. The rudder remained attached to the vertical stabilizer and displayed extensive impact damage. The horizontal stabilizers remained attached to the empennage and displayed some impact damage on both tips. The elevators displayed extensive impact damage. Both elevator balance weights remained attached. The left elevator rivets holding the elevator to the torque tube were sheared. The trim tab actuator measured about 1.4 inches, which corresponded to about 5° tab-up when properly rigged.

Engine

All of the engine accessories remained attached to their respective housings. Manual rotation was attempted by rotating the propeller; about 10° of rotation was achieved. Both magnetos were removed and exhibited extensive corrosion. They were unable to be rotated. Cylinder Nos. 1 and 3 were removed, and about one-half turn of manual rotation was accomplished. Engine valve continuity was visually established, and no anomalies were noted.

The oil filter was removed and cut open; no contaminants were noted. The oil pressure screen was removed, and no anomalies were noted.

The carburetor was removed and disassembled, and the floats were intact. Salt was observed in the carburetor bowl.

According to the recovery specialist, all eight spark plugs were removed during the recovery in order to lubricate the engine. Seven of the eight spark plugs that were removed were present during the examination. All seven spark plugs displayed saltwater corrosion.

The power flow short stack exhaust was examined, and with the exception of being bent slightly aft, no anomalies were noted.

The propeller remained attached to the engine. Both propeller blades were displaced towards the aft side of the blade about 16 inches from the propeller hub. ADDITIONAL INFORMATIONThe pilot that flew the airplane earlier on the day of the accident reported no anomalies with the airplane during his flight. While refueling the airplane after the flight, the refueler attached a ground strap to the exhaust and stated that the exhaust seemed loose. The club's director of maintenance sent out a mechanic who subsequently examined the exhaust stack and determined that the airplane was airworthy. According to th...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# WPR18FA063