Pilot Debrief

CESSNA 180 near Whittier, AK — 2015-04-14

Final reportANC15FA021
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Date
2015-04-14
Location
Whittier, AK, USA
Airport
VDZ
Aircraft
CESSNA 180
Registration
N9247C
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Descent

Probable cause

The pilot's decision to continue flight into known icing conditions, contrary to the airplane’s limitations, which resulted in a total loss of engine power due to icing.

NTSB narrative

The private pilot was conducting a personal cross-country flight in instrument meteorological conditions. The airplane was not certificated for flight into icing. A review of radar data and radio communications recordings revealed that, after an air traffic controller issued the pilot a descent from 10,000 to 8,000 ft mean sea level (msl), the pilot reported that he was having engine trouble and had encountered possible icing. The pilot subsequently declared an emergency, and 3 minutes later, radar contact and communication with the airplane were lost. A day after the accident, search and rescue personnel found the remains of the pilot along the eastern shoreline of Culross Island. The left main landing gear strut and tire were also recovered. The rest of the airplane was not located, and it is presumed to have sunk in Prince William Sound. A review of weather information revealed that marginal visual flight rules conditions prevailed along the flight route due to low ceilings and that occasional instrument meteorological conditions (IMC) prevailed due to low ceilings and visibility in snow showers. Moderate icing was forecast between 4,000 and 10,000 ft above ground level. It is likely that the airplane encountered IMC and potential icing conditions below 10,000 ft msl. A pilot in an airplane about 6 minutes behind the accident airplane reported that, before descending from about 9,500 ft msl, he noticed a slight buildup of ice on the left engine cowling. Given this statement, the weather reports, and the accident pilot's report that he was having engine trouble, it is likely that the airplane flew through an area favorable for the formation of induction or carburetor icing, which resulted in a total loss of engine power. A mechanic reported that the pilot had told him that when he applied carburetor heat, the control felt "mushy." The mechanic instructed the pilot to inspect the control arm for any damage because it could prevent the carburetor heat from operating correctly. Before the accident flight, the mechanic sent a text message to the pilot asking if he had checked the carburetor heat control, and the pilot replied that he had not but would do it that day. Therefore, although it is possible that damage to the carburetor heat control arm may have limited the amount of carburetor heat available to eliminate any possible carburetor ice, it could not be determined if this occurred because the airplane could not be examined.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Pilot did not check carburetor heat control as instructed by mechanic.

NTSB coding

Evidence available

  • ATC audio
  • FDR / data
  • 7 docket documents
View NTSB final reportView NTSB docket

Docket documents7

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