Pilot Debrief

CESSNA 172 near Brookings, OR — 2016-07-05

Final reportWPR16LA138
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Date
2016-07-05
Location
Brookings, OR, USA
Airport
BOK
Aircraft
CESSNA 172
Registration
N7870U
Category
Airplane
Highest injury
Fatal
Fatalities
3
Phase of flight
Takeoff roll

Probable cause

The pilot's spatial disorientation and loss of situational awareness during the departure turn in dark night conditions, which resulted in an in-flight collision with water.

NTSB narrative

The non-instrument-rated pilot departed for the third leg of a cross-country flight in the airplane during dark (moonless) night conditions. The departure path was toward the ocean and over an area with few ground-based light sources to provide visual cues. A witness heard an airplane flying nearby and assumed that it was taking off from the airport. As the airplane continued, he heard a reduction in engine power, like a pilot throttling back while landing. According to the witness, the engine did not sputter. Review of the recorded radar data showed that the airplane turned left shortly after takeoff and climbed to about 700 ft above ground level as it passed near the witness's location. The airplane did not arrive at its destination, and a search was initiated. The wreckage of the airplane was found in ocean waters about 2 miles west of the departure airport. Although visual meteorological conditions prevailed, no natural horizon and few external visual references were available during the departure. This required the pilot to monitor the flight instruments to maintain awareness of the airplane's attitude and altitude. Given the lack of external visual cues and the the pilot's lack of recent night flight experience and his lack of an instrument rating, it is likely that the pilot became spatially disorientated during the departing left turn. The main wreckage was not recovered. Therefore, it could not be determined whether any preimpact mechanical malfunctions or anomalies were present.

Analysis

Primary failure mode
Spatial disorientation
First missed decision gate
Pilot could have chosen not to fly at night without instrument rating.

NTSB coding

Evidence available

  • ADS-B / radar
  • Photos
  • 10 docket documents
View NTSB final reportView NTSB docket

Docket documents10

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