Pilot Debrief

Cessna 172 near Alpine, UT — 2020-07-03

Final reportWPR20LA203
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Date
2020-07-03
Location
Alpine, UT, USA
Aircraft
Cessna 172
Registration
N6929H
Category
Airplane
Highest injury
Fatal
Fatalities
4
Phase of flight
Descent

Probable cause

The pilot’s exceedance of the airplane’s critical angle-of-attack while maneuvering in a canyon, which resulted in a loss of airplane control.

NTSB narrative

The pilot and three passengers departed the airport for a daytime personal flight in favorable weather conditions. Radar data indicated the airplane flew on a southbound heading for about 25 minutes, steadily climbing to an altitude of 6,200 feet, before turning to the northeast and flying over a lake. The airplane continued on a north/northeast heading and climbed to an altitude of 8,785 feet over the next 16 minutes. It disappeared off radar 4 minutes later after performing a 270º turn in a canyon. A witness in the area observed the airplane approach the canyon headed in a northwest direction and noted that he thought the airplane was too low to clear the terrain and depart the canyon. He observed the airplane enter a “tight, right banking turn” in the canyon. The airplane leveled off after turning about 180º, followed by a couple of left and right wing-tip oscillations before it entered a clockwise, corkscrew spin and disappeared from view in a vertical, nose-down attitude. The witness reported that the airplane’s engine was producing the same, constant sound until it started to vertically descend, and the noise started to oscillate. Examination of the airplane and engine revealed no preimpact mechanical anomalies, and damage to the crankshaft flange and propeller was consistent with the engine producing power at the time of impact. Additionally, autopsy and toxicology of the pilot did not reveal evidence of physiological impairment or incapacitation. The radar data, witness statement, and damage to the airplane were all consistent with a loss of control after the pilot exceeded the airplane’s critical angle-of-attack while maneuvering in the canyon.

Analysis

Primary failure mode
Controlled flight into terrain
First missed decision gate
Pilot could have avoided the canyon approach to prevent terrain collision.

NTSB coding

Evidence available

  • Video
  • ADS-B / radar
  • 11 docket documents
View NTSB final reportView NTSB docket

Docket documents11

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