Pilot Debrief

CESSNA 152 near Wauwatosa, WI — 2022-05-26

Final reportCEN22FA214
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Date
2022-05-26
Location
Wauwatosa, WI, USA
Airport
MWC
Aircraft
CESSNA 152
Registration
N4978B
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Initial climb

Probable cause

The student pilot’s exceedance of the airplane’s critical angle of attack, which resulted in a stall from which the student pilot could not recover.

NTSB narrative

The student pilot was performing a solo flight and practicing takeoffs and landings. A witness reported, and ADS-B data confirmed, that the student pilot performed a touch-and-go. According to the witness, the airplane touched down long and then took off again. When the airplane lifted off the ground, the flaps remained down. The airplane climbed just above tree height in a nose-high attitude. Shortly thereafter, the left wing dropped, and the airplane descended “straight down.” During the climb, the student pilot reported to air traffic control (ATC) that he had an engine failure. Subsequently, he reported that he did not have his flaps up. A performance study was conducted to estimate the drag characteristics of the airplane and the engine power developed during the initial takeoff, subsequent landing, and accident takeoff. Before telling ATC that the flaps were not up, the pilot reported an engine failure; however, according to the study, the energy state of the airplane and the computed power required during the accident climb at flaps 30° are inconsistent with a loss of power. Instead, performance calculations indicate that the engine was producing power consistent with the power levels achieved during the previous (initial) takeoff and climb, which was performed with the flaps up. The airplane’s lift coefficient, computed using ADS-B data and wind speeds consistent with the reported weather, indicate that the flaps 30° maximum lift coefficient was reached about 13 seconds after the pilot reported an engine failure, and nearly coincident with the time that the pilot reported that the flaps were not up. The increase of the airplane’s lift coefficient to the maximum lift, and the rapid drop in pitch angle, angle of attack, and flight path angle that followed, are consistent with an aerodynamic stall and subsequent loss of control. Physical examination of the airframe, engine, and propeller did not reveal any preimpact failures or malfunctions that would have precluded normal operation of the airplane.

Analysis

Primary failure mode
Human factors
First missed decision gate
Student pilot could have ensured flaps were up before takeoff.

NTSB coding

Evidence available

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

Docket documents15

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