Pilot Debrief

CESSNA 150L near Rockwall, TX — 2009-06-17

Final reportCEN09FA364
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Date
2009-06-17
Location
Rockwall, TX, USA
Airport
KT48
Aircraft
CESSNA 150L
Registration
N66016
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Takeoff roll

Probable cause

The pilot’s failure to maintain aircraft control following a loss of engine power due to contamination in the carburetor. Contributing the severity of the accident was the pilot’s failure to utilize his shoulder harness.

NTSB narrative

The airplane impacted terrain in a nose low attitude, shortly after departure, and came to rest inverted in an adjacent field. Examination of the airplane and flight controls revealed no anomalies. The signatures on both propeller blades were consistent with little or no power at the time of impact. Corrosion in the carburetor was indicative of the presence of continuous moisture in the carburetor. The local temperature was recorded as 32 degrees Celsius and the dew point was recorded as 22 degrees Celsius; conditions conducive for carburetor icing. The pilot had a history of right shoulder pain intermittently treated with prescription narcotic medication. Toxicology testing suggested that the pilot had used such medication on one or both of the two nights prior to the accident. It is possible that the pilot slept poorly as a result of shoulder pain or medication used to treat that pain, and that his performance during the emergency may have been impaired by resultant fatigue. The pilot did not routinely wear his shoulder harness due to his shoulder pain, and was not wearing it at the time of the accident. His fatal injuries likely resulted from impact with the instrument panel/control yoke, and would have been less probable had the harness been worn. The pilot’s shoulder pain and treatment for it had not been disclosed to the FAA.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Pilot could have delayed departure due to potential carburetor icing conditions.

NTSB coding

Evidence available

  • Photos
  • 11 docket documents
View NTSB final reportView NTSB docket

Docket documents11

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