Pilot Debrief

CESSNA 152 near Corona, CA — 2020-04-19

Final reportWPR20LA126
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Date
2020-04-19
Location
Corona, CA, USA
Airport
AJO
Aircraft
CESSNA 152
Registration
N6306P
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Climb

Probable cause

The pilot's failure to use carburetor heat while operating in conditions conducive to serious carburetor icing, which resulted in a total loss of engine power.

NTSB narrative

The pilot and passenger were conducting touch-and-go landings and had just turned crosswind when the pilot stated, "oh we are going down." The passenger, who was occupied with an electronic device, looked up and within about 10 seconds they impacted terrain and came to rest upside down on a roadway. Due to noise cancelling headphones, the passenger did not hear the engine quit, nor did he hear it make any abnormal noises or sputters. The pilot did not recall the accident flight. Postaccident examination did not reveal any anomalies with the airframe or engine; however, the fuel system was compromised due to damage which prevented a full evaluation. The carburetor heat control was found in the OFF position. The pilot recently purchased the airplane as a wreck with the intention to rebuild and sell it. The airplane needed extensive work and had flown a total of four short flights since it was rebuilt. He recently found water in the fuel system after a storm. After sumping the entire fuel system and carburetor, he discovered that the fuel tank filler neck screws were too small. After replacing the screws, more storms passed through the area. He did not sump the fuel system prior to the accident flight. Neither the pilot nor passenger performed a preflight inspection, because both thought the other was going to conduct the inspection. The weather conditions at the time of the accident were conducive to serious carburetor icing. The pilot reported that he does not often use the carburetor heat. Despite the airplane being recently rebuilt and recent history of water in the fuel system, the postaccident engine examination only found about one thimble of water in the fuel strainer, which would not be enough to cause a rough running engine. Although no preflight was conducted and a full evaluation of the fuel system could not be conducted, it is likely the engine lost power due to carburetor icing because the pilot did not use carburetor heat during flight in conditions conducive to serious carburetor icing.

Analysis

Primary failure mode
Fuel management
First missed decision gate
Pilot did not sump fuel system before the accident flight despite previous water contamination.

NTSB coding

Evidence available

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

Docket documents5

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