The National Transportation Safety Board traveled to the scene of this accident.
Additional Participating Entities:
Federal Aviation Administration / Flight Standards District Office; Jackson, Mississippi
Lycoming Engines; Williamsport, Pennsylvania
Textron Aviation; Wichita, Kansas
Civil Air Patrol; Maxwell AFB, Alabama
Civil Air Patrol; Columbus, Mississippi
Investigation Docket - National Transportation Safety Board:
Civil Air Patrol
Accident Number: CEN19FA212
Date & Time: July 6, 2019, 15:15 Local
Registration: N994CP
Aircraft: Cessna 172
Aircraft Damage: Destroyed
Defining Event: Loss of control in flight
Injuries: 1 Fatal
Flight Conducted Under: Part 91: General aviation - Instructional
Analysis
The student pilot was conducting a solo cross-country flight and was heard on the common traffic advisory frequency announcing her intention to land at the destination airport. A witness at the airport indicated that the pilot's voice sounded "panicked" and that she did not finish her sentences. The pilot did not respond to a request for the airplane’s location from a helicopter in the area. The witness saw the airplane approach the runway with a tailwind present. Additionally, recorded wind was consistent with a quartering tailwind. The airplane did not touch the runway and about midfield, started to climb at a "steep" angle. The witness indicated that he did not hear any engine anomalies. He stated that the airplane veered toward the golf course and then went "straight down behind the trees."
A witness at the golf course first saw the airplane above the trees and stated that it appeared to be "struggling" to maintain airspeed, was nose up, and appeared to be “very close to stalling.” The witness indicated that the airplane then made a hard left turn and lost altitude, struck the ground, and slid to nearby trees. A ground fire subsequently occurred.
Postaccident examination of the wreckage and engine revealed migration of molten metal under the No. 4 exhaust valve. However, no preimpact anomalies that would have prevented normal operation of the airplane were detected. The flap jackscrew did not exhibit any thread extension, which is consistent with retracted flaps.
Based on the available information, it is likely that the student pilot did not maintain airplane control during an attempted go-around with a tailwind, and the airplane subsequently impacted terrain during an uncontrolled descent.
Probable Cause and Findings
The National Transportation Safety Board determines the probable cause(s) of this accident to be:
The student pilot's failure to maintain airplane control during a go around with a tailwind, which resulted in an uncontrolled descent and impact with terrain.
Findings
Personnel issues Aircraft control - Student/instructed pilot
Environmental issues Tailwind - Contributed to outcome
Aircraft (general) - Not attained/maintained
Factual Information
History of Flight
Approach-VFR go-around Loss of control in flight (Defining event)
Uncontrolled descent Collision with terr/obj (non-CFIT)
On July 6, 2019, about 1515 central daylight time, a Cessna 172R, N994CP, was destroyed when it was involved in an accident near Oxford, Mississippi. The student pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight.
The solo cross-country flight originated from Golden Triangle Regional Airport (GTR), Columbus, Mississippi, about 1400 and was destined for University-Oxford Airport (UOX), Oxford, Mississippi. A fixed-base operator employee at UOX reported that, about 1515, he heard the pilot announce on the common traffic advisory frequency that the airplane was landing on runway 9. He stated that the pilot's voice sounded "panicked" and that she did not finish her sentences. The pilot did not respond to a request for the airplane’s location from a helicopter in the area. The witness saw the airplane approach runway 9 with a tailwind. The airplane did not touch the runway, and abeam the windsock near midfield, the airplane started to climb at a "steep" angle. The witness indicated that he did not hear any engine anomalies. He stated that the airplane veered toward the golf course and then went "straight down behind the trees." He observed smoke about 3 minutes later above the treeline. The witness advised that a local Federal Aviation Administration (FAA) air traffic control center had called a few minutes before the landing attempt and was trying to locate the airplane.
A witness at the golf course reported that he first saw the airplane above the trees over the 16th hole of the golf course; the airplane appeared to be "struggling" to maintain airspeed, was nose up, and appeared to be “very close to stalling.” The witness indicated that the airplane then made a hard left turn and lost altitude. He thought the airplane was attempting a landing on
the 17th fairway. The airplane continued the left turn, struck the ground, and slid to nearby trees.
The witness statements are consistent with the plotted radar data.
Good Samaritans and first responders tried to extract the pilot from the cockpit to no avail; the seatbelt and shoulder harness retained the pilot in the cockpit. A ground fire subsequently occurred. Firefighters contained the fire, and the pilot was extracted and airlifted to a hospital.
Pilot Information
Certificate: Student
Age: 18,Female
Airplane Rating(s): None
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used: 3-point
Instrument Rating(s): None
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: Yes
Medical Certification: Class 3 Without waivers/limitations
Last FAA Medical Exam: October 1, 2018
Occupational Pilot: No
Last Flight Review or Equivalent:
Flight Time: (Estimated) 69.4 hours (Total, all aircraft), 30.2 hours (Total, this make and model), 32.7 hours (Last 90 days, all aircraft), 16.7 hours (Last 30 days, all aircraft), 1.2 hours (Last 24 hours, all aircraft)
Aircraft and Owner/Operator Information
Aircraft Make: Cessna
Registration: N994CP
Model/Series: 172 R
Aircraft Category: Airplane
Year of Manufacture: 1997
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: 17280318
Landing Gear Type: Tricycle
Seats: 4
Date/Type of Last Inspection: June 21, 2019 Annual
Certified Max Gross Wt.: 2550 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 2849 Hrs at time of accident
Engine Manufacturer: Lycoming
ELT: C126 installed, activated, did not aid in locating accident
Engine Model/Series: IO-360
Registered Owner:
Rated Power:
Operator:
Operating Certificate(s) Held: None
Meteorological Information and Flight Plan
Conditions at Accident Site: Visual (VMC)
Condition of Light: Day
Observation Facility, Elevation: KUOX,452 ft msl
Distance from Accident Site: 1 Nautical Miles
Observation Time: 15:15 Local
Direction from Accident Site: 262°
Lowest Cloud Condition: Few / 3400 ft AGL
Visibility 9 miles
Lowest Ceiling:
Visibility (RVR):
Wind Speed/Gusts: 11 knots /
Turbulence Type Forecast/Actual: /
Wind Direction: 310°
Turbulence Severity Forecast/Actual: /
Altimeter Setting: 30.04 inches Hg
Temperature/Dew Point: 32°C / 21°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Columbus/W Point/Starkville, MS (GTR)
Type of Flight Plan Filed: VFR
Destination: Oxford, MS (UOX)
Type of Clearance: VFR flight following
Departure Time: 14:00 Local
Type of Airspace: Class G
Airport Information
Airport: University-Oxford UOX
Runway Surface Type: Asphalt
Airport Elevation: 452 ft msl
Runway Surface Condition: Dry
Runway Used: 09
IFR Approach: None
Runway Length/Width: 5600 ft / 100 ft
VFR Approach/Landing: Go around; Stop and go; Traffic pattern
UOX, located approximately two miles northwest of downtown Oxford, Mississippi, was a publicly owned, non-towered airport, which was owned by the University of Mississippi. Runway 9 was marked as a non-precision approach runway. It was serviced by a four-light precision approach path indicator on the runway's left side. Comments for runway 9 did not indicate that there were obstructions in reference to the runway.
Wreckage and Impact Information
Crew Injuries: 1 Fatal
Aircraft Damage: Destroyed
Passenger Injuries:
Aircraft Fire: On-ground
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 1 Fatal
Latitude, Longitude: 34.387779,-89.530555(est)
The airplane came to rest on a golf course about 1,200 ft north of the runway 9 centerline. The airplane resting heading was about 170°. A ground scar consistent with a left main landing gear impression was observed about 70 ft north of the wreckage, and abeam the ground scar to the east was a depression consistent with left wing contact. A ground scar consistent with a cowling and nose landing gear impression was found about 58 ft north of the wreckage. Retaining clips consistent with nose landing gear clips were found near this scar, and the scar exhibited a depression consistent with a propeller strike. The fuselage's center section was found melted, deformed, and discolored by fire. Sections of the left and right wing struts were found under their wings. The outboard section of the left wing was deformed and wrinkled upward and rearward, which was consistent with ground contact. The empennage was found upright. The engine and its attached propeller were found inverted, and the engine was partially connected to the firewall underneath the forward fuselage. An outboard section of one propeller blade was melted, and the other propeller blade exhibited forward bending.
An on-scene examination of the airplane was conducted. Flight control cables were traced, and control continuity was established to all control surfaces from the cockpit area. Engine control cables were traced, and control continuity was established from the cockpit area to the engine. Removed sparkplugs exhibited a normal combustion appearance when compared to a Champion Aviation Check-A-Plug chart. The engine exhibited a thumb compression at three cylinders when the crankshaft was rotated. All rocker covers were removed, and all valve train components moved accordingly when the crankshaft was rotated. The No. 4 cylinder was removed and had material under its exhaust valve. Oil was observed within the engine crankcase when the cylinder was removed. No debris was observed in the oil screen, oil filter, and fuel servo screen. The rear-mounted engine accessories exhibited deformation and discoloration consistent with thermal fire damage. The flap jackscrew did not exhibit any thread extension, which is consistent with retracted flaps.
The No. 4 cylinder was examined at the National Transportation Safety Board Materials Laboratory. The examination revealed that the cylinder components were discolored with deposits on the surface consistent with fire damage. A section of deformed exhaust riser was attached to the cylinder assembly, and a gap was present where the riser attached to the cylinder head. The exhaust valve was slightly open with a gap between the valve head and the valve seat. A gray deposit was observed within the gap on the upper side of the exhaust valve. The exhaust valve was disassembled from the cylinder assembly. Dull gray deposits with smooth surface features were observed around the valve stem and on the valve head and were consistent with previously molten aluminum alloy. The shape of the deposit was consistent with flow over the lower side of the valve stem, accumulating on the upper surfaces of the exhaust port and valve seat.
Medical and Pathological Information
According to the Office of the State Medical Examiner, Pearl, Mississippi, autopsy report, the cause of the pilot's death was multiple blunt trauma. The medical examiner reported evidence of medical interventions. There was no evidence of any significant natural disease. Toxicology testing performed at the FAA Forensic Sciences Laboratory on the pilot’s blood and urine revealed ketamine and norketamine, its metabolite. Medical records obtained from the helicopter air ambulance service indicated that ketamine was administered to the pilot for pain management while en route to the hospital.