Controlled Flight Into Terrain · NTSB ANC22LA025

CESSNA 172P — Kekaha, HI

2 fatal IMC
DateMarch 21, 2022
LocationKekaha, HI
AircraftCESSNA 172P
Purpose of flightAerial Observation
ConditionsDay · Instrument Meteorological Cond
Phase / occurrenceEnroute Controlled flight into terr/obj (CFIT)
Pilot age77
Pilot total timeUnknown
Time in typeUnknown
Fatalities2

Probable cause

The pilot’s improper decision to continue the visual-flight-rules flight into low visibility conditions, which resulted in controlled flight into terrain.

NTSB findings

  • Personnel issues-Action/decision-Action-Lack of action-Pilot
  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Low visibility-Decision related to condition

What happened

The airplane departed on a visual-flight-rules flight to conduct a routine hurricane/tsunami warning mission. The standard flight route was to fly inland, passing a radar dome before turning west toward the coast. The airplane was then to fly offshore, following the coastline around the island.

Automatic Dependent Surveillance–Broadcast (ADS–B) data showed the airplane never made the turn to the coast and it continued over land and up a ridgeline. The airplane impacted a near-vertical mountain side in a nose-up, wings-level attitude. Witnesses reported hearing the airplane, but they were unable to see it due to the poor visibility near the accident site.

Postaccident examination of the airplane revealed leading edge damage to both wings indicative of a controlled flight into terrain. An examination of the available wreckage did not reveal any anomalies that would have prevented normal operation of the flight controls. Although several engine components were not located at the accident site, witnesses reported hearing the engine operating up to the time of impact.

Toxicology testing of the pilot’s blood detected the presence of gabapentin, which can produce impairing effect such as sleepiness, dizziness, and/or diminished coordination. However, if the pilot’s judgment was impaired, the copilot could have mitigated his improper decision making. Thus, it is unlikely that gabapentin’s effects on the pilot contributed to the accident.

Based on the level attitude of the airplane when it impacted the rising terrain, it is likely the pilot had control of the airplane and flew into terrain that was obscured by the poor visibility.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →