Controlled Flight Into Terrain · NTSB WPR09FA385

CESSNA 182S — Napa, CA

1 fatal High-time pilotNightIMC
DateAugust 5, 2009
LocationNapa, CA
AircraftCESSNA 182S
Purpose of flightPersonal
ConditionsNight/Bright · Instrument Meteorological Cond
Phase / occurrenceInitial climb Controlled flight into terr/obj (CFIT)
Pilot age67
Pilot total time1,080 hrs · Experienced
Time in typeUnknown
Fatalities1

Probable cause

The instrument-rated pilot’s loss of situational awareness and failure to follow the prescribed instrument departure clearance/procedure, which resulted in an in-flight collision with the terrain.

NTSB findings

  • Personnel issues-Psychological-Perception/orientation/illusio-Situational awareness-Pilot - C
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Low ceiling-Effect on personnel
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Low visibility-Effect on personnel
  • Environmental issues-Conditions/weather/phenomena-Light condition-(general)-Effect on personnel
  • Personnel issues-Action/decision-Info processing/decision-(general)-Pilot - C
  • Personnel issues-Task performance-Use of equip/info-Use of policy/procedure-Pilot - C

What happened

The instrument rated pilot was planning a cross-country flight from his home airport in low fog conditions. The pilot received an instrument flight rules (IFR) clearance about 15 minutes prior to departure from runway 18R. Witnesses reported observing the airplane pass directly over their work site at a very low altitude about 1 mile south of the airport. Recorded radar data disclosed that the airplane was airborne for about 1.5 minutes. Following departure, the airplane made a left bank while gradually increasing its altitude to 1,000 feet mean sea level (msl) to an easterly heading. The last two returns show an altitude of 900 feet msl and a slight change of direction back toward the south. The last radar return was located about 0.5 miles north of the accident site. The departure clearance dictated that the pilot was to continue straight on the runway heading of 180 degrees until intercepting a VOR radial about 6 miles from the airport. Thereafter, he was to make a left turn to join the radial and follow it to the first intersection on the departure route (about 10.25 miles south of the airport). The accident occurred during the hours of darkness with a full moon about 12.9 degrees above the horizon. A routine aviation weather report (METAR) disclosed that during the time of the accident there was an overcast cloud layer at 600 feet agl and 10 miles visibility. The pilot received an Instrument Competency Check several days prior to the accident and reportedly frequently flew with sole reference to the instruments. Ground scar analysis, impact signatures, and wreckage fragmentation patterns disclosed that the airplane impacted terrain in a near level attitude, with high forward velocity. There was no evidence of a pre-mishap mechanical malfunction or failure observed during the examination of the engine or airframe.

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 →