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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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March 30, 1990 · Cessna 152 · N4671M

Oberlin, OH

Overview

Report Status
Probable Cause
Event Type
Accident
Date
March 30, 1990
Injury Outcomes
2 injuries (1 fatality, 1 serious injury)
Location
Oberlin, OH
Aircraft
Cessna 152
Tail Number
N4671M
Operator
Maria Gousio
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
CHI90FA105

WITNESSES REPORTED THE AIRPLANE WAS IN A WIDE SPIRAL, THEN IT SUDDENLY ENTERED A DIVE & CRASHED. ONE WITNESS, WHO WAS OUTSIDE & AWAY FROM STRUCTURES, REPORTED THE ENGINE WAS SPUTTERING, JUST BEFORE IMPACT. THE DUAL STUDENT RETAINED ONLY A FRAGMENTED MEMORY OF THE DAY OF THE ACDNT. HOWEVER, HE REMEMBERED THAT THE INSTRUCTOR TOOK CONTROL OF THE AIRPLANE, WHEN THE ENGINE BEGAN TO SPUTTER DURING A POWER APPLICATION. ALSO, HE REPORTED THAT CARBURETOR HEAT HAD BEEN USED PRIOR TO APPLICATION OF POWER. A REVIEW OF THE INSTRUCTOR & STUDENT LOGBOOKS SHOWED THAT THERE HAD BEEN INSTRUCTION IN EMERGENCY PROCEDURES DURING THE PREVIOUS PERIOD OF INSTRUCTION. NO PREIMPACT PART FAILURE WAS FOUND DURING THE INVESTIGATION. THE ENGINE WAS MOUNTED ON A TEST STAND & OPERATED TO 1000 RPM. THE TEMPERATURE & DEW POINT WERE REPORTED TO BE 54 & 47 DEG, RESPECTIVELY. ACCORDING TO ICING PROBABILITY CHARTS, CONDITIONS WERE CONDUCIVE TO SERIOUS ICING AT CRUISE POWER.

NTSB Probable Cause

IMPROPER USE OF CARBURETOR HEAT BY THE DUAL STUDENT, CARBURETOR ICE, INADEQUATE SUPERVISION TO CORRECT THE SITUATION BY THE INSTRUCTOR PILOT (CFI), AND FAILURE OF THE CFI TO MAINTAIN ADEQUATE AIRSPEED, WHICH RESULTED IN A STALL. CARBURETOR ICING CONDITION WAS A RELATED FACTOR.

Full Narrative

WITNESSES REPORTED THE AIRPLANE WAS IN A WIDE SPIRAL, THEN IT SUDDENLY ENTERED A DIVE & CRASHED. ONE WITNESS, WHO WAS OUTSIDE & AWAY FROM STRUCTURES, REPORTED THE ENGINE WAS SPUTTERING, JUST BEFORE IMPACT. THE DUAL STUDENT RETAINED ONLY A FRAGMENTED MEMORY OF THE DAY OF THE ACDNT. HOWEVER, HE REMEMBERED THAT THE INSTRUCTOR TOOK CONTROL OF THE AIRPLANE, WHEN THE ENGINE BEGAN TO SPUTTER DURING A POWER APPLICATION. ALSO, HE REPORTED THAT CARBURETOR HEAT HAD BEEN USED PRIOR TO APPLICATION OF POWER. A REVIEW OF THE INSTRUCTOR & STUDENT LOGBOOKS SHOWED THAT THERE HAD BEEN INSTRUCTION IN EMERGENCY PROCEDURES DURING THE PREVIOUS PERIOD OF INSTRUCTION. NO PREIMPACT PART FAILURE WAS FOUND DURING THE INVESTIGATION. THE ENGINE WAS MOUNTED ON A TEST STAND & OPERATED TO 1000 RPM. THE TEMPERATURE & DEW POINT WERE REPORTED TO BE 54 & 47 DEG, RESPECTIVELY. ACCORDING TO ICING PROBABILITY CHARTS, CONDITIONS WERE CONDUCIVE TO SERIOUS ICING AT CRUISE POWER.

Flight

Event TypeAccident
Event Time13:00 EST
Nearest Airport0nm N
Runway0
Runway Length0
Runway Width0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 152
Tail NumberN4671M
Aircraft CategoryAir
DamageDestroyed
OperatorMaria Gousio
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-235-L2C · Reciprocating · 110
Seats2

People & Injuries

Injury Summary2 injuries (1 fatality, 1 serious injury)
Fatal1
Serious1
Minor0
Uninjured0
Total2
Crew 1Age 31 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind220° @ 3 kt
Visibility12 sm
CeilingOvercast 2600 ft
Temperature / Dew Point55 / 48
Altimeter30.00 inHg
Observation Time17:50
Weather SourceWFAC

Appendix: Source Data