Aircraft Accident/Incident Report

Hickory, Pennsylvania 15340
Tuesady, April 1, 1997 14:52 EST

NTSB Narrative Summary Released at Completion of Accident

The pilot of the unpressurized airplane was cleared to climb to 25,000 feet by air traffic control (ATC) and he was observed going through the assigned altitude and leveling at 27,700 feet. Then the aircraft was observed at 26,000 feet, and subsequent contact was lost. The pilot did not respond when ATC queried him about exceeding his assigned altitude. The aircraft sustained an inflight breakup during an uncontrolled descent, and came to rest in a tree. According to the surviving passenger, the airplane was refueled and a portable oxygen bottle was filled prior to takeoff. She stated that they were going to take aerial photographs at four separate locations during this flight. She said that they shot three of the locations and landed at Williamsburg, Pennsylvania where the pilot filed a flight plan and setup the portable oxygen system for their use during the next flight. They departed and climbed to 10,000 feet, and the pilot told her to put her oxygen mask on, and he did the same. The last altitude she remembered the pilot calling out was 20,000 feet, and he asked her how she was doing and if she felt okay and she said yes. When asked, 'who turned on the oxygen?' she stated that she did, started to but wasn't sure how, so, the pilot reached back and turned it on. She said she knew it was on because she could feel the cool air and that there was a little valve in both lines and they went from red to green indicating the oxygen was flowing. She said that she remembered him saying that they had just crossed 20,000 feet and she began feeling dizzy, she said that her eyes would not focus, and that she felt like she was cross eyed. She said she told the pilot that she was dizzy but she thought that he was talking to the tower because he did not respond. She recalled that she felt better when she closed her eyes, when she did, that was the last thing she clearly remembered until after the crash. Analytical testing of the contents of each cylinder used to fill the pilot's oxygen bottle found that they contained compressed breathing air at about 21 percent oxygen instead of aviation oxygen. Postmortem examination revealed the pilot's death was a result of hypoxic hypoxia due to insufficient oxygen reaching the blood.

NTSB Probable Cause Narrative

Servicing of the pilots portable oxygen system with compressed air, which resulted in pilot incapacitation due to Hypoxia.

Event Information

Type of Event Accident
Event Date 4/1/1997
Event Day of the Week Tuesday
Time of Event 1452
Event Time Zone Eastern Standard Time
Event City HICKORY
Event State PENNSYLVANIA
Event Country --
Zipcode of the event site 15340
Event Date Year 1997
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1451 Eastern Standard Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID PIT
Elevation of weather observation facility 1204
Distance of event from weather observation facility (units?) 65
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 11
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Unknown
Wind Speed (knots) 13
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 23
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor 1
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 1545
NTSB Notification Source --
NTSB Notification Date Apr 1 1997 12:00AM
NTSB Notification Time 1530
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 12:13PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N2685S
NTSB Number IAD97FA060
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 337D
Aircraft Series Identifier 337D
Aircraft Serial Number 337-0985
Certified Max Gross Weight 4500
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 4
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Oct 18 1996 12:00AM
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name FLIGHT SERVICES, INC.
Aircraft Owner Street Address 236 EAST WASHINGTON ST
Aircraft Owner City LISBON
Aircraft Owner State OH
Aircraft Owner Country
Aircraft Owner Zipcode 44432
Operator is an individual? --
Operator Name FLIGHT SERVICES, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 236 EAST WASHINGTON ST.
Operator City LISBON
Operator State OH
Operator Country
Operator Zip code 44432
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Business
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code WAY
Departure City WAYNESBURG
Departure State PA
Departure Country
Departure Time 1345
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code 4G4
Destination City NORTH LIMA
Destination State OH
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --