Anacortes Airport
Aircraft Accident/Incident Report

Anacortes, Washington 98221
Wednesday, September 17, 2003 19:35 PDT

NTSB Narrative Summary Released at Completion of Accident

The pilot reported he experienced a complete wheel brake failure while taxiing for takeoff. The pilot said that he applied brakes, with little response, as the airplane neared the end of the inclined taxiway. He reported that he was not able to stop the airplane, and it continued off the end of the taxiway. After exiting the taxiway, the airplane encountered rough uneven terrain and eventually came to rest, nose down, in a drainage ditch. In a written statement, the pilot reported that on the previous landing, the airplane "shuttered violently" when he applied wheel brakes during the landing roll. He stated that after parking the airplane he noticed brake fluid "dripping" from the area of the wheel brakes. The pilot also stated that after discovering the problem with the brakes, he contacted the operator of the airplane concerning the problem. The pilot reported that the operator instructed him to "...ferry the aircraft back to ORS [Orcas Island] for maintenance." In a written report dated November 20, 2003, the operator stated that the pilot advised him that only a small amount of brake fluid had leaked from the system. Post accident examination of the wheel brake components by an investigator from the National Transportation Safety Board revealed that the brake pads were worn beyond limits, which allowed the caliper seals (O-ring) to unseat resulting in a loss of brake fluid.

NTSB Probable Cause Narrative

The pilot attempting to taxi the airplane with a known system deficiency. Factors include worn wheel brakes and a drainage ditch.

Event Information

Type of Event Accident
Event Date 9/17/2003
Event Day of the Week Wednesday
Time of Event 1935
Event Time Zone Pacific Daylight Time
Event City Anacortes
Event State WASHINGTON
Event Country --
Zipcode of the event site 98221
Event Date Year 2003
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 482956N
Event Location Longitude 1223944W
Event Location Airport ANACORTES
Event Location Nearest Airport ID 74S
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 241
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1930 Pacific Standard Time
Direction of event from weather observation facility (degrees) 117
Weather Observation Facility ID BVS
Elevation of weather observation facility 144
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation PST
Lighting Conditions Dusk
Lowest Ceiling Height 6000
Lowest Non-Ceiling Height 4400
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) --
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.17
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 2
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 15790
NTSB Notification Source Seattle FSDO
NTSB Notification Date Nov 3 2003 12:00AM
NTSB Notification Time 1325
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 30 2004 12:15PM
User who most recently changed record NTSB\MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office Seattle, Washington

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3555L
NTSB Number SEA03LA201
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 172S
Aircraft Series Identifier --
Aircraft Serial Number 172S8865
Certified Max Gross Weight 2550
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 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Aug 4 2003 12:00AM
Airframe hours since last inspection 85
Airframe Hours 785
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Rugby Aviation
Aircraft Owner Street Address --
Aircraft Owner City East Sound
Aircraft Owner State WA
Aircraft Owner Country USA
Aircraft Owner Zipcode 98245
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code RO1A
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code ORS
Departure City EASTSOUND
Departure State WA
Departure Country USA
Departure Time 1815
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code 74S
Destination City ANACORTES
Destination State WA
Destination Country USA
Specific Phase of Flight Taxi
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Apr 27 2004 5:38PM
User who most recently changed record STAM
Since inspection or accident Time of Accident
Event Location Runway Number and Location 18
Runway Length 3015
Runway Width 60
Sight Seeing flight No
Air Medical Flight No
Medical Flight --