Flagstaff Pulliam Airport
Aircraft Accident/Incident Report

Flagstaff, Arizona 86001
Wednesday, September 22, 2004 15:48 MST

NTSB Narrative Summary Released at Completion of Accident

The airplane went over an embankment at the departure end of the runway and nosed over after the pilot aborted the takeoff. The pilot elected to takeoff with a quartering tailwind on the 6,900-foot-long runway in spite of the tower controller offering the pilot the use of the opposite runway. Witnesses indicated that the airplane lifted off the ground with 2,000 feet of runway remaining. The engine sounded as if it was not producing full power and was heard to be surging or revving up and down. The pilot noted that after liftoff the airplane would not climb over 20-25 feet above the runway and he elected to abort the takeoff and touched down with approximately 500 feet of runway remaining. According to the pilot, he adjusted the mixture for peak engine revolutions per minute before takeoff. The fuel flow indicator has white radial markings denoting the best power fuel flow for different field elevations. The recommended procedure noted in the airplane's owner manual informs the pilot that he/she should utilize the fuel flow indicator and adjust the fuel flow to that which corresponds to the field elevation marked on the face of the dial. However, the owner's manual was not in the airplane, and the pilot was utilizing a checklist that did not have the information for a high performance takeoff. The airport elevation was 7,001 feet mean sea level. The density altitude was calculated as 8,461 feet. Post-accident examination of the engine revealed that its spark plugs were dark black in color, which is consistent to an excessively rich mixture setting. Following installation of a serviceable propeller, the engine was started and exercised through out it's normal power range with no anomalies noted.

NTSB Probable Cause Narrative

the pilot's improper leaning procedures and delayed decision to abort the takeoff when it became obvious that the engine was not developing full power. A factor in the accident was the pilot's decision to use a runway with a quartering tailwind.

Event Information

Type of Event Accident
Event Date 9/22/2004
Event Day of the Week Wednesday
Time of Event 1548
Event Time Zone Mountain Standard Time
Event City Flagstaff
Event State ARIZONA
Event Country --
Zipcode of the event site 86001
Event Date Year 2004
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 350819N
Event Location Longitude 1114016W
Event Location Airport Flagstaff Pulliam Airport
Event Location Nearest Airport ID FLG
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 7011
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1556 Mountain Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID FLG
Elevation of weather observation facility 7011
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 16
Dew Point at event time (in degress fahrenheit) 1
Wind Direction (degrees magnetic) 80
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.23
Density Altitude (feet) 8461
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None 1
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 19014
NTSB Notification Source FAA
NTSB Notification Date Sep 22 2004 12:00AM
NTSB Notification Time 1900
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jan 31 2006 7:35AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-FSDO-Scottsdale, AZ

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9757X
NTSB Number LAX04LA328
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 210B
Aircraft Series Identifier --
Aircraft Serial Number 21058057
Certified Max Gross Weight 3000
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 Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Sep 3 2003 12:00AM
Airframe hours since last inspection 32.4
Airframe Hours 3388.4
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Douglas Holmes
Aircraft Owner Street Address On File
Aircraft Owner City Peoria
Aircraft Owner State AZ
Aircraft Owner Country USA
Aircraft Owner Zipcode 85382
Operator is an individual? No
Operator Name Brett M. Waisnor
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Phoenix
Operator State AZ
Operator Country USA
Operator Zip code 85022
Operator Code --
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 Yes
Departure Point Same as Event Yes
Departure Airport Code FLG
Departure City Flagstaff
Departure State AZ
Departure Country USA
Departure Time 1548
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code DVT
Destination City Phoenix
Destination State AZ
Destination Country USA
Specific Phase of Flight Takeoff - aborted
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Nov 3 2005 1:32PM
User who most recently changed record COOS
Since inspection or accident --
Event Location Runway Number and Location 21
Runway Length 6999
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --