York Airport
Aircraft Accident/Incident Report

Nashville, Pennsylvania 17362
Thursday, December 22, 2011 17:25 EST

NTSB Narrative Summary Released at Completion of Accident

Toward the end of a 6 hour, 20 minute flight, during a night visual approach, the pilot flew the airplane to a left traffic pattern downwind leg. At some point, he lowered the landing gear and set the flaps to 30 degrees. He turned the airplane to a left base leg, and after doing so, was heard on the common traffic frequency stating that he had an "engine out." The airplane then passed through the final leg course, the pilot called "base to final," and the airplane commenced a right turn while maintaining altitude. The angle of bank was then observed to increase to where the airplane's wings became vertical, then inverted, and the airplane rolled into a near-vertical descent, hitting the ground upright in a right spin. Subsequent examination of the airplane and engines revealed that the right engine was not powered at impact, and the propeller from that engine was not in feather. No mechanical anomalies could be found with the engine that could have resulted in its failure. The right fuel tank was breeched; however, fuel calculations, confirmed by some fuel found in the right fuel tank as well as fuel found in the engine fuel filter housing, indicated that fuel exhaustion did not occur. Unknown is why the pilot did not continue through a left turn descent onto the final approach leg toward airport, which would also have been a turn toward the operating engine. The pilot had a communication device capable of voice calls, texting, e-mail and alarms, among other functions. E-mails were sent by the device until 0323, and an alarm sounded at 0920. It is unknown if or how much pilot fatigue might have influenced the outcome.

NTSB Probable Cause Narrative

The pilot's failure to maintain minimum control airspeed after a loss of power to the right engine, which resulted in an uncontrollable roll into an inadvertent stall/spin. Contributing to the accident was the failure of the airplane's right engine for reasons that could not be determined because no preexisting mechanical anomalies were found, and the pilot's subsequent turn toward that inoperative engine while maintaining altitude.

Event Information

Type of Event Accident
Event Date 12/22/2011
Event Day of the Week Thursday
Time of Event 1725
Event Time Zone Eastern Standard Time
Event City Nashville
Event State PENNSYLVANIA
Event Country --
Zipcode of the event site 17362
Event Date Year 2011
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 395332N
Event Location Longitude 0765107W
Event Location Airport York
Event Location Nearest Airport ID THV
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 2
Degrees magnetic from airport --
Airport Elevation 495
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1753 Eastern Standard Time
Direction of event from weather observation facility (degrees) 325
Weather Observation Facility ID THV
Elevation of weather observation facility 495
Distance of event from weather observation facility (units?) 2
Time Zone of the weather observation EST
Lighting Conditions Night
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) 7
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.02
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 31088
NTSB Notification Source FAA Eastern ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 12 2013 1:56PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N48BS
NTSB Number ERA12FA120
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 441
Aircraft Series Identifier --
Aircraft Serial Number 4410125
Certified Max Gross Weight 10415
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats --
Passenger Seats 8
Total number of seats on the aircraft 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Jul 1 2011 12:00AM
Airframe hours since last inspection 105
Airframe Hours 5995
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name N48BS LLC
Aircraft Owner Street Address --
Aircraft Owner City HUNTINGTON BEACH
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 92649-2115
Operator is an individual? Yes
Operator Name Brian Robertson
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City HUNTINGTON BEACH
Operator State CA
Operator Country USA
Operator Zip code 92649-2115
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 LGB
Departure City Long Beach
Departure State CA
Departure Country USA
Departure Time 805
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code THV
Destination City Thomasville
Destination State PA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 12 2013 1:56PM
User who most recently changed record kenj
Since inspection or accident Time of Accident
Event Location Runway Number and Location 35
Runway Length 5188
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --