Fitchburg Municipal Airport
Aircraft Accident/Incident Report

Fitchburg, Massachusetts 01453
Wednesday, January 11, 2012 10:00 EST

NTSB Narrative Summary Released at Completion of Accident

On the day of the accident, the student pilot conducted a touch-and-go landing and then entered the traffic pattern to perform another one. While on the downwind leg of the traffic pattern, the engine began to run roughly, so the student applied carburetor heat and kept it on until touchdown. During climb after the second touch-and-go landing, the engine began running roughly again. Subsequently, the flight instructor took control of the airplane, lowered the angle-of-attack, and reapplied carburetor heat. According to the flight instructor, the engine subsequently ran more roughly, so he immediately placed the carburetor heat to “off.” He stated that, although the engine then ran less roughly, it still ran roughly. The flight instructor decided that there was not sufficient remaining runway to “land.” He was not sure how much power the engine was producing or if he could maintain level flight. He stated that he thought about turning back but decided against it. He said that the airplane was low and slow, so he decided to continue straight ahead. He tried to keep the airplane flying and was successful for about 15 to 20 seconds, but then he observed a warehouse ahead and banked to the right to avoid it. The airplane then settled and struck trees, substantially damaging the airplane and seriously injuring the student pilot. Examination of the airplane and engine revealed no evidence of any preimpact mechanical failure or malfunction that would have precluded normal operation. However, a postaccident review of weather data and a carburetor icing probability chart also revealed that, at the time of the accident, the ambient temperature and dew point favored serious icing. Industry and Federal Aviation Administration guidance advised pilots to be aware of the warning signs of carburetor ice, including loss of rpm (with a fixed-pitch propeller) and rough running (both of which occurred before the accident), and advised that the pilot should respond to these warning signs by immediately applying full carburetor heat, and that the engine may initially run roughly for a short time while the ice melts. Therefore, the flight instructor should not have turned off the carburetor heat when the engine was still running roughly after he turned it on.

NTSB Probable Cause Narrative

A partial loss of engine power due to the formation of carburetor ice and the flight instructor's improper application of carburetor heat.

Event Information

Type of Event Accident
Event Date 1/11/2012
Event Day of the Week Wednesday
Time of Event 1000
Event Time Zone Eastern Standard Time
Event City Fitchburg
Event State MASSACHUSETTS
Event Country --
Zipcode of the event site 01453
Event Date Year 2012
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 423343N
Event Location Longitude 0714618W
Event Location Airport Fitchburg Municipal Airport
Event Location Nearest Airport ID FIT
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport --
Airport Elevation 348
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 952 Eastern Standard Time
Direction of event from weather observation facility (degrees) 140
Weather Observation Facility ID FIT
Elevation of weather observation facility 348
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 10000
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
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) 0
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) 30.12
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 1
Injury Total Serious 1
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 31126
NTSB Notification Source FAA Northeast Region 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 22 2013 4:06PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4041J
NTSB Number ERA12FA143
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 150G
Aircraft Series Identifier --
Aircraft Serial Number 15065341
Certified Max Gross Weight 1600
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Aug 11 2011 12:00AM
Airframe hours since last inspection --
Airframe Hours 4725
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name TENLE Aviation
Aircraft Owner Street Address --
Aircraft Owner City Stow
Aircraft Owner State MA
Aircraft Owner Country USA
Aircraft Owner Zipcode 01775
Operator is an individual? No
Operator Name TENLE Aviation
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Stow
Operator State MA
Operator Country USA
Operator Zip code 01775
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code FIT
Departure City Fitchburg
Departure State MA
Departure Country USA
Departure Time 930
Departure Time Zone EST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code FIT
Destination City Fitchburg
Destination State MA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 22 2013 4:06PM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location 32
Runway Length 4510
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --