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Accidents · NTSB CEN17FA361 · Final report

Cessna TR182 accident near Thief River Falls, Minnesota, September 23, 2017

On September 23, 2017 at about 12:42 pm local time, a 1981 Cessna TR182, registered N4777T, was destroyed in an accident during initial climb near Thief River Falls, Minnesota (Thief River Falls Rgnl airport). It was a personal flight under general aviation rules (Part 91). 3 people were killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The noninstrument-rated pilot's decision to depart into instrument meteorological conditions, and his subsequent loss of control due to spatial disorientation.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
September 23, 2017 · about 12:42 pm local time
Place
Thief River Falls, Minnesota · Thief River Falls Rgnl · map
Type
Accident
Injuries
3 people were killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Cessna TR182, built 1981 · all TR182s on the register
Registration
N4777T · no longer on the register · serial R18201763
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The noninstrument-rated private pilot and 2 passengers departed in instrument meteorological conditions (IMC) with an overcast cloud layer at 400 ft above ground level (agl). Data obtained from an onboard GPS unit showed the airplane depart toward the destination airport and climb and descend several times. About 2 minutes after takeoff, the airplane descended to 250 ft above ground level (agl), then turned and quickly climbed to 1,400 ft agl. The final GPS points showed the airplane in a descending right turn. A witness reported hearing the airplane overhead and stated that the engine was "screaming" before impact. The airplane impacted a field about 4 minutes after takeoff resulting in a debris path about 230 yards long, consistent with a relatively high forward airspeed at the time of impact. A postaccident examination of the airframe and engine did not reveal any preimpact anomalies that would have precluded normal operation. The primary vacuum pump was not found in the wreckage; however, an examination of the standby vacuum pump revealed that the rotor was fractured by impact, but the vanes were intact. The heading indicator and turn coordinator gyros exhibited rotational scoring consistent with rotation at the time of impact. The damage to the propeller blades was consistent with the engine producing power at impact. The autopsy report revealed no significant coronary artery disease; however, microscopic examination revealed focal areas of fine fibrosis suggestive of prior ischemic episodes. This finding was not significant enough to suggest an incapacitating event. No other significant natural disease was present that could pose a hazard to flight safety. Review of the pilot's logbook and his statements to individuals who spoke with him before the accident suggested that he had a history of flying in and around IMC. Given the weather conditions at the time of departure and observations of the pilot checking the weather conditions before the flight, the pilot was aware that he would be required to fly in or under IMC during the flight and chose to do so despite not holding an instrument rating. Based on the reported weather conditions and GPS data, it is likely that, while maneuvering on course after takeoff, the pilot entered IMC; he likely subsequently experienced spatial disorientation, which resulted in a loss of control and descent into terrain.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. Other weather encounter during initial climb
  2. Loss of control in flight during initial climb defining event

The NTSB's findings

  • cause Aircraft › Aircraft oper/perf/capability › Performance/control parameters › (general) › Not attained/maintained
  • cause Personnel issues › Experience/knowledge › Experience/qualifications › Qualification/certification › Pilot
  • cause Personnel issues › Experience/knowledge › Experience/qualifications › Total instrument experience › Pilot
  • cause Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • cause Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • cause Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • Personnel issues › Task performance › Planning/preparation › Weather planning › Pilot
  • Personnel issues › Task performance › Planning/preparation › Flight planning/navigation › Pilot
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low ceiling › Decision related to condition
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low ceiling › Contributed to outcome

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 814 hours in all; 15.6 in the last 30 days
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

Passenger

  • Seat: unk
  • Injury: fatal

Passenger

  • Seat: unk
  • Injury: fatal

The aircraft

  • Airframe total time: 579.9 hours
  • Last inspection: annual inspection, August 5, 2016; 67 hours since
  • Seats: 4
  • Landing gear: retractable
  • Engine: Lycoming O-540-L3C5D (piston); 0 hours total
  • Fire on the ground

The flight

  • Departed from: TVF Thief River Falls MN at 12:38 pm
  • Destination: RWL Rawlins WY
  • Flight plan: none
  • Runway 31, 6,504 ft by 150 ft

Weather at the time

  • Light: daylight
  • Wind: from 310° at 7 knots
  • Visibility: 10 statute miles
  • Sky: overcast at 400 ft
  • Temperature: 50°F (10°C), dew point 48°F (9°C)
  • Altimeter: 29.97 inHg
  • Observation at 1:01 pm from KTVF, 3 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers2

Documents from the investigation the NTSB's docket: the evidence folder behind the report

12 documents, released by the NTSB on September 23, 2018. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.