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Accidents · NTSB SEA05FA125 · Final report

Cessna 172M accident near Yamhill, Oregon, June 24, 2005

On June 24, 2005 at about 3:30 am local time, a Cessna 172M, registered N4368R, was substantially damaged in an accident near Yamhill, Oregon (Flying M airport). It was an instructional flight under general aviation rules (Part 91). 2 people were killed and 1 person was seriously injured. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The flight instructor's excessive climb and failure to maintain adequate airspeed during an attempted go-around, which resulted in an inadvertent stall and subsequent collision with the ground. Contributing factors were the flight instructor's improper decision making.

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

What the record shows

Date
June 24, 2005 · about 3:30 am local time
Place
Yamhill, Oregon · Flying M · map
Type
Accident
Injuries
2 people were killed and 1 person was seriously injured.
Weather
visual conditions (good weather)
Aircraft
Cessna 172M · all 172Ms on the register
Registration
N4368R · no longer on the register · serial 17263119
Damage
Substantial damage
Flight
Instructional flight · general aviation rules (Part 91)

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

Aboard the airplane for the instructional flight were the flight instructor, the student pilot, and a passenger. After making several landings at another airport, the airplane made an approach to the west end of a 2,125-foot-long grass airstrip. Due to rising terrain to the west, landings at this airstrip are made to the west, takeoffs are made to the east and go-arounds are potentially dangerous. Two witnesses observed the airplane descend on final approach to a point from which both believed a normal landing could have been made. With the airplane at an altitude of 6 to 10 feet agl, engine power was added for a go-around. However, the airplane did not climb out straight ahead. It turned left about 90 degrees and entered a steep climb, ascending to about 100 feet agl before stalling and descending vertically to ground impact. Examination of the airframe and engine revealed no evidence of any discrepancies that would have prevented normal operation of the airplane. The instructor's toxicology test results were positive for fluoxetine, a prescription anti-depressant. On his most recent application for a second class airman medical certificate in October 2003, the instructor noted a history of an unspecified injury from an F-16 ejection, and continued pain with three years of antidepressant use (but none for the prior two years). The instructor was issued a medical certificate, and the FAA did not request or receive any additional medical information from the instructor. Review of U.S. Air Force and Veteran's Affairs (VA) medical records revealed that the instructor had severe and ongoing symptoms of obsessive-compulsive disorder and post-traumatic stress disorder that started following his crash of an F-16 in 1992, in which he sustained a significant head injury. The VA records noted panic attacks and checking behaviors as recently as August 2004, in spite of the use of multiple psychiatric medications. The circumstances of this accident are such that a typical instructor would have been expected to avoid the scenario that resulted in the crash, either by continuing the landing or by properly executing a timely go around. OCD patients can experience delayed decision-making. The handling of the airplane afterward suggested that the instructor was unable to take the actions necessary to avoid the accident.

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

Flight instructor

  • Certificate: flight instructor, commercial pilot
  • Ratings: single-engine land; instructor: airplane single-engine; instrument: airplane
  • Flight time: 4,625 hours in all; 53 in the last 90 days; 31 in the last 30 days; 4,096 as pilot in command; 565 on instruments
  • Last flight review: November 1, 2003
  • Medical certificate: Class 2 (with waivers/limitations)
  • Seat: rgt
  • Injury: fatal

Dual student

  • Certificate: student
  • Flight time: 12 hours in all; 12 in this make and model; 12 in the last 90 days; 12 in the last 30 days; 2 as pilot in command
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 7,651 hours
  • Last inspection: annual inspection, February 1, 2005; 109 hours since
  • Maximum gross weight: 2,300 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Textron Lycoming O-320-E2D (piston); 0 hours total

The flight

  • Departed from: HIO Hillsboro OR at 2:45 am
  • Destination: OR05 Yamhill OR
  • Flight plan: none
  • Runway 25, 2,125 ft by 40 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 020° at 8 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 70°F (21°C), dew point 50°F (10°C)
  • Altimeter: 29.98 inHg
  • Observation at 3:53 am from MMV, 14 miles away

Injuries

FatalSeriousMinorNone
Crew2
Passengers1

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

The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.

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.