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Accidents · NTSB WPR09FA385 · Final report

Cessna 182S accident near Napa, California, August 5, 2009

On August 5, 2009 at about 11:31 am local time, a Cessna 182S, registered N23750, was substantially damaged in an accident during initial climb near Napa, California (Napa County Airport). It was a personal flight under general aviation rules (Part 91). 1 person was killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The instrument-rated pilot’s loss of situational awareness and failure to follow the prescribed instrument departure clearance/procedure, which resulted in an in-flight collision with the terrain.

Source: NTSB aviation accident database, copy made October 12, 2026. Docket and reports at the NTSB.

What the record shows

Date
August 5, 2009 · about 11:31 am local time · cases in 2009
Place
Napa, California · Napa County Airport · cases near this airport · map
Type
Accident
Injuries
1 person was killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Cessna 182S · all 182Ss on the register
Registration
N23750 · no longer on the register · serial 18280452
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

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

The instrument rated pilot was planning a cross-country flight from his home airport in low fog conditions. The pilot received an instrument flight rules (IFR) clearance about 15 minutes prior to departure from runway 18R. Witnesses reported observing the airplane pass directly over their work site at a very low altitude about 1 mile south of the airport. Recorded radar data disclosed that the airplane was airborne for about 1.5 minutes. Following departure, the airplane made a left bank while gradually increasing its altitude to 1,000 feet mean sea level (msl) to an easterly heading. The last two returns show an altitude of 900 feet msl and a slight change of direction back toward the south. The last radar return was located about 0.5 miles north of the accident site. The departure clearance dictated that the pilot was to continue straight on the runway heading of 180 degrees until intercepting a VOR radial about 6 miles from the airport. Thereafter, he was to make a left turn to join the radial and follow it to the first intersection on the departure route (about 10.25 miles south of the airport). The accident occurred during the hours of darkness with a full moon about 12.9 degrees above the horizon. A routine aviation weather report (METAR) disclosed that during the time of the accident there was an overcast cloud layer at 600 feet agl and 10 miles visibility. The pilot received an Instrument Competency Check several days prior to the accident and reportedly frequently flew with sole reference to the instruments. Ground scar analysis, impact signatures, and wreckage fragmentation patterns disclosed that the airplane impacted terrain in a near level attitude, with high forward velocity. There was no evidence of a pre-mishap mechanical malfunction or failure observed during the examination of the engine or airframe.

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. Controlled flight into terrain or object (CFIT) during initial climb defining event

The NTSB's findings

  • cause Personnel issues › Psychological › Perception/orientation/illusio › Situational awareness › Pilot
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low ceiling › Effect on personnel
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low visibility › Effect on personnel
  • Environmental issues › Conditions/weather/phenomena › Light condition › (general) › Effect on personnel
  • cause Personnel issues › Action/decision › Info processing/decision › (general) › Pilot
  • cause Personnel issues › Task performance › Use of equip/info › Use of policy/procedure › Pilot

Pilot

  • Certificate: commercial pilot
  • Ratings: multi-engine land; single-engine land; instrument: airplane
  • Flight time: 1,080 hours in all
  • Last flight review: August 2, 2009
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 1,074 hours
  • Last inspection: annual inspection, July 29, 2009
  • Maximum gross weight: 2,950 lb
  • Seats: 6
  • Landing gear: fixed
  • Engine: Lycoming IO-540-AB1A (piston); 0 hours total
  • Fire on the ground
  • Operator: Sierra Madre Flying CORP

The flight

  • Departed from: APC Napa CA at 11:29 am
  • Destination: BFL Bakersfield CA
  • Flight plan: IFR

Weather at the time

  • Light: night, bright
  • Wind: from 250° at 10 knots
  • Visibility: 10 statute miles
  • Sky: overcast at 600 ft; clear
  • Temperature: 55°F (13°C), dew point 55°F (13°C)
  • Altimeter: 29.98 inHg
  • Observation at 11:30 am from APC, 3 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

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

10 documents, released by the NTSB on April 5, 2010. 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.

Connections how this case links to the rest of the register

Aircraft
Place

The whole map of how records connect · these connections as data: /graph/accident/WPR09FA385.json.

The bigger picture in Aviation Analytics: accidents over time since 1982, by model, by phase of flight and conditions, by place and on the map.

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 does not name anyone involved, its policy at this time. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.