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Accidents · NTSB WPR23FA258 · Final report

Cessna 172N accident near San Rafael, California, July 9, 2023

On July 9, 2023 at about 5:01 am local time, a 1979 Cessna 172N, registered N4922G, was substantially damaged in an accident during approach (VFR pattern final) near San Rafael, California (San Rafael airport). It was a personal flight under general aviation rules (Part 91). 1 person was killed and 1 person was seriously injured. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The total loss of engine power due to carburetor icing as a result of the pilot’s failure to activate the carburetor heat in a timely manner during the descent.

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

What the record shows

Date
July 9, 2023 · about 5:01 am local time
Place
San Rafael, California · San Rafael · map
Type
Accident
Injuries
1 person was killed and 1 person was seriously injured.
Weather
visual conditions (good weather)
Aircraft
Cessna 172N, built 1979 · all 172Ns on the register
Registration
N4922G · registry record · serial 17273469
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

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

The pilot was on a night cross-country flight and began an enroute descent about 65 miles from the destination airport. When the pilot attempted to add engine power to level off at a lower altitude, the engine did not respond. The pilot attempted to troubleshoot the loss of engine power, including selecting carburetor heat, but without success. As the airplane continued to descend, it struck a powerline near the approach end of the runway and impacted a water canal. During the accident sequence the fuselage and both wings sustained substantial damage. The pilot did not report that he activated the carburetor heat during the descent, as called for in the pilot’s operating handbook normal descent procedures “as required – for carburetor icing conditions.” The pilot reported that he would not normally select the carburetor heat until the airplane was below 1500 ft and entering the traffic pattern. Postaccident examination of the airplane revealed no evidence of any preaccident mechanical malfunctions or failures that would have precluded normal operation. Review of weather information indicated that the airplane was operating in an area conducive to the development of serious carburetor icing at cruise power. It is likely that the carburetor accumulated ice during the prolonged descent without the use of carburetor heat, which resulted in a total loss of engine power. The accident is consistent with a total loss of engine power due to carburetor icing as a result of the pilot’s failure to activate the carburetor heat in a timely manner during the descent.

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. Collision with terrain or object (not controlled flight into terrain) during landing
  2. Fuel related during approach (VFR pattern final) defining event

The NTSB's findings

  • Environmental issues › Conditions/weather/phenomena › Temp/humidity/pressure › Conducive to carburetor icing › Contributed to outcome
  • Personnel issues › Action/decision › Action › Delayed action › Pilot

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 409.6 hours in all; 40.5 in the last 90 days; 11.9 in the last 30 days; 279 as pilot in command
  • Last flight review: April 26, 2022
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: serious injuries

Passenger

  • Seat: rgt
  • Injury: fatal

The aircraft

  • Airframe total time: 11,706.5 hours
  • Last inspection: annual inspection, May 19, 2023
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming O-360 SERIES (piston); 2,646 hours total

The flight

  • Departed from: MEV Minden NV at 3:08 pm
  • Flight plan: VFR
  • Runway 22, 2,700 ft by 30 ft

Weather at the time

  • Light: night
  • Wind: from 060° at 6 knots
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 55°F (13°C), dew point 50°F (10°C)
  • Altimeter: 29.89 inHg
  • Observation at 9:55 pm from KDVO, 8 miles away

Weather report (METAR): KDVO 090455Z AUTO 06006KT 10SM CLR 13/10 A2989 RMK AO2

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

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

11 documents, released by the NTSB on July 8, 2025. 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.

#DocumentWhat it is
1 Record of Conversation - Pilot PDF, 1 page · our copy View Download
2 ADS-B Data spreadsheet · our copy Download
3 Pilot Flight Records PDF, 10 pages · our copy View Download
4 POH Extract PDF, 1 page · our copy View Download
5 Maintenance Records PDF, 3 pages · our copy View Download
6 Carburetor Icing Probability Chart PDF, 1 page · our copy View Download
7 Photos PDF, 5 pages · our copy View Download
8 Wreckage Examination Report PDF, 13 pages · our copy View Download
9 Textron Aviation Releasable Tech Report PDF, 6 pages · our copy View Download
10 Statement of Party Representatives to NTSB Investigation PDF, 10 pages · our copy View Download
11 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 1 page · our copy View Download

The same 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.