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GAA16CA212

2016-04-30 · Poplar Grove, Illinois, United States · None · 1 aircraft · Status: Completed

Airport C77

Current FAA registration · N4242H

Make / Model
CESSNA 140A
Year of manufacture
1949 · 67 years old at event
Engine
CONT MOTOR C90 SERIES (95 hp)
Seats / Engines
2 seats · 1 engine
Last airworthiness date
19560323
ADS-B equipped
Yes — Mode-S A50D21

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

The pilot's visual disorientation and failure to monitor the altimeter during a night approach, which resulted in controlled flight into terrain.

Factual narrative

The pilot reported that during a night visual meteorological condition flight he was about 5 nautical miles away from the destination airport and could see the runway lights. The pilot further reported that he was not able to see the terrain and it was a "black hole approach." As the pilot initiated a descent toward the runway, the airplane impacted terrain in a wooded area about 4 nautical miles west of the runway threshold. The pilot reported that he did not observe the terrain any time before the impact, but could see the bright runway lights. The left and right wings were substantially damaged. The pilot did not report any mechanical malfunctions or failures with the airplane that would have precluded normal operation. The Federal Aviation Administration Pilot's Handbook of Aeronautical Knowledge in part states: "A black-hole approach occurs when the landing is made from over water or non-lighted terrain where the runway lights are the only source of light. Without peripheral visual cues to help, pilots will have trouble orientating themselves relative to Earth. The runway can seem out of position (downsloping or upsloping) and in the worse case, results in landing short of the runway. If an electronic glide slope or visual approach slope indicator (VASI) is available, it should be used. If navigation aids (NAVAIDs) are unavailable, careful attention should be given to using the flight instruments to assist in maintaining orientation and a normal approach. If at any time the pilot is unsure of his or her position or attitude, a go-around should be executed. The pilot reported that during a night visual meteorological condition flight he was about 5 nautical miles away from the destination airport and could see the runway lights. The pilot further reported that he was not able to see the terrain and it was a "black hole approach." As the pilot initiated a descent toward the runway, the airplane impacted terrain in a wooded area about 4 nautical miles west of the runway threshold. The pilot reported that he did not observe the terrain any time before the impact, but could see the bright runway lights. The left and right wings were substantially damaged.  The pilot did not report any mechanical malfunctions or failures with the airplane that would have precluded normal operation. The Federal Aviation Administration Pilot's Handbook of Aeronautical Knowledge states in part: "A black-hole approach occurs when the landing is made from over water or non-lighted terrain where the runway lights are the only source of light. Without peripheral visual cues to help, pilots will have trouble orientating themselves relative to Earth. The runway can seem out of position (downsloping or upsloping) and in the worse case, results in landing short of the runway. If an electronic glide slope or visual approach slope indicator (VASI) is available, it should be used. If navigation aids (NAVAIDs) are unavailable, careful attention should be given to using the flight instruments to assist in maintaining orientation and a normal approach. If at any time the pilot is unsure of his or her position or attitude, a go-around should be executed." Source: NTSB Aviation Accident Database Retrieved: 2026-02-12

NTSB Findings

FAA avdata. C = Cause, F = Factor.

  • C Personnel issues-Psychological-Attention/monitoring-Monitoring equip/instruments-Pilot - C
  • C Personnel issues-Psychological-Perception/orientation/illusion-Visual illusion/disorientation-Pilot - C
  • C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Descent/approach/glide path-Not attained/maintained - C
  • C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Altitude-Not attained/maintained - C
  • — Environmental issues-Conditions/weather/phenomena-Light condition-Dark-Effect on personnel

Verbatim from NTSB's published report. Source file NTSB_2016_GAA16CA212.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

Matched on aircraft type or causal vocabulary (controlled flight into terrain, go-around). All research papers