What happened
The FAA’s narrative, in sentence case. The FAA writes it in capitals and removes private details.
Summary of the events: the aircraft was on an instructional flight from plymouth airport (kpym) to New Bedford airport (kewb). The approach and touchdown on runway 32 were stable, normal, and aligned with the centerline. However, video evidence and statements from both the instructor and student confirm that near taxiway echo, the student suddenly applied excessive braking pressure. This sharp deceleration caused the aircraft to veer left, skid off the runway edge, and strike a taxiway sign, which caused the majority of the damage.
Findings & observations: damage was almost exclusively the result of striking the taxiway sign, which caused a significant dent in the aircraft’s nose cowling.
Safety concerns: key concerns center on how the instructional community handles unexpected student reactions, such as inappropriate control or brake inputs. Instructors must remain highly aware of the environment when transferring controls. They should exercise extreme caution when transferring command in conditions characterized by high kinetic energy, nearby hazards, high risk, or low tolerance for error. Control transfers should only occur at a location and flight condition where the instructor has sufficient time to correct a student's inappropriate reaction.
Preventive measures: preventive measures include providing instructors with deeper insights and training regarding student reactions in dynamic situations, as well as strategies to build confidence in student behavior during flights. While advanced in scope, instructor training should place greater emphasis on techniques to manage unexpected or inappropriate student actions.
Recommendations for the genral aviation community
The community should focus more on how student behavior and inputs introduce risk to the instructional environment. Having trained over 80 initial flight instructors and hired hundreds more, this inspector has found that most new instructors do not understand or anticipate the types of errors students make. They typically learn through firsthand experience in the field rather than structured training. Because initial flight instructor training focuses heavily on flying and talking from the right seat rather than recognizing how dangerous student errors evolve, this topic should become a staple of continuing education for flight instructors.
Outstanding issues: the outstanding issues are addressed within the recommendations for the general aviation community.
Coordination with other agencies: this event required minimal external coordination, with the airport's air traffic control being the primary point of contact.
Additional information
The flight instructor engaged in multiple telephone conversations with the investigating FAA inspector, demonstrating openness, honesty, and a strong desire to improve and avoid future incidents. The instructor also reached out to senior instructors at the flight school for guidance. While the long-term impact on the operator's culture takes time to fully realize, the flight school has already updated its policy regarding insurance requirements for student pilots. Additionally, the local faasteam program manager engaged with the flight school immediately after the incident.
Investigators insight: this investigation highlights the need for added emphasis on managing the unique hazards and risks of the flight training environment, which requires a higher level of risk mitigation than standard flying. Key considerations include the timing and location of control exchanges, how often instructors demonstrate maneuvers, and when students practice them. High-hazard, high-risk scenarios with severe potential outcomes should be practiced as safely as possible. Operators can reduce risk for both students and instructors by shifting high-risk training scenarios into flight training devices and simulated programs.
As the FAA filed it
SUMMARY OF THE EVENTS: THE AIRCRAFT WAS ON AN INSTRUCTIONAL FLIGHT FROM PLYMOUTH AIRPORT (KPYM) TO NEW BEDFORD AIRPORT (KEWB). THE APPROACH AND TOUCHDOWN ON RUNWAY 32 WERE STABLE, NORMAL, AND ALIGNED WITH THE CENTERLINE. HOWEVER, VIDEO EVIDENCE AND STATEMENTS FROM BOTH THE INSTRUCTOR AND STUDENT CONFIRM THAT NEAR TAXIWAY ECHO, THE STUDENT SUDDENLY APPLIED EXCESSIVE BRAKING PRESSURE. THIS SHARP DECELERATION CAUSED THE AIRCRAFT TO VEER LEFT, SKID OFF THE RUNWAY EDGE, AND STRIKE A TAXIWAY SIGN, WHICH CAUSED THE MAJORITY OF THE DAMAGE.
FINDINGS & OBSERVATIONS: DAMAGE WAS ALMOST EXCLUSIVELY THE RESULT OF STRIKING THE TAXIWAY SIGN, WHICH CAUSED A SIGNIFICANT DENT IN THE AIRCRAFT’S NOSE COWLING.
SAFETY CONCERNS: KEY CONCERNS CENTER ON HOW THE INSTRUCTIONAL COMMUNITY HANDLES UNEXPECTED STUDENT REACTIONS, SUCH AS INAPPROPRIATE CONTROL OR BRAKE INPUTS. INSTRUCTORS MUST REMAIN HIGHLY AWARE OF THE ENVIRONMENT WHEN TRANSFERRING CONTROLS. THEY SHOULD EXERCISE EXTREME CAUTION WHEN TRANSFERRING COMMAND IN CONDITIONS CHARACTERIZED BY HIGH KINETIC ENERGY, NEARBY HAZARDS, HIGH RISK, OR LOW TOLERANCE FOR ERROR. CONTROL TRANSFERS SHOULD ONLY OCCUR AT A LOCATION AND FLIGHT CONDITION WHERE THE INSTRUCTOR HAS SUFFICIENT TIME TO CORRECT A STUDENT'S INAPPROPRIATE REACTION.
PREVENTIVE MEASURES: PREVENTIVE MEASURES INCLUDE PROVIDING INSTRUCTORS WITH DEEPER INSIGHTS AND TRAINING REGARDING STUDENT REACTIONS IN DYNAMIC SITUATIONS, AS WELL AS STRATEGIES TO BUILD CONFIDENCE IN STUDENT BEHAVIOR DURING FLIGHTS. WHILE ADVANCED IN SCOPE, INSTRUCTOR TRAINING SHOULD PLACE GREATER EMPHASIS ON TECHNIQUES TO MANAGE UNEXPECTED OR INAPPROPRIATE STUDENT ACTIONS.
RECOMMENDATIONS FOR THE GENRAL AVIATION COMMUNITY
THE COMMUNITY SHOULD FOCUS MORE ON HOW STUDENT BEHAVIOR AND INPUTS INTRODUCE RISK TO THE INSTRUCTIONAL ENVIRONMENT. HAVING TRAINED OVER 80 INITIAL FLIGHT INSTRUCTORS AND HIRED HUNDREDS MORE, THIS INSPECTOR HAS FOUND THAT MOST NEW INSTRUCTORS DO NOT UNDERSTAND OR ANTICIPATE THE TYPES OF ERRORS STUDENTS MAKE. THEY TYPICALLY LEARN THROUGH FIRSTHAND EXPERIENCE IN THE FIELD RATHER THAN STRUCTURED TRAINING. BECAUSE INITIAL FLIGHT INSTRUCTOR TRAINING FOCUSES HEAVILY ON FLYING AND TALKING FROM THE RIGHT SEAT RATHER THAN RECOGNIZING HOW DANGEROUS STUDENT ERRORS EVOLVE, THIS TOPIC SHOULD BECOME A STAPLE OF CONTINUING EDUCATION FOR FLIGHT INSTRUCTORS.
OUTSTANDING ISSUES: THE OUTSTANDING ISSUES ARE ADDRESSED WITHIN THE RECOMMENDATIONS FOR THE GENERAL AVIATION COMMUNITY.
COORDINATION WITH OTHER AGENCIES: THIS EVENT REQUIRED MINIMAL EXTERNAL COORDINATION, WITH THE AIRPORT'S AIR TRAFFIC CONTROL BEING THE PRIMARY POINT OF CONTACT.
ADDITIONAL INFORMATION
THE FLIGHT INSTRUCTOR ENGAGED IN MULTIPLE TELEPHONE CONVERSATIONS WITH THE INVESTIGATING FAA INSPECTOR, DEMONSTRATING OPENNESS, HONESTY, AND A STRONG DESIRE TO IMPROVE AND AVOID FUTURE INCIDENTS. THE INSTRUCTOR ALSO REACHED OUT TO SENIOR INSTRUCTORS AT THE FLIGHT SCHOOL FOR GUIDANCE. WHILE THE LONG-TERM IMPACT ON THE OPERATOR'S CULTURE TAKES TIME TO FULLY REALIZE, THE FLIGHT SCHOOL HAS ALREADY UPDATED ITS POLICY REGARDING INSURANCE REQUIREMENTS FOR STUDENT PILOTS. ADDITIONALLY, THE LOCAL FAASTEAM PROGRAM MANAGER ENGAGED WITH THE FLIGHT SCHOOL IMMEDIATELY AFTER THE INCIDENT.
INVESTIGATORS INSIGHT: THIS INVESTIGATION HIGHLIGHTS THE NEED FOR ADDED EMPHASIS ON MANAGING THE UNIQUE HAZARDS AND RISKS OF THE FLIGHT TRAINING ENVIRONMENT, WHICH REQUIRES A HIGHER LEVEL OF RISK MITIGATION THAN STANDARD FLYING. KEY CONSIDERATIONS INCLUDE THE TIMING AND LOCATION OF CONTROL EXCHANGES, HOW OFTEN INSTRUCTORS DEMONSTRATE MANEUVERS, AND WHEN STUDENTS PRACTICE THEM. HIGH-HAZARD, HIGH-RISK SCENARIOS WITH SEVERE POTENTIAL OUTCOMES SHOULD BE PRACTICED AS SAFELY AS POSSIBLE. OPERATORS CAN REDUCE RISK FOR BOTH STUDENTS AND INSTRUCTORS BY SHIFTING HIGH-RISK TRAINING SCENARIOS INTO FLIGHT TRAINING DEVICES AND SIMULATED PROGRAMS.
Other reports on N8285B · 2
Matched to the same aircraft by N-number and date.