ATL07FA013

NTSB accident investigation · Cirrus Design SR22 · Statesville, NC · October 27, 2006

Accident · FatalField investigationFinal report
Date
October 27, 2006, 12:16 local (16:16 UTC)
Place
Statesville, NC
Injuries
2 fatal, 2 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N969ESCirrus Design SR22
Weather
Instrument (IMC) · Day
Status
Completed · report March 26, 2007
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Inc, Charlotte FSDO-33, Cirrus Design Corporation
FAA report
20061027023899A
Case key
64768

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to maintain airspeed while maneuvering with a low ceiling in instrument flight conditions, resulting in an inadvertent stall, and collision with trees and the ground. Factors in the accident were the pilot's failure to follow the published missed approach procedures, and the airplane's checklist procedures for a balked landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightManeuvering
Weather condition - low ceiling
Airspeed(vso) - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
Ifr procedure - not followedPilot in commandFactor
Checklist - not followedPilot in commandFactor
In flight collision with objectDescent
Object - tree(s)
Terrain condition - ground

Analysis

The pilot filed an instrument flight rules (IFR) flight plan and obtained an abbreviated weather briefing for a flight from North Palm Beach, Florida, to a visual flight rules (VFR) airport at Mooresville, North Carolina, with a 1200 arrival. The forecast for the destination airport was: overcast ceiling at 1,000 feet, visibility 5 miles, with light rain and mist. The closest terminal aerodrome forecast to the pilot's destination airport was Charlotte/Douglas International Airport, approximately 30 miles south of the accident site. The forecast at 1026 was: overcast ceiling at 400 feet, visibility 2 miles, in moderate rain and mist. The forecast at 1131 was: overcast ceiling at 400 feet, visibility 1 1/2 miles, in light rain and mist. Between 1200 to 1600 the ceiling was forecast for 700 feet and 2 miles visibility. The pilot did not obtain any weather updates while en-route. Upon arrival in the Charlotte area, the controller cleared the pilot to start his descent. The pilot asked the controller for the weather at his destination airport. The controller informed the pilot the weather was IFR. The pilot requested and received clearance to divert to Statesville Regional Airport. The pilot was vectored and subsequently cleared for the ILS Runway 28 approach at Statesville. The pilot stated he flew the approach with the autopilot on, and completed the before landing check, lowered the flaps to 50 percent and ultimately 100 percent. He stated he did not remember descending below the clouds, or any events associated with the accident. Witnesses observed the airplane come out of the clouds over the runway. An increase in engine power was heard, the airplane was observed to start a right turn and entered the clouds. The pilot initiated a circling approach without ATC clearance and without the required weather minima for a circling approach. Witnesses heard the airplane north of the airport in the clouds, and observed the airplane a short time later below the clouds on the south side of runway 28, traveling from southeast to northwest. The airplane crossed the runway, entered the clouds, came out of the clouds, and was observed making a steep turn to the right and back to the left. The nose of the airplane then pitched down, and the airplane collided with trees and the ground. The checklist for a balked landing requires the pilot to set the flaps at 50 percent, airspeed between 75 to 85 KIAS until clear of obstacles, and then raise the flaps to 0 percent. The flaps at the crash site were extended 100 percent.

Factual narrative

History of flight

On October 27, 2006, at 1216 eastern daylight time, a Cirrus SR22, N969ES, registered to a private owner, operating as a 14 CFR Part 91 personal flight, collided with trees while maneuvering in the vicinity of Statesville Regional Airport, Statesville, North Carolina. The pilot had been cleared by air traffic control (ATC) for an instrument landing system approach (ILS) to runway 28. Instrument meteorological conditions prevailed and an instrument flight plan (IFR) was filed. The airplane received substantial damage. The private pilot and one passenger received serious injuries. Two passengers were fatally injured. The flight originated from North Palm Beach County General Aviation Airport, West Palm Beach, Florida, on October 27, 2006, at 0900. The flight was en route to a visual flight rules (VFR) airfield, located at Lake Norman Airpark, Mooresville, North Carolina. The pilot diverted to Statesville, North Carolina, due to weather.

Review of transcripts revealed the pilot contacted Charlotte Approach control at 1134 and requested the weather at Charlotte. The controller advised the pilot the weather was 600 broken,1200 overcast, visibility one and half miles. The pilot asked the controller what the weather was at his destination airport. The controller informed the pilot the weather at Concord Airport ten to 15 miles from his destination was 200 overcast, 2 miles visibility, and mist. The pilot asked the controller to change his destination to Statesville. The controller approved the request, and provided the pilot with radar vectors to Statesville. The controller informed the pilot he was number 4 for the approach, and advised the pilot the displaced threshold to runway 28 was 2,000 feet. In addition, the controller informed the pilot that the airplane ahead of him reported breaking out of the clouds 50 feet above minimums. The pilot acknowledged the transmission. At 1203, the controller informed the pilot he was 7 miles from Pegte intersection, maintain 3,000 feet until established on the final approach course, and the pilot was cleared for the ILS runway 28 approach. The pilot acknowledged the clearance at 1206, and there were no further recorded transmissions with the pilot.

The pilot stated he received a full weather briefing from St. Petersburg, Florida, Lockheed-Martin Automated Flight Service Station for a weather briefing for the IFR flight to Mooresville, North Carolina. The weather was forecasted to be VFR upon his arrival. The ceiling was forecasted to be between 2,500 to 3,000 feet with rain showers and was not forecasted to decrease until between 1430 to 1500. The pilot stated he did not get any en-route weather updates. Before departing the pilot briefed the passengers on the emergency exits, use of restraint systems, and the Cirrus Airframe Parachute System (CAPS); however the pilot did not remove the safety pin on the CAPS before departing or during the flight. Upon arrival in the Charlotte area , the pilot stated he was handed off by ATC to Charlotte approach control, and he was instructed to descend. During the descent the pilot realized the weather at his destination airport may not be VFR. He requested permission from the controller to divert to Statesville. The controller approved his request and provided radar vectors to the ILS runway 28 final approach course. The pilot stated he was flying the airplane with the autopilot, and performed the before landing checks. The pilot extended the flaps to 50 percent and ultimately to 100 percent. The pilot stated he was not cleared by the controller for a circling approach or issued alternate missed approach procedures. The pilot remembered descending below the clouds on the approach, but could not remember any other events associated with the accident.

Witness stated the airplane was observed on approach for runway 28 at Statesville Regional Airport. The airplane came out of the clouds in the vicinity of taxiway D and continued over the runway to taxiway F. An increase in engine power was heard and the airplane started a right turn and entered the clouds. The airplane was heard north of the airport and was observed again on the south side of the runway traveling from southeast to the northwest located just below the clouds, and crossed runway 28. The airplane entered the clouds and came out of the clouds north of Aviation Drive. The witnesses observed the airplane make a sharp bank to the right estimated at a 45-degree angle of bank followed by a 45-degree left bank. The nose of the airplane was observed to pitch down and the airplane collided with trees and the ground.

Personnel information

Review of information on file with the FAA Airman's Certification Division, Oklahoma City, Oklahoma, revealed the pilot was issued a private pilot certificate on June 20, 2003, with ratings for airplane single engine land, and instrument airplane. The pilot held a third class medical certificate issued on December 1, 2005, with the restriction "must have available glasses for near vision."

The pilot attended Cirrus SR22 flight training contracted out to Wings Aloft by Cirrus Design from September 4, 2001, through September 7, 2001. The pilot received 7 hours of ground school and 8.7 hours of dual instruction. The curriculum called for 5 hours of ground school and 7.75 hours of dual instruction including 1.5 hours for the final flight evaluation. The pilot did not receive a final evaluation flight and was not awarded a completion certificate. The instructor pilot noted in his daily notes on September 8, 2006, "the pilot did not fly consistently to the performance standards. The pilot was behind the airplane and general finesse was lacking." The pilot's insurance company did not require a factory sign off. The pilots stated he received additional flight instruction after returning home from his flight instructor who attended the SR22 training with him.

Review of the pilot's logbook revealed he has 717 total hours not including 3 hour and 16 minutes on the accident flight. The pilot has recorded 501 total flight hours in the SR22 of which 14 hours has been flown in the last 90 days and 5 hours has been flown in the last 30 days. The pilots last flight review and instrument proficiency check was conducted on June 25, 2005. The pilot's last recorded instrument flight was on June 26, 2006, and he has accumulated 51 hours of actual instrument flight time. The pilot has logged 92 hours of simulated instrument flight time. The pilot's last recorded flight was on October 18, 2006, in a Piper PA31. The pilot's last recorded flight in the SR22 before the accident flight was on October 4, 2006. The pilot's last recorded instrument approaches before the accident was on May 1, 2006, with a certified flight instructor.

Further review of the pilot's logbook revealed in the previous 12-month period before the accident, the pilot had logged 8.0 hours of actual instrument flight time, and 3.8 hours of simulated instrument flight time. The simulated instrument flight time included 1.8 hours with an instructor, and 2.0 hours of simulated instrument flight time as PIC, however, no safety pilot was noted in the remarks section of the logbook. In addition, the pilot had logged 7 instrument approaches. Six approaches were logged during 1.8 hours of simulated instrument flight with a flight instructor. The remaining approach did not indicate in the logbook if the pilot flew in instrument or simulated flight conditions. In addition, the logbook did not reflect the type of approach that was flown. Logbook entries revealed the pilot flew 3 solo instrument approaches. One approach was flown on July 2, 2003, January 25, 2005, and the last approach was flown on June 2, 2006. None of the flights indicated if the flights were flown in instrument or simulated instrument flight conditions, and the type of approach flown was not identified.

Aircraft information

Review of the

Aircraft

Registration
N969ES
Reported as
Cirrus Design SR22
Category
Airplane
Serial number
IO-550-N (7)
Airframe hours
598.3
Engine
Continental IO-550-N (7), 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Edward A. Sasso
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2006 · 20.9 hours before
Departed
F45 · West Palm Beach, FL
Destination
14A · Mooresville, NC
Flight plan
IFR
Airport
KSVH · Statesville Regional Airport, runway 28, 7,005 × 100 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 1, 2005
Seat
Left
Flight hours
717 total · 501 in this make and model · 520 as pilot in command · 28 in the last 90 days · 14 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Wind
40° at 3 knots
Visibility
1.5 statute miles
Lowest ceiling
300 ft overcast
Temperature
46 °F, dew point 46 °F
Altimeter
29.98 inHg
Observed at
KSVH

Docket · 43

The files NTSB released with the investigation on February 14, 2007, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.2 MB in all.

NTSB Code SheetItem 1 · .PDF · 23 KBSupplement AItem 2 · .PDF · 149 KBSupplement BItem 3 · .PDF · 128 KBSupplement SItem 4 · .PDF · 28 KBPilot Operator ReportItem 5 · .PDF · 596 KBStatementsItem 6 · .PDF · 157 KBMeteorology 5 - Factual Report of Group ChairmanItem 7 · .PDF · 805 KBFAA Form 8020-6Item 8 · .PDF · 68 KBTranscript Charlotte Approach ControlItem 9 · .PDF · 145 KBContinental Engine Field Inspection ReportItem 10 · .PDF · 1.5 MBFAA Flight Inspection Report Instrument Landing SystemItem 11 · .PDF · 294 KBILS or DME Runway 28Item 12 · .PDF · 61 KBWreckage DiagramItem 13 · .PDF · 70 KBSR22 Balked Landing and Go Around ChecklistItem 14 · .PDF · 88 KBSR22 Pilot Operating Handbook Stall SpeedsItem 15 · .PDF · 58 KBAircraft LogbooksItem 16 · .PDF · 7.0 MBChampion Aviation Check A PlugItem 17 · .PDF · 100 KBFuel SlipsItem 18 · .PDF · 271 KBStatesville Police ReportItem 19 · .PDF · 124 KBCAD Incident ReportItem 20 · .PDF · 574 KBPilot Cirrus Initial Training File Wings AloftItem 21 · .PDF · 319 KBNorth Carolina EMS ReportItem 22 · .PDF · 111 KBExtract Pilot LogbookItem 23 · .PDF · 4.9 MBToxicology ReportItem 24 · .PDF · 59 KBNTSB Party FormItem 25 · .PDF · 63 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 26 · .PDF · 195 KBPhoto 1 View of crash site. Photo by NTSB.Item 27 · .PDF · 841 KBPhoto 2 View of iniital impact point and left wing tip in tree. Photo by NTSB.Item 28 · .PDF · 908 KBPhoto3 Rear view of separated engine and right side front view.Photo by NTSB.Item 29 · .PDF · 851 KBPhoto 4 Close up view of right front and separated engine. Photo by NTSB.Item 30 · .PDF · 845 KBPhoto 5 Front view of engine assembly. Photo by NTSB.Item 31 · .PDF · 897 KBPhoto 6 Front view of airplane at rest. Photo by NTSB.Item 32 · .PDF · 914 KBPhoto 7 Left side view of airplane. Photo by NTSB.Item 33 · .PDF · 794 KBPhoto 8 Right vside view of airplane. Photo by NTSB.Item 34 · .PDF · 864 KBPhoto 9 Left front side view of airplane. Photo by NTSB.Item 35 · .PDF · 879 KBPhoto 10 Left rear side view of airplane. Photo by NTSB.Item 36 · .PDF · 820 KBPhoto 11 Right rear side view of airplane. Photo by NTSB.Item 37 · .PDF · 804 KBPhoto 12 View of propeller assembly. Photo by NTSB.Item 38 · .PDF · 769 KBPhoto 12 View of propeller assembly. Photo by NTSB.Item 39 · .PDF · 769 KBPhoto 13 View of engine assembly after partial disassembly. Photo by NTSB.Item 40 · .PDF · 783 KBLockheed Martin TranscriptItem 41 · .PDF · 229 KBResponse to Petition For ReconsiderationItem 42 · .PDF · 804 KBPetition For ReconsiderationItem 43 · .PDF · 488 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.