ATL90FA139

NTSB accident investigation · Piper PA-38-112 · Florence, AL · July 1, 1990

Accident · FatalField investigationFinal report
Date
July 1, 1990, 17:23 local (22:23 UTC)
Place
Florence, AL
Injuries
4 fatal
Phase of flight
Enroute
Aircraft
N2409KPiper PA-38-112N2437KPiper PA-38-112
Weather
Visual (VMC) · Day
Status
Completed · report September 21, 1992
Report
Approved by Office Director
Case key
8138

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

On this page

Probable cause

Failure of the pilot-in-command of N2409K to maintain safe separation from N2437K during unauthorized formation maneuvering. Overconfidence in personal ability and the execution of unauthorized formation flight on the part of both pilots-in-command were factors in the accident. The lack of total experience of both pilots-in-command was also a factor in the accident.

Failure of the pilot-in-command of N2409K to maintain safe separation from N2437K during unauthorized formation maneuvering. Overconfidence in personal ability and the executive of unauthorized formation flight on the part of both pilots-in-command were factors in the accident. The lack of total experience of both pilots-in-command was also a factor in the accident.

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.

Midair collisionCruise - normal
In-flight planning/decision - improperPilot in commandFactor
Overconfidence in personal abilityPilot in commandFactor
In-flight planning/decision - improperPilot of other aircraftFactor
Overconfidence in personal abilityPilot of other aircraftFactor
Procedures/directives - disregardedPilot in commandFactor
Lack of total experiencePilot in commandFactor
Procedures/directives - disregardedPilot of other aircraftFactor
Lack of total experiencePilot of other aircraftFactor
Clearance - not maintainedPilot of other aircraftCause
Formation flying - improperPilot of other aircraftFactor
In flight collision with terrain/waterDescent - uncontrolled
Midair collisionManeuvering
In-flight planning/decision - improperPilot in commandFactor
Overconfidence in personal abilityPilot in commandFactor
In-flight planning/decision - improperPilot of other aircraftFactor
Overconfidence in personal abilityPilot of other aircraftFactor
Procedures/directives - disregardedPilot in commandFactor
Lack of total experiencePilot in commandFactor
Procedures/directives - disregardedPilot of other aircraftFactor
Lack of total experiencePilot of other aircraftFactor
Clearance - not maintainedPilot in commandCause
Formation flying - improperPilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilots of two similar PA-38-112 airplanes were filed for separate VFR cross country flights. After an intermediate stopover at an airport away from home base, the two airplanes joined up and began flying in formation. According to a witness, the trailing airplane (N2409K) collided with the leading airplane (N2437K) from the rear while maneuvering. Impact, paint and rubber transfer marks indicated that N2409K collided with N2437K from the rear, right side. The flight school from which the pilots were enrolled expressly prohibited formation flying of any type. The pic's of each airplane had logged about 118 hours each prior to the accident, and had received their pilot certificates the month prior to the accident. The pilots and pilot rated passengers were all spanish citizens.

The pilots of two similar PA-38-112 airplanes were filed for separate VFR cross country flights. After an intermediate stopover at an airport away from home base, the two airplanes joined up and began flying in formation. According to a witness, the trailing airplane (N2409K) collided with the leading airplane (N2437K) from the rear while maneuvering. Impact, paint and rubber transfer marks indicated that N2409K collided with N2437K from the rear, right side. The flight school from which the pilots were enrolled expressly prohibited formation flying of any type. The pic's of each airplane had logged about 118 hours each prior to the accident, and had received their pilot certificates the month prior to the accident. The pilots and pilot rated passengers were all spanish citizens.

Aircraft · 2

Registration
N2409K
Reported as
Piper PA-38-112
Category
Airplane
Serial number
38-79A0620
Airframe hours
7,138
Engine
Lycoming O-235-L2C, 112 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Registered owner
Bolivar Aircraft Sales, Inc.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · June 14, 1990 · 25 hours before
Departed
HSV · Huntsville, AL
Destination
M08 · Bolivar, TN
Flight plan
VFR

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.

Registration
N2437K
Reported as
Piper PA-38-112
Category
Airplane
Serial number
38-79A0634
Airframe hours
6,500
Engine
Lycoming O-235-L2C, 112 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Registered owner
Bolivar Aircrat Sales, Inc.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
100 hour · June 11, 1990 · 20 hours before
Departed
HSV · Huntsville, AL
Destination
M08 · Bolivar, TN
Flight plan
VFR

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N2409K
Age
27
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
118 total · 5 in this make and model · 42 as pilot in command · 86 in the last 90 days · 50 in the last 30 days · 3 in the last 24 hours
Role
Pilot, aircraft N2437K
Age
22
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
118 total · 5 in this make and model · 47 as pilot in command · 118 in the last 90 days · 46 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 10 knots
Visibility
7 statute miles
Lowest ceiling
25,000 ft overcast
Temperature
91 °F, dew point 68 °F
Altimeter
29.89 inHg
Observed at
MSL, 8 nm away

FAA reports on this event · 2

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