CEN09CA493

NTSB accident investigation · Diamond Aircraft Ind DA 40 · Cape Girardeau, MO · July 14, 2009

Accident · Minor injuriesData collectionFinal report
Date
July 13, 2009, 21:15 local (Jul 14, 2009, 02:15 UTC)
Place
Cape Girardeau, MO
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N544DSDiamond Aircraft Ind DA 40
Defining event
Taxi: Ground collision
Weather
Visual (VMC) · Night
Status
Completed · report October 19, 2009
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20090713012299A
Case key
74444

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 airplane's inoperative brakes while taxiing. Contributing to the accident was the pilot's inadequate preflight.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Landing gear system: brakeAircraft › Aircraft systems · InoperativeDiamond Aircraft Ind DA 40: 2 casesAll aircraft: 297 casesProbable cause
Object/animal/substance: ground vehicleEnvironmental issues › Physical environment · Ability to respond/compensateDiamond Aircraft Ind DA 40: 2 casesAll aircraft: 132 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot flew his airplane to a mechanic at a fixed base operator (FBO) for repairs to the airplane's brakes. The pilot reported that next day he called the mechanic and the mechanic indicated that the repairs would be complete and the airplane could be picked up later in the day. The pilot called the FBO where the person at the front desk found his keys and indicated that they would be waiting for him at the front desk. There was no note on the keys indicating that the repairs were not complete. The pilot did not detect that the brakes were not repaired during his preflight. The airplane did not stop when pressure was applied to both brakes during the taxi and it impacted a standing fuel truck. The pilot said that the mechanic left him a voice mail message indicating the brakes had not been repaired and that parts would be in the next day; however, he was not aware of the mechanic's message until after the accident occurred.

Factual narrative

The pilot flew his airplane to a mechanic at a fixed base operator (FBO) for repairs to the airplane's brakes. The pilot reported that next day he called the mechanic and the mechanic indicated that the repairs would be complete and the airplane could be picked up later in the day. He told the mechanic that he would pick up the plane that evening. The pilot said that he called the FBO where the person at the front desk found his keys and indicated that they would be waiting for him at the front desk. There was no note on the keys indicating that the repairs were not complete. The pilot preflighted the airplane and the brakes and wheels appeared normal. The brakes were "firm" when pressure was applied. The airplane was started and the pilot proceeded to taxi the airplane. He stated that the airplane did not stop when pressure was applied to both brakes. The airplane sustained substantial damage when it impacted a standing fuel truck. The pilot said that the mechanic left him a voice mail message indicating the brakes had not been repaired and that parts would be in the next day. According to the pilot, he was not aware of the mechanic's message until after the accident.

Aircraft

Registration
N544DS
Reported as
Diamond Aircraft Ind DA 40
Category
Airplane
Serial number
40044
Airframe hours
680
Engine
Lycoming IO-360 M1A, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Stone Kenneth D
Registered owner
Stone Kenneth D
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 3, 2008
Departed
CGI · Cape Girardeau, MO
Destination
DXE · Dexter, MO
Airport
CGI · Cape Girardeau Regional Airpor

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
49
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Flight hours
181 total · 131 in this make and model · 109 as pilot in command · 45 in the last 90 days · 25 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Observed at
CGI

Docket · 1

The files NTSB released with the investigation on August 20, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 963 KB in all.

FAA reports on this event · 1

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