CEN11LA593

NTSB accident investigation · Air Tractor AT-400 · Monango, ND · August 23, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
August 23, 2011, 18:53 local (23:53 UTC)
Place
Monango, ND
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N23720Air Tractor AT-400
Defining event
Maneuvering-low-alt flying: Low altitude operation/event
Weather
Visual (VMC) · Day
Status
Completed · report May 15, 2012
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration - Fargo FSDO
FAA report
20110823018369A
Case key
81596

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

The pilot did not maintain adequate separation from a tree during the aerial-application flight.

Findings · 3

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.

Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedAir Tractor AT-400: 2 casesAll aircraft: 1,310 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAir Tractor AT-400: 1 caseAll aircraft: 9,295 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeAir Tractor AT-400: 1 caseAll aircraft: 933 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 reported that he remembered completing a majority of his spray runs during the aerial-application flight and was finishing along the field's edge when the accident occurred. However, he had no recollection of the airplane colliding with the trees or terrain. Global positioning system data revealed that the airplane had descended from about 300 feet above ground level (agl) to less than 100 feet agl into a sparsely wooded area during the last 15 seconds of the flight. A postaccident examination established that the airplane's right wingtip contacted a tree before the airplane collided with terrain. The examination did not reveal any mechanical malfunctions or failures that would have precluded normal operation of the airplane. The presence of fuel throughout the engine's fuel system and the rotational damage sustained by several engine components was consistent with a sudden stoppage of an operating engine during impact.

Factual narrative

On August 23, 2011, at 1853 central daylight time, an Air Tractor AT-400, N23720, was substantially damaged when it collided with trees and terrain near Monango, North Dakota. The pilot sustained serious injuries. The airplane was registered to and operated by D-Lux Spray Service, LLC, under the provisions of 14 Code of Federal Regulations Part 137. Day visual meteorological conditions prevailed for the flight, which was operated without a flight plan. The aerial-application flight departed Edgeley Municipal Airport (51D) at approximately 1819. The pilot reported that he remembered completing a majority of his spray runs and was finishing along the field's edge when the accident occurred; however, he had no recollection of the airplane colliding with the trees or terrain. A postaccident examination conducted by Federal Aviation Administration inspectors established that the airplane's right wingtip contacted a cottonwood tree before the airplane collided with terrain. There was a wreckage debris path, about 100 yards long, preceding the main wreckage which was located in a roadside ditch. The debris path contained fragmented portions of the airframe, wings, and tree branches. The fuselage and wings were substantially damaged during the accident sequence. There was no evidence of a postimpact fire. The east/west power transmission line, situated along the north side of the roadway, appeared undamaged. The postaccident examination did not reveal any mechanical malfunctions or failures that would have precluded normal operation of the airplane. The engine fuel control unit (FCU), fuel filter bowl, flow divider, and fuel lines contained fuel. The splined driveshaft connecting the fuel pump to the accessory gearbox was sheared and exhibited rotational damage. The nylon coupler between the fuel pump and the FCU exhibited fracture features consistent with torsion overload. The engine compressor section, FCU flyweights, and propeller exhibited rotational damage consistent with a sudden stoppage event. A handheld global positioning system (GPS) receiver was found at the accident site. The position data downloaded from the GPS device showed the airplane departing 51D approximately 34 minutes before the accident. After departure, the airplane flew about 16 miles southeast to the field contracted to be sprayed. The plotted data was consistent with aerial application maneuvers being performed during the remainder of the accident flight. The last 15 seconds of GPS data showed the airplane on west-northwest heading descending from approximately 300 feet above ground level (agl) to less than 100 feet agl. The final two data points were located amongst a sparsely wooded area when plotted on an aerial-survey image. At 1855, the automated surface observing system at the Gwinner-Roger Melroe Field Airport, located about 41 miles east of the accident site, reported the following weather conditions: wind 210 degrees at 9 knots; visibility 10 miles; clear skies;temperature 30 degrees Celsius; dew point 25 degrees Celsius; altimeter setting 29.61 inches of mercury.

Aircraft

Registration
N23720
Reported as
Air Tractor AT-400
Category
Airplane
Serial number
400-0422
Airframe hours
9,354
Engine
Pratt & Whitney PT6A-15AG, 680 horsepower, turbo prop
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
D-Lux Spray Service, LLC
Registered owner
David J. Lux
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · July 29, 2011
Departed
51D · Edgeley, ND
Destination
51D · Edgeley, ND

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
46
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
January 27, 2010
Seat
Center
Flight hours
3,645 total · 1,051 in this make and model · 3,645 as pilot in command · 175 in the last 90 days · 50 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 77 °F
Altimeter
29.61 inHg
Observed at
KGWR, 36 nm away

Docket · 6

The files NTSB released with the investigation on April 9, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.8 MB 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.

Other investigations on N23720 · 1

Matched to the same aircraft by N-number and date.