CEN12LA453

NTSB accident investigation · Air Tractor AT-402B · Britt, IA · July 17, 2012

Accident · FatalLimited investigationFinal report
Date
July 17, 2012, 16:30 local (21:30 UTC)
Place
Britt, IA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N4843JAir Tractor AT-402B
Defining event
Maneuvering-low-alt flying: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report June 19, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA -- Des Moines Flight Standards
FAA report
20120717015559A
Case key
84358

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’s failure to maintain clearance from power transmission lines during an agricultural application operation. Contributing to the accident was the pilot’s distracted attention due to personal cell phone use during flight operations.

Findings · 5

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-402B: 7 casesAll aircraft: 1,310 casesProbable cause
Attention/monitoring: attentionPersonnel issues › Psychological · PilotAir Tractor AT-402B: 2 casesAll aircraft: 226 casesProbable cause
Object/animal/substance: wireEnvironmental issues › Physical environment · Not specifiedAir Tractor AT-402B: 4 casesAll aircraft: 588 cases
Object/animal/substanceEnvironmental issues › Physical environment · Contributed to outcomeAir Tractor AT-402B: 2 casesAll aircraft: 224 casesProbable cause

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

A witness observed the accident airplane spraying corn about 2 miles south of his farm. He reported that he heard the engine “sputter” and looked south to see if he could see the airplane. At that moment, he observed a “large ball of fire go up.” A power line bordering the east edge of the field being sprayed was severed. In addition, a power line support pole and crossbeam west of the severed power line were damaged. One of the transmission lines was down at that location. Yellow paint transfer marks were observed on the power lines. Fragments attributed to the left wing of the airplane were located in the vicinity of the damaged support pole. The airplane came to rest inverted in the corn field west-northwest of the support pole. A postaccident examination of the airplane did not reveal any anomalies consistent with a preimpact failure or malfunction. Records revealed that the pilot was engaged in cellphone activity during the accident flight, and one call ended shortly before the accident. The NTSB issued a Safety Alert regarding Portable Electronic Devices (PEDs) and it states, “…avoid nonoperational use of PEDs before and during flight."

Factual narrative

HISTORY OF FLIGHT On July 17, 2012, about 1630 central daylight time, an Air Tractor AT-402B, N4843J, impacted terrain during an aerial application flight near Britt, Iowa. The pilot sustained fatal injuries. The airplane was substantially damaged by impact forces and a postimpact fire. The airplane was registered to and operated by Friesenborg & Larson Custom Spraying under the provisions of 14 Code of Federal Regulations Part 137 as an aerial application flight. Visual meteorological conditions prevailed for the flight, which was not operating on a flight plan. The flight departed the Forest City Municipal Airport (FXY) at an unconfirmed time. A witness reported observing the accident airplane spraying corn about 2 miles south of his farm yard. He noted that the airplane was turning within 1/2 mile of his position during the application runs. He heard the engine start to “sputter” and looked south to see if he could see the airplane. At that moment, he observed a “large ball of fire go up” and subsequently called 911 to report the accident. He added that there were two separate “large” explosions; the first was about 1 minute and the second was about 3 minutes after the accident. These were followed by 2 or 3 “small” explosions about 15 minutes later. The airplane came to rest inverted in a corn field located about 3 miles northeast of Britt, Iowa. PERSONNEL INFORMATION The pilot held a commercial pilot certificate with single-engine land airplane and instrument airplane ratings. He held a flight instructor certificate with a single-engine airplane rating, issued on March 10, 2012. The pilot was issued a second class airman medical certificate on April 5, 2012, with a restriction for corrective lenses. On the application for that medical certificate, he indicated a total flight time of 2,890 hours, with 30 hours within the previous 6 months. AIRCRAFT INFORMATION The accident airplane was a 2008 Air Tractor AT-402B, serial number 402B-1207. The airplane was a single-engine airplane equipped for agricultural application operations. It was powered by a Pratt & Whitney Canada PT6A-15AG turbine engine, serial number PCE-PD0102, and a Hartzell three blade, adjustable pitch propeller. The airplane was issued a restricted category airworthiness certificate on June 8, 2008. A review of maintenance records revealed that the most recent annual inspection was completed on June 1, 2012, at 734.0 hours total airframe time. The records contained no subsequent maintenance entries. The accident airplane was painted yellow, with blue trim. A similar paint scheme is displayed on AT-402 airplanes depicted on the airframe manufacturer’s website. METEOROLOGICAL INFORMATION The Mason City Municipal Airport (MCW) Automated Surface Observing System (ASOS) was located about 19 miles east of the accident site. At 1553, the MCW ASOS recorded conditions as: wind from 250 degrees at 12 knots, gusting to 17 knots; 10 miles visibility, clear skies, temperature 36 degreesCelsius, dew point 18 degrees Celsius, and altimeter 29.84 inches of mercury. At 1653, the MCW ASOS recorded conditions as: wind from 220 degrees at 9 knots; 10 miles visibility, clear skies, temperature 36 degrees Celsius, dew point 18 degrees Celsius, and altimeter 29.84 inches of mercury. WRECKAGE AND IMPACT INFORMATION The airplane came to rest inverted in a corn field about 3 miles northeast of Britt, Iowa. A set of power transmission lines bordered the east edge of the field. About 1/2 mile from the north edge of the field, the lines turned 90 degrees and proceeded west across the corn field. The power transmission lines consisted of three transmission lines and two static lines, supported by a double set of poles and crossbeam configuration. The transmission lines were estimated to be about 60 feet high. At the point the transmission lines turned 90 degrees, the individual lines were mounted vertically on a single pole. The lower line had been severed at this point, and showed yellow marks on the line consistent with paint transfer. There was also an area of burned vegetation along the roadway ditch adjacent to the support pole. A second set of power distribution lines, about 20 feet high, were located along the east side of the north-south road bordering the east edge of the field. These lines consisted of two distribution cables supported by a single pole configuration. A depression in the corn was located about 300 feet west of the severed power line. The intact corn was about 9 feet high, with up to 2 feet having been cut from the corn in the depressed area. The transmission line support about 260 feet west of the corn depression was damaged. The north vertical support pole and the crossbeam were broken, and the north transmission line was down. Yellow marks consistent with paint transfer were observed on the power line and insulators. Fragments attributed to the left wing were located in the vicinity, which included wing skin and rib fragments, portions of the outboard main spar, and the wing tip. The airplane came to rest about 600 feet west-northwest of the broken transmission line support pole. The airplane was inverted and oriented on an approximate 022-degree magnetic bearing. The postimpact fire consumed a majority of the fuselage skin to the empennage. The fuselage frame was deformed consistent with impact forces and thermal effects. The left wing was fragmented. Some fragments, located up to 50 feet from the main wreckage, exhibited crushing damage. The main spar remained attached to the fuselage and was deformed aft about 30 degrees. The rear spar had separated from the fuselage. The inboard portion of the left wing flap remained with the wing; however, the outboard portion of the flap appeared to have been consumed by the postimpact fire. The left aileron had separated from the wing. Components of the left aileron were not identified with the main wreckage; however, portions of the left wing were located near the brokentransmission line support pole. The right wing had separated from the fuselage; although, the wing itself remained intact with the exception of damage due to impact forces. The fracture surfaces of the wing attachment bolts appeared consistent with overstress failure. The right flap and aileron remained attached to the wing. Portions of the entire right wing structure sustained postimpact thermal damage. The vertical and horizontal stabilizers remained attached to the fuselage. The right stabilizer exhibited leading edge crushing damage near mid-span. A section of the right elevator, outboard of the trim tab, was separated, which was recovered from the debris path. The rudder remained attached to the vertical stabilizer. Elevator and rudder control continuity were confirmed from the flight control surfaces to the cockpit controls. The cockpit control stick support structure and the rudder pedals were consumed by the postimpact fire. Damage to the aileron control system appeared consistent with impact forces and the postimpact fire. The wing flap actuator was positioned consistent with a flaps-up configuration at the time of the examination. The engine remained in position relative to the fuselage. The engine and engine mount exhibited damage consistent with impact forces. Engine control continuity was confirmed. The propeller assembly remained secured to the engine. One propeller blade exhibited S-bending, with a portion of the blade tip being separated. The second blade was bent forward over the length of the blade, with a portion of the blade tip being separated. The third blade was separated, with the inboard 8-inch portion of the blade remaining attached to the hub. The remaining portion of this blade was recovered near the main wreckage. The blade was curled aft near the tip and exhibited trailing edge gouges. The fracture surfaces on all three blades appeared consistent with overstress separations. MEDICAL AND PATHOLOGICAL INFORMATION The pilot was critically injured in the accident. He was subsequently transported to a local hospital and died about 8 hours later. An autopsy of the pilot was conducted on July 18, 2012, at the University of Iowa Hospitals and Clinics in Iowa City, Iowa. The pilot’s death was attributed to injuries initially sustained in the accident. The FAA Civil Aerospace Medical Institute toxicology report noted: Etomidate detected in Liver; Etomidate detected in Blood (Heart); Midazolam detected in Liver; Midazolam not detected in Blood (Heart); No carbon monoxide detected in Blood (Heart); No ethanol detected in Vitreous. The medications noted are commonly administered in an emergency medical setting. ADDITIONAL INFORMATION A review of call records related to the pilot’s cellphone number revealed that two calls occurred near the time of the accident. An outbound call was initiated at 1614, which was 9 minutes, 29 seconds in duration. An inbound call was received at 1625, which was 2 minutes, 7 seconds in duration. Allsubsequent calls to the pilot’s cellphone number went to voicemail.

Aircraft

Registration
N4843J
Reported as
Air Tractor AT-402B
Category
Airplane
Serial number
402B-1207
Airframe hours
734
Engine
P&W Canada PT6A-15AG, 680 horsepower, turbo prop
Damage
Substantial damage
Fire
On-Ground
Flight
Aerial application · Part 137
Operator
Friesenborg & Larson Custom Spraying LC
Registered owner
Friesenborg & Larson Custom Spraying LC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · June 1, 2012
Departed
FXY · Forest City, IA
Airport
MCW · Mason City Municipal

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
38
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Front
Toxicology
Performed
Flight hours
2,890 total

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 12 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 64 °F
Altimeter
29.84 inHg
Observed at
MCW, 19 nm away

Docket · 13

The files NTSB released with the investigation on April 23, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 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.