CEN13FA039

NTSB accident investigation · Cessna 320E · San Marcos, TX · November 1, 2012

Accident · FatalField investigationFinal report
Date
November 1, 2012, 06:05 local (11:05 UTC)
Place
San Marcos, TX
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N10PMCessna 320E
Defining event
Initial climb: VFR encounter with IMC
Weather
Instrument (IMC) · Night/dark
Status
Completed · report June 12, 2013
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors, Cessna Aircraft Company, FAA
FAA report
20121101026769A
Case key
85483

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 non-instrument-rated pilot’s decision to takeoff in night instrument meteorological conditions, which resulted in spatial disorientation and a loss of control.

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.

Experience/qualifications: total instrument experiencePersonnel issues › Experience/knowledge · PilotCessna 320E: 1 caseAll aircraft: 66 casesProbable cause
Ceiling/visibility/precip: fogEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionCessna 320E: 1 caseAll aircraft: 78 cases
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 320E: 2 casesAll aircraft: 9,295 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 fixed-base operator employee observed the pilot preflight his twin-engine airplane and then pulled the pilot’s airplane from the hangar. The employee gave the pilot directions to runway 17 but was unable to see him taxi to that location because of fog. The non-instrument-rated pilot subsequently took off in night instrument meteorological conditions with visibility less than 2 1/2 miles. The airplane crashed less than 1 mile south of the airport shortly after takeoff and witnesses saw and heard the resultant explosion. Video footage of the accident revealed that the airplane impacted the ground in a 45-degree nose-down attitude. Examination of the airplane and engines did not reveal any mechanical anomalies that would have precluded normal operation. Based on the wreckage distribution, low visibility, and the pilot’s lack of an instrument rating, the accident is consistent with the pilot’s loss of control due to spatial disorientation.

Factual narrative

HISTORY OF FLIGHT On November 1, 2012, about 0605 central daylight time, a Cessna 320E airplane, N10PM, collided with terrain shortly after takeoff from San Marcos Municipal Airport (KHYI), San Marcos, Texas. The non-instrument rated private pilot was fatally injured and the airplane was substantially damaged. The airplane was registered to and operated by a private individual and was conducted under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Night instrument meteorological conditions prevailed and no flight plan was filed. The flight was originating at the time of the accident and was destined for Theodore Roosevelt Regional Airport (KDIK), Dickinson, North Dakota. According to an employee from the local fixed base operator (FBO), after observing the pilot preflight the accident airplane he pulled it out of a hangar and gave him directions to runway 17. The FBO employee was unable to see the airplane taxi out to the runway due to fog at the airport. Shortly after, the employee heard the airplane crash. According to those in contact with the pilot before the accident, the pilot intended to fly from San Marcos, TX to Dickinson, ND in the same day. The locations and number of intended stops for fuel were unknown. PERSONNEL INFORMATION The pilot, age 66, held a private pilot certificate for airplane single-engine land and multi-engine land issued May 30, 2011. The pilot’s last medical certificate held was a Class 3 special authorization with interim issuance; this medical certificate was issued on October 5, 2010, with the limitations that it was not valid for any class after October 5, 2011. On the application for the medical certificate, the pilot reported 800 total flight hours and 25 hours in the past 6 months. A review of the pilot’s airman records, on file with the Federal Aviation Administration (FAA), revealed that the pilot applied for and received a multi-engine rating for his private pilot certificate on May 30, 2011. On the application for the multi-engine rating, the pilot reported 754 hours total time, 60 hours of instruction received, 694 hours total as pilot in command (PIC), 5 hours of actual instrument time, and 100 hours of night PIC. The pilot’s current logbook was recovered for examination. A review of the logbook revealed that entries began on May 23, 2011 and revealed 39.6 hours in a multiengine airplane, 10.6 hours instruction received in a multiengine airplane, and 29 hours pilot in command in the accident airplane. The pilot’s total flight time is estimated to be 783 hours and 5 hours of actual instrument time. The pilot's previous logbooks were not recovered; therefore, the entire scope of his experience could not be determined. AIRCRAFT INFORMATION The accident airplane was a Cessna 320, which is a six seat, low-wing, retractable gear airplane, serial number 320E-0087, was manufactured in 1967. It was powered by two 285 horsepower Continental TSIO-520-B engines and equipped with twoMcCauley model 3AF32C87 LNR constant-speed propellers. Review of the maintenance records revealed that the last annual inspection on the engines, airframe, and propellers was completed on February 3, 2011. The next annual inspection should have been completed on or before February 29, 2012, however no logbook entry for that was found. METEOROLOGICAL INFORMATION The automated weather reporting station located at KHYI, reported at 0555 the conditions were: wind from 310 degrees at 3 knots, visibility 2 ½ miles, sky condition overcast at 400 feet, temperature 16 degrees Celsius (C), dew point 14 degrees C, and altimeter 30.04 inches of mercury. The next report for KHYI, issued at 0615, reported: wind calm, visibility ½ mile, sky condition overcast at 200 feet, temperature 17 degrees C, dew point 16 degrees C, and altimeter 30.04 inches. On the day of the accident, civil twilight began at 0720 and official sunrise was at 0745. There was no record of the pilot receiving a weather briefing, nor was there a record of a flight plan. WRECKAGE AND IMPACT INFORMATION An on-site examination was conducted on November 1, 2012. The airplane impacted the ground, to the north of a railroad track, in an open field. The accident site initiated with a short narrow ground scar. The ground scars and wreckage were consistent with the airplane impacting the ground approximately 45 degrees nose down with debris scattered over a 300 foot path along a 290-degree magnetic heading. The main wreckage was located approximately 200 feet from the initial impact point. The main wreckage came to rest inverted, facing a 184-degree magnetic heading, and included both engines, the left wing, the empennage, the main landing gear, the top of the fuselage, and a portion of thermally damaged fuselage. The fuselage sustained fire damage and was mostly unrecognizable. The top of the fuselage remained partially intact and separated from the wreckage. The empennage remained attached to the fuselage remnants. The skin exhibited wrinkling, small punctures, and thermal damage where the empennage and fuselage connect. The left wing remained attached to the fuselage remnants and included the aileron, flap, and engine nacelle. The right wing separated from the fuselage and was located between 90 and 150 feet from the initial impact point. The separated pieces included wing skin, tip tank, aileron and flap. The three-bladed propellers were separated from their respective engines and were located in the field near the main wreckage. The blades from the right propeller remained attached to the propeller hub. They exhibited rotational scoring and bending. The blades from the left propeller were separated from the propeller hub, exhibited rotational scoring, slight bending, gouges, and scratches to the leading edges. The left and right engines sustained impact and fire damage. Both crankshafts had small torsional cracks near the flanges. The crankshafts were rotated from the accessory housing andcontinuity and compression was confirmed to both engines. The spark plugs contained soot deposits and all had normal wear signatures when compared to a Champion Aviation Service Manual AV6-R. No anomalies were found that would have precluded normal operation and production of rated horsepower from either engine. MEDICAL AND PATHOLOGICAL INFORMATION An autopsy was performed on the pilot by the Central Texas Autopsy, PLLC. The pilot’s cause of death was listed as multiple blunt force injuries. The FAA Civil Aerospace Medical Institute prepared a Final Forensic Toxicology Fatal Accident Report. The results were negative for all screened substances. ADDITIONAL INFORMATION Train Video Evidence The NTSB Vehicle Recorder Laboratory received a video file from a Wabtec Traintrax LDVR train mounted video recording system. The video was recorded from the camera mounted on the front of a train that passed by the accident site during the accident sequence. The Wabtec Traintrax Video records to an external hard drive in black and white format. The train was traveling westbound at the time it recorded the aircraft accident. A review of the video revealed that the visibility in front of the train was restricted by fog, precipitation, or a combination of the two in the vicinity of the accident location. The video quality and night lighting conditions hindered unambiguous identification of the visibility restrictions. A time lapse sequence of eight consecutive frames, about 30 seconds in time, revealed the airplane moving from left to right and was approximately 45 degrees nose down. The video revealed that the airplane impacted the ground north of the railroad tracks and the motion continued northerly along the ground. About 1.5 seconds after the last image recorded on the time lapse photograph, an explosive fire saturated the video image for about 1 second. Engine Data Monitoring Unit The accident airplane was equipped with a J.P Instruments 760 engine data management (EDM) unit. The NTSB Vehicle Recorder Laboratory downloaded all available information from the unit. The EDM recorded cylinder head temperatures (CHT) and exhaust gas temperatures (EGT) for each engine plus the battery voltage. The EDM was recording data every 6 seconds. The information downloaded from EDM revealed that after the engines were started, the CHTs were between 200 and 400 degrees Fahrenheit (F), the EGTs were between 1000 and 1600 degrees F, and the battery voltage was consistently reading around 26 volts.

Aircraft

Registration
N10PM
Reported as
Cessna 320E
Category
Airplane
Serial number
320E-0087
Engines
Cont Motor TSIO-520-B, 285 horsepower, reciprocatingCont Motor GTSIO-520-C, 340 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Clarence Schollmeyer
Registered owner
Clarence Schollmeyer
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 3, 2011
Departed
KHYI · San Marcos, TX
Airport
KHYI · San Marcos Municipal Airport

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
66
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 3, With waivers/limitations
Last flight review
May 30, 2011
Seat
Left
Toxicology
Performed
Flight hours
783 total · 29 in this make and model · 733 as pilot in command · 0 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
310° at 3 knots
Visibility
2 statute miles
Lowest ceiling
400 ft overcast
Temperature
61 °F, dew point 57 °F
Altimeter
30.04 inHg
Observed at
KHYI

Docket · 12

The files NTSB released with the investigation on April 22, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.3 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.