CEN14LA277

NTSB accident investigation · Cirrus Design SR22 · Durango, CO · June 1, 2014

Accident · No injuriesLimited investigationFinal report
Date
June 1, 2014, 14:26 local (20:26 UTC)
Place
Durango, CO
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N583KMCirrus Design SR22
Defining event
Approach-VFR pattern final: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report February 4, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors, Cirrus Aircraft, Federal Aviation Administration
FAA report
20140601009299A
Case key
89377

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 student pilot’s decision to fly solo into an unfamiliar, mountain airport during high-wind conditions. Contributing to the accident was a partial loss of engine power during the attempted go-around, which was caused by an over-rich mixture setting.

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.

Wind: high windEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionCirrus Design SR22: 1 caseAll aircraft: 112 casesProbable cause
Engine controls: mixture controlAircraft › Aircraft power plant · Incorrect use/operationCirrus Design SR22: 3 casesAll aircraft: 41 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

The student pilot was conducting a solo flight from his home airport on the coast to an airport located in the mountains. Just before landing, the airplane encountered a "strong downward gust," likely due to a combination of high-wind conditions (the local weather was wind at 16 knots gusting to 24 knots about the time of the accident) and a steep terrain dropoff near the approach end of the runway. The pilot attempted a go-around, but the engine did not respond with full power. He subsequently lost control of the airplane, which then impacted left of the runway. The pilot reported that the mixture might have been "too rich" during the go-around attempt. Examination of the engine revealed excessive sooting on the spark plugs, which is indicative of an over-rich mixture condition; this condition likely resulted in the partial loss of engine power during the go-around attempt. The student pilot had not flown into the mountain airport before and had not been cleared to fly the route by a flight instructor.

Factual narrative

On June 1, 2014, at 1426 mountain daylight time, a Cirrus SR22 airplane, N583KM, impacted terrain on approach to the Animas Air Park (00C), Durango, Colorado. The airplane was substantially damaged and the student pilot, the sole occupant, was not injured. The airplane was registered to and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Day visual meteorological conditions existed at the time of the accident and no flight plan was filed. The flight originated from Santa Monica Municipal Airport (SMO), Santa Monica, California at 1116. The student pilot was conducting a solo slight from his home airport on the coast to an airport located in the mountains. Just prior to landing on Runway 01, he encountered a "strong downward gust (dust devil)." The pilot applied power to go around, but perceived that the engine did not respond normally. The airplane subsequently impacted the ground to the left of the runway and the left and right leading edges of the wing and the vertical stabilizer were damaged after colliding with ground obstacles. The pilot reported that the mixture might have been "too rich" during the go-around attempt. The weather observation station at Durango-La Plata County Airport (DRO), Durango, Colorado, located about 6 miles southeast of 00C reported the following conditions at 1353: wind 270 degrees at 16 knots, with gusts to 24 knots, visibility 10 miles, clear skies, temperature 27 degrees Celsius (C), dew point minus 14 degrees C, altimeter setting 30.08. Density altitude for 00C at the time of the accident was calculated to be 9,376 feet. Terrain rises quickly to the west of 00C and a significant drop in elevation occurs just prior to the approach end of Runway 01. Because of this topography, large sink rates often occur near the threshold of Runway 01 when strong westerly winds are present, according to the airport manager. The student pilot's home airport was SMO and he flew nearly all of his 183 hours of flight training in the southern California area. He was not cleared for a solo flight to 00C, nor had he ever flown into 00C prior to the accident. His flight instructor had written "all solo flights require instructor release" in the endorsements section of his logbook. Review of recorded engine data revealed that the engine remained running during the event, but the fuel flow may have been too high for the field elevation/density altitude. Examination of the engine following the event revealed that all of the sparkplugs were covered in thick, black soot, consistent with carbon fouling and a mixture that was too rich. Examination of the cylinders via borescope revealed no anomalies with the pistons, cylinder barrels, cylinder heads, valves and valve seats. However, all of the components were covered in dark soot. The sparkplugs were cleaned and replaced in their respective cylinders and the engine was test run utilizing the airplane's fuel supply systemfrom the left fuel tank's outlet line and a substitute fuel tank. The engine ran normally throughout various power settings, including full power, with no anomalies noted.

Aircraft

Registration
N583KM
Reported as
Cirrus Design SR22
Category
Airplane
Serial number
0332
Built
2002
Airframe hours
1,296
Engine
Cont Motor IO-550 SERIES, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bucksbaum Robert
Registered owner
Bucksbaum Robert
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 16, 2013 · 169 hours before
Departed
KSMO · Santa Monica, CA
Destination
00C · Durango, CO
Airport
00C · Animas Air Park, runway 01, 5,010 × 50 ft, asphalt
Equipment
Stall warning system, Airframe parachute, Auto-pilot, Electronic multifunction display

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
Student pilot
Age
52
Injuries
None
Certificate
Student
Medical
Class 3, Without waivers/limitations
Last flight review
May 27, 2014
Seat
Left
Restraint
4-point
Flight hours
183 total · 151 in this make and model · 24 as pilot in command · 24 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 16 knots, gusting 24
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 7 °F
Altimeter
30.07 inHg
Observed at
KDRO, 6 nm away

Docket · 5

The files NTSB released with the investigation on December 29, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 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.