CEN15LA069

NTSB accident investigation · Cirrus Design SR20 · Fort Collins, CO · December 5, 2014

Accident · Serious injuriesLimited investigationFinal report
Date
December 5, 2014, 14:28 local (21:28 UTC)
Place
Fort Collins, CO
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N407NDCirrus Design SR20
Defining event
Approach-VFR pattern final: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report November 5, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
Cirrus Aircraft, Continental Motors, Flight Standards District Office, Amsafe
FAA report
20141205021179A
Case key
90472

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 student pilot’s failure to comprehend the significance of the wake turbulence that a preceding helicopter would generate during departure, which resulted in a loss of airplane control during landing. Contributing to the accident was the lack of Federal Aviation Administration wake turbulence separation criteria for a small airplane following a helicopter.

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.

Info processing/decision: understanding/comprehensionPersonnel issues › Action/decision · Student/instructed pilotCirrus Design SR20: 2 casesAll aircraft: 70 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleCirrus Design SR20: 6 casesAll aircraft: 1,269 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotCirrus Design SR20: 47 casesAll aircraft: 9,295 casesProbable cause
Turbulence: wake turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on operationCirrus Design SR20: 1 caseAll aircraft: 47 casesProbable cause
Policy/procedure: adequacy of policy/procOrganizational issues › Management · FAA/RegulatorCirrus Design SR20: 1 caseAll aircraft: 106 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 in a Cirrus SR20 airplane at an uncontrolled airport. An airport video showed the student attempting to land on a runway about 30 seconds after the departure of a Sikorsky UH-60 helicopter. The student pilot reported that he was aware of the helicopter and that he attempted to land long. However, just before touchdown, the airplane encountered the wake turbulence of the helicopter and then entered an uncommanded steep left bank. The student attempted to counter the left bank and go around, but he was unable to maintain airplane control. The airplane subsequently impacted left of the runway and cartwheeled. Current Federal Aviation Administration pilot guidance, including the Airman's Information Manual and an advisory circular on aircraft wake turbulence, does not recommend separation criteria for a small airplane following a helicopter. It is likely that the student pilot did not comprehend the significance of the wake turbulence that the helicopter would generate during departure.

Factual narrative

FAA Flight Test Report In February 1996, the Federal Aviation Administration (FAA) Technical Center released a flight test report (DOT/FAA/CT-94/117) on the hazards of rotorcraft wake vortices in forward flight. The flight test utilized a laser Doppler velocimeter (LDV) to measure helicopter wake vortices. Four helicopters, with weights ranging from 7,600 to 70,000 pounds, were utilized as the wake vortex generating aircraft. The maximum duration for vortex life, as measured by the LDV, was 75 seconds for the UH-60. The FAA flight test report made the following conclusions: --Medium weight helicopters, such as the S-76A and UH-1….can leave active, potentially hazardous vortices for up to 90 seconds. Separations for small aircraft behind these rotorcraft should therefore be in the 90-second range. --Larger helicopters, such as the CH-47D and CH-53E ….were observed to have longer hazard times. A 120-second separation should be adequate for operations behind these rotorcraft. --Information on the wake vortex hazard behind these rotorcraft, including delineation by class, should be included in the Airman's Information Manual and the Wake Vortex Advisory Circular. The FAA flight test report is included in the public docket for this investigation. FAA Pilot guidance Current FAA airman information manual (AIM) and advisory circular (AC) 90-23G on aircraft wake turbulence do not recommend an in-trail distance or timing separation for an airplane following a helicopter. The AC contains a general wake turbulence statement: "pilots should avoid helicopter vortices since helicopter forward flight airspeeds are often very low, which generate strong wake turbulence." On December 5, 2014, about 1428 mountain standard time, a Cirrus SR20 airplane, N407ND, impacted terrain during approach at the Fort Collins-Loveland Municipal Airport (FNL), near Fort Collins, Colorado. The solo student pilot was seriously injured and the aircraft was substantially damaged. The aircraft was registered to and operated by Cirrus LLC under the provisions of 14 Code of Federal Regulations Part 91 as an instructional flight. Day visual meteorological conditions prevailed for the local flight, which departed without a flight plan. The student pilot stated that he entered the traffic pattern at FNL for a full stop landing on runway 33. He observed a Sikorsky UH-60 helicopter on downwind and delayed his turn to base until the helicopter was on final, abeam his position. While on final, the student pilot adjusted his aim point to land long, as he was concerned with wake turbulence and wanted to land beyond the helicopter's touchdown point. Just prior to landing, he encountered turbulent air, entered into an uncommanded steep left bank, and attempted to go around. The pilot was unable to maintain control and the airplane subsequently impacted terrain and cartwheeled, which resulted in damage to the fuselage and both wings. An airport surveillance camera at FNL captured the accidentairplane approaching the runway about 30 seconds in trail of the departing UH-60 helicopter. At 1435 the weather observation station at FNL reported the following conditions: wind 110 degrees at 3 knots, visibility 10 miles, clear sky, temperature 14 degrees C, dew point 4 degrees C, altimeter setting 30.22 inches of mercury. AmSafe airbag seatbelt assemblies were mounted in the two front crew seats of the accident aircraft. Neither of the two airbag seatbelts deployed as the airplane cartwheeled. On January 6, 2015, a wreckage review was conducted, which included examination of the crew seats and airbag seatbelt assemblies. The AmSafe inflatable restraint system is self-contained and not connected to aircraft electrical power. Each restraint system includes an inflatable restraint harness (which includes the harness/seatbelt, an airbag inserted in the seatbelt webbing and a Kevlar inflator hose), an inflator assembly (which includes a helium gas canister) and an inflator interface cable. The two front crew seat AmSafe inflatable restraints are controlled by an electronics module assembly (EMA). The EMA's dual crash sensors evaluate the acceleration and impact energy or crash pulse. The EMA's crash sensors only sense a longitudinal G input and require a continuous pulse of a minimum of 6+G's, which must load both sensors at the same time for 40-50 millseconds before the system will send a crash pulse signal to the inflator. A review of data downloaded from the Primary Flight Display (PFD) revealed that longitudinal Gs necessary to trigger the EMA crash sensors did not occur during the accident sequence. Examination of the right front crew seat revealed that the right airbag seatbelt's Kevlar inflator hose assembly was chafed. The inflator hose was chafed in a location about 6 to 7 inches from the hose fitting. The chafed area created a hole approximately 2 inches in length, 0.5 inches in width and completely through the Kevlar and rubber layers of the hose assembly. The chafed area was immediately forward of a storage pocket attached to the back of the right seat. The examination did not determine the source of the chafing. According to the AmSafe's Supplemental Instructions for Continued Airworthiness, a detailed visual inspection should be performed at least annually. The inspection requires a check of exposed hoses and cables for fraying and excessive wear of the hose and cable protective sleeving. Hose wear is acceptable as long as no holes are present. If any exposed hoses or cables show significant signs of fraying or excessive wear, such as holes, the assembly should be replaced. Examination also revealed that the electrical diagnostic check failed. The inflator interface cables had either loose and/or broken wires on the connectors for each of the two crew seats. These cables require inspection and testing annually.

Aircraft

Registration
N407ND
Reported as
Cirrus Design SR20
Category
Airplane
Serial number
1598
Built
2005
Airframe hours
3,740
Engine
Cont Motor IO-360 SER, 210 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Cirrus LLC
Registered owner
Cirrus LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 23, 2014 · 7.5 hours before
Departed
FNL · Fort Collins, CO
Destination
FNL · Fort Collins, CO
Flight plan
VFR
Airport
FNL · Fort Collins-Loveland Muni, runway 33, 8,500 × 100 ft, asphalt
Equipment
Auto-pilot, Electronic multifunction display, Electronic primary flight display, Stall warning system

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
47
Injuries
Serious
Certificate
Student
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
5-point
Flight hours
29 total · 27 in this make and model · 1 as pilot in command · 29 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 39 °F
Altimeter
30.21 inHg
Observed at
KFNL

Docket · 9

The files NTSB released with the investigation on October 13, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 168 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.