CEN15LA345

NTSB accident investigation · Air Tractor AT 401 · Nekoosa, WI · August 5, 2015

Accident · No injuriesLimited investigationFinal report
Date
August 5, 2015, 13:30 local (18:30 UTC)
Place
Nekoosa, WI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N1539UAir Tractor AT 401
Defining event
Takeoff: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 2016
Report
Approved by Office Director
NTSB office
Central Region
Parties
Air Tractor, Inc., Federal Aviation Administration
FAA report
20150805014859A
Case key
91750

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 inadequate preflight planning, which resulted in his attempt to take off for the agricultural application flight with the airplane over its maximum gross weight in high-density altitude conditions and led to the airplane’s degraded climb performance and subsequent impact with terrain.

Findings · 6

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.

Aircraft capability: maximum weightAircraft › Aircraft oper/perf/capability · Capability exceededAir Tractor AT-401: 2 casesAll aircraft: 152 casesProbable cause
Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedAir Tractor AT-401: 1 caseAll aircraft: 265 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on operationAir Tractor AT-401: 1 caseAll aircraft: 278 casesProbable cause
Planning/preparationPersonnel issues › Task performance · PilotAir Tractor AT-401: 1 caseAll aircraft: 113 casesProbable cause
Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomeAir Tractor AT-401: 1 caseAll aircraft: 442 cases
Documentation/record keeping: maintenance recordsOrganizational issues › Support/oversight/monitoring · OperatorAir Tractor AT-401: 1 caseAll aircraft: 16 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 commercial pilot loaded the airplane with fuel and a chemical load for the agricultural application flight. During takeoff, the pilot started at the arrival end of the runway, held the brakes, and applied full takeoff power. The pilot reported that the takeoff roll was not noticeably different from any other takeoff he had conducted with a similar load and that the airplane's tail lifted at the usual point on the runway. However, the pilot stated that, as he continued the takeoff roll, the airplane was not "building speed" as it normally did. He attempted to get the airplane airborne but then "he felt that the airplane would not fly," so he dumped some of the chemical load, and the airplane subsequently became airborne. He closed the dump handle because he thought the airplane could clear the corn near the end of the runway; however, the airplane settled back toward the ground. As the pilot attempted to release more of the chemical load, the landing gear and spray booms contacted the corn, and the airplane subsequently impacted terrain, which caused substantial damage. The airplane manufacturer published a service letter (SL) that contained a procedure allowing the operator to operate the airplane higher than its certificated gross weight for agricultural operations; however, the airplane was calculated to be almost 400 lbs over the maximum gross weight listed in the SL at the time of the attempted takeoff. The SL also stated that, when the airplane is above the certificated gross weight, the operator should use caution when operating the airplane at elevations higher than 1,300 ft; the airport had a calculated density of 2,539 ft. The operation of the airplane in high-density altitude conditions over its maximum gross weight would have degraded the airplane's climb performance and resulted it its inability to remain airborne. The temperature during the accident flight was warmer than earlier in the day. The pilot was not used to flying the airplane in higher temperatures and probably did not account for the high-density altitude at the airport before the flight.

Factual narrative

On August 5, 2015, about 1330 central daylight time, an Air Tractor Inc. AT-401 airplane, N1539U, impacted terrain during takeoff at an airstrip near Nekoosa, Wisconsin. The commercial pilot was uninjured. The airplane sustained substantial wing and empennage damage. The airplane was registered to and operated by Kafer-Stone Applicator Service Inc. as a 14 Code of Federal Regulations Part 137 aerial application flight. Visual meteorological conditions prevailed about the time of the accident, and the flight was not operating on a flight plan. The local flight was originating at the time of the accident.According to the pilot's accident report, he loaded the airplane with fuel and its hopper load because the primary load man was not around. He loaded the hopper with approximately 360 gallons of aerial application liquid and serviced the airplane to approximately "3/4 of [its] fuel (about 94 gallons)" capacity. He taxied to the beginning of the runway and performed a run-up. The pilot did not notice anything unusual during the run-up. Following the run-up the pilot positioned the airplane with its tail section just off the end of the asphalt runway in order to use the full length of the runway. He then proceeded to hold the brakes and apply full takeoff power. He released the breaks and began the takeoff roll. The takeoff roll was not noticeably different from any other takeoff with a 360-gallon load. The tail came up at a point down the runway that he had experienced on other takeoffs so nothing seemed out of the ordinary. The pilot, in part, further stated that, "As my takeoff roll continued I did not feel that the airplane was building speed that this plane normally does. As I reached a point where I normally begin to get airborne I attempted to pull the plane off the ground. After doing so I felt that the airplane would not fly so that is when I began to release some of my load by opening the hopper gate using the dump handle. As some of my load was being dumped I started to become airborne. That is when I closed the dump handle believing I would be able to clear the standing corn without releasing any more of my load. However as I approached the corn field and tried to clear it I felt the airplane settle back toward the ground. That is when I attempted again to release my load. By that time it was too late that is when my main gear and spray booms contacted the corn which proceeded to bring me down." Air Tractor Service Letter (SL) 304 was reviewed. The SL, in part, stated: The purpose of this Service Letter is to describe the proper procedure for establishing a special purpose operating weight that is higher than the FAA certificated gross weight of the aircraft. ... When these aircraft are operating in the RESTRICTED category, the operator may use the guidance provided in CAM 8 and FAA Advisory Circular No. 20-33B to operate at weights higher than the certificated gross weight that is listed in the Flight Manual. ... The operator is allowedto increase the maximum weight of the aircraft to accommodate agricultural missions. ... AT-401 certificated maximum weight 6,000 lbs ... maximum operating weight 7,860 lbs ... When operating the aircraft at weights above the certificated maximum weight, the operator is responsible for the following: 1. The maximum hopper load is: 3,250 lbs for all AT-401/402 models ... 2. When operating at weights over the certificated maximum weight, the aircraft should never be flown faster than the design Maneuvering Speed, VA, of 140 mph (CAS). ... 3. CAM 8.10-4(b) (2) states that the aircraft "operator is responsible for adjusting the actual operating weight to provide safe margin of performance for the existing flight conditions. Appendix A [of CAM 8] contains information from which the effects of drag, weight, altitude, and temperature on aircraft performance may be estimated." When planning your next load, be sure to take into account density altitude, runway length/conditions, and terrain. Reduce your aircraft weight as necessary to allow for a safe flight. 4. Air Tractor recommends that the operator use caution when operating the aircraft from unfamiliar runways or at elevations higher than 1,300 ft. When operating the aircraft from any new location, it is recommended that the operator begin operations with a lightly loaded aircraft and work up to a higher weight in increments. Although a flight check is not required by CAM 8, it would be prudent for the operator to test the capabilities of the aircraft from the runway to be used. A record of this flight check can be made in the aircraft logbooks, detailing the elevation and length of the runway used. At 1258, the recorded weather at the Volk Field Airport (VOK), near Camp Douglas, Wisconsin, about 209 degrees and 26 nautical miles from the accident site, was wind variable at 3 knots; visibility 10 statute miles; sky condition scattered clouds at 5,000 feet, broken clouds at 25,000 feet; temperature 27 degrees C; dew point 12 degrees C; altimeter 30.05 inches. The calculated density altitude at VOK was 2,539.3 feet. Weather reports from nearby airports showed the temperature was cooler earlier in the day. The operator's accident report indicated that the airplane weighed 7,960 lbs at the time of the accident. The operator was asked to provide a copy of the logbook entry in reference to SL 304 and supplied a copy of the most recent weight and balance. The calculated weight for the flight using the empty weight of 4,425 lbs listed on the airplane's weight and balance, plus the weight of 94 gallons of fuel at 6.5 lbs per gallon (611 lbs), plus the weight of 360 gallons of aerial application liquid at 8.3 lbs per gallon (2,988 lbs), plus the weight of the pilot at his last annual (218 lbs), equaled 8,242 lbs.

Aircraft

Registration
N1539U
Reported as
Air Tractor AT 401 (UNDESIGNAT)
Category
Airplane
Serial number
401-0863
Built
1992
Airframe hours
4,991.6
Engine
Pratt and Whitney R-1340-AN-1, reciprocating
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Stones Aerial Applicator Service Inc
Registered owner
Kafer-Stone Applicator Service Inc
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · August 1, 2015
Departed
Nekoosa, WI
Destination
Nekoosa, WI
Equipment
Handheld GPS, 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
Pilot
Age
24
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Last flight review
October 6, 2014
Seat
Single
Flight hours
443.8 total · 123 in this make and model · 432.6 as pilot in command · 123.6 in the last 90 days · 75 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
81 °F, dew point 54 °F
Altimeter
30.04 inHg
Observed at
KVOK, 26 nm away

Docket · 5

The files NTSB released with the investigation on January 21, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.9 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.