CEN20CA100

NTSB accident investigation · Commander 114 · Coldwater, MI · February 22, 2020

Accident · Minor injuriesData collectionFinal report
Date
February 22, 2020, 14:30 local (19:30 UTC)
Place
Coldwater, MI
Injuries
1 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N374JWCommander 114
Defining event
Landing: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed · report August 27, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20200222000239A
Case key
100985

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 flight instructor’s inadequate communication with the pilot under review about his intention to simulate a single-engine failure and his subsequent exceedance of the airplane’s critical angle of attack when the pilot did not respond as expected, which resulted in an aerodynamic stall at low altitude.

Findings · 4

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.

Communication (personnel)Personnel issues › Task performance · Instructor/check pilotCommander 114-B: 1 caseAll aircraft: 17 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotCommander 114-B: 2 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedCommander 114-B: 1 caseAll aircraft: 990 casesProbable cause
Info processing/decision: expectation/assumptionPersonnel issues › Action/decision · Instructor/check pilotCommander 114-B: 1 caseAll aircraft: 51 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 flight instructor reported that, during a flight review for the pilot, after takeoff and when the airplane was between about 300 and 400 ft above ground level, he reduced the throttle to idle to simulate an engine failure. The instructor expected the pilot to make a gradual right turn to land midfield on the intersecting runway. However, the pilot did not respond as expected, so the instructor assumed control, made a right turn, and lowered the airplane's nose. The pilot reported that, about the same time, he thought the airplane was too low, so he advanced the throttle full forward, but they could not arrest the descent. They felt the airplane shudder, and it experienced an aerodynamic stall and impacted terrain. A postimpact fire ensued under the engine cowling, which the passenger extinguished using the onboard fire extinguisher. The airplane sustained substantial damage to the fuselage and both wings. Examination of the propeller revealed curling and chordwise scratches on the blades, and the engine monitor indicated that the engine was turning at 2,625 rpm after the throttle was pushed forward, both of which are consistent with the engine producing high power at the time of the accident.

Factual narrative

The purpose of the flight was to complete a flight review for the commercial rated pilot in the left seat with the flight instructor in the right seat. After takeoff and about 300 ft agl, the flight instructor reduced the throttle to idle to simulate an engine failure. The flight instructor expected the pilot to make a gradual right turn to land mid-field on the intersecting runway. The pilot did not respond as expected so the flight instructor assumed control, made a right turn, and lowered the airplane's nose. About the same time the pilot thought they were too low and advanced the throttle full forward. They felt the airplane shudder and experienced an aerodynamic stall before it impacted the ground. A postimpact fire ensure under the engine cowling that was extinguished by the passenger using the onboard fire extinguisher. The airplane sustained substantial damage to the fuselage and both wings. Examination of the propeller noted curling and chordwise scratches on the blades. Additionally, the engine monitor indicated the engine was turning at 2,625 rpm at the time of the accident, consistent with the engine producing high power.

Aircraft

Registration
N374JW
Reported as
Commander 114 (B)
Category
Airplane
Serial number
14595
Built
1993
Airframe hours
1,882
Engine
Lycoming IO-540-T4B5, 260 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2019
Departed
OEB · Coldwater, MI
Destination
OEB · Coldwater, MI
Airport
OEB · Branch County Memorial, runway 04, 3,500 × 75 ft, asphalt
Equipment
Onboard weather, Handheld GPS, Stall warning system, ADS-B, Auto-pilot, Data recorder

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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
70
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 26, 2018
Seat
Left
Restraint
3-point
Flight hours
1,783 total · 1,682 in this make and model · 1,702 as pilot in command · 8 in the last 90 days · 3 in the last 30 days
Role
Flight instructor
Age
72
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
February 19, 2020
Seat
Right
Restraint
3-point
Flight hours
3,610 total · 54 in this make and model · 3,432 as pilot in command · 10 in the last 30 days
Role
Pilot-rated passenger
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Seat
Right
Restraint
3-point

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 14 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
None
Temperature
41 °F, dew point 25 °F
Altimeter
30.18 inHg
Observed at
KOEB

Docket · 3

The files NTSB released with the investigation on March 25, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.6 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.