CEN21FA299

NTSB accident investigation · Cirrus Design SR22 · Lamoni, IA · July 1, 2021

Accident · FatalClass 3 · FieldFinal report
Date
July 1, 2021, 07:55 local (12:55 UTC)
Place
Lamoni, IA · Bean field west of airport
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N123RECirrus Design SR22
Defining event
Approach-VFR go-around: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Flight Standards District Office, Cirrus Aircraft
FAA report
20210701013269A
Case key
103396

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 did not maintain aircraft control during an attempted go-around after a bounced landing, which resulted in impact with terrain and a postimpact fire.

Findings · 2

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCirrus Design SR22: 94 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: lateral/bank controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCirrus Design SR22: 5 casesAll aircraft: 390 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 pilot flew a visual approach to the airport, where several witnesses observed the airplane bounce on the runway then heard an increase in engine power, consistent with the pilot’s attempt to initiate a go-around. The airplane banked left, with the left-wing tip striking the ground. It then cartwheeled and impacted the ground to the left of the runway. A postimpact fire ensued, and the pilot and passenger were not able to egress the airplane. Postaccident examinations of the airplane revealed no evidence of preimpact mechanical malfunctions or failures that would preclude normal operation. The airplane’s flaps were found in the retracted position. The airplane’s acute left bank during the attempted go-around was consistent with the pilot’s insufficient right rudder control to counter the airplane’s left-turning tendency associated with the increased engine power.

Factual narrative

According to the FAA Pilot’s Handbook of Aeronautical Knowledge, Aerodynamics of Flight (Chapter 5): To the pilot, “torque” (the left turning tendency of the airplane) is made up of four elements that cause or produce a twisting or rotating motion around at least one of the airplane’s three axes. These four elements are: Torque reaction from engine and propeller Corkscrewing effect of the slipstream Gyroscopic action of the propeller Asymmetric loading of the propeller (P-factor) The effects of each of these four elements of torque vary in value with changes in flight situations…to maintain positive control of the aircraft in all flight conditions, the pilot must apply the flight controls as necessary to compensate for these varying values. The airplane was equipped with an emergency egress hammer located in the center armrest that could be used to break through the windows. The use of the hammer to egress was described in the emergency procedures section of the pilot operating handbook. On July 1, 2021, about 0755 central daylight time, a Cirrus SR22 airplane, N123RE, was destroyed when it was involved in an accident at Lamoni Municipal Airport (LWD), Lamoni, Iowa. The private pilot and passenger sustained fatal injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to automatic dependent surveillance-broadcast (ADS-B) information, the airplane departed Creston Municipal Airport (CSQ), Creston, Iowa, at 0736, and flew to LWD. The pilot received flight-following from air traffic control (ATC) until about 14 miles northwest of LWD, an uncontrolled airport. The pilot did not communicate any concerns to ATC prior to leaving the frequency. The last ADS-B information showed the airplane on short final to runway 36 at LWD with a groundspeed of 74 knots. Several witnesses saw the airplane bounce during the landing on runway 36, followed by increase in engine noise “as if just making a touch and go.” Witnesses then observed the airplane bank left, with the left wing tip striking the ground. The airplane then “cartwheeled” and impacted the ground to the left of the runway. A postimpact fire ensued during which the pilot and passenger were not able to egress the airplane. An autopsy of the pilot was performed by the Iowa Office of the State Medical Examiner, Ankeny, Iowa. The cause of death was thermal injuries and smoke inhalation. Toxicology testing identified a carboxyhemoglobin saturation of 23% in the pilot’s blood, which was a level consistent with smoke inhalation. The pilot began flying in 2019. On November 4, 2020, the pilot failed a practical examination for a private pilot certificate that required reexamination for the areas of takeoff, landing, go-around, and navigation. On December 28, 2020, the pilot earned a private pilot certificate flying a Cessna 172. On March 28, 2021, the pilot completed transition training for the SR22 that included about 23 hours of flight instruction. Theairplane initially contacted the ground about 75 ft left of the runway edge and about 1,050 ft beyond the runway 36 threshold. Left wingtip debris was located about 60 ft beyond the initial ground scar and the debris path was on a heading of about 300°. Ground scars, consistent with propeller blade strikes, were located about 15 ft beyond the left wingtip debris, and the distance between five ground scars was about 3 ft. The airplane came to rest in a soybean field (see figure) about 60 ft beyond the propeller strike ground scars. Figure – Airplane at Accident Site The airplane sustained significant fire damage. Flight control continuity was confirmed, and the wing flaps were in the retracted position. The engine separated from the airframe during impact sequence. Engine continuity was established throughout the rotating group, valve train, and accessory section during hand rotation of the crankshaft. No evidence of preimpact mechanical malfunctions were observed during the postaccident examinations of the engine and airframe.

Aircraft

Registration
N123RE
Reported as
Cirrus Design SR22 (1051)
Category
Airplane
Serial number
1051
Built
2004
Airframe hours
1,157
Engine
Continental IO-550-N, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Airmark Group LLC
Registered owner
Airmark Group LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 2020 · 132 hours before
Departed
CSQ · Creston, IA
Destination
LWD · Lamoni, IA
Airport
LWD · Lamoni Muni, runway 18/36, 2,900 × 60 ft, concrete
Equipment
Electronic primary flight display, Stall warning system, ADS-B, 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
Pilot
Age
54
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
December 28, 2020
Seat
Left
Restraint
4-point
Toxicology
Performed
Flight hours
166 total · 45 in this make and model · 23 in the last 90 days · 8 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
360° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 64 °F
Altimeter
30.05 inHg
Observed at
KLWD
METAR
KLWD 011253Z AUTO 36007KT 10SM CLR 21/18 A3005 RMK AO2 SLP170 T02110183

Docket · 11

The files NTSB released with the investigation on April 20, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.8 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.