CEN21LA286

NTSB accident investigation · Ayres S2R-T34 · Leoti, KS · June 21, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 21, 2021, 16:15 local (21:15 UTC)
Place
Leoti, KS
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N4328PAyres S2R-T34
Defining event
Maneuvering-low-alt flying: Hazardous material leak/spill
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20210621006889A
Case key
103313

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 loss of visibility in the cockpit due to foam created by the chemicals loaded in the hopper, which resulted in his inability to maintain airplane control during low-level flight and an impact with terrain. Contributing to the accident was the combining of chemicals known to produce foam and the pilot’s failure to perform a jar test before flight as recommended.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAyres S2R-T34: 5 casesAll aircraft: 9,295 casesProbable cause
FluidsAircraft › Fluids/misc hardware · Fluid conditionAyres S2R-T34: 1 caseAll aircraft: 11 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleAyres S2R-T34: 4 casesAll aircraft: 1,310 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

Before the aerial application flight, the 510-gallon hopper was loaded with 450 gallons of a chemical mixture. While on his second spray pass, the pilot noticed the chemical mixture was reacting and foaming over and out the hooper vent. He climbed the airplane out of his second pass and noticed chemical foaming out of the overflow vent. He looked forward and observed the chemical reacting violently, and it began to emit from the hopper lid. The windshield became fully obscured with foam, and the pilot was unable to see anything outside the airplane. The pilot opened the window in attempt to determine his altitude when the airplane impacted terrain in a wings-level attitude. The airplane skidded on the terrain and came to rest upright. A postaccident examination of the airplane did not reveal any mechanical anomalies. A jar test of the chemical mixture used in the hopper was not performed by the pilot or the ground loading operations personnel as recommended by the manufacturer of one of the chemicals used. In addition, the technical sheet for one of the chemicals used contained a caution about a chemical foaming reaction when mixing it with other chemicals, one of which was also in the hopper. Due to the pilot’s view being obscured from foam originating from the hopper, the pilot was unable to maintain control and clearance from the terrain during the flight.

Factual narrative

On June 21, 2021, about 1615 central daylight time, an Ayres S2R-T34 airplane, N4328P, was involved in an accident near Leoti, Kansas. The commercial pilot sustained minor injuries, and the airplane sustained substantial damage. The airplane was being operated as a Title 14 Code of Federal Regulations Part 137 aerial application flight. According to the pilot, the 510-gallon hopper was loaded with 10 ounces of FoamBuster Max, 62.5 gallons of Buccaneer 5 Extra herbicide, 300 gallons of Kugler KQ-XRN fertilizer, and 87.5 gallons of water (450 gallons total mixture). While on his second spray pass, the pilot noticed the chemical mixture was foaming over and through the hooper vent. He climbed the airplane out of his second pass and noticed chemical foaming out of the overflow vent. He then looked forward and observed the chemical reacting violently, and it began to emit from the hopper lid. The windshield became fully obscured with foam, and the pilot was unable to see anything outside the airplane. The pilot opened the window in attempt to determine his altitude when the airplane impacted terrain in a wings-level attitude. The airplane skidded on the terrain and came to rest upright. The airplane sustained substantial damage to both wings and the fuselage. A postaccident examination of the airplane did not reveal any mechanical anomalies that would have precluded normal operation. The pilot reported he had recently replaced the hopper lid seal but could not recall the date. A jar test of the chemical mixture in the hopper was not performed by the pilot or the ground loading operations personnel. The Kugler KQ-XRN technical sheet precautions stated, in part, “Use caution when mixing KQ-XRN with phosphate, sulfur, humic acid and products containing glyphosate, a chemical foaming reaction may occur. Kugler recommends always performing a simple jar test when mixing KQ-XRN with any pesticides and fertilizers.” According to the Buccaneer 5 Extra active ingredients, the herbicide contains 53.8% glyphosate.

Aircraft

Registration
N4328P
Reported as
Ayres S2R-T34
Category
Airplane
Serial number
T41-154DC
Built
1991
Engine
P&W PT6A SER, 750 horsepower, turbo prop
Damage
Substantial damage
Flight
Aerial application · Part 137
Operator
Ag Solutions LLC
Registered owner
Ag Solutions LLC
Airworthiness certificate
Special, Restricted (Special)
Destination
Same as departure
Equipment
None

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
35
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Seat
Center
Restraint
4-point
Flight hours
2,300 total

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 48 °F
Altimeter
30.14 inHg
Observed at
KTQK, 22 nm away
METAR
KTQK 212115Z AUTO 34010KT 10SM 26/09 A3014 RMK AO2 T02560095

Docket · 6

The files NTSB released with the investigation on September 30, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.0 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.