CHI04LA185

NTSB accident investigation · Varga 2150A · Winterset, IA · July 17, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
July 17, 2004, 10:30 local (15:30 UTC)
Place
Winterset, IA
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8422JVarga 2150A
Weather
Visual (VMC) · Day
Status
Completed · report July 7, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040717013479A
Case key
59699

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 inadequate supervision by the certified flight instructor, fuel starvation, visual/aural detection precluded by the certified flight instructor's seat position, and the inadequate crew coordination of both pilots during the instructional flight. A contributing factor was the low altitude at the time of engine power loss.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfGo-around (vfr)
Emergency procedure - simulatedPilot in command(cfi)
Visual/aural detectionPilot in command(cfi)Cause
Fluid,fuel - starvationCause
Supervision - inadequatePilot in command(cfi)Cause
Crew/group coordination - inadequateCause
Seat belt - removedPilot in command(cfi)
Forced landingDescent - emergency
In flight collision with terrain/waterEmergency landing
Altitude - lowFactor
Terrain condition - ground

Analysis

The instructional airplane impacted terrain during a go-around from a simulated forced landing at an uncontrolled airport. The two-place airplane was configured with forward and aft pilot positions. The front position was occupied by the student pilot for the flight. The fuel selector was located in the front cockpit. The certified flight instructor (CFI) stated that he explained to the student pilot that they would just read and point out the emergency checklist items. The student pilot stated that the CFI handed him the emergency checklist to run through an "engine failure landing" during which the student pilot shut off the fuel from both tanks. The student stated that he was not looking outside the airplane while going through the checklist and was not quite through with it when they were almost over the runway. Just as they were touching down, it appeared to the student pilot that a wind gust prevented a "straight lined landing" and they drifted off the runway and over a grass area adjacent to the runway. The CFI applied full power and took back off in an attempt to avoid a bump in the grass area. The student pilot was uninjured and reported that he was using the airplane seat belt and shoulder harness at the time of the accident. The CFI received serious facial injuries after he removed his shoulder harness in flight in order to be able to look at the front cockpit controls following the loss of engine power.

Factual narrative

On July 17, 2004, at 1030 central daylight time, a Varga 2150A, N8422J, operated by Winterset Aviation Services Inc., as an instructional airplane, received substantial damage when it impacted a soybean field during a go-around from runway 32 at Winterset-Madison County Airport (3Y3), Winterset, Iowa. Visual meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 instructional flight was not operating on a flight plan. The student pilot sustained minor injuries and the certified flight instructor (CFI) sustained serious injuries. The local flight originated from 3Y3 at 0830.

The student pilot stated that he and the CFI were simulating a power failure landing with the CFI at the controls. They entered the downwind leg of the pattern about 1,900 feet mean sea level or about 800 feet above ground level with the throttle at idle. The CFI handed him the emergency checklist to run through an "engine failure landing" during which he shut off the fuel from both tanks. The student stated that he was not looking outside the airplane while going through the checklist and was not quite through with it when they were almost over the runway. Just as they were touching down, it appeared a wind gust prevented a "straight lined landing" and they drifted off the runway onto the grass. A bump was ahead on the grass area, and the CFI applied full power and took back off. The student pilot stated that he did not turn the fuel selector back on, and the engine quit. The CFI pumped the throttle and asked if the fuel was off. The student pilot stated that he did not have time to react to turn the fuel on. They were about 50 feet above ground level and impacted a soybean field north of the runway.

The CFI stated that he explained to the student that they would go through the checklist and securing the engine, but they would just read those items and point to what they were doing. The CFI stated that they touched down a little hard and started to drift a bit to the right. The CFI added full power and they started climbing out normally. The engine then quit about 50 feet above ground level.

The CFI stated that he immediately checked the master switch, alternator, fuel pump, magnetos, and pulled the carburetor heat. He stated that he was confused because they were still showing fuel pressure. He could not see the fuel valve from the back seat so he asked the student if the if the fuel was on to which the student responded by saying yes. The CFI asked if he was sure to which the student responded by saying yes. The CFI stated that they were out of options and were going to try to land on the field ahead of them; he stated that it was a bad spot. The CFI stated they had too much airspeed to turn left and land on a road and almost too little to make the field.

The airplane hovered on the verge of a stall until it cleared the road. He then pushed the nose over a little in an attempt to build up some speed for the flare. I started to flare but ran out of altitude and the nose wheel hit the ground a little lower that the main wheels.

The student pilot was seated in the front pilot seat. He reported a total flight time of 4.6 hours, all of which had been accumulated in the accident airplane. The student pilot reported that he was using the airplane seat belt and shoulder harness at the time of the accident.

The CFI was seated in the rear pilot seat. He reported a total flight time of 4,942.5 hours, of which 60.3 hours were in the accident airplane make and model. The CFI reported that he was using the airplane seat belt but not the shoulder harness at the time of the accident. According to the Federal Aviation Administration inspector, the CFI removed his shoulder harness in order to be able to look at the front cockpit controls following the loss of engine power. The CFI received serious facial injuries.

Inspection of the airplane revealed that the fuel selector was located in the forward cockpit.

Aircraft

Registration
N8422J
Reported as
Varga 2150A
Category
Airplane
Serial number
VAC-167-80
Airframe hours
1,057.68
Engine
Lycoming O-320-A2C, 150 hp, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Winterset Aviation Services Inc.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · February 25, 2004 · 65.8 hours before
Departed
3Y3 · Winterset, IA
Destination
3Y3
Airport
3Y3 · Winterset-Madison County, runway 32, 3,000 × 50 ft, asphalt

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
26
Injuries
Serious
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
May 10, 2004
Seat
Rear
Flight hours
4,943 total · 60 in this make and model · 4,112 as pilot in command · 131 in the last 90 days · 60 in the last 30 days · 5 in the last 24 hours
Role
Student pilot
Age
39
Injuries
Minor
Certificate
Student
Seat
Front
Flight hours
5 total · 5 in this make and model · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 64 °F
Altimeter
30.04 inHg
Observed at
DSM, 19 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N8422J · 1

Matched to the same aircraft by N-number and date.