CHI07FA022

NTSB accident investigation · Cessna T303 · Mill Creek, IN · November 14, 2006

Accident · FatalField investigationFinal report
Date
November 13, 2006, 20:03 local (Nov 14, 2006, 01:03 UTC)
Place
Mill Creek, IN
Injuries
5 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N611BBCessna T303
Weather
Visual (VMC) · Night
Status
Completed · report March 31, 2008
Report
Approved by Office Director
Parties
FAA, Cessna, Teledyne Continental
FAA report
20061113026879A
Case key
64859

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 pilot became spatially disoriented and as a result failed to maintain control of the airplane. Factors associated with the accident were the instrument meteorological conditions aloft and the pilot being fatigued.

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 control - in flightClimb - to cruise
Aircraft weight and balance - exceededPilot in command
Weather condition - cloudsFactor
Spatial disorientationPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
FatiguePilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The pilot departed his home airport at 0502 and landed at another airport where he picked up employees of a marketing company to fly them to an out of state meeting. The accident occurred at 2003 shortly after taking off on the return trip to fly the employees back home. Shortly before departure a fourth passenger was added to the flight after his commercial flight was cancelled. A person who worked for the fixed base operator at the departure airport stated the pilot looked tired or just ready to go home. The pilot received his clearance for the IFR flight prior to takeoff. The pilot misread the clearance back to the controlled and was corrected. Radar data showed the pilot initially flew the assigned south-southwest heading prior to the airplane turning right to a westerly heading. The controller queried the pilot and issued a heading to intercept the VOR. The pilot corrected the heading and shortly thereafter the airplane once again began a right turn back toward the west. The airplane continued to climb throughout the heading changes. Radar data showed the airplane then began another left turn during which time it entered a spiraling rapid descent. According to weather data, the airplane was in instrument meteorological conditions when this occurred. The airplane impacted the terrain in an open cornfield. Weight and balance calculations indicate the airplane was at least 383 pounds over gross weight. Post accident inspection of the airplane and engines did not reveal any preexisting failure/malfunction.

Factual narrative

History of flight

On November 13, 2006, at 2003 (all times are eastern standard time unless noted), a Cessna T303, N611BB, collided with the terrain near Mill Creek, Indiana, following a loss of control while climbing to cruise altitude after takeoff. The private pilot and four passengers on board were fatally injured. The airplane was destroyed. The 14 Code of Federal Regulation Part 91 flight was operating in instrument meteorological conditions aloft and an instrument flight rules (IFR) flight plan was filed. The flight originated from the South Bend Regional Airport (SBN), at 1956. The intended destination for the flight was the Ankeny Regional Airport (IKV), Ankeny, Iowa.

The pilot departed the Atlantic Municipal Airport (AIO), Atlantic, Iowa, at 0502 central standard time (cst), on the day of the accident. He flew to IKV where he picked up passengers who were all employees of the same marketing company. The flight then departed at 0559 cst en route to SBN where it landed at 0854. Upon landing, the pilot instructed a line technician at the fixed base operator (FBO) to top off the airplane with fuel.

The pilot waited in South Bend while the passengers attended a business meeting. A person who worked for the FBO stated the pilot and three passengers were preparing to depart when they received word that another employee's commercial flight had been cancelled. She stated the pilot and one of the passengers left to pick up that employee on the other side of the airport. She stated that when they returned, the pilot and all four passengers departed in the accident airplane. In addition, she stated that the pilot looked tired or just ready to go home. The pilot filed two flight plans prior to departure. One flight plan was from SBN to IKV and the other was from IKV to AIO.

At 1941, the pilot contacted clearance delivery and was given a clearance for the flight. The pilot read back the clearance incorrectly and was corrected by the controller. The first portion of the clearance was to proceed direct to the KNOX very high frequency omni directional range (VOR).

At 1953, the pilot contacted the control tower stating he was ready for takeoff. The pilot was issued a departure heading of 220 degrees. After takeoff the pilot attempted to contact departure control while still on the tower frequency and prior to having been instructed to do so. Upon departure the pilot flew a westerly heading. The departure controller then instructed the pilot that the KNOX VOR was a 200 degree heading from his current position to which the pilot responded, "I'll look at it." Twenty seconds later the pilot radioed "South Bend approach one bravo bravo how's it looking now?" The control responded that the heading looked better and cleared the pilot direct to the KNOX VOR. The pilot acknowledged the radio call. One minute and twenty six seconds later the pilot transmitted his call sign. This was the last radio contact with the airplane.

Personnel information

The pilot, age 45, held a private pilot certificate with airplane single-engine land, airplane multi-engine land, and instrument airplane ratings. This certificate was issued on December 6, 2002, when the pilot added the multi-engine land rating. The pilot was issued a second-class medical certificate on February 4, 2005. This certificate did not contain any limitations.

The pilot's logbooks were not located during the investigation. He reported having a total of 504 hours of flight time as of February 4, 2005, when he applied for his last medical certificate. According to one of the co-owners of the accident airplane, the pilot's family estimated that he had between 800 and 900 total hours of flight time of which 100 hours were in the accident airplane. The pilot's father reported the accident pilot had been flying the accident airplane in excess of four years.

The pilot's father, a certified flight instructor, reported he gave the accident pilot a biennial flight review on November 13, 2005, and a 2-hour instrument proficiency check on October 17, 2006. The pilot's father provided copies of his own logbook, which showed entries for these flights.

Aircraft information

The accident airplane was a 1982 Cessna T303, s/n T30300145. It was a multi-engine, low wing, six-place airplane with retractable landing gear. The pilot was one of the owners of the airplane. A review of the maintenance logbooks indicated the most recent annual inspection was completed on May 10, 2006, at an hour meter reading of 1,345 hours. A review of the maintenance records indicate the airplane had a total time of approximately 4,476.8 hours as of October 20, 2006.

The airplane was equipped with two 250-horsepower, fuel injected, Continental TSIO-520-AE engines. The left engine, serial number 246158-R, was a zero time factory-rebuilt engine that was installed on N611BB on October 24, 1997, at an aircraft hour meter reading of 173.6 hours. The last maintenance entry for this engine was dated October 20, 2006, at an hour meter reading of 1,383 hours. The right engine, serial number 246712-R, was a zero time factory-rebuilt engine that was installed on N611BB on March 4, 2003, at an hour meter time of 862.1 hours. The last maintenance entry for this engine was dated October 6, 2006, at an hour meter time of 1,376.2 hours.

Meteorological information

At 1613, the pilot telephoned the Terre Haute Automated Flight Service Station (AFSS). He requested a weather briefing and filed IFR flight plans for flights from SBN to IKV, and from IKV to AIO. The briefer provided the current and forecast weather along the route of flight. The briefer also provided two advisories. One was for occasional rime or mixed icing in the clouds and in precipitation for Indiana and the northeastern quarter of Illinois from the freezing level to 16,000 feet. The other advisory was for IFR conditions from SBN into eastern Iowa. The pilot was issued a pilot report that stated the cloud tops in the SBN area were at 10,500 feet. He was also issued the winds aloft for 9,000 feet, which were from 280 degrees at 20 knots. The pilot then filed the flight plans stating a departure time of 1830 (2330 UTC) at an altitude of 10,000 feet with a total of 4 people on board.

At 1908, the pilot called the Terre Haute AFSS for an updated briefing. The pilot was issued flight advisories for IFR conditions to Dubuque and possible icing conditions west of Chicago. The briefer also provided the pilot with the current SBN weather.

Weather conditions recorded at SBN, located approximately 8 miles northeast of the accident site at 1954 were: Wind from 220 degrees at 5 knots; visibility 6 statute miles; scattered clouds 600 feet, ceiling 1,100 feet broken; temperature 4 degrees Celsius; dew point 2 degrees Celsius; altimeter 30.01 inches of mercury.

Wreckage and impact information

The wreckage was located in a large cornfield about 8 miles west-southwest of SBN. The nearest road intersection was RR 200N and 925E. The terrain elevation was 884 feet. The main wreckage came to rest on a heading of 020 degrees. The majority of the wreckage was located in one area. There were pieces of wreckage scattered along a path that extended approximately 300 feet in a 110 magnetic degree direction from the main wreckage. The piece of wreckage furthest away from the main wreckage was an electric fuel pump. The other scattered wreckage consisted mainly of wing skin, fuselage skin, and seat components.

The airframe was fragmented and all of the main structure and flight controls surfaces were located at the accident site. The empennage was folded upward coming to rest on top of the rear fuselage. The cockpit area was destroyed. The top of the aft fuselage was crushed to the floorboards.

The top leading edge of the vertical stabilizer was crushed back to the rudder. The right horizontal

Aircraft

Registration
N611BB
Reported as
Cessna T303
Category
Airplane
Serial number
T30300145
Airframe hours
4,577
Engines
Continental TSIO-520-AE, 250 horsepower, reciprocatingContinental TSIO-520-AE, 250 horsepower, reciprocating
Damage
Destroyed
Flight
Part 91
Registered owner
CPRT Investment, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2006
Departed
SBN · South Bend, IA
Destination
IKV · Ankeny, IA
Flight plan
IFR

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
45
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
November 1, 2005
Seat
Left
Flight hours
504 total

Weather

Conditions
Visual (VMC) · Night
Wind
220° at 5 knots
Visibility
6 statute miles
Lowest ceiling
1,100 ft overcast
Temperature
39 °F, dew point 36 °F
Altimeter
30.01 inHg
Observed at
SBN, 8 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.