CHI08FA055

NTSB accident investigation · Cessna 310R · Traverse City, MI · December 27, 2007

Accident · FatalField investigationFinal report
Date
December 27, 2007, 18:35 local (23:35 UTC)
Place
Traverse City, MI
Injuries
1 fatal, 1 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
N37249Cessna 310R
Weather
Instrument (IMC) · Night
Status
Completed · report January 14, 2009
Report
Approved by Office Director
Parties
FAA - GRR FSDO, Teledyne Continental Motors, RAM Aircraft, Cessna Aircraft
Case key
67347

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's failure to maintain a proper glidepath during the instrument approach, which led to his loss of control and subsequent impact with trees and terrain.

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 flightApproach
Weather condition - clouds
Proper glidepath - not maintainedPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with objectApproach
Object - tree(s)Factor
In flight collision with terrain/waterApproach
Terrain condition - ground

Analysis

The airplane was on an instrument flight rules flight plan and had been cleared for an instrument landing system approach to the destination airport. Radar data showed that during the final approach the airplane's position remained within the lateral bounds of the localizer beam, but varied to the left and right of the center of the beam. The altitude data showed that the airplane's descent profile was not stabilized and remained above the upper bound of the glideslope beam for about 2 minutes prior to the end of the data. The final descent rate was calculated to be about 1,500 feet per minute and the airspeed was calculated to be about 77 knots. No preimpact deficiencies were found with respect to the airplane, its engines, or systems. The weather conditions present at the time included a 1,700-foot overcast ceiling and icing conditions. Air traffic control communications showed that the pilot was made aware of the icing conditions.

Factual narrative

History of flight

On December 27, 2007, about 1835 eastern standard time, a Cessna 310R, N37249, piloted by a commercial pilot, was destroyed when it impacted the ground while approaching to land at the Cherry Capital Airport (TVC), Traverse City, Michigan. The 14 CFR Part 91 personal flight was operating in instrument meteorological conditions and was on an instrument flight rules flight plan. The airplane was on an instrument approach to runway 28 when the accident occurred. The pilot received serious injuries and the passenger was fatally injured. The flight originated from the South Bend Regional Airport (SBN), South Bend, Indiana, about 1720.

Radar data showed that the airplane departed SBN, climbed to 7,000 feet above mean sea level (msl), and proceeded on a northerly course toward TVC. The radar data and air traffic control (ATC) transmissions showed that the flight was uneventful during the cruise portion. At 1808, ATC cleared the flight to descend at the pilot's discretion to 5,000 feet msl. At 1814, ATC informed the pilot that another Cessna 310 airplane had reported light rime ice from 4,000 feet msl to 3,000 feet msl about 20 minutes prior to the transmission. At 1819, ATC informed the pilot that a DC-9 airplane landing at TVC reported moderate rime ice from 5,000 feet msl to 2,100 feet msl and that the cloud bases were at 2,100 feet msl. The pilot of the accident airplane acknowledged both icing reports. At 1825, the pilot reported that the airplane was accumulating light rime ice. The airplane was then cleared to descend at pilot's discretion to 4,000 feet msl. Subsequently, ATC cleared the airplane for the instrument landing system (ILS) runway 28 approach to TVC. At 1823, the pilot reported his position to the TVC control tower as "outside gwenn", which was the locator outer marker (LOM) for the ILS runway 28 approach. No further transmissions were received from the accident airplane.

Personnel information

The pilot, age 57, held a commercial pilot certificate with airplane multiengine and instrument airplane ratings. The certificate also listed private privileges for single engine airplanes. The pilot's second class medical certificate was issued on May 30, 2007, with the limitation that the pilot wear corrective lenses.

The pilot's flight logbooks were reported to have been consumed in the fire. The pilot estimated that he had accumulated a total of 1,550 hours total flight experience, 50 hours in the preceding 6 months, and 150 hours in the same make and model as the accident airplane.

Aircraft information

The airplane was a Cessna model 310R, serial number 310R0975. It was a twin engine monoplane of predominately aluminum construction with a tricycle retractable landing gear. The airplane was configured to seat 6 occupants including the pilot. The airplane was equipped with deicing boots on the wing and tail surfaces. It was powered by two Continental IO-520 series engines, each rated to produce 285 horsepower.

Meteorological information

At 1753 the reported weather conditions at TVC were: Wind 290 degrees at 7 knots; visibility 10 statute miles (sm); ceiling 1,700 feet overcast; temperature -1 degree Celsius (C); dew point -4 degrees C; altimeter setting 30.07 inches of mercury (in-Hg).

At 1853 the reported weather conditions at TVC were: Wind 290 degrees at 9 knots; visibility 10 sm; ceiling 1,700 feet overcast; temperature -1 degree C; dew point -4 degrees C; altimeter setting 30.11 in-Hg.

At the time of the accident, an Airmen's Meteorological Information advisory (AIRMET) was in effect for moderate icing conditions below 8,000 feet.

Airport information

TVC was a publicly owned airport and the airport's control tower was in operation at the time of the accident. Runway 28 was in use and the accident airplane was cleared for the runway 28 ILS approach. Runway 28 was an asphalt runway 6,500 feet in length and 147 feet wide. The ILS runway 28 approach provided lateral and vertical guidance to arriving aircraft.

Wreckage and impact information

The airplane came to rest in a wooded area about 1.5 miles east of TVC on the extended centerline of runway 28. The wreckage distribution indicated that the airplane struck trees and then impacted the ground in a steep nose down attitude. The airplane sustained impact and fire damage. Several tree branches about 2 inches in diameter were found with cuts presumed to have been made by the airplane's propellers.

All of the airplane's flight control surfaces were accounted for at the accident site. A portion of the left wing and tip tank were observed about 40 feet above the ground in a tree. The fuselage forward of the tail cone was consumed by the fire. The tail surfaces remained attached to the aft portion of the tail cone. The elevators and elevator trim tab remained attached to the horizontal stabilizer. The rudder and rudder trim tab remained attached to the vertical stabilizer. No anomalies were found to indicate a pre-impact failure of the airframe or control system.

Both propellers had separated from their respective engines. The airplane's engines were retained for further examination at the manufacturer's facility under the direct supervision of the National Transportation Safety Board's Investigator in charge. Both engines underwent a disassembly inspection. In each case, no anomalies were found to indicate a pre-impact failure of either engine.

Tests and research

Radar data was obtained from the FAA's National Track Analysis Program (NTAP). The airplane's flight track was plotted on the instrument approach procedure for the ILS runway 28 approach and a satellite image of the area surrounding the accident site. The reviewed data began at 1803:03 and showed the airplane in level flight at 6,800 feet msl. The airplane remained at this altitude until 1812:27 where it descended to and leveled off at 5,000 feet msl. The airplane remained at 5,000 feet until 1827:49. At this point, the airplane was on an intercept course for the ILS runway 28 approach. The data shows that after turning inbound toward the airport, the airplane's position varied both right and left of the localizer centerline, but remained within the bounds of the localizer beam for the remainder of the data. The airplane's altitude profile showed that it was centered on the glide slope when it was about 6 miles from the airport. The altitude profile showed that the airplane's descent profile did not match the 3 degree glideslope for the approach and the airplane was above the upper bound of the glideslope beam from 1832:25 to 1834:25. The last recorded radar return at 1834:37 showed the airplane at 1,400 feet msl and approximately on the centerline of both the glideslope and localizer; however, the airplane's descent rate at that point was calculated to be 1,500 feet per minute. The average airspeed during the last minute of the flight was 77 knots. The last radar return showed the airplane to be 2.2 nautical miles and 94 degrees from the approach end of runway 28.

Additional information

The Federal Aviation Administration, Cessna Aircraft, Teledyne Continental Motors, and RAM aircraft were parties to the investigation.

Aircraft

Registration
N37249
Reported as
Cessna 310R
Category
Airplane
Serial number
310R0975
Engines
Continental IO 520 Series, 285 horsepower, reciprocatingContinental IO 520 Series, 285 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
SBN · South Bend, IN
Destination
TVC · Traverse City, MI
Flight plan
IFR
Airport
TVC · Cherry Capital Airport, runway 28, 6,500 × 147 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
57
Injuries
Serious
Certificates
Commercial, Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
1,550 total · 150 in this make and model

Weather

Conditions
Instrument (IMC) · Night
Wind
290° at 7 knots
Visibility
10 statute miles
Lowest ceiling
1,700 ft overcast
Temperature
30 °F, dew point 25 °F
Altimeter
30.06 inHg
Observed at
TVC, 2 nm away

Docket · 13

The files NTSB released with the investigation on March 9, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 15.2 MB in all.