CHI99FA165

NTSB accident investigation · Air Tractor AT-400 · Elkhart, KS · May 25, 1999

Accident · FatalField investigationFinal report
Date
May 25, 1999, 09:45 local (14:45 UTC)
Place
Elkhart, KS
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N400MJAir Tractor AT-400
Weather
Instrument (IMC) · Day
Status
Completed · report May 12, 2000
Report
Approved by Office Director
FAA report
19990525005599A
Case key
46405

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 inadequate in-flight planning/decision and his inadvertent flight into instrument meteorological conditions which resulted in spatial disorientation and subsequent loss of aircraft control. Contributing to the accident was the poor weather conditions.

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.

In flight encounter with weatherApproach
Weather condition - cloudsFactor
In-flight planning/decision - inadequatePilot in commandCause
Flight into known adverse weather - inadvertentPilot in commandCause
Loss of control - in flightApproach
Altitude - lowPilot in command
Maneuver to avoid obstructions - abruptPilot in command
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - open field

Analysis

The aircraft was being flown from Ulysses, Kansas, following maintenance to the aerial spray system. A drilling rig worker, operating at a 96-foot tall temporary oil-drilling rig, located approximately 0.75 miles north of the accident site, said that the airplane came directly at them on a south heading. The worker reported that the altitude of the aircraft was below the height of the rig (96 feet) but above his position approximately 50 feet above ground level. The worker stated that the aircraft banked right to avoid the tower and flew southerly into the fog. The airplane impacted terrain approximately 0.75 miles south of the drilling rig. The weather 50 nautical miles east of the accident site was reported as overcast at 300 feet above ground level. Witnesses estimated the local ceiling to be 180 to 200 feet at the time of the accident. There is no record of the pilot obtaining a weather briefing. There were no mechanical discrepancies found during the examination of the wreckage that could be associated with a preexisting condition.

Factual narrative

History of flight

On May 25, 1999, approximately 0945 central daylight time (cdt), an Air Tractor AT-400, N400MJ, piloted by a commercial pilot, was destroyed on impact with the terrain approximately 1.5 statute miles north of the Elkhart-Morton County Airport, Elkhart, Kansas. The aerial spraying aircraft was on a repositioning flight and was operating under the provisions of 14 CFR Part 91 at the time of the accident. There was no flight plan on file. Visual meteorological conditions prevailed at the time of the accident. The pilot, who was the sole occupant, was fatally injured. The flight originated from the Ulysses Airport, Ulysses, Kansas, at approximately 0915 cdt, and was en route to the Elkhart-Morton County Airport.

The aircraft was being flown from Ulysses following maintenance to the aerial spray system. A drilling rig worker, operating at a 96-foot tall temporary oil-drilling rig, located approximately 0.75 miles north of the accident site, said that the airplane came directly at them on a south heading. The worker reported that the altitude of the aircraft was below the height of the rig (96 feet) but above his position approximately 50 feet above ground level. The worker stated that the aircraft banked right to avoid the tower and flew southerly into the fog.

Personnel information

The pilot born July 29, 1964, was the holder of a non-instrument rated commercial pilot certificate with privileges for single engine land. His most recent biennial flight review was on March 3, 1999. He held a second class medical certificate issued on April 16, 1999. The pilot logbooks indicated a total pilot time of 3,116 hours flying time as of February 5, 1999.

Aircraft information

The airplane was an Air Tractor AT-400, N400MJ, serial number 400-0676. The most recent annual inspection was conducted on February 12, 1999. At the time of this inspection, the airframe had accumulated a total time of 4,949 hours, and the engine had accumulated 6,195 hours. A Pratt and Whitney PT6A-15AG engine, serial number PCE-14056, powered the aircraft.

Meteorological information

The Liberal, Kansas weather reporting station, located approximately 50 nautical miles east of the accident site, was reporting an overcast ceiling at 300 feet above ground level with 3 statute miles of visibility approximately 10 minutes after the accident.

A reserve officer for the Morton County Sheriff's Office, who is a private pilot, estimated the ceiling to be 180 to 200 feet and improving when he reached the accident scene approximately 10 minutes after the accident.

A respondent from the Elkhart Fire Department stated that the top of the 180 foot tall grain elevators located in town were not visible at the time of the accident.

There is no record of the pilot obtaining a weather briefing prior to initiating the flight.

Wreckage and impact information

The airplane impacted the terrain in a rolling open field. The entire airplane was located and accounted for within an area 400 feet long and 120 feet wide originating from the initial impact point on a heading of 210 degrees magnetic. Within the initial impact marks was a ground scar approximately 1 foot by 4 feet containing green glass similar to a navigation light lens.

Examination of the wreckage was conducted and the control system was examined. The control system for the elevator, flaps and ailerons consists of push-pull rods/tubes. The rod end bearings were found and exhibited continuity with the remaining steel components of the control system. The aluminum push-pull tubes for the elevator and right aileron were destroyed in the post-impact fire. The aluminum push-pull tube for the left aileron was found intact. The rudder cables were found and continuity was established.

The propeller was separated at the propeller flange. Examination of the propeller blades revealed nicks in the leading edges of two of the three blades. All three propeller blades exhibited chordwise scratching.

The engine was examined and the front section of the engine case exhibited twisting in the direction opposite of normal propeller rotation.

There were no mechanical discrepancies found during the examination of the wreckage that could be associated with a preexisting condition.

Medical and pathological information

The Morton County Coroner, Elkhart, Kansas, performed an autopsy on the pilot on May 26, 1999.

A toxicological examination of specimens from the pilot revealed the presence of propoxyphene, norpropoxyphene and acetaminophen. According to the Physicians Desk Reference (PDR), propoxyphene is used for the relief of mild to moderate pain. The PDR also states that reported side effects include drowsiness, dizziness, nausea, and vomiting.

Fire

A post impact fire ensued which consumed the cockpit portion of the fuselage and the right wing. Respondents from the Elkhart Fire Department extinguished the fire.

Additional information

The Federal Aviation Administration Flight Standards District Office, Wichita, Kansas was a party to the investigation.

The airplane was released to a representative of the owner on May 26, 1999.

Aircraft

Registration
N400MJ
Reported as
Air Tractor AT-400
Category
Airplane
Serial number
400-0676
Airframe hours
4,949
Engine
P&W PT6A, 750 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Positioning · Part 91
Operator
Jordan Air
Registered owner
Gary Jordan, Graciela Jordan
Airworthiness certificate
Special, Restricted (Special)
Last inspection
Annual · February 12, 1999
Departed
EHA · Ulysses, KS
Destination
EHA

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
34
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Center
Toxicology
Performed
Flight hours
3,216 total · 3,155 as pilot in command · 100 in the last 90 days · 30 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
70° at 12 knots
Visibility
3 statute miles
Lowest ceiling
300 ft overcast
Temperature
59 °F
Altimeter
30.00 inHg
Observed at
LBL, 50 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.