DFW08TA225

NTSB accident investigation · Diamond Aircraft Industries DA-20-C-1 · Pueblo, CO · September 8, 2008

Accident · Serious injuriesFinal report
Date
September 8, 2008, 11:47 local (17:47 UTC)
Place
Pueblo, CO
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N939DADiamond Aircraft Industries DA-20-C-1
Defining event
Approach-VFR pattern final: Aircraft wake turb encounter
Weather
Visual (VMC) · Day
Status
Completed · report March 5, 2009
Report
Approved by Office Director
Parties
United States Air Force, Diamond Aircraft Industries, Doss Aviation, FAA FSDO, Teledyne Continental Motors
FAA report
20080908845989A
Case key
68892

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 student pilot's inability to maintain aircraft control due to an encounter with wake turbulence from a preceding larger aircraft. Contributing to the accident was the instructor pilot's failure to intervene.

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.

Performance/control parametersAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleDiamond Aircraft Ind DA20-C1: 5 casesAll aircraft: 1,269 casesProbable cause
Turbulence: wake turbulenceEnvironmental issues › Conditions/weather/phenomena · Ability to respond/compensateDiamond Aircraft Ind DA20-C1: 2 casesAll aircraft: 47 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · Student/instructed pilotDiamond Aircraft Ind DA20-C1: 37 casesAll aircraft: 9,295 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · Instructor/check pilotDiamond Aircraft Ind DA20-C1: 6 casesAll aircraft: 792 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

According to the flight instructor and student pilot, while maneuvering to land, the accident airplane encountered wake turbulence from a preceding C-130 airplane. The accident airplane then began an uncommanded pitch, roll, and descent that could not be arrested prior to an impact with terrain. A review of radar data revealed that the flight path of the accident airplane was in an area favorable for a wake vortex encounter. No anomalies were reported by the flight instructor and student pilot or noted during the postaccident examination of the airframe and engine.

Factual narrative

On September 8, 2008, at approximately 1147 mountain daylight time, a single-engine Diamond DA-20-C-1 airplane, N939DA, was substantially damaged upon impact with terrain near Pueblo Memorial Airport (PUB), Pueblo, Colorado. The flight instructor and student pilot were seriously injured. The airplane was owned by Doss Aviation Incorporated and operated under contract by the United States Air Force (USAF). The airplane departed PUB for the local instructional flight. Visual meteorological conditions prevailed for the 14 Code of Federal Regulations Part 91 public use flight. According to the flight instructor and student pilot, while entering the pattern for runway 8L's overhead pattern, they were informed by the tower controller to follow a C-130 and to be cautious of wake turbulence. With direction from the flight instructor, the student pilot turned and entered the downwind leg. The flight instructor recalled seeing the C-130 on a wide pattern and elected to lengthen the downwind leg and began to turn to final approximately 1 nautical mile past the runway threshold. Both pilots recalled that engine and airspeed parameters appeared "normal." Once the airplane was level on final, the student pilot was attempting to "keep it high," but noted that the glide slope indicators displayed "2 red/2 white." Furthermore, the student pilot reported that at approximately 1/2 mile from the threshold, the airplane encountered wake turbulence from the preceding C-130. The airplane began an uncommanded pitch up, rolled left and then began descending. Full throttle and opposite flight controls were applied. Despite attempts to regain level flight by both the student pilot and the flight instructor, the airplane descended until it collided with terrain. An examination of the airframe and engine was conducted by the NTSB with technical assistance from representatives of Diamond Aircraft and Teledyne Continental Motors. Flight control continuity was established to the ailerons, elevators, and rudder. The flaps were set to the landing position. No anomalies were noted which would have precluded the safe operation of the airplane. Engine valve train continuity, accessory gear continuity, compression and suction were established. The fuel manifold contained traces of fuel, and the fuel screen was found clear of debris. Both magnetos produced spark at all terminals. The throttle was found at the approximate full throttle position and the mixture control was found near the full rich position. The fuel inlet screen and oil filter were clear of debris. No anomalies were noted which would have precluded the production of engine power. A review of tower radar returns revealed that the accident airplane flew 56 to 62 seconds behind and within 1/4 to 1/2 nautical miles downwind of the preceding C-130's flight path. Federal Aviation Administration Advisory Circular 90-23F, Aircraft Wake Turbulence released February 20, 2002, "is intended to alert pilots to the hazards ofaircraft wake turbulence and recommends related operational procedures." Under the heading of "6. Induced Roll" the circular stated that "...the capability of an aircraft to counteract the roll imposed by the wake vortex primarily depends on the wingspan and counter-control responsiveness of the encountering aircraft." An 1153, an automated weather reporting facility at PUB, reported winds from 120 degrees at 7 knots, visibility 10 miles, ceiling broken at 2,500 feet, overcast at 3,900 feet, temperature 54 degrees Fahrenheit, dew point 39 degrees Fahrenheit, and a barometric pressure of 30.30 inches of Mercury.

Aircraft

Registration
N939DA
Reported as
Diamond Aircraft Industries DA-20-C-1
Category
Airplane
Serial number
C0505
Airframe hours
88.7
Engine
Teledyne Continental IO-240, 125 horsepower, reciprocating
Damage
Substantial damage
Flight
Public aircraft · Part 91
Operator
Doss Aviation Inc
Registered owner
Doss Aviation Inc
Airworthiness certificate
Standard, Utility
Last inspection
Continuous airworthiness · August 1, 2008 · 39.3 hours before
Departed
PUB · Pueblo, CO
Flight plan
Company VFR
Airport
PUB · Pueblo Memorial, runway 08L, 10,496 × 150 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
25
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Flight hours
1,025 total · 288 in this make and model · 915 as pilot in command
Role
Student pilot
Age
23
Injuries
Serious
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Right
Flight hours
6 total · 6 in this make and model · 6 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 7 knots
Visibility
10 statute miles
Lowest ceiling
3,900 ft overcast
Temperature
54 °F, dew point 39 °F
Altimeter
30.29 inHg
Observed at
PUB

FAA reports on this event · 1

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