ERA12FA327

NTSB accident investigation · Mooney M20J · Sterling, PA · May 10, 2012

Accident · FatalField investigationFinal report
Date
May 9, 2012, 22:25 local (May 10, 2012, 02:25 UTC)
Place
Sterling, PA
Injuries
2 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9154KMooney M20J
Defining event
Initial climb: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 19, 2013
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Lycoming Engines, FAA/FSDO
FAA report
20120509008949A
Case key
83594

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 pilot’s decision to take off on an uphill slope without utilizing the entire available runway, and his failure to abort the takeoff when he realized he wasn’t going to liftoff in time to clear the trees at the end of the runway.

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.

Action: incorrect action selectionPersonnel issues › Action/decision · PilotMooney M20J: 2 casesAll aircraft: 397 casesProbable cause
Airport facilities/design: runway/landing area lengthEnvironmental issues › Operating environment · Effect on operationMooney M20J: 1 caseAll aircraft: 34 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Effect on operationMooney M20J: 4 casesAll aircraft: 933 cases

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

The pilot landed at the airport for the first time, and he and two passengers went to dinner with family members. They returned to the airport after dark for the return flight to the pilot’s home base. According to the surviving passenger, the pilot initiated the takeoff roll from a taxiway intersection and did not utilize the entire runway. The 2,478 foot-long runway had a 2.4 percent upslope in the takeoff direction, with a prominent hill and trees located past the departure end. The airplane became airborne at the runway numbers, which were just before the displaced threshold, and the stall warning horn sounded immediately after liftoff. The pilot attempted to climb above the trees; however, the left wing struck a tree, and the airplane crashed into the woods about 0.37 miles past the departure end of the runway. The airplane impacted the ground inverted and caught fire. Examination of the airframe and engine revealed no evidence of a pre-impact mechanical malfunction or failure. According to the aircraft manufacturer, the expected takeoff roll for the airplane at the time of the accident was about 1,490 feet on a level runway, given a gross weight at takeoff of 2,714 pounds. Maximum gross weight for the airplane was 2,900 pounds. The surviving passenger reported that the pilot did not utilize a checklist and did not complete any weight and balance calculations. The pilot should have aborted the takeoff when he realized he wasn’t going to liftoff in time to clear the trees.

Factual narrative

"The Aerodrome Information was updated June 14, 2013." HISTORY OF FLIGHT On May 9, 2012, about 2225 eastern daylight time, a Mooney M20J, N9154K, was destroyed following a collision with trees and terrain after takeoff from Spring Hill Airport (70N), Sterling, Pennsylvania. The commercial pilot and one pilot-rated passenger were fatally injured and one passenger received serious injuries. The airplane was registered to a corporation and was operated by the pilot under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Night visual meteorological conditions prevailed and an instrument flight rules flight plan was filed. The flight was originating at the time of the accident and was destined for Republic Airport, Farmingdale, New York (FRG). The surviving passenger reported the following. He arrived at FRG earlier on the day of the accident for the flight with the pilot and the other passenger. He stated that he was in the aft seat at all times, the other passenger was in the right, cockpit seat at all times, and the pilot was in the left, cockpit seat at all times. The pilot performed all flight duties and the other passenger did not fly the airplane. The flight proceeded to Lancaster, Pennsylvania, where the pilot had the fuel tanks topped off. He did not recall the pilot performing any weight and balance calculations, nor did he observe him using a checklist at any time. He recalled that the pilot stated they were, “…a little overweight from Farmingdale.” During the flight, the pilot elected to land at 70N since it was closer to the other passenger’s parents, who were picking the group up for dinner. He stated that the pilot had not flown into 70N before. On the first attempt at a landing, the pilot acquired the runway late and commenced a go-around to lose altitude. An uneventful approach and landing were then made. After dinner, the group returned to 70N for the return flight to FRG. The pilot was aware of the hill at the departure end of runway 23, since they had seen it in daylight hours during their arrival at 70N. After ground operations, the pilot taxied the airplane to runway 23. He lined up for takeoff at the intersection of the taxiway and runway 23; he did not back taxi to the end to utilize the entire runway. The pilot advanced the throttle to begin the takeoff roll. The runway lights were on and appeared normal. The airplane became airborne at the departure end numbers, just prior to the displaced threshold. Immediately after liftoff, the stall warning horn activated. The pilot was “unable to recover from the stall.” As the flight approached the trees at the end of the runway, the airplane began a turn to the left of the runway centerline. He could see the trees approaching, and estimated that the airplane was about three feet above the trees. The left wing struck a tree, and they “went down.” The airplane landed upside down, and caught fire immediately. He was able to climb out of a rear window thatbroke out during the impact. When asked about engine performance, the passenger stated, “I didn’t hear any problems with the engine at all.” Shortly before the crash, he recalled the front seat passenger asking the pilot, “Are we going to be OK?” to which the pilot answered, “I don’t think so.” He also stated that the wind was “very light” at the time of departure. The father of the front seat passenger was interviewed after the accident. He stated that none of the occupants of the airplane had been to 70N before. The flight departed runway 23 from the intersection closest to the departure end of runway 5. He stated that all the taxiway lights and the runway beacon were working. A witness reported hearing the airplane's engine, followed by the sound of the airplane colliding with the trees and ground. She went outside her home and could see the wreckage on fire. The surviving passenger came running out of the woods, calling for help. PERSONNEL INFORMATION The pilot held a commercial pilot certificate with ratings for airplane single-engine land and instrument airplane. He reported a total flight experience of 272 hours on his commercial certificate application, dated July 11, 2011. The pilot’s personal flight logbook was not recovered. AIRCRAFT INFORMATION The airplane was a single engine, low wing, retractable gear airplane, serial number 24-3372. It was powered by a Lycoming IO-360 engine rated at 200 horsepower. The aircraft maintenance records were not recovered after the accident. METEOROLOGICAL INFORMATION The 2253 surface weather observation for Pocono Mountains Municipal Airport (MPO), Mount Pocono, Pennsylvania, reported wind from 310 degrees at 6 knots, visibility 10 nautical miles (nm) or better with light rain, few clouds at 7,000 feet, ceiling 9,000 feet broken, temperature 13 degrees C, dew point 7 degrees C, and altimeter setting 29.64 inches of mercury. Sunset was about 2008 and evening civil twilight was about 2039. AERODROME INFORMATION A lighted hill, about 29 feet high, was located about 201 feet beyond the runway 23 departure end. Runway 23 was 2,478 feet long, including a 400-foot displaced threshold at the departure end, and had a 2.4-percent upslope. All airport lighting was reportedly operational at the time of the accident. The intersection of the taxiway and runway where the takeoff roll was initiated was about 200 feet from (beyond) the approach end of runway 23. WRECKAGE AND IMPACT INFORMATION The accident site was situated in a wooded area, about 0.37 nm southwest of the departure end of runway 23. The airplane wreckage was found inverted, on a heading of 090 degrees. All structural components of the airplane were located within the area of the main wreckage and there was no discernible wreckage path. A post-crash fire consumed a majority of the cockpit, cabin, and left wing. Several broken tree limbs were located adjacent to the wreckage; they exhibited smooth, angular cuts and black transfer marks. The landinggear were found in the extended position and the wing flaps were found in the “takeoff” position. Flight control rod continuity was established from the burned cockpit area to the rudder, elevator, and ailerons. The left aileron control rod was intact and connected to the left aileron. The bracket holding the forward eyelet of the left aileron control rod was separated from the underlying structure. The right aileron control rod was broken immediately next to the aft eyelet. The fracture exhibited indications of an overload separation. The eyelet remained attached to the right aileron. The pilot and co-pilot control wheels were linked together via control rods. The engine was removed from the firewall and examined at the accident site. The propeller remained attached to the engine. The exhaust system was partially impact-separated from the engine; it was removed and the heat shroud was removed from the cabin heater assembly and inspected. No exhaust gas residue was observed. The engine was separated from the airframe and was suspended by a chain using a front loading tractor and back hoe. All rocker covers and spark plugs were removed. The spark plugs displayed an extended service life and a color consistent with normal combustion when compared to a Champion Spark Plug wear guide. The engine was manually rotated using the propeller; suction and compression were observed on all cylinders. The valve rocker arms were observed rotating in a normal manner. The accessory gears were observed rotating. All cylinders were examined using a lighted bore scope; no defects were observed. Nothing was observed during the course of the examination that would have precluded this engine from making rated power prior to impact. MEDICAL AND PATHOLOGICAL INFORMATION Pilot A postmortem examination of the pilot was performed at the offices of Forensic Associates of NE PA, Wayne Memorial Hospital, Honesdale, Pennsylvania, on May 11, 2012. The autopsy report noted the cause of death as “Multiple traumatic injuries secondary to airplane accident (pilot)” and the manner of death was “accidental.” The report stated that the pilot was dead when the fire erupted. Forensic toxicology testing was performed on specimens of the pilot by the Federal Aviation Administration (FAA) Bioaeronautical Sciences Research Laboratory (CAMI), Oklahoma City, Oklahoma. The CAMI toxicology report indicated no carbon monoxide, cyanide, ethanol, or drugs. Pilot-rated Passenger A postmortem examination of the pilot-rated passenger, seated in the right cockpit seat, was performed at the offices of Forensic Associates of NE PA, Wayne Memorial Hospital, Honesdale, Pennsylvania, on May 11, 2012. The autopsy report noted the cause of death as “Combined effects of smoke inhalation with carbon monoxide poisoning and pulmonary edema and heat secondary to airplane crash and fire” and the manner of death was “accidental.” Forensic toxicology testing was performed on specimens of the pilot by the FederalAviation Administration (FAA) Bioaeronautical Sciences Research Laboratory (CAMI), Oklahoma City, Oklahoma. The CAMI toxicology report indicated 19 percent carbon monoxide in the blood. No cyanide or drugs were detected in the blood. The blood was unsuitable for analysis for ethanol. TESTS AND RESEARCH Aircraft weight and takeoff performance was estimated using for the prevailing conditions at 70N at the time of the accident. According to the aircraft manufacturer, the expected takeoff roll for the airplane at the time of the accident was about 1,490 feet on a level runway, given a gross weight at takeoff of 2,714 pounds. Maximum gross weight for the airplane was 2,900 pounds. Runway 23 had a 2.4-percent upslope. The aircraft manufacturer did not have performance charts that incorporated runway upslope.

Aircraft

Registration
N9154K
Reported as
Mooney M20J
Category
Airplane
Serial number
24-3372
Engine
Lycoming IO-360 SER, 200 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Patrick J. Sheridan
Registered owner
Sheridan Air LLC
Airworthiness certificate
Standard, Normal
Departed
70N · Sterling, PA
Destination
FRG · Farmingdale, NY
Flight plan
IFR
Airport
70N · Spring Hill Airport, runway 23, 2,478 × 42 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
34
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
272 total · 230 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
310° at 6 knots
Visibility
10 statute miles
Lowest ceiling
9,000 ft broken
Temperature
55 °F, dew point 45 °F
Altimeter
29.63 inHg
Observed at
MPO, 13 nm away

Docket · 23

The files NTSB released with the investigation on March 18, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.4 MB in all.

Toxicological Report - SheridanItem 1 · .PDF · 113 KBToxicological Report - FalconerItem 2 · .PDF · 113 KBNTSB Record of Conversation - HoffmannItem 3 · .PDF · 53 KBNTSB Record of Conversation - KisseloffItem 4 · .PDF · 46 KBFAA Record of Telephone Call - KisseloffItem 5 · .PDF · 91 KBFAA Record of Telephone Call - FalconerItem 6 · .PDF · 78 KBFuel SlipItem 7 · .PDF · 61 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 8 · .PDF · 84 KBPhoto 1: Main Wreckage (NTSB Digital Photo)Item 9 · .PDF · 1.2 MBPhoto 2: Left Wing, Inverted (NTSB Digital Photo)Item 10 · .PDF · 1.1 MBPhoto 3: Cockpit and Cabin, Fire Damage (NTSB Digital Photo)Item 11 · .PDF · 1.1 MBPhoto 4: Empennage (NTSB Digital Photo)Item 12 · .PDF · 1.0 MBPhoto 5: Empennage (NTSB Digital Photo)Item 13 · .PDF · 1.0 MBPhoto 6: Right Wing, Inverted (NTSB Digital Photo)Item 14 · .PDF · 964 KBPhoto 7: Nose Gear, Extended and Locked (NTSB Digital Photo)Item 15 · .PDF · 927 KBPhoto 8: Engine and Propeller (NTSB Digital Photo)Item 16 · .PDF · 1.0 MBPhoto 9: Engine and Propeller (NTSB Digital Photo)Item 17 · .PDF · 1.0 MBPhoto 10: Spark Plugs (NTSB Digital Photo)Item 18 · .PDF · 953 KBPhoto 11: Cut Wood Found at Accident Site (NTSB Digital Photo)Item 19 · .PDF · 771 KBPhoto 12: Cut Wood Found at Accident Site (NTSB Digital Photo)Item 20 · .PDF · 830 KBPhoto 13: Aircraft Weight and Balance Documents (NTSB Digital Photo)Item 21 · .PDF · 658 KBPhoto 14: Spring Hill Airport (NTSB Digital Photo)Item 22 · .PDF · 846 KBStatement of Party Representatives to NTSB InvestigationItem 23 · .PDF · 388 KB

FAA reports on this event · 1

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