ERA15LA084

NTSB accident investigation · Aerotek Pitts Special S-1S · Westminster, MD · December 27, 2014

Accident · Serious injuriesLimited investigationFinal report
Date
December 27, 2014, 15:45 local (20:45 UTC)
Place
Westminster, MD
Injuries
1 serious, 2 uninjured
Phase of flight
Approach
Aircraft
N49294Aerotek Pitts Special S-1SN95297Piper PA-28-140
Defining events
Approach-VFR pattern final: Midair collisionApproach-VFR pattern final: Midair collision
Weather
Visual (VMC) · Day
Status
Completed · report September 8, 2015
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20141227023042A
Case key
90538

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 failure to see and avoid the other airplane, which resulted in a midair collision while both airplanes were on final approach to land.

The other pilot’s failure to see and avoid the airplane, which resulted in a midair collision while both airplanes were on final approach to land.

Findings · 2

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.

N49294 · Aerotek Pitts Special S-1S

N95297 · Piper PA-28-140

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftAll aircraft: 231 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.

N49294 · Aerotek Pitts Special S-1S

N95297 · Piper PA-28-140

Midair collisionApproach-VFR pattern finalAll aircraft: 196 casesDefining event

Analysis

A Piper PA-28-140 and a Pitts Special S-1S collided in midair while both airplanes were on final approach to land. The Piper was equipped with a two-way radio and the Pitts was not. Both pilots were flying their airplanes on a visual approach to the same runway; the Piper entered the traffic pattern on the downwind leg, and the Pitts entered the traffic pattern on the crosswind leg. According to the Piper pilot, he made radio calls during each leg of the traffic pattern to announce his position, and, after beginning the final approach about 1.5 nautical miles from the runway threshold, he observed the Pitts on the downwind leg. The Pitts pilot reported that he flew a tighter traffic pattern and that he did not see the Piper. Witnesses reported that, as the airplanes were on short final, the Pitts converged on the Piper from behind and above. The Pitts' tailwheel struck the top of the Piper's fuselage, and the right main landing gear struck the cowling and was subsequently separated by the Piper's propeller. After the collision, the Pitts entered a dive and then impacted the ground, which resulted in substantial damage to the wings and elevator. The Piper pilot landed the airplane on the runway; the airplane sustained substantial damage to the fuselage from the collision.

A Piper PA-28-140 and a Pitts Special S-1S collided in midair while both airplanes were on final approach to land. The Piper was equipped with a two-way radio and the Pitts was not. Both pilots were flying their airplanes on a visual approach to the same runway; the Piper entered the traffic pattern on the downwind leg, and the Pitts entered the traffic pattern on the crosswind leg. According to the Piper pilot, he made radio calls during each leg of the traffic pattern to announce his position, and, after beginning the final approach about 1.5 nautical miles from the runway threshold, he observed the Pitts on the downwind leg. The Pitts pilot reported that he flew a tighter traffic pattern and that he did not see the Piper. Witnesses reported that, as the airplanes were on short final, the Pitts converged on the Piper from behind and above. The Pitts' tailwheel struck the top of the Piper's fuselage, and the right main landing gear struck the cowling and was subsequently separated by the Piper's propeller. After the collision, the Pitts entered a dive and then impacted the ground, which resulted in substantial damage to the wings and elevator. The Piper pilot landed the airplane on the runway; the airplane sustained substantial damage to the fuselage from the collision.

Factual narrative

On December 27, 2014, about 1545 eastern standard time, a Pitts Special S-1S, N49294 and a Piper PA-28-140, N95297, were substantially damaged when they collided during an approach to land near Carroll County Regional Airport (DMW), Westminster, Maryland. The private pilot and passenger of the Piper were not injured. The private pilot of the Pitts received serious injuries. Visual meteorological conditions prevailed and no flight plan was filed for either local flight. The Piper departed Lancaster Airport (LNS), Lancaster, Pennsylvania about 1500 and the Pitts departed DMW about 1545. Both personal flights were conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the accident pilots, the Piper was equipped with two-way radio communication and the Pitts was not. Upon returning to the airport the Piper entered the downwind leg for runway 16 and made left traffic. The pilot of the Piper stated that he announced his position over the Common Traffic Advisory Frequency during each leg of the traffic pattern. During a long final approach leg at about 75 knots, the pilot of the Piper observed a "small red aircraft" on the downwind leg about midfield. Witnesses reported that while on the final approach leg the Pitts came from behind and above the Piper and converged on top of the airplane about 100 yards from the approach end of runway 16 about 100 ft. above ground level. The Piper landed on the runway and the Pitts entered a steep dive and subsequently impacted the ground. The pilot of the Pitts reported that he was not aware that he was involved in a mid-air collision until he spoke with witnesses; however, he did recall that he flew a "tight" airport traffic pattern. In a follow-up written statement, the pilot of the Pitts reported that he entered the traffic pattern parallel to the runway 16 upwind leg at 1,600 feet and 100 mph. He flew both the crosswind and downwind legs at the same altitude and airspeed, but flew a "descending base and final" at 90 mph. The pilot of the Pitts also provided a hand drawing of his approach to runway 16. The illustration showed that the pilot established himself on the final approach leg about 1,000 feet from the runway threshold. The operators of both airplanes reported that there were no preimpact mechanical malfunctions or failures with the airplanes that would have precluded normal operation. Carroll County Regional Airport was a publicly owned, non-towered airport with an elevation of about 789 feet mean sea level (msl) and a traffic pattern attitude of 1,599 feet msl. The recorded weather at DMW, about the time of the accident, included clear skies, visibility of 10 miles, and wind from 260 degrees at 4 knots. Examination of the airplanes by a Federal Aviation Administration inspector revealed that the Pitts top and bottom right wings had separated at the wing spar. The airplane also sustained substantial damage to the right outboard section of the elevator. The right mainlanding gear of the Pitts had completely separated at the airplane's right main landing gear strut. Examination of the Piper revealed a tire mark and compression damage on the fuselage and left cockpit window, above the pilot's seat, and another tire mark on the cowling, just aft of the propeller. The damage and tire mark on the Piper fuselage matched the width of the Pitts' tailwheel landing gear. The Piper cowling tire marking was similar in width and tread as the Pitts airplane's main landing gear tire. The Piper's propeller also exhibited a black mark with similar dimensions to the Pitts' main landing gear. There was one witness at the fixed base operator who was operating the Unicom/CTAF frequency and recalled hearing some "chatter"; however, he could not recall any of the specific frequency communications. The accident was not captured on radar; however, both pilot reported that they were utilizing navigational aid devices. The pilot of the Piper used an Adventure Pilot iFly 700 GPS receiver and the internet application Foreflight on his iPad. The Pitts pilot used an earlier version of the internet application Foreflight on his iPhone, which was not equipped with recording capabilities. The iPad and Adventure Pilot GPS were forwarded to the NTSB Vehicle Recorders Laboratory, Washington, D.C., for data download. According to the recorder laboratory factual report, the iPAD foreflight internet application was not recording at the time of the accident and, thus, did not retain any pertinent information. The Adventure Pilot iFly 700 GPS captured the accident flight and revealed that the Piper approached the airport from the east at a GPS altitude of about 1,600 feet msl and entered the downwind leg of the traffic pattern for runway 16 about 1539. The Piper entered the final approach leg for runway 16 about 1.5 nm from the runway threshold at a GPS altitude of about 1,237 feet msl. The last recorded GPS data showed the airplane at an approximate distance of 1,600 feet from the runway threshold, at a GPS altitude of about 919 feet msl.

On December 27, 2014, about 1545 eastern standard time, a Pitts Special S-1S, N49294 and a Piper PA-28-140, N95297, were substantially damaged when they collided during an approach to land near Carroll County Regional Airport (DMW), Westminster, Maryland. The private pilot and passenger of the Piper were not injured. The private pilot of the Pitts received serious injuries. Visual meteorological conditions prevailed and no flight plan was filed for either local flight. The Piper departed Lancaster Airport (LNS), Lancaster, Pennsylvania about 1500 and the Pitts departed DMW about 1545. Both personal flights were conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the accident pilots, the Piper was equipped with two-way radio communication and the Pitts was not. Upon returning to the airport the Piper entered the downwind leg for runway 16 and made left traffic. The pilot of the Piper stated that he announced his position over the Common Traffic Advisory Frequency during each leg of the traffic pattern. During a long final approach leg at about 75 knots, the pilot of the Piper observed a "small red aircraft" on the downwind leg about midfield. Witnesses reported that while on the final approach leg the Pitts came from behind and above the Piper and converged on top of the airplane about 100 yards from the approach end of runway 16 about 100 ft. above ground level. The Piper landed on the runway and the Pitts entered a steep dive and subsequently impacted the ground. The pilot of the Pitts reported that he was not aware that he was involved in a mid-air collision until he spoke with witnesses; however, he did recall that he flew a "tight" airport traffic pattern. In a follow-up written statement, the pilot of the Pitts reported that he entered the traffic pattern parallel to the runway 16 upwind leg at 1,600 feet and 100 mph. He flew both the crosswind and downwind legs at the same altitude and airspeed, but flew a "descending base and final" at 90 mph. The pilot of the Pitts also provided a hand drawing of his approach to runway 16. The illustration showed that the pilot established himself on the final approach leg about 1,000 feet from the runway threshold. The operators of both airplanes reported that there were no preimpact mechanical malfunctions or failures with the airplanes that would have precluded normal operation. Carroll County Regional Airport was a publicly owned, non-towered airport with an elevation of about 789 feet mean sea level (msl) and a traffic pattern attitude of 1,599 feet msl. The recorded weather at DMW, about the time of the accident, included clear skies, visibility of 10 miles, and wind from 260 degrees at 4 knots. Examination of the airplanes by a Federal Aviation Administration inspector revealed that the Pitts top and bottom right wings had separated at the wing spar. The airplane also sustained substantial damage to the right outboard section of the elevator. The right mainlanding gear of the Pitts had completely separated at the airplane's right main landing gear strut. Examination of the Piper revealed a tire mark and compression damage on the fuselage and left cockpit window, above the pilot's seat, and another tire mark on the cowling, just aft of the propeller. The damage and tire mark on the Piper fuselage matched the width of the Pitts' tailwheel landing gear. The Piper cowling tire marking was similar in width and tread as the Pitts airplane's main landing gear tire. The Piper's propeller also exhibited a black mark with similar dimensions to the Pitts' main landing gear. There was one witness at the fixed base operator who was operating the Unicom/CTAF frequency and recalled hearing some "chatter"; however, he could not recall any of the specific frequency communications. The accident was not captured on radar; however, both pilot reported that they were utilizing navigational aid devices. The pilot of the Piper used an Adventure Pilot iFly 700 GPS receiver and the internet application Foreflight on his iPad. The Pitts pilot used an earlier version of the internet application Foreflight on his iPhone, which was not equipped with recording capabilities. The iPad and Adventure Pilot GPS were forwarded to the NTSB Vehicle Recorders Laboratory, Washington, D.C., for data download. According to the recorder laboratory factual report, the iPAD foreflight internet application was not recording at the time of the accident and, thus, did not retain any pertinent information. The Adventure Pilot iFly 700 GPS captured the accident flight and revealed that the Piper approached the airport from the east at a GPS altitude of about 1,600 feet msl and entered the downwind leg of the traffic pattern for runway 16 about 1539. The Piper entered the final approach leg for runway 16 about 1.5 nm from the runway threshold at a GPS altitude of about 1,237 feet msl. The last recorded GPS data showed the airplane at an approximate distance of 1,600 feet from the runway threshold, at a GPS altitude of about 919 feet msl.

Aircraft · 2

Registration
N49294
Reported as
Aerotek Pitts Special S-1S
Category
Airplane
Serial number
1-0060
Built
1978
Airframe hours
22.6
Engine
Lycoming IO-360-B4A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Bob Gillespie
Registered owner
Bob Gillespie
Airworthiness certificate
Standard, Aerobatic
Last inspection
Annual · April 18, 2014 · 432 hours before
Departed
DMW · Westminster, MD
Destination
DMW · Westminster, MD
Airport
DMW · Carroll County Airport, runway 16, 5,100 × 100 ft, asphalt
Equipment
Stall warning system, Handheld GPS

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.

Registration
N95297
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-25877
Built
1969
Airframe hours
2,626.64
Engine
Lycoming O-320 SERIES, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Robert Graham
Registered owner
Robert Graham
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 4, 2014
Departed
LNS · Lancaster, PA
Destination
DMW · Westminster, MD
Airport
DMW · Carroll County Airport, runway 16, 5,100 × 100 ft, asphalt
Equipment
Electronic flight bag or handheld device, Onboard weather

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N49294
Age
53
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
July 19, 2013
Seat
Single
Restraint
5-point
Flight hours
1,068.5 total · 59.5 in this make and model · 985 as pilot in command · 8 in the last 90 days · 2.9 in the last 30 days · 0.4 in the last 24 hours
Role
Pilot, aircraft N95297
Age
55
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
April 13, 2014
Seat
Left
Restraint
Lap only
Flight hours
305.2 total · 256.7 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 19 °F
Altimeter
30.13 inHg
Observed at
DMW

Docket · 10

The files NTSB released with the investigation on August 4, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.5 MB in all.

FAA reports on this event · 1

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