ERA16LA282

NTSB accident investigation · Diamond DA20 · St. Croix · August 7, 2016

Accident · Serious injuriesLimited investigationFinal report
Date
August 7, 2016, 11:23 local (15:23 UTC)
Place
St. Croix
Injuries
2 serious
Damage
Destroyed
Phase of flight
Landing
Aircraft
N828BBDiamond DA20
Defining event
Landing-flare/touchdown: Abnormal runway contact
Weather
Visual (VMC) · Day
Status
Completed · report July 26, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20160807012849A
Case key
93781

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 flight instructor's improper recovery from a bounced landing, which resulted in a loss of airplane control. Contributing to the accident was the flight instructor's inadequate supervision of the student pilot.

Findings · 3

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · Instructor/check pilotDiamond Aircraft Ind DA20-C1: 37 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: landing flareAircraft › Aircraft oper/perf/capability · Not attained/maintainedDiamond Aircraft Ind DA20-C1: 11 casesAll aircraft: 1,285 casesProbable cause
Attention/monitoring: monitoring other personPersonnel issues › Psychological · Instructor/check pilotDiamond Aircraft Ind DA20-C1: 1 caseAll aircraft: 200 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

The student pilot was performing an approach and landing under the supervision of the flight instructor. The flight instructor reported that the student completed a "normal" traffic pattern but that the airplane bounced on landing and that he immediately took control of the airplane. The flight instructor initiated a go-around and established a climb; however, the engine lost power, and the airplane descended into terrain. An air traffic controller who witnessed the accident said that, just before touchdown, the airplane banked left, and the left wing appeared to hit the ground. He added that the airplane then bounced four to five times before it banked "hard" left and departed the runway. The airplane then impacted trees about 1,700 ft past the departure end, and 400 ft left of, the runway. Postaccident examination of the airplane and the engine revealed no preimpact mechanical anomalies that would have precluded normal operation, and cut tree branches located at the accident site indicated that the engine was producing power at the time of impact.

Factual narrative

On August 7, 2016, at 1123 Atlantic standard time, a Diamond DA20-C1, N828BB, was destroyed during collision with terrain following a bounced landing and runway excursion at Henry E. Rohlson International Airport (STX), Christiansted, St. Croix, US Virgin Islands. The student pilot and flight instructor were seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed for the local instructional flight, which originated at STX about 1030, and was conducted under the provisions of 14 Code of Federal Regulations Part 91.In a telephone interview, the student pilot stated she could not recall the details of the accident flight due to her injuries. In a written statement, the flight instructor stated that the student completed a "normal" traffic pattern, but "bounced" the landing. The flight instructor took the flight controls, initiated a go-around and retracted the wing flaps. He described a shallow turn back to runway heading and establishing a 60-knot climb before he, perceived a "severe decrease" in engine power and a loss of lift. He extended the wing flaps to the takeoff position, and the airplane impacted the ground. According to a statement from an STX air traffic controller, the airplane had completed one touch-and-go landing and was cleared for a second touch-and-go landing. Just prior to touchdown, the airplane "tilted" to its left, and the left wingtip appeared to strike the ground prior to the main landing gear. The airplane continued, and bounced four to five times before it banked "hard" to its left, departed the landing surface, and crashed into trees north of the runway. A witness near the airport heard the accident occur, but he did not see it. He said he heard the sound of an airplane engine at low rpm as it approached the airport. He said the sound was consistent with a small airplane on final approach. He said the engine then accelerated to a "high rpm condition" for 3 to 5 seconds before the sounds of impact were heard. According to Federal Aviation Administration (FAA) records, the flight instructor held a commercial pilot certificate with ratings for airplane single-engine land, multiengine land and instrument airplane. He held a flight instructor certificate for airplane single engine. He was issued an FAA second-class medical certificate on January 29, 2016. According to the operator, the pilot had accrued 506 total hours of flight experience. The student pilot was issued an FAA third-class medical certificate on June 10, 2014. According to the operator, the student pilot had accrued 34.6 total hours of flight experience. The airplane's most recent annual inspection was completed June 24, 2016, at 1,982.9 total aircraft hours. The airplane came to rest approximately 1,700 ft beyond the approach end of runway 10, and 410 ft left of the runway centerline. Examination of the airplane by FAA aviation safety inspectors revealed the tail section and the engine compartment separated from the cockpitand cabin structure. The engine remained attached by wires and cables. Control continuity was established from the cockpit to the flight control surfaces through cable breaks and cuts made by recovery personnel. Examination of photographs revealed angular cuts in tree branches where the airplane entered the trees adjacent to the runway and above the crash site. At 1053, the weather reported at STX included few clouds at 1,800 ft and wind from 120° at 10 knots. The temperature was 32° C, dew point was 26° C, and the altimeter setting was 30.05 inches of mercury. The engine was examined at the manufacturer's facility under the supervision of the NTSB. The engine was rotated by hand at the propeller flange, and continuity was confirmed from the powertrain through the valvetrain to the accessory section. The force required to rotate the crankshaft was greater than nominal, and the source of the resistance could not be immediately determined through external visual examination, and internal borescope examination. The engine was disassembled, and impact damage to the front of the engine resulted in the No. 4 engine bearing and oil "slinger" to impinge upon the crankshaft, preventing smooth rotation. Examination of the internal components and bearings revealed normal wear and lubrication signatures and no preimpact mechanical anomalies. Bench testing revealed the magnetos and the fuel injection system were fully functional and that there were no anomalies that would have prevented normal operation. According to FAA Advisory Circular AC-61-23C, Pilot's Handbook of Aeronautical Knowledge: "The effect of torque increases in direct proportion to engine power, airspeed, and airplane attitude. If the power setting is high, the airspeed slow, and the angle of attack high, the effect of torque is greater. During takeoffs and climbs, when the effect of torque is most pronounced, the pilot must apply sufficient right rudder pressure to counteract the left-turning tendency and maintain a straight takeoff path."

Aircraft

Registration
N828BB
Reported as
Diamond DA20 (C1)
Category
Airplane
Serial number
C0428
Built
2007
Airframe hours
1,982.9
Engine
Contiental IO-240B-B17B, 125 horsepower, reciprocating
Damage
Destroyed
Flight
Instructional · Part 91
Operator
Bohlke International Airways Inc
Registered owner
Bohlke International Airways Inc
Airworthiness certificate
Standard, Utility
Last inspection
Annual · June 24, 2016 · 18 hours before
Departed
STX · Christiansted
Destination
STX · Christiansted
Airport
STX · Henry E Rohlsen, runway 10, 10,004 × 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
44
Injuries
Serious
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
506 total · 100 in this make and model
Role
Student pilot
Age
19
Injuries
Serious
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
4-point
Flight hours
34.5 total · 1 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 79 °F
Altimeter
30.04 inHg
Observed at
STX

Docket · 8

The files NTSB released with the investigation on June 7, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.7 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.