ERA18LA268

NTSB accident investigation · Diamond DA20 · Sebring, FL · September 29, 2018

Accident · Minor injuriesLimited investigationFinal report
Date
September 29, 2018, 12:40 local (16:40 UTC)
Place
Sebring, FL
Injuries
1 minor, 3 uninjured
Phase of flight
Landing
Aircraft
N397JADiamond DA20N3907TPiper PA28R
Defining events
Landing: Collision during takeoff/landLanding-flare/touchdown: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed · report November 19, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
Case key
98382

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 inability of the pilot of the Piper and the student pilot and flight instructor of the Diamond to see and avoid the other airplane. Contributing to the collision was the Piper pilot’s failure to use the correct common traffic advisory frequency to announce his airplane's position.

Findings · 10

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.

N397JA · Diamond DA20

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftDiamond Aircraft Ind DA20-C1: 5 casesAll aircraft: 231 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Student/instructed pilotDiamond Aircraft Ind DA20-C1: 5 casesAll aircraft: 231 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Instructor/check pilotDiamond Aircraft Ind DA20-C1: 5 casesAll aircraft: 231 casesProbable cause
Communications system: vHF communication systemAircraft › Aircraft systems · Incorrect use/operationDiamond Aircraft Ind DA20-C1: 2 casesAll aircraft: 6 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · Pilot of other aircraftDiamond Aircraft Ind DA20-C1: 4 casesAll aircraft: 1,391 casesProbable cause

N3907T · Piper PA28R

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Student/instructed pilotPiper PA-28R-180: 1 caseAll aircraft: 231 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Instructor/check pilotPiper PA-28R-180: 1 caseAll aircraft: 231 casesProbable cause
Communications system: vHF communication systemAircraft › Aircraft systems · Incorrect use/operationPiper PA-28R-180: 1 caseAll aircraft: 6 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-28R-180: 4 casesAll aircraft: 1,391 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.

N3907T · Piper PA28R

Analysis

The private pilot of the Piper airplane with a passenger on board was landing while the student pilot of the Diamond airplane with a flight instructor on board was performing touch-and-go landings on an intersecting runway in day visual meteorological conditions. Both airplanes were flying in left traffic patterns for their respective runways at the uncontrolled airport. The pilot of the Piper and the student pilot of the Diamond stated that they announced every leg of the traffic pattern on the airport's published common traffic advisory frequency (CTAF). The Diamond landed, and just when the student was adding power to initiate a takeoff, the left wing of the Piper, which was landing and flaring just a few feet above the runway, impacted the tail of the Diamond. The flight instructor in the Diamond said he was looking for the Piper after he saw it flying in the vicinity of the airport but that he never saw it in the airport traffic pattern, while the pilot of the Piper did not report seeing the Diamond until just before the collision. Recordings of the airport's CTAF showed that radio calls from the Diamond were heard for every leg of the airport traffic pattern on the published CTAF frequency before the collision, but only two garbled radio calls from the Piper were heard on the published CTAF frequency. Postaccident examination of the Piper's transceiver revealed that it was set to a different frequency. The Piper's transceiver was then set to the correct CTAF frequency, and the communication was clear. Therefore, it is likely that the pilot of the Piper failed to use the correct CTAF frequency when he announced his airplane's position in the airport traffic pattern.

Factual narrative

On September 29, 2018, about 1240 eastern daylight time, a Diamond Aircraft Industries, Inc. (Diamond) DA20-C1, N397JA, owned and operated by Aamro Aviation Corporation, and a privately owned and operated Piper PA28R-180, N3907T, collided at the Sebring Regional Airport (SEF), Sebring, Florida. There were no injuries to the flight instructor aboard the Diamond or the private pilot and passenger aboard the Piper, while the student pilot aboard the Diamond sustained a minor injury. Both airplanes were substantially damaged. The Diamond and Piper airplanes were being operated under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight, and a personal flight, respectively. Visual meteorological conditions prevailed at the time and neither flight had filed a flight plan. The Diamond originated from SEF about 5 minutes earlier, while the Piper originated from the Peter O'Knight Airport (TPF), Tampa, Florida, about 1015.The flight instructor of the Diamond reported that he and the student pilot were practicing touch and go landings on runway 14 at SEF, an uncontrolled airport, with the wind from the east. During the second traffic pattern while on the upwind leg of the airport traffic pattern, he noticed a Piper arriving from the west, heading east. As the student pilot turned onto the crosswind and downwind legs of the airport traffic pattern, they lost sight of the Piper, and at that point he did not know if the Piper was transitioning the area or intended to enter the airport traffic pattern. If the Piper was to remain in the airport traffic pattern, he assumed that the pilot would enter left traffic of the airport traffic pattern for runway 14 behind them. The student pilot announced the Diamond's position on every leg of the airport traffic pattern making left turns, but neither pilot heard the pilot of the Piper acknowledge. The Diamond turned onto the base and final legs of the airport traffic pattern, and although the flight instructor was looking for the Piper, he did not see it. After landing on runway 14, the Diamond was configured for takeoff, and just as the student pilot advanced the throttle to full, the tail was contacted by the Piper's left wing. The pilot of the Piper reported that he approached SEF from the northwest quadrant, and the first radio call he made on the SEF common traffic advisory frequency (CTAF) was when the airplane was near the airport crossing midfield at 1,200 feet mean sea level (msl). He reported turning onto the downwind leg of the airport traffic pattern for runway 19, which he announced, then turned onto the base and final legs of the airport traffic pattern, which he also announced making left turns. He planned to touchdown at the 1,000-foot marker, and when flaring about 1 to 2 feet above runway 19, just before the collision, he noted a flash off his right wing. After the collision, he touched down, taxied onto taxiway A2, and secured the airplane. Postaccident examinationof the Diamond revealed the transceiver was set to 122.7 MHz (published CTAF); however, the transceiver of the Piper was set to 122.725 MHz. Operational testing of the transceiver in the Diamond revealed the transmissions were heard on a portable VHF transceiver, while transmissions from the Piper on the as-found frequency could not be heard. After switching to the published CTAF frequency, the transmissions were heard. NTSB review of recorded LiveATC.net audio for SEF for the period 1230 to 1300 revealed radio calls from the Diamond were heard for every leg of the airport traffic pattern prior to the collision; however, only 2 radio calls attributed to be from the Piper were heard. Both radio calls from the Piper were garbled and difficult to comprehend.

Aircraft · 2

Registration
N397JA
Reported as
Diamond DA20 (C1)
Category
Airplane
Serial number
C0212
Built
2003
Airframe hours
2,776.8
Engine
Continental IO-240-B32B, 125 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Aamro Aviation Corporation
Registered owner
Aamro Aviation Corporation
Airworthiness certificate
Standard, Utility
Last inspection
Annual · May 1, 2018
Departed
SEF · Sebring, FL
Destination
SEF · Sebring, FL
Airport
SEF · Sebring Regional Airport, runway 14, 4,990 × 100 ft, asphalt
Equipment
ADS-B

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
N3907T
Reported as
Piper PA28R (180)
Category
Airplane
Serial number
28R-30241
Built
1967
Airframe hours
3,817
Engine
Lycoming IO-360-B1E, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 22, 2018 · 12 hours before
Departed
TPF · Tampa, FL
Destination
SEF · Sebring, FL
Airport
SEF · Sebring Regional Airport, runway 19, 5,234 × 100 ft, asphalt
Equipment
Handheld GPS, Auto-pilot

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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Student pilot, aircraft N397JA
Age
31
Injuries
Minor
Certificate
Student
Medical
Class 1, Without waivers/limitations
Seat
Left
Restraint
4-point
Flight hours
40 total · 35 in this make and model · 8 in the last 90 days · 7 in the last 30 days
Role
Flight instructor, aircraft N397JA
Age
52
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
June 6, 2018
Seat
Right
Restraint
4-point
Flight hours
698 total · 40 in this make and model · 467 as pilot in command · 10 in the last 24 hours
Role
Pilot, aircraft N3907T
Age
79
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
November 1, 2017
Seat
Left
Restraint
Lap only
Flight hours
1,323 total · 1,173 in this make and model · 1,246 as pilot in command · 13 in the last 90 days · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
100° at 5 knots
Temperature
88 °F, dew point 73 °F
Altimeter
30.09 inHg
Observed at
SEF

Docket · 9

The files NTSB released with the investigation on April 2, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.6 MB in all.

FAA reports on this event · 2

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