ERA22FA338

NTSB accident investigation · Air Tractor AT-802A · Portland, AR · July 26, 2022

Accident · FatalClass 3 · FieldFinal report
Date
July 26, 2022, 17:01 local (22:01 UTC)
Place
Portland, AR · Cotton field
Injuries
1 fatal, 1 serious
Phase of flight
Maneuvering
Aircraft
N749LAAir Tractor AT-802AN214RLAir Tractor AT-802
Defining events
Maneuvering-low-alt flying: Midair collisionEnroute: Midair collision
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
Case key
105589

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 failure of both pilots to see and avoid the other airplane during aerial application and ferry operations.

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.

N749LA · Air Tractor AT-802A

N214RL · Air Tractor AT-802

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 of an Air Tractor AT-802A was applying chemical on the first pass over a cotton field in a southerly direction. Simultaneously, an AT-802 was ferrying in a southeasterly direction, between 400 and 500 ft above the ground. As the AT-802A pilot completed his pass and climbed to reverse the direction of turn, his airplane collided with the ferrying AT-802 passing overhead. The AT-802A continued in a left turn and crashed into a soybean field, killing the pilot. The AT-802 began to spin and descended vertically to the ground; its pilot was seriously injured. The surviving pilot of the AT-802 later reported that he was unaware that the other pilot was operating in the area. The two pilots were not communicating by radio. Although there may have been some sun glare that could have affected the AT-802A pilot’s visibility, the investigation revealed that both pilots were in positions to see the other airplane in ample time to avoid a collision. An examination of both wreckages did not reveal evidence of a preexisting malfunction or failure that would have prevented normal operation of the either airplane. Although the Professional Aerial Applicator’s Support System (PAASS) slogan, “Ferry above five (hundred) and stay alive” was known to the AT-802 pilot and was commonly known in the aerial application industry, this investigation revealed that both pilots consistently climbed above 500 ft agl during their reverse-direction turns while applying chemical. If the pilot of the AT-802 had flown his airplane at or above 1,000 ft agl, the collision would likely have been avoided.

Factual narrative

On August 8, 2022, the Professional Aerial Applicator’s Support System (PAASS) published a safety bulletin on avoiding mid-air collisions. The bulletin reminded pilots of the PAASS slogan, “Ferry above five (hundred) and stay alive.” The bulletin also stated that ferrying above 500 ft agl greatly increases the chances of avoiding a collision with another agricultural aircraft making an application. According to the SATLOC G4 data, the pilot of the AT-802A applied chemical to three other fields before the accident. The application patterns were examined to determine maximum altitude gained during the reverse-direction turns. The data revealed that the AT-802A routinely exceeded 500 ft GPS altitude, and consistently reached maximum altitudes between 600 and 700 ft agl. According to the AgPilotX data, the pilot of the AT-802 applied chemical to a field before the accident. The application patterns were examined to determine maximum altitude gained during the reverse-direction turns. The data revealed that the AT-802 routinely exceeded 500 ft GPS altitude, and consistently reached maximum altitudes between 700 and 850 ft agl. An examination of the AT-802’s planform revealed that, with the low-wing design, downward and forward visibility was most restricted at the AT-802 pilot’s 9:00 (o’clock) to 9:30 and 2:30 to 3:00 positions. Upward visibility for the AT-802A was restricted by the cockpit window and door frames and the cockpit roof. On July 26, 2022, about 1701 central daylight time, an Air Tractor AT-802A airplane, N749LA, and an Air Tractor AT-802 airplane, N214RL, were involved in an accident near Portland, Arkansas. The AT-802A was destroyed and the AT-802 was substantially damaged. The pilot of the AT-802A was fatally injured and the pilot of the AT-802 was seriously injured. Both aircraft were operated as Title 14 Code of Federal Regulations Part 137 aerial application flights. According to a witness who was familiar with both airplanes and pilots, the AT-802 was transiting the area at low altitude in a southeasterly direction. The area consisted mainly of mature soybean and cotton fields. Concurrently, the AT-802A pilot was applying chemical to a soybean field in a southerly direction. The pilot of the AT-802A pitched up at the end of his application run and collided with the AT-802 as it was flying overhead. The AT-802A continued to the northeast for about ¼ mile and crashed in a soybean field. The AT-802 began to spin vertically downward and impacted a cotton field underneath the point of collision. First responders extricated the pilot of the AT-802 and extinguished a postaccident fire in the engine compartment. He was airlifted to a hospital for treatment of his injuries. The pilot of the AT-802 was interviewed by the National Transportation Safety Board (NTSB) investigator-in-charge after the accident and the pilot reported that he had finished spraying soybeans on a friend’s farm and was ferrying the airplane back to his homeairstrip. He was on a southeasterly heading and his hopper was empty. Suddenly, he heard and felt an impact. He recalled seeing the red striping on the other airplane and knew that it was the AT-802A. His airplane immediately started to spin and it spun 3-4 times before hitting the ground. The descent was straight down with no lateral movement. He believed that the forward windscreen blew out during the collision because the breeze was coming through the open cockpit and it was very quiet. He did not recall hearing the engine running after the collision with the AT-802A. The pilot of the AT-802 thought that he was about 500-600 ft above ground level (agl) when the collision occurred. He was familiar with the phrase, “Ferry at 5, stay alive.” He was not communicating on his radio at the time and was unaware that the pilot of the AT-802A, who he had been friends with for years, was working in the area. He also reported the larger, turbine-powered airplanes normally top out at 600-700 ft when making a reverse-direction turn, especially on cool days. He stated that there are a lot of blind spots on the AT-802 due to its large, low-mounted wing. The AT-802A was equipped with a SATLOC G4 aerial guidance system and the AT-802 was equipped with an AgPilotX GPS system. The nonvolatile memory units were sent to the NTSB Vehicle Recorders Laboratory for download and analysis of the data. The data revealed that the AT-802A departed from runway 1 at Lake Village Municipal Airport (M32), Lake Village, Arkansas, about 1655. The AT-802A made a left, climbing turn to a southwesterly heading. About 1700:35, at 289 ft (all altitudes for both airplanes are in GPS altitude), the AT-802A made a left turn to a southerly heading and descended to below 100 ft, presumably to apply chemical. Concurrently, the AT-802 was positioned to the west of the AT-802A on a southeasterly heading. The altitude of the AT-802 varied between 407 and 465 ft during the 1 minute before the collision. Based on the relative positions of both airplanes, as the AT-802A was on its southwesterly heading, the AT-802 would have been located at the pilot’s approximate 1 o’clock position. Simultaneously, about 45 seconds before the collision, as the AT-802 was flying on the southeasterly heading, the AT-802A would have been positioned at the pilot’s approximate 10 o’clock position. Just before the collision (1701:07), the AT-802 indicated 477 ft altitude and about 139 knots ground speed, while the AT-802A indicated 341 ft altitude and 110 knots ground speed. The data indicated that the AT-802A was in a climbing, left turn at the time of impact, while the AT-802 was flying relatively straight and level (see figure 1). Figure 1: Track of the AT-802 (214RL, Cyan) and the AT-802A (N749LA, Yellow). Approximate location of collision is where the lines converged. According to autopsy an report from the State Crime Laboratory, Little Rock, Arkansas, the cause of death of the pilot of the AT-802A was multipleblunt force injuries and the manner of death was accident. The sun position data at 1700 for Portland, Arkansas included an azimuth of 269.51° with an altitude of 34.67° above the horizon. The sky was clear at the time of the accident. Both airplanes crashed into fields of actively growing crops. The wreckage of the AT-802 came to rest upright in a cotton field consistent with a near-vertical descent path to the ground. The wreckage of the AT-802A was highly fragmented and the main wreckage came to rest in a soybean field. The main wreckages were about 0.25 nautical mile apart, with the AT-802 located southwest of the AT-802A. AT-802 Wreckage Examination An examination of the AT-802 wreckage revealed impact signatures to the leading edge of the left wing and forward wind screen, consistent with contact with the AT-802A. The wind screen and its frame separated in flight and were found about 50 ft southeast of the main wreckage. A large section of the left wing’s outboard leading edge was separated and missing. Red paint transfer marks matching the paint scheme of the AT-802A were found on the remaining left wing structure. The engine remained attached to the engine mount and the mount was attached to the firewall. The forward area of the engine and the surrounding cowling showed evidence of postaccident fire. An external examination of the engine revealed no evidence of an in-flight case breach or oil leak. The five-bladed propeller was separated from the engine consistent with ground impact forces; it was located immediately forward of the engine. The blades exhibited “s” bending, twisting, and chordwise scratching. The on-scene examination of the AT-802 did not reveal evidence of a preexisting malfunction or failure that would have prevented normal operation of the airplane. AT-802A Wreckage Examination The wreckage of the AT-802A was highly fragmented and spread over a path about 300 ft in length and about 75 ft wide. There was no fire observed in the AT-802A wreckage. Due to the general fragmentation of the wreckage and the similar paint schemes of both aircraft, no transfer marks were found suggesting in-flight contact with the AT-802. Both aircraft were painted yellow; however, the AT-802A had red and black paint stripes, while the AT-802 had blue and black paint stripes. The fuselage came to rest on its right side on a northeasterly heading. The fuselage separated from the wing box and came to rest adjacent to the wing. The left and right wings remained attached at the through spar as a single unit. The engine and engine mount separated from the fuselage and were found about 15 ft northeast of the cockpit area. The forward section of the engine case was fractured and loose in the debris field. An external examination of the engine revealed no evidence of an in-flight case breach or oil leak. The five-bladed propeller was separated from the engine consistent with ground impact forces at the second stage reduction gear; it was found adjacentto the right-wing leading edge. The blades exhibited “s” bending, twisting, and chordwise scratching. One of the blades was separated and was buried in the soil near the point of initial ground impact. The on-scene examination of the AT-802A did not reveal evidence of a preexisting malfunction or failure that would have prevented normal operation of the airplane.

Aircraft · 2

Registration
N749LA
Reported as
Air Tractor AT-802A
Category
Airplane
Serial number
802A-0932
Built
2021
Airframe hours
237
Engine
P&W Canada PT6A-65AG, 1,300 horsepower, turbo prop
Damage
Destroyed
Flight
Aerial application · Part 137
Operator
Westwind Air LLC
Registered owner
Westwind Air LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · April 1, 2022 · 143 hours before
Departed
M32 · Lake Village, AR
Equipment
Electronic primary flight display, Electronic multifunction display

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
N214RL
Reported as
Air Tractor AT-802
Category
Airplane
Serial number
802-0896
Built
2021
Airframe hours
1,029
Engine
P&W Canada PT6A-65AG, 1,300 horsepower, turbo prop
Damage
Substantial damage
Fire
On-Ground
Flight
Aerial application · Part 137
Operator
Lassco LLC
Registered owner
Lassco LLC
Airworthiness certificate
Special, Restricted (Special)
Last inspection
100 hour · July 21, 2022
Departed
PVT · Portland, AR
Equipment
Electronic multifunction display, Electronic primary flight display

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
Pilot, aircraft N749LA
Age
54
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine sea, Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
February 9, 2022
Seat
Center
Restraint
5-point
Toxicology
Performed
Flight hours
17,950 total · 2,350 in this make and model
Role
Pilot, aircraft N214RL
Age
45
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Medical
Class 2, Without waivers/limitations
Last flight review
March 31, 2021
Seat
Front
Restraint
5-point
Flight hours
17,606 total

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
99 °F, dew point 72 °F
Altimeter
29.94 inHg
Observed at
KPBF, 62 nm away
METAR
METAR KPBF 262153Z AUTO 17010KT 10SM CLR 37/22 A2994 RMK AO2 SLP135 T03720222

Docket · 29

The files NTSB released with the investigation on March 20, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 44.9 MB in all.

Witness statementsItem 1 · PDF · 10 pages · 3.7 MBNTSB memorandum for record - N214RL pilot interviewItem 2 · PDF · 2 pages · 292 KBExcerpts - pilot log N214RLItem 3 · PDF · 2 pages · 1.1 MBN749LA pilot experience recordItem 4 · PDF · 2 pages · 513 KBExcerpts - N214RL aircraft logbookItem 5 · PDF · 2 pages · 6.6 MBExcerpts - N214RL engine logbookItem 6 · PDF · 2 pages · 4.1 MBExcerpts - N214RL propeller logbookItem 7 · PDF · 1 page · 1.6 MBExcerpts - N749LA aircraft logbookItem 8 · PDF · 3 pages · 346 KBExcerpts - N749LA engine logbookItem 9 · PDF · 2 pages · 663 KBExcerpts - N749LA propeller logbookItem 10 · PDF · 2 pages · 178 KBSun dataItem 11 · PDF · 2 pages · 215 KBElectronic devices - specialist's factual reportItem 12 · PDF · 10 pages · 2.2 MBAttachment 1 to electronic devices - specialist's factual reportItem 13 · CSV · 1.8 MBAttachment 2 to electronic devices - specialist's factual reportItem 14 · CSV · 3 KBN214RL aerial application track dataItem 15 · PDF · 2 pages · 1.7 MBPhoto arrayItem 16 · PDF · 15 pages · 14.3 MBWreckage diagram - N214RL and N749LAItem 17 · PDF · 1 page · 441 KBWreckage diagram - N749LAItem 18 · PDF · 1 page · 549 KBPlanform diagram AT-802Item 19 · PDF · 1 page · 241 KBExamination summaryItem 20 · PDF · 4 pages · 183 KBToxicological report - pilot of N749LAItem 21 · PDF · 1 page · 172 KBNTSB memorandum for record - autopsy findings - pilot of N749LAItem 22 · PDF · 1 page · 117 KBMedical factualItem 23 · PDF · 4 pages · 163 KBStatement of party representatives to NTSB investigationItem 24 · PDF · 14 pages · 379 KBN214RL release of aircraft wreckage, NTSB form 6120.15Item 25 · PDF · 1 page · 501 KBEvidence control N214RLItem 26 · PDF · 1 page · 507 KBN749LA release of aircraft wreckage, NTSB form 6120.15Item 27 · PDF · 1 page · 1.7 MBEvidence control N749LAItem 28 · PDF · 1 page · 502 KBPaass safety bulletinItem 29 · PDF · 1 page · 148 KB

FAA reports on this event · 2

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