ERA23FA077

NTSB accident investigation · Mooney M20J · Falmouth, MA · December 2, 2022

Accident · FatalClass 3 · FieldFinal report
Date
December 2, 2022, 15:04 local (20:04 UTC)
Place
Falmouth, MA · On 5B6 Airport about 200 ft short of the approach end of runway 25
Injuries
1 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N3515HMooney M20J
Defining event
Approach-VFR pattern final: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20221202018229A
Case key
106405

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 maintain clearance from trees during the landing approach. Contributing to the accident was the sun glare, which impaired the pilot's visibility and situational awareness.

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.

Light condition: glareEnvironmental issues › Conditions/weather/phenomena · Effect on personnelMooney M20J: 1 caseAll aircraft: 109 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeMooney M20J: 4 casesAll aircraft: 933 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedMooney M20J: 4 casesAll aircraft: 1,310 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 pilot-rated passenger described the sun as “blinding” during the landing approach, but stated that she and the pilot were uncomfortable landing on the other runway due to the wind conditions. While on final approach, the passenger adjusted the pilot’s sun visor, then looked down to confirm that the airplane was properly configured for landing. When she looked up, she knew that the airplane was going to impact trees. Examination of the wreckage revealed that the airplane impacted 75-ft-tall trees about 300 ft from the end of the runway, then subsequently impacted terrain. The passenger reported there were no mechanical malfunctions or anomalies that would have precluded normal operation. Review of published airport information revealed that trees were listed as an obstruction for both runways.

Factual narrative

A review of the Airport Facility Directory for 5B6 indicated that trees were located 300 ft from the threshold of runway 25 and about 125 ft right of the runway centerline. A 4:1 approach glide slope was necessary to clear these trees. According to the airport manager, “MassDOT conducts annual inspections, which generally go well, but the trees are consistently noted as a concern. The trees have been trimmed back as much as possible within the property boundaries.” The trees near runway 25 were predominantly pines and oaks, with heights ranging from 50 to 100 ft. The airplane was equipped with an Appareo Stratus PRX V2, and its data were successfully downloaded by the NTSB Recorder Specialist using the manufacturer’s procedures. The Appareo Stratus is a self-contained, battery-powered device that incorporates an internal attitude and heading reference system (AHRS), a GPS/WAAS receiver, and an ADS-B receiver. A review of the tabular data retrieved from the device indicated that the airplane was at an altitude about 100 ft mean sea level (msl) as it approached the trees, corresponding to about 59 ft above ground level. On December 2, 2022, about 1504 eastern standard time, a Mooney M20J, N3515H, sustained substantial damage when it was involved in an accident at Falmouth Airpark (5B6), Falmouth, Massachusetts. The private pilot was fatally injured, and the pilot-rated passenger received serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to a friend of the pilot, earlier that day, he and three other aircraft, including the accident airplane, flew from 5B6 to Westfield-Barnes Regional Airport (BAF), Westfield/Springfield, Massachusetts, for lunch. He reported that, after having lunch, they all returned to 5B6. Before landing, he heard a female voice making radio calls from the accident airplane. She made an announcement as they were entering the downwind leg of the airport traffic pattern and then onto the final leg for runway 25. He continued his approach and while on short final, he spotted the crashed airplane at the approach end of runway 25. In an interview with the pilot-rated passenger, she remembered flying to BAF, and said that the flight was uneventful. She was not pilot-in-command at the time of the accident but was double-checking everything during the flight. She reported that the sun was “blinding” during the approach to runway 25, but there was enough wind that they did not feel comfortable landing on runway 7. While on short final, she adjusted the pilot’s sun visor, looked down to check that the airplane was configured for landing, and when she looked up, she knew that the airplane was going to hit the trees. She believed that the pilot could not see because of the sun. She stated that the engine was running fine, and there were no flight control anomalies at the time of the accident. An autopsy of the pilot was performed by The Commonwealth of Massachusetts,Office of the Chief Medical Examiner. According to the autopsy report, the cause of death was blunt force injuries, and the manner of death was accident. Toxicology testing performed at the FAA Forensic Sciences Laboratory found no drugs of abuse. Tamsulosin was detected in the blood and urine and is a prescription medication commonly used to treat symptoms of an enlarged prostate. Tamsulosin is not generally considered impairing. A review of the sun’s azimuth/angle indicated that the sun was directly in front of the airplane during the approach. The airplane impacted 75-ft-tall trees and came to rest 200 ft from the runway 25 threshold. Two impact craters were observed; both craters contained clear and green plexiglass, consistent with impact from the right wing. This was followed by a 10-ft ground scar that ended with a 2-ft-deep crater. All major components of the airplane were located at the accident site. The fuselage from the firewall to the empennage was crushed and impact damaged. The instrument panel and cockpit were destroyed by impact forces. Engine and propeller controls were full forward; the engine was partially separated from the firewall. Flight controls within cockpit were impact damaged but remained connected to the flight control push/pull tubes throughout the fuselage. Flight control continuity was established to all flight control surfaces. The empennage remained intact, and the horizontal stabilizers, elevators, vertical stabilizer, and rudder remained attached and were unremarkable.

Aircraft

Registration
N3515H
Reported as
Mooney M20J (NO SERIES EXISTS)
Category
Airplane
Serial number
24-1034
Built
1980
Airframe hours
2,774.87
Engine
Continental IO-550, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 24, 2022 · 28.2 hours before
Departed
BAF · Westfield/Springfield, MA
Destination
Same as departure
Airport
5B6 · Falmouth Airpark, runway 25, 2,298 × 40 ft, asphalt
Equipment
Handheld GPS, 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.

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
83
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
BasicMed
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
2,659 total · 2,659 in this make and model
Role
Pilot-rated passenger
Age
70
Injuries
Serious
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
2,516 total

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
45 °F, dew point 30 °F
Altimeter
30.50 inHg
Observed at
KFMH, 4 nm away
METAR
METAR KFMH 022045Z 19008KT 10SM CLR 07/M01 A3050=

Docket · 11

The files NTSB released with the investigation on December 5, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 31.4 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.

Other investigations on N3515H · 1

Matched to the same aircraft by N-number and date.