- Date
- February 20, 2019, 17:00 local (23:00 UTC)
- Place
- Tulsa, OK
- Injuries
- 1 uninjured
- Damage
- Substantial damage
- Phase of flight
- Approach
- Aircraft
- N381DECirrus SR22
- Defining event
- Approach-VFR go-around: Loss of control in flight
- Weather
- Visual (VMC) · Day
- Status
- Completed · report September 26, 2019
- Report
- Approved by Office Director
- NTSB office
- General Aviation Accidents
- Parties
- FAA
- FAA report
- 20190220010389A
- Case key
- 99004
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 a stabilized approach with a tailwind and his subsequent failure to maintain yaw control during an attempted go-around.
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.
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 reported that, while en route, he applied left rudder to stay coordinated and that he alternated his left and right legs due to muscle fatigue. He added that, during landing at the destination airport, the approach was stabilized and "felt normal" with the flaps set at 100%. During the landing flare, he used "very little rudder" to maintain centerline, and about 1 to 2 ft above the ground, the airplane suddenly yawed left about 30° to 45°. He added that there was not enough right rudder to maintain the airplane parallel with the runway, so he decided to go around. He applied power, and the airplane then yawed violently left and impacted the ground, exited the runway to the left, and came to rest in the grass left of a parallel taxiway. The airplane sustained substantial damage to the fuselage. The owner provided flight data from the accident flight. Examination of the data revealed that, within 25 seconds of the accident, the airplane descended from 782 to 619 ft mean sea level (msl) with the descent rate peaking around 1,019 ft per minute and the indicated airspeed decreasing from 86 to 60 knots. About 2 seconds before the accident, the pitch attitude peaked at 7° with a left roll of 16°. The airport elevation was about 638 ft msl. The airplane was also equipped with a crash-hardened recoverable data module (RDM). Examination of the data recovered from the RDM revealed that the airplane veered left, the power and pitch were momentarily increased, and the stall warning horn was on. The airplane manufacturer's recommended landing approach speed with flaps set to 100% was 80 to 85 knots. The aerodynamic stall speed at maximum gross weight was about 60 knots. The pilot reported that the wind was light and variable and not gusting. The RDM data revealed that the wind was from 359° at 5 knots. The pilot was landing the airplane on runway 19L. The Federal Aviation Administration inspector reported that he examined the airplane and verified rudder control continuity and noted that "everything was intact."
Factual narrative
The pilot reported that, while en route, he used left rudder to stay coordinated and alternated his left and right leg due to muscle fatigue. During landing at the destination airport, the approach was stabilized and "felt normal" with the flaps set at 100%. During the landing flare, he used "very little rudder" to maintain centerline, and, about 1 to 2 feet above the ground, the airplane suddenly yawed to the left about 30 to 45°. He added that there was not enough right rudder to maintain parallel with the runway, so he decided to go around. He applied power, the airplane yawed violently to the left, the airplane impacted the ground, exited the runway to the left, and came to rest in the grass to the left of a parallel taxiway. The airplane sustained substantial damage to the fuselage. The owner provided flight data from the accident flight. Examination of the data revealed that, within 25 seconds of the accident, the airplane descended from 782 ft mean sea level (msl) to 619 msl with descent rates peaking around 1019 ft per minute and the indicated airspeed decreased from 86 knots to 60 knots. About 2 seconds before the accident, the pitch attitude peaked at 7° with a left roll of 16°. The airport elevation was about 638 ft. The airplane was also equipped with a crash hardened Recoverable Data Module (RDM), a flight recording device installed in the tail of the airplane. Examination of the data recovered from the RDM and revealed that the airplane veered left, the power and pitch were momentarily increased, and the stall warning horn was on. The airplane manufacturer's recommended landing approach speed with flaps set to 100% was 80 to 85 knots. The aerodynamic stall speed at maximum gross weight was about 60 knots. The pilot reported that the wind was light and variable and not gusting. The RDM data revealed that the wind was from 359° at 5 knots. The pilot was landing the airplane on runway 19L. The Federal Aviation Administration inspector reported that he examined the airplane and verified rudder control continuity and that "everything was intact."
Aircraft
- Registration
- N381DE
- Reported as
- Cirrus SR22 (Undesignat)
- Category
- Airplane
- Serial number
- 4526
- Built
- 2017
- Engine
- Continental IO-550-N, reciprocating
- Damage
- Substantial damage
- Flight
- Business · Part 91
- Airworthiness certificate
- Standard, Normal
- Departed
- ELD · El Dorado, AR
- Destination
- RVS · Tulsa, OK
- Flight plan
- VFR
- Airport
- RVS · Richard Lloyd Jones Jr, runway 19L, 4,208 × 100 ft, asphalt
- Equipment
- Angle of attack indicator, Auto-pilot, Data recorder, Electronic multifunction display, Electronic primary flight display, Onboard weather, Stall warning system, Airframe parachute, 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
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 58
- Injuries
- None
- Certificate
- Private
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, With waivers/limitations
- Last flight review
- April 17, 2017
- Seat
- Left
- Restraint
- 4-point
- Flight hours
- 1,133 total · 725 in this make and model · 1,063 as pilot in command · 81 in the last 90 days · 35 in the last 30 days · 4 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 250° at 4 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 52 °F, dew point 30 °F
- Altimeter
- 29.89 inHg
- Observed at
- KRVS
Docket · 6
The files NTSB released with the investigation on April 4, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.5 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.