- Date
- January 15, 2005, 12:23 local (17:23 UTC)
- Place
- Coconut Creek, FL
- Injuries
- 1 fatal
- Damage
- Destroyed
- Phase of flight
- Maneuvering
- Aircraft
- N889JBCirrus Design SR22
- Weather
- Instrument (IMC) · Day
- Status
- Completed · report May 30, 2006
- Report
- Approved by Office Director
- Parties
- Cirrus Design Corporation, FAA/FSDO, Teledyne Continental
- FAA report
- 20050115000619A
- Case key
- 60866
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 aircraft control, which resulted in an uncontrolled descent to the ground. Factors included an avionics failure, pilot disorientation, and instrument meteorological conditions. A factor in the severity of the impact was the pilot's failure to deploy the airplane's onboard parachute system.
Sequence of events
NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.
Analysis
The pilot took off in instrument meteorological flight conditions and shortly thereafter, misinterpreted a series of air traffic control instructions to be for his airplane when they were for another airplane. Subsequent callouts and responses by the pilot indicated confusion, to the point where he stated, "I gotta get my act together here." Less than 1 minute later, the pilot reported "avionics problems," and about 40 seconds after that, during his last transmission, he stated that he was "losin' it." The airplane subsequently descended nose-down, out of clouds, and impacted a house and terrain. The airplane was equipped with a primary flight display (PFD), as well as separate backup instruments in case the display failed. The airplane had approximately 98 hours of operation since being manufactured, and had a history of PFD failures. The pilot had previously practiced partial panel (no PFD) flight. The airplane was also equipped with a parachute system, which was not deployed in flight.
Factual narrative
History of flight
On January 15, 2005, at 1223 eastern standard time, a Cirrus Design Corporation SR22, N889JB, was destroyed when it impacted a house, then terrain, in Coconut Creek, Florida. The certificated commercial pilot was fatally injured. Instrument meteorological conditions prevailed, and the airplane was operating on an instrument flight rules flight plan from Fort Lauderdale Executive Airport (FXE), Fort Lauderdale, Florida, to Naples Municipal Airport (APF), Naples, Florida, and back to Fort Lauderdale Executive. The personal flight was conducted under 14 CFR Part 91.
According to information received from the Federal Aviation Administration (FAA), the airplane departed Fort Lauderdale Executive at 1217.
Radar and transponder data revealed that after the airplane departed Fort Lauderdale Executive, it climbed to the northwest, to 1,600 feet, before beginning a right turn toward the northeast. The airplane then climbed to 1,800 feet, continued the right turn, and once on a southeast heading, descended to 1,000 feet. Subsequently, the airplane turned left, and headed northeast, climbing to 1,900 feet. It then made a right turn to the south, and descended to 400 feet during a 12-second period, followed by a climb to 1,400 feet during the next 12-second period. The airplane subsequently made one more left turn, through north, to the northwest, and its last altitude readout, at 1223:17, was 1,100 feet. The last radar contact was about 500 feet southeast of the accident site.
A review of the voice communication tape revealed:
At 1219:13, the pilot stated: "cirrus november eight eight nine juliet bravo is through a thousand, ah (unintelligible)."
At 1219:59, the controller responded: "eight eight niner juliet bravo you're radar contact, turn left heading two seven zero." The pilot then responded with: "ah, two seven zero, nine zero, ah, nine juliet bravo.
At 1220:07, the controller stated (to another pilot): "seven eight five, turn right, heading zero niner zero."
At 1220:10, an unidentified voice, similar to the accident pilot's, responded: "ah, did you say a right turn to two seven zero?"
At 1220:15, the controller stated: "turn right zero niner zero seven eight five."
The pilot from that airplane did not respond.
At 1220:21, the controller stated: "three six seven eight five, turn right heading zero niner zero."
At 1220:27, there was a sound similar to two pilots blocking each other's transmissions.
At 1220:29, the controller stated: "eight juliet, correction, niner juliet bravo, turn left, two seven zero."
At 1220:32, the pilot responded: "two seven zero for nine juliet bravo"
At 1220:35, the controller stated: "turn now please."
At 1220:39, the controller stated: "november six niner xray, turn left, heading one five zero," and that pilot responded with: "one five zero, six niner xray."
At 1220:43, the controller stated: "november nine juliet bravo, turn left, heading two seven zero, two seventy the heading niner juliet bravo. you've turned the wrong way."
At 1220:49, the pilot responded: "you told me to turn ninety; i'm turning back to two seventy now."
At 1220:52, the controller stated: "negative sir, that was for a seven eight five. november niner juliet bravo, continue in the turn heading of zero niner zero. traffic alert. traffic eleven o'clock, one mile, indicates two thousand, he's southbound."
At 1221:06, the pilot responded: "zero nine zero on the heading, nine juliet bravo."
At 1221:13, the controller stated: "november niner juliet bravo, just continue on a ninety heading. november six niner xray, turn right, heading of zero, correction, turn right, heading two seven zero." That pilot responded: "two seven zero, six niner x."
At 1221:25, the controller stated: "november seven eight kilo, turn left, turn left, heading zero niner zero, maintain three thousand," and the pilot responded: "zero nine zero, seven eight kilo."
At 1221:30, the controller stated: "cirrus niner juliet bravo, climb and maintain two thousand, over."
At 1221:35, the pilot responded: "climbing to two thousand (pause), and you want me (transmission cut off)."
At 1221:40, the controller stated: "november niner juliet bravo, just continue on a ninety heading, heading zero niner zero. i'm trying to get you away from a cessna."
There was no response from the pilot.
At 1221:50, the controller stated: "november niner juliet bravo, fly heading zero niner zero, over."
There was no response from the pilot.
At 1221:59, the controller asked: "november eight eight niner juliet bravo, how do you hear, over?"
At 1222:05, the pilot responded: "i'm hearin' ya. i'm hearin' ya. i'm, i'm, i gotta get, ah, my act together here."
At 1222:11, the controller stated: "november niner juliet bravo, fly heading zero niner zero. i have aircraft off your left, will be on the approach at pompano. just fly a ninety heading, climb and maintain two thousand."
There was no answer from the pilot.
At 1222:30, the controller stated: "seven eight kilo, turn left, three six zero, it's going to be a short vector, i've got a cirrus disorientated out to the of, ah, east of you. i have to get him under control again." That pilot responded: "three six zero, seven eight kilo."
At 0222:39, the controller stated: "thank you. november seven eight five, turn right, heading one eight zero. this will be vectors across the localizer for aircraft that's just going to be coming across pompano at two thousand feet." There was no response from that pilot.
At 1222:52, the controller asked: "cirrus eight eight niner juliet bravo, miami, how do you hear?"
At 1222:55, the pilot responded: "i hear you, but i've got, i've got problems, i've got avionics problems."
At 1223:02, the controller stated: "cirrus niner juliet bravo, roger. do you have a gyro?"
At 1223:07, the pilot responded: "i'm trying to get the plane, ah, level, nine juliet bravo."
At 1223:11, the controller asked: "okay, november niner juliet bravo, do you see the ground?"
At 1223:16, the pilot responded: "negative, I do not see the ground, nine juliet bravo."
At 1223:21, the controller asked: "all right, you have your wings level?"
At 1223:23, the pilot responded: "the wings are level, nine juliet bravo."
At 1223:24, the controller asked: "november niner juliet bravo, roger, do you have a directional gyro?"
At 1223:28, the pilot stated: "i'm losin', i'm losin' it again here."
There were no further transmissions from the pilot.
A witness, an airline transport pilot who was at a park near the accident site, reported that he heard the airplane flying southeast at a very low altitude. He looked up, but couldn't see it through the low overcast and mist. The airplane didn't sound like it had any engine problems, but as it flew farther away, it sounded as if it was maneuvering.
A second witness, who was outside his home near the accident site, stated that he heard an airplane above the clouds that sounded like it was conducting acrobatics, climbing and descending. Suddenly, it descended out of the clouds, then banked and headed back up into the clouds in a northeasterly direction. As it ascended, the witness heard "an rpm change, like it was climbing." The witness then heard the engine get louder, followed by the sound of an explosion. The witness did not see the airplane exit the clouds a second time due to trees in his line of sight.
Another witness, who did see the airplane descend from the clouds the second time, stated that when it did so, the airplane was perpendicular to the ground, "but on a slant."
The accident occurred during daylight hours, in the vicinity of 26 degrees, 15.5 minutes north latitude, 080 degrees, 10.4 minutes west longitude.
Personnel information
The pilot held a commercial pilot certif
Aircraft
- Registration
- N889JB
- Reported as
- Cirrus Design SR22
- Category
- Airplane
- Serial number
- 0949
- Airframe hours
- 98
- Engine
- Continental IO-550, 310 horsepower, reciprocating
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Personal · Part 91
- Operator
- Gerald B. Ballard
- Registered owner
- Jerry Ballard Homes, Inc.
- Airworthiness certificate
- Standard, Normal
- Departed
- FXE · Ft Lauderdale, FL
- Destination
- APF · Naples, FL
- Flight plan
- IFR
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
- 57
- Injuries
- Fatal
- Certificate
- Commercial
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1
- Last flight review
- March 1, 2004
- Seat
- Left
- Toxicology
- Performed
- Flight hours
- 483 total · 405 in this make and model · 418 as pilot in command · 17 in the last 30 days
Weather
- Conditions
- Instrument (IMC) · Day
- Wind
- 310° at 5 knots
- Visibility
- 5 statute miles
- Lowest ceiling
- 600 ft overcast
- Temperature
- 68 °F, dew point 66 °F
- Altimeter
- 30.09 inHg
- Observed at
- FXE, 4 nm away
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.