# NTSB LAX04LA324: Cirrus SR-22, N931CD, Peters, CA, September 19, 2004 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: September 19, 2004, 16:13 local (23:13 UTC) - Place: Peters, CA - Coordinates: 37.995834, -121.061386 - Nearby events: https://openairdocs.org/map.md?lat=37.9958&lon=-121.0614&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report January 31, 2006 - Report: Approved by Office Director - Parties: Federal Aviation Administration, Cirrus Design - NTSB case key (mKey): 60205 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX04LA324 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/60205/pdf - Page: https://openairdocs.org/ntsb/LAX04LA324 ## Probable cause The pilot's decision to continue flight into adverse weather and the subsequent encounter with the outer boundaries of a level 5 thunderstorm, which resulted in his loss of control of the airplane. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - In flight encounter with weather, climb - to cruise - weather condition - thunderstorm (cause) - flight into adverse weather - continued, pilot in command (cause) - Loss of control - in flight, climb - to cruise - aircraft control - not maintained, pilot in command (cause) - Miscellaneous/other, descent - emergency - emergency procedure - performed, pilot in command(cfi) - safety system(other) - activated - In flight collision with terrain/water, emergency descent/landing - terrain condition - high vegetation ## Analysis During climbing flight at 16,000 feet, the single engine airplane encountered the outer boundaries of severe convective weather; the airplane departed controlled flight, the pilot deployed the Cirrus Airframe Parachute System (CAPS), and the airplane was substantially damaged during the parachute landing in a walnut grove. The pilot did receive a standard weather briefing, checked radar, and satellite imagery prior to departing on the 600-mile cross-country flight. Throughout the flight the pilot recognized cloud build-ups and steered west to avoid the weather. About an hour into the flight he climbed from 13,500 to 16,000 in an attempt to stay clear of clouds; the autopilot was in heading mode and the vertical speed knob was set to maintain 100 knot climb. About this time radar depicted the airplane descending 1,100 feet in 23 seconds then climbing 1,300 feet in 14 seconds. The pilot heard a "whirring" noise in his headset, prompting him to disconnect the autopilot. The nose pitched up and the left wing dropped. It was at this time that the pilot transmitted that he was out of control and he deployed the CAPS. The airplane then descended by parachute to a landing in a walnut orchard. The radar track of the airplane combined with the weather surveillance radar imagery depicted the airplane encountering a level 5 (intense) area of convective activity moments prior to the final descent (CAPS deployment). Radar derived cloud tops indicated that the tops of the thunderstorms in the accident area were between 15,000 and 20,000 feet. Convective SIGMETs 44W and 47W, had been issued during the hour before departure, and warned of thunderstorms in the vicinity of the pilots' planned route of flight. SIGMET 49W, which covered the area in which the airplane was flying, was issued approximately 10 minutes prior to the airplane departing controlled flight. Examination of the airplane revealed no evidence of a preimpact malfunction or failure of the control system, autopilot, or power plant. ## Factual narrative HISTORY OF FLIGHT On September 19, 2004, at 1613 Pacific daylight time, a Cirrus SR-22 single engine airplane, N931CD, contacted trees in a walnut orchard during an emergency parachute descent near Peters, California. Following an encounter with weather and a loss of control, the pilot deployed the Cirrus Airframe Parachute System (CAPS) about 16,000 feet mean sea level (msl), and the airplane made a parachute landing into the walnut orchard. The owner was operating the airplane under the provisions of 14 CFR Part 91. The instrument-rated commercial pilot and single passenger were not injured, and the airplane was substantially damaged. Instrument meteorological conditions prevailed, and an instrument flight plan had been filed but not activated. The flight originated from Redding, California, about 1500, and was en route to Gillespie Field, El Cajon, California. The pilot reported to the National Transportation Safety Board investigator-in-charge (IIC) that he had received a standard weather brief, and had checked the en route weather before departure using radar, satellite images, and visual observation. The pilot planned a 600-mile cross-country flight from Redding to El Cajon, California. The airplane departed Redding about 1500. About 50 minutes into the flight, the airplane passed through 14,000 feet mean sea level (msl) with the autopilot in heading mode and the vertical speed knob set for a 100-knot climb. The pilot and his passenger were using supplemental oxygen. There was a broken cloud layer 1,500 feet below the airplane and he was in visual meteorological conditions, steering west to avoid some weather. He heard a "whirring" sound in his headset and the nose pitched up. He disconnected the autopilot, the left wing dropped, and the airplane appeared to enter a spin. The pilot determined that the airplane would be in the cloud layer below before he could recover and decided to activate the CAPS. The CAPS deployment was successful; the airplane broke out of the clouds about 2,500 feet above ground level (agl), and parachuted into a walnut grove. The pilot stated to the county sheriff that he did not see any storm activity on his storm scope during the flight. Radar and Air Traffic Control (ATC) Communication Information Examination of Los Angeles Center radar records revealed that N931CD was at 16,300 feet and climbing steadily at 100 fpm up to 1604:47. From 1605:15 to 1605:38, the data displayed that the airplane descended from 16,300 feet to 15,200 feet. From 1605:43 to 1605:57, the airplane's radar return depicted that it ascended from 15,400 feet to 16,700 feet. After the time of 1605:57, the radar data showed that the airplane descended steadily at ground speeds between 75 and 18 knots, down to 7,700 feet, at which point the radar data file stopped (1609:43). The Air Traffic Control (ATC) radio communication recordings between the controllers and the pilot of N931CD were examined. The pilot checked in at 9,500 feet with controllers at 1533, and requested a climb to 11,500 feet. About 1534, the pilot requested a climb to 13,500 feet. Four minutes later, controllers transmitted a traffic advisory to the pilot and his response was clear, quick, and direct. About 1602, the pilot said he was climbing to 15,000 feet to get over (cloud) build-ups. His speech was clear and distinct. About 1607, the pilot made an open transmission that he was out of control, and 3 minutes later, he transmitted that he had deployed the parachute and was descending through 10,000 feet. Around 1612, the pilot said he broke out of the clouds in his parachute descent at 2,500 feet (msl). METEOROLOGICAL INFORMAION AIRMETs/SIGMETs The National Weather Service (NWS) issues in-flight weather advisories designated as Significant Meteorological Information (Convective SIGMET -WST and SIGMET - WS), and Airmen Meteorological Information (AIRMET - WA). In-flight advisories serve to notify en route pilots of the possibility of encountering hazardous flying conditions, which may not have been forecast at the time of a preflight briefing. At the time of the accident, an AIRMET (WA6T) issued at 1245 for turbulence was valid for California, but it did not include the accident location. However, it noted that elsewhere turbulence could be expected in the vicinity of convective activity. A Convective SIGMET (49W) was issued at 1555, and was valid at the time of the accident. It indicated a severe line of thunderstorms 30 miles wide moving from 300 degrees at 15 knots, with tops to 27,000 feet. The SIGMET also noted the possibility of 1-inch hail and wind gusts up to 50 knots. Two other Convective SIGMETs, 44W and 47W, had been issued at 1355 and 1455, respectively. They warned of similar conditions near the accident area. Lastly, an AIRMET (ZULU) for icing conditions was valid at the time of the accident and included the accident location. It forecasted the presence of occasional moderate rime or mixed icing in clouds and/or precipitation between the freezing level and 19,000 feet, with the freezing level ranging from 7,500 to 12,000 feet over central California. Terminal Aerodrome Forecast (TAF) A TAF was issued at 1013 for the Stockton Metropolitan Airport, which is about 10 miles west of the accident site, and was valid from 1100 on September 19 until 1100 on September 20. In part, it stated the following: Winds 260 degrees at 10 knots; visibility greater than 6 statute miles with moderate rain shower; and scattered clouds at 3,000 feet (agl) and overcast at 6,000 feet (agl). From 1700, winds 280 degrees at 8 knots; visibility greater than 6 statute miles; and skies scattered at 8,000 feet… A TAF was also issued for Sacramento Executive Airport, which is about 30 miles northwest of the accident site. It was issued at 1314, and valid from 1300 on the day of the accident through 1100 of the following day. A portion of the TAF is presented below. Winds 180 degrees at 11 knots; visibility greater than 6 statute miles; showers in the vicinity; and the sky conditions scattered at 4,000 feet and broken at 8,000 feet. Temporary condition between 1300 and 1700, winds 170 degrees at 13 knots, gusting to 20 knots; thunderstorm with moderate rain; and sky conditions broken at 3,000 feet with cumulonimbus. Weather Surveillance Radar Data The Sacramento, California, WSR-88D (Weather Surveillance Radar-1988 Doppler) was the nearest weather radar to the accident. This radar (DAX) was 43 miles away from the accident site at 317 degrees. The color radar scan from DAX valid at 1605 on September 19, 2004, was examined. A color scale was on the right side of the image depicting the reflectivities ranging from 5 to 75 dBZ. A plot of the 1550 radar data and the flight track of the airplane were overlaid on to the DAX radar scan and showed the track intersecting an area reflectivity of 50-55 dBZ, which correlates to a level 5 (intense) measurement of convective activity. Radar derived cloud tops indicated that the tops of the thunderstorms in the accident area were between 15,000 and 20,000 feet. A detailed weather description can be found in the Meteorological Factual Report section in the Official Docket for this accident. TESTS & RESEARCH Airplane Examination Under the direction of the Safety Board IIC a pitot-static system test was performed on the airplane before it was removed from the landing location. The airspeed indicator was checked up to 200 knots with no leaks identified. The static system was tested up to 12,500 feet with an associated leak rate of 80 feet per minute identified (a maximum of 100 feet per minute is acceptable per 14 CFR Part 23.1325). The airplane was examined by a Federal Aviation Administration (FAA) inspector and the manufacturer under the supervision of the Safety Board IIC at the Air Transport facility, Phoenix, Arizona. No pre-accident airframe or pow ## Aircraft - Registration: [N931CD](https://openairdocs.org/aircraft/N931CD), registered now, S/N 0261 (OpenAirDocs) - Reported make and model: Cirrus SR-22 - Registry model: [Cirrus Design SR22](https://openairdocs.org/model/cirrus-design-sr22) (registry code 2130001) (OpenAirDocs) - Category: Airplane - Serial number: 261 - Airframe hours: 422 - Engines: Teledyne Continental IO-550-N7B 310 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: William K. Graham - Registered owner: William K. Graham - Airworthiness certificate: Standard, Normal - Last inspection: Annual, July 1, 2004 - Departed: KRDD, Redding, CA - Destination: KSEE, El Cajon, CA - Flight plan: IFR ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 65; injuries: none; commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 2, valid medical--w/ waivers/lim; last flight review July 1, 2004; seat: left; flight hours: 2,565 total, 498 in this make and model, 2,468 as pilot in command, 92 in the last 90 days, 31 in the last 30 days, 7 in the last 24 hours ## Weather - Conditions: Instrument (IMC), Day - Wind: 50° at 13 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 64 °F, dew point 32 °F - Altimeter: 29.84 inHg - Observed at: KSCK, 10 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 (OpenAirDocs). - [Accident 20040919024319A](https://openairdocs.org/incident/20040919024319A), Sep 19, 2004: Cirrus SR22, Linden, CA, Substantial damage. (-23) Pilot reported that he had attempted to avoid oncoming weather by climbing to 16,500 feet using the autopilot vertical speed control. Pilot commented… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.