# NTSB MIA08LA166: Costruzioni Aeronautiche P2002 Sierra, N494ES, Woodbine, NJ, August 16, 2008

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Limited investigation · Final report
- Date: August 16, 2008, 10:05 local (14:05 UTC)
- Place: Woodbine, NJ
- Coordinates: 39.219165, -74.794723 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=39.2192&lon=-74.7947&mi=10
- Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping)
- Defining event: [Approach-VFR go-around: Loss of control in flight](https://openairdocs.org/ntsb-events/240)
- Highest injury: No injuries
- Injuries: 1 uninjured
- Status: Completed, report October 19, 2009
- Report: Approved by Office Director
- Parties: FAA/FSDO
- NTSB case key (mKey): 68710
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA08LA166
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/68710/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=68710
- Page: https://openairdocs.org/ntsb/MIA08LA166

## Probable cause

The student pilot's failure to maintain airspeed during a go-around. Contributing to the accident was the student pilot's degraded emotional/mental state due to stress.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Performance/control parameters: airspeed](https://openairdocs.org/ntsb-findings/01062010): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Costruzioni Aeronautiche Tecna P2002 SIERRA, 4 cases](https://openairdocs.org/ntsb-findings/01062010/cases.md?model=0600006), [All aircraft, 1,681 cases](https://openairdocs.org/ntsb-findings/01062010/cases.md)
- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Costruzioni Aeronautiche Tecna P2002 SIERRA, 7 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=0600006), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Mental/emotional state: stress](https://openairdocs.org/ntsb-findings/02022510): Personnel issues › Psychological · Pilot (probable cause); cases with it: [Costruzioni Aeronautiche Tecna P2002 SIERRA, 1 case](https://openairdocs.org/ntsb-findings/02022510/cases.md?model=0600006), [All aircraft, 14 cases](https://openairdocs.org/ntsb-findings/02022510/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Approach-VFR go-around: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Costruzioni Aeronautiche Tecna P2002 SIERRA, 6 cases](https://openairdocs.org/ntsb-events/240/sequence.md?model=0600006), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md)
- [Landing-flare/touchdown: Attempted remediation/recovery](https://openairdocs.org/ntsb-events/060); cases with it: [Costruzioni Aeronautiche Tecna P2002 SIERRA, 1 case](https://openairdocs.org/ntsb-events/060/sequence.md?model=0600006), [All aircraft, 1,422 cases](https://openairdocs.org/ntsb-events/060/sequence.md)
- [Uncontrolled descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Costruzioni Aeronautiche Tecna P2002 SIERRA, 8 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=0600006), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)

## Analysis

The student pilot departed and remained in the traffic pattern intending on performing touch-and-go landings. While on final approach with full flaps extended, flying at 10 feet above ground level, the pilot slowed the airplane to 38 knots indicated airspeed (KIAS), though 40 KIAS is the recommended touchdown speed. He reportedly landed, bounced 10 to 15 feet, and applied power to go-around, and he allowed the airplane to decelerate and stall. The airplane was equipped with an electronic flight instrumentation system (EFIS0 that records parameters every 5 seconds including time, date, indicated airspeed, GPS coordinates, ground speed, pitch, pressure altitude, vertical G’s, roll, heading, and slip. Readout of the EFIS revealed the entire accident flight was recorded. Data downloaded from the EFIS indicated that before the airplane stalled the pitch attitude (in degrees) increased to 11.94. The airplane rolled to the left and impacted grass to the left of the runway. There was no preimpact failure or malfunction of the airplane or its systems. The 75 hour student pilot stated that he was under stress due to an issue related to work, and he should not have been flying that day. He also reported, "he was much less focused than he should have been."

## Factual narrative

On August 16, 2008, about 1005 eastern daylight time, a Special Light-Sport (S-LSA) Costruzioni Aeronautiche Tecnam P2002 Sierra airplane, N494ES, registered to and operated by a private individual, stalled during landing at Woodbine Municipal Airport (1N4), Woodbine, New Jersey. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91, local instructional flight from 1N4. The airplane was substantially damaged and the student pilot, the sole occupant, was not injured. The flight originated about 0959, from 1N4. The student pilot stated that he was under stress due to an issue related to work, and he should not have been flying that day. He also reported, "he was much less focused than he should have been", and he intended on performing touch-and-go landings. After takeoff the flight remained in the traffic pattern for runway 31, and the downwind leg was flown at 1,300 feet above mean sea level (msl) instead of 1,000 feet msl. He turned base leg, then turned onto final approach. While on final approach with full flaps extended he performed a forward slip to lose altitude because the flight was too high, but recognized the flight was too low at the end of the slip. He applied aft elevator input in an attempt to extend the glide but did not apply power. The airplane descended from approximately 15 feet, contacted the runway, and bounced 10 to 15 feet. While in a nose-high attitude, he added power to go-around but inadvertently performed a power-on stall. The airplane rolled left, pitched nose down, and impacted grass off the left side of the runway. He further stated there was no preimpact failure or malfunction of the airplane or its systems, and there was no turbulence. The pilot began flight training on December 2, 2006, and continued to July 13, 2007, during which time he accumulated 35.5 hours in Cessna 172 airplanes. No flight time during that time was logged as pilot-in-command (PIC), and no flights were logged between July 13, 2007, and May 5, 2008. At that time he resumed flight instruction in a Tecnam Sierra airplane. He continued to receive flight instruction and first soloed on July 28, 2008. At the time of his first solo flight, he had accumulated approximately 31 hours during 25 flights since resuming his flight instruction. Including his first sole flight, he logged 3.5 hours as PIC during the course of 7 flights. Excluding the accident flight, he logged a total time of 75 hours. The airplane was equipped with an Advanced Flight Systems, Inc., EFIS that records parameters every 5 seconds including time, date, indicated airspeed, GPS coordinates and ground speed, pitch, pressure altitude, vertical G’s, roll, heading, and slip. The EFIS was removed and retained for readout by the National Transportation Safety Board (Safety Board) Vehicle Recorder Division. Readout of the EFIS revealed the entire accident flight was recorded. A plot of downloaded datadepicted the maximum altitude flown on the downwind leg was 1,170 feet, and the airplane then descended to 890 feet at the end of the downwind turn. The airplane at that time was flying at 66 knots indicated airspeed (KIAS) or 70 knots ground speed. The flight turned onto left base and descended to approximately 550 feet and slowed to 48 KIAS, or 50 knots ground speed. The flight turned onto final approach and flew towards the runway descending to 10 feet above ground level while decelerating to 38 KIAS. The airplane pitch up moment increased to a maximum of 11.94 degrees, and approximately 5 seconds later the recorded indicated airspeed was 11 knots, the pitch was negative 7.14 degrees, and the heading changed to approximately 209 degrees. Safety Board review of the Flight Manual revealed the optimal touchdown speed with full flaps is 40 knots and the “Balked Landing” procedures specify to apply full throttle and accelerate to 60 KIAS, retract the flaps to 15 degrees, then accelerate to 65 KIAS, and adjust the trim. The pilot reported that the aircraft was 220 pounds below gross weight at the time of the accident; the stall speed at gross weigh with full flaps extended is 24 KIAS. The calculated rate of climb during a balked landing based on the temperature (24 degrees Celsius), altimeter (30.01 inches of Mercury), and airport elevation (42 feet), would have been approximately 500 feet-per-minute.

## Aircraft

- Registration: [N494ES](https://openairdocs.org/deregistered/N494ES-2017-03-07), registration cancelled 2017-03-07, S/N 201, built 2007 (OpenAirDocs)
- Reported make and model: Costruzioni Aeronautiche P2002 Sierra
- Registry model: [Costruzioni Aeronautiche Tecna P2002 SIERRA](https://openairdocs.org/model/costruzioni-aeronautiche-tecna-p2002-sierra) (registry code 0600006) (OpenAirDocs)
- Registry engine: [Rotax 912ULS series](https://openairdocs.org/engine/rotax-912uls-series) (registry code 55572, 4 cycle) (OpenAirDocs)
- Category: Airplane
- Serial number: 201
- Airframe hours: 51
- Engines: Bombardier-Rotax GmbH 912 ULS 100 horsepower reciprocating
- Damage: Substantial damage
- Flight: Instructional, Part 91
- Operator: David C. Rola
- Registered owner: David C. Rola
- Airworthiness certificate: Special, Special light-sport (Special)
- Departed: 1N4, Woodbine, NJ
- Destination: 1N4
- Airport: 1N4, Woodbine Municipal Airport, runway 31, 3,073 × 75 ft, asphalt

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Student pilot; age 58; injuries: none; student; medical: class 3, with waivers/limitations; seat: left; flight hours: 75 total, 40 in this make and model, 4 as pilot in command, 36 in the last 90 days, 16 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 330° at 6 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 75 °F, dew point 63 °F
- Altimeter: 30.01 inHg
- Observed at: WWD, 15 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 20080816844029A](https://openairdocs.org/incident/20080816844029A), Aug 16, 2008: P2002SIERRA, Woodbine, NJ, Substantial damage. (-23) On August 16, 2008, at approximately 1015, a student pilot attempted to land a construzioni aeronautiche tecna P2002 sierra, N4494ES, sn 201 on runway 31…

## Docket (8 files)

The files NTSB released with the investigation on August 28, 2009, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=68710. 5.9 MB in all.

- Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 861 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317559&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF
- Record of FAA Conversations (item 2, .PDF, 210 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317560&FileExtension=.PDF&FileName=Record%20of%20FAA%20Conversations-Redacted.PDF
- Record of NTSB Conversations (item 3, .PDF, 150 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317561&FileExtension=.PDF&FileName=Record%20of%20NTSB%20Conversations-Redacted.PDF
- Plotted Data Points Downloaded from EFIS (item 4, .PDF, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317589&FileExtension=.PDF&FileName=Plotted%20Data%20Points%20Downloaded%20from%20EFIS-Master.PDF
- Downloaded Data from EFIS (item 5, .CSV, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317612&FileExtension=.csv&FileName=Downloaded%20Data%20from%20EFIS-Master.csv
- Excerpts from Flight Manual (item 6, .PDF, 309 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317594&FileExtension=.PDF&FileName=Excerpts%20from%20Flight%20Manual-Master.PDF
- Release of Aircraft Wreckage, NTSB Form 6120.15 (item 7, .PDF, 207 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317563&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Redacted.PDF
- Photo 1: Digital Picture Provided by FAA. View Showing Damage to the Airplane. (item 8, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40317582&FileExtension=.PDF&FileName=Photo%201%3A%20Digital%20Picture%20Provided%20by%20FAA.%20View%20Showing%20Damage%20to%20the%20Airplane.-Master.PDF

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.

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