MIA96FA096

NTSB accident investigation · Piper PA-28-180 · Flagler Beach, FL · March 7, 1996

Accident · FatalField investigationFinal report
Date
March 7, 1996, 12:38 local (17:38 UTC)
Place
Flagler Beach, FL
Injuries
6 fatal
Phase of flight
Enroute
Aircraft
N4258TPiper PA-28-180N7152YPiper PA-44-180
Weather
Visual (VMC) · Day
Status
Completed · report May 23, 1997
Report
Approved by Office Director
Case key
37898

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

inadequate visual lookout by the pilots in both airplanes, which resulted in their failure to see-and-avoid conflicting traffic.

inadequate visual lookout by the pilots in both airplanes, which resulted in their failure to see-and-avoid conflicting traffic.

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.

Midair collisionCruise
Visual lookout - inadequatePilot in commandCause
Visual lookout - inadequatePilot of other aircraftCause
In flight collision with terrain/waterDescent - uncontrolled
Midair collisionCruise
Visual lookout - inadequatePilot in command(cfi)Cause
Visual lookout - inadequateDual studentCause
Visual lookout - inadequatePilot of other aircraftCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water

Analysis

A student pilot and flight instructor (CFI) in Piper PA-44, N7152Y, departed on an instructional flight. About 24 minutes later, a pilot and three passengers in Piper PA-28, N4258T, departed from the same airport on a personal sightseeing flight. After their departures, radar service for each airplane was terminated. Visual meteorological conditions (VMC) prevailed in the area. Later, the PA-44 was observed flying southbound, paralleling a beach, about 1/2 to 3/4 mile offshore over the Atlantic Ocean. At about the same time, the PA-28 was observed to turn to a westly heading. The two airplanes converged, and a collision occurred at about 600 feet mean sea level in uncontrolled airspace. The airplanes and airplane parts were observed to descend and fall in ocean water.

A student pilot and flight instructor (CFI) in Piper PA-44, N7152Y, departed on an instructional flight. About 24 minutes later, a pilot and three passengers in Piper PA-28, N4258T, departed from the same airport on a personal sightseeing flight. After their departures, radar service for each airplane was terminated. Visual meteorological conditions (VMC) prevailed in the area. Later, the PA-44 was observed flying southbound, paralleling a beach, about 1/2 to 3/4 mile offshore over the Atlantic Ocean. At about the same time, the PA-28 was observed to turn to a westly heading. The two airplanes converged, and a collision occurred at about 600 feet mean sea level in uncontrolled airspace. The airplanes and airplane parts were observed to descend and fall in ocean water.

Factual narrative

Same as narrative for MIA96FA096A.

History of flight

On March 7, 1996, about 1238 eastern standard time, a Piper PA-28-180, N4258T, privately registered, and a Piper PA-44-180, N7152Y, registered to and operated by Phoenix East Aviation, Inc., collided in flight about 600 feet mean sea level about 1/4 mile offshore of Flagler Beach, Florida. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 CFR Part 91 sightseeing flight of N4258T. A company VFR flight plan was filed for the 14 CFR Part 91 instructional flight of N7152Y. Both airplanes were destroyed and the commercial-rated pilot and three passengers of N4258T were fatally injured. The certified flight instructor (CFI) and private pilot-rated student of N7152Y were also fatally injured. Both flights originated from the Daytona Beach Regional Airport, Daytona Beach, Florida. The time of departure for N4258T and N7152Y was about 1216 and 1152 respectively.

According to the operator of the PA-44 airplane, the purpose of the flight was a review of the Practical Test Standards (PTS) before the student's checkride for an add-on multi-engine rating. The flight was scheduled from 1100-1300 hours for a VFR dual flight to the north practice area. According to the owner of the PA-28 airplane, the pilot asked to operate his airplane for a sightseeing flight for the three passengers.

According to an ATC transcript of communications involving N7152Y, an occupant contacted clearance delivery at 1136 requesting a "...gator departure.." The airplane was taxied to runway 25R and cleared for a "gator" departure and takeoff at 1152.37. At 1156 radar services were terminated when the controller observed the airplane "squawk VFR." At that time the airplane was about 5 nautical miles northwest of the Daytona Beach Regional Airport. There was no recorded ATC communications after acknowledgment of the takeoff clearance.

According to an ATC transcript of communications involving N4258T, the pilot contacted clearance delivery at 1204.38, requesting a departure to the north practice area. The airplane was issued a discrete transponder code, taxied to runway 25R, and was cleared for takeoff at 1216.44. The pilot contacted departure control as requested and was advised to climb and maintain 3,000 feet. At 1225.15, radar service was terminated and the pilot was advised to "...squawk 1200 frequency change approved." There were no further recorded ATC communications after the pilot acknowledgment.

A witness who was on shore just northwest of the crash site reported observing the PA-44 airplane flying southbound paralleling the beach about 1/2 to 3/4 mile offshore. The PA-28 airplane was flying in a northeasterly direction and was southeast of the PA-44 airplane. He observed that the PA-28 airplane banked to the left flying west-southwesterly while the PA-44 continued flying in a southerly direction. He then observed the collision and observed a fireball and noted that a wing was separated from the PA-28 airplane. Both airplanes descended immediately into the water and the separated wing section fell into the water north of the wreckage of both airplanes. The witness further stated that he did not detect any evasive action by the pilot of either airplane before the collision.

Another witness who was located about 3/4 mile west and slightly south of the crash site first heard then observed an airplane completing a "hard" right bank, abruptly level, flying due westbound. He also observed an airplane flying southbound also level. He thought the southbound airplane was east of the west bound airplane and the nose of the southbound airplane collided with the right wing of the westbound airplane. The westbound airplane burst into a fireball and tumbled into the ocean. He did not witness the descent of the southbound airplane.

Numerous witnesses observed a fireball following the collision and several reported seeing one airplane spiraling into the water trailing black smoke with a wing missing.

Personnel information

Information pertaining to the first pilot of the PA-28 airplane N4258T, is contained on page 3 of the NTSB Factual Report-Aviation in MIA96FA096A.

Information pertaining to the first pilot of the PA-44 airplane N7152Y, is contained on page 3 of the NTSB Factual Report-Aviation in MIA96FA096B. He received a flight check by the flight school in the accident make and model airplane as a flight instructor on January 5, 1996, and had received a copy of the Phoenix East Aviation Flight Operations and Policy manual on October 14, 1994. He obtained his multi-engine instructor rating on December 8, 1995, in the accident make and model airplane and at that time had accumulated 57 hours total time in that make and model airplane. Information pertaining to the pilot rated student in the PA-44 airplane is contained in Supplement E in MIA96FA096B.

Aircraft information

Information pertaining to N4258T and N7152Y is contained on page 2 of the NTSB Factual Report-Aviation and Supplements A and B in MIA96FA096A and MIA96FA096B respectively.

Additionally, according to the owner of N4258T, the navigation lights were on continuously and the airplane was yellow with black stripes. According to the operator of N7152Y, the airplane was white with blue and gray stripes.

Meteorological information

According to a CFI employed by Phoenix East Aviation who was flying in the north practice area near the accident site area about the time of the accident, he stated that the ceiling in that area was about 4,500 feet with 7 miles visibility.

Communications

Transcripts of communications with both airplanes are an attachment to the report.

Wreckage and impact information

Wreckage of N4258T that was recovered consisted of a segment of the main wing spar of the left wing with attached landing gear. Examination revealed that the top skin section was displaced downward and outboard. Additional recovered wreckage consisted of the main spar box with the aileron flight control cables wrapped around, and the pilot's seat tracks with adjacent seatbelt attach point on the left side of the fuselage. The seat belt web was observed to have a frayed edge. Also located with the main spar box was the flap torque tube, and the rear seats female buckles that were not connected with the male portion. An adjustable seat marked No. 1 with the lower portion displaced to the left and the seat back displaced to the rear was located. A section of flap that exhibited evidence of chordwise crushing on the leading edge and a segment of the right wing aileron control surface displaced up were also recovered. Also, the upper wing skin and rear spar segment from the right wing and a non-adjustable seat marked No. 4 were recovered. Skin from the empennage with a portion of "N" visible was also located. Also recovered was a section of the main cabin door that was connected to the two hinges with a segment of the fuselage forward of the hinges. Aft crushing was noted forward of the hinges. An interior sidewall panel and two sections of bottom skids with attached skin and antennas were recovered. Examination of the recovered components revealed no evidence of paint transfer or heat damage.

Wreckage of N7152Y that was recovered consisted of a bottom engine cowling from one of the engines, a section of a window frame, a main spar section, and a section of skin from the right side of the empennage with nearly all of the "N" number present. Examination of the main spar section revealed evidence of chordwise crushing with a semicircular indentation. Also located were the two rear seats that were attached to plywood and several small pieces of miscellaneous skin. There was no evidence of paint transfer or heat damage.

Medical and pathological

No post-mortem examination of the student pilot of N7152Y

Aircraft · 2

Registration
N4258T
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-7205089
Airframe hours
3,745
Engine
Lycoming O-360-A3A, 180 horsepower, reciprocating
Damage
Destroyed
Fire
Unknown
Flight
Personal · Part 91
Registered owner
Robert D. Oleson
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · March 5, 1996 · 2 hours before
Departed
DAB · Daytona Beach, FL
Airport
X47 · Flagler County

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.

Registration
N7152Y
Reported as
Piper PA-44-180
Category
Airplane
Serial number
44-8095016
Airframe hours
5,999
Engine
Lycoming O-360-E1A6D, 180 horsepower, reciprocating
Damage
Destroyed
Fire
Unknown
Flight
Instructional · Part 91
Registered owner
Phoenix East Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 9, 1996 · 79 hours before
Departed
DAB · Daytona Beach, FL
Flight plan
Company VFR
Airport
X47 · Flagler County

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, aircraft N4258T
Age
24
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
272 total · 72 in this make and model · 165 as pilot in command · 5 in the last 90 days
Role
Pilot, aircraft N7152Y
Age
24
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
1,219 total · 138 in this make and model · 1,039 as pilot in command · 194 in the last 90 days · 98 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 14 knots, gusting 22
Visibility
7 statute miles
Lowest ceiling
5,000 ft broken
Temperature
82 °F, dew point 64 °F
Altimeter
29.00 inHg
Observed at
DAB, 19 nm away

Docket · 29

The files NTSB released with the investigation on March 3, 1997, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.5 MB in all.

Supplement A-N4258TItem 1 · .PDF · 245 KBSupplement A-N7152YItem 2 · .PDF · 245 KBSupplement B-N4258TItem 3 · .PDF · 365 KBSupplement B-N7152YItem 4 · .PDF · 375 KBSupplement E-N7152YItem 5 · .PDF · 146 KBSupplement K-N4258TItem 6 · .PDF · 1.7 MBSupplement K-N7152YItem 7 · .PDF · 852 KBSupplement S-N4258TItem 8 · .PDF · 69 KBPilot/Operator Aircraft Accident Report, NTSB Form 6120.1/2 - N4258TItem 9 · .PDF · 434 KBPilot/Operator Aircraft Accident Report, NTSB Form 6120.1/2 - N7152YItem 10 · .PDF · 1.3 MBWitness StatementsItem 11 · .PDF · 1.3 MBMaps or Charts of Accident Area, Wreckage DiagramsItem 12 · .PDF · 160 KBTranscript of Radio Communications - N4258TItem 13 · .PDF · 234 KBTranscript of Radio Communications - N7152YItem 14 · .PDF · 189 KBReports from Federal Agencies - United States Coast GuardItem 15 · .PDF · 733 KBReports from State Agencies - Florida Marine PatrolItem 16 · .PDF · 365 KBStatement of Party Representatives to NTSB InvestigationItem 17 · .PDF · 96 KBRelease of Aircraft Wreckage, NTSB Form 6120.15 - N4258TItem 18 · .PDF · 62 KBRelease of Aircraft Wreckage, NTSB Form 6120.15 - N7152YItem 19 · .PDF · 63 KBToxicological Report - N4258TItem 20 · .PDF · 101 KBToxicological Report - N7152YItem 21 · .PDF · 196 KBPhoto 1: left main landing gear-N4258TItem 22 · .PDF · 54 KBPhoto 2: main entry door. Note crushing to the frame forward of the door-N4258TItem 23 · .PDF · 47 KBPhoto 3: right aileron-N4258TItem 24 · .PDF · 34 KBPhoto 4: right wing upper and lower skin sections near wing root-N4258TItem 25 · .PDF · 37 KBPhoto 5: main spar center section with attached flap torque tube-N4258TItem 26 · .PDF · 44 KBPhoto 6: rear seats with attached floor panel-N7152YItem 27 · .PDF · 32 KBPhoto 7: left side instrument panel-N7152YItem 28 · .PDF · 53 KBPhoto 8: right side fuselage skin-N7152YItem 29 · .PDF · 45 KB

FAA reports on this event · 2

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.