# NTSB NYC02LA015: Cameron Balloons A-105, N991FA, Morgantown, WV, October 21, 2001 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Limited investigation · Final report - Date: October 20, 2001, 17:30 local (Oct 21, 2001, 00:30 UTC) - Place: Morgantown, WV - Coordinates: 39.630977, -79.940162 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=39.6310&lon=-79.9402&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Highest injury: Serious injuries - Injuries: 1 serious, 4 uninjured - Status: Completed, report June 18, 2002 - Report: Approved by Office Director - Parties: FAA - NTSB case key (mKey): 53654 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC02LA015 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/53654/pdf - Page: https://openairdocs.org/ntsb/NYC02LA015 ## Probable cause The passengers failure to remain in the balloon basket after landing which resulted in the inadvertent lift-off of the balloon and subsequent injury to the pilot. A factor related to the accident was the pilot's failure to perform a passenger briefing prior to landing. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - on ground/water, landing - lift-off - inadvertent - passenger briefing - not followed, passenger (cause) - passenger briefing - not performed, pilot in command (contributing factor) ## Analysis The balloon made a hard landing and came to rest on the ground. The pilot climbed out of the basket to vent the balloon and was soon followed by the passengers. As the last passenger exited the basket, the balloon began to rise back into the air with the pilot hanging onto the vent line. The pilot ascended into the air and rose as high as the tree line before the balloon began a descent back to the ground. After the pilot touched back down on the ground, the basket of the balloon landed on top of his ankle. The pilot included an Operator/Owner Safety Recommendation when he submitted the NTSB Form 6120.1/2, Pilot/Operator Aircraft Accident Report. It stated, "Re-Emphasize safety briefing just prior to landing to ensure all passengers remain within the basket until balloon has cooled (no lift present)." According to the Balloon Flying Handbook, "Some passengers, believing the flight is over as soon as the basket makes contact with the ground, will start to get out. Even a small amount of wind may cause the basket to bounce and slide after initial touchdown. If a 200-pound passenger decides to exit the basket at this point, the balloon will immediately begin to ascend." "Monitoring of passengers is important because, after the balloon first touches down, passengers may forget everything they have been told." "It is very important that the passenger briefing be given more than once." ## Factual narrative On October 20, 2001, about 1730 eastern daylight time, a Cameron Balloons, A-105 balloon, N991FA, landed near Morgantown, Pennsylvania. The balloon was not damaged; however, the commercial pilot was seriously injured while the four passengers were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for the 14 CFR Part 91 aerial sightseeing passenger flight. According to the pilot, the balloon made a hard landing in an open field. Upon ground contact, the wind began to drag the basket along the ground. The basket then tipped over and came to rest on its side. The pilot climbed out of the basket to vent the balloon and was soon followed by the passengers. As the last passenger exited the basket, the balloon began to rise back into the air with the pilot hanging onto the vent line. The pilot ascended into the air and rose as high as the tree line, before the balloon began a descent back toward the ground. After the pilot touched back down on the ground, the basket of the balloon landed on top of his ankle. The pilot added that he had briefed the passengers prior to the flight, to remain in the basket until told to disembark. The pilot included an Operator/Owner Safety Recommendation when he submitted the NTSB Form 6120.1/2, Pilot/Operator Aircraft Accident Report. It stated, "Re-Emphasize safety briefing just prior to landing to ensure all passengers remain within the basket until balloon has cooled (no lift present)." According to the Balloon Flying Handbook, FAA-H-8083-11, "Prior to landing, you should explain correct posture and procedure to the passengers. Many balloon landings are gentle, stand-up landings. However, always prepare your passengers for the possibility of a hard impact. Instruct passengers to do the following. Stand in the appropriate area of the basket. Face the direction of travel. Place feet and knees together, with knees bent. Hold on tight in two places. Stay in the basket." The handbook also stated, "Some passengers, believing the flight is over as soon as the basket makes contact with the ground, will start to get out. Even a small amount of wind may cause the basket to bounce and slide after initial touchdown. If a 200-pound passenger decides to exit the basket at this point, the balloon will immediately begin to ascend. Everybody, including the pilot, should stay in the basket until it stops moving. Monitoring of passengers is important because, after the balloon first touches down, passengers may forget everything they have been told. A typical response is for the passenger to place one foot in front of the other and lock the knee. This is a very bad position as the locked knee is unstable and subject to damage. Pilots should observe their passengers and order 'feet together,' 'front (back) of the basket,' 'knees bent,' 'hold on tight,' and 'do not get out until I tell you!' The pilot should be a good example to passengers by assuming the correct landing position. Otherwise, passengers may think, 'If the pilot does not do it, why should we.' It is very important that the passenger briefing be given more than once. Some balloon ride companies send an agreement to their passengers in advance, which includes the landing instructions. Passengers are asked to sign a statement that they have reviewed, read, and understand the landing procedure. Many pilots give passengers a briefing and landing stance demonstration on the ground before the flight. This briefing should be given again as soon as the pilot has decided to land. The pilot is very busy during the landing watching the passenger's actions and reactions, closing fuel valves, draining fuel lines, cooling the burners, and deflating the envelope. The better the passengers understand the importance of the landing procedure, the better the pilot will perform these duties and make a safe landing." The recorded weather at a nearby airport, about the time of the accident, included winds from 220 degrees at 8 knots. ## Aircraft - Registration: [N991FA](https://openairdocs.org/aircraft/N991FA), registered now, S/N 5990, built 1995 (OpenAirDocs) - Reported make and model: Cameron Balloons A-105 - Registry model: [Cameron Balloons US A-105](https://openairdocs.org/model/cameron-balloons-us-a-105) (registry code 1880211) (OpenAirDocs) - Registry engine: [NONE](https://openairdocs.org/engine/none) (registry code 00000, none) (OpenAirDocs) - Category: Balloon - Serial number: 5990 - Airframe hours: 181 - Damage: Minor damage - Flight: Other work use, Part 91 - Registered owner: Fun Aviation Inc. - Airworthiness certificate: Standard, Normal - Last inspection: Annual, April 1, 2001, 16 hours before - Departed: MGW, Morgantown, WV ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 56; injuries: serious; flight instructor, commercial; last flight review May 20, 2001; flight hours: 803 total, 185 in this make and model, 688 as pilot in command, 18 in the last 90 days, 14 in the last 30 days, 1 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 200° at 5 knots - Visibility: 10 statute miles - Lowest ceiling: 8,500 ft broken - Temperature: 66 °F, dew point 43 °F - Altimeter: 30.10 inHg - Observed at: MGW, 5 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 20011020029359A](https://openairdocs.org/incident/20011020029359A), Oct 20, 2001: Camron A105, Morgantown, WV, Minor damage. (-23) After a hard landing, everyone evacuated the basket, including the pilot who assumed the envelope had sufficiently deflated so as not to become airborne… 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.