NYC03FA021

NTSB accident investigation · Mooney M10 · Fairfield, NJ · November 16, 2002

Accident · FatalField investigationFinal report
Date
November 15, 2002, 19:08 local (Nov 16, 2002, 00:08 UTC)
Place
Fairfield, NJ
Injuries
2 fatal
Phase of flight
Approach
Aircraft
N9502VMooney M10N216CLPiper PA-32R-300
Weather
Visual (VMC) · Night
Status
Completed · report November 25, 2003
Report
Approved by Office Director
Parties
New Piper Aircraft, FAA FSDO-25, NATCA
Case key
56076

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The inadequate visual lookout of both pilots. Factors in the accident were the FAA controller's failure to provide a traffic advisory, the improper decision among the three controllers to leave only one controller in the cab, and night conditions.

The inadequate visual lookout of both pilots. Factors in the accident were the FAA controller's failure to provide a traffic advisory, the improper decision among the three controllers to leave only one controller in the cab, and night conditions.

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 collisionApproach
Visual lookout - inadequatePilot of other aircraftCause
Diverted attentionAtc personnel(lcl/gnd/clnc)
Light condition - nightFactor
Visual lookout - inadequatePilot in commandCause
Traffic advisory - not issuedAtc personnel(lcl/gnd/clnc)Factor
Planning/decision - improperFaa(other/organization)Factor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - roadway/highway
Midair collisionApproach
Light condition - nightFactor
Diverted attentionAtc personnel(lcl/gnd/clnc)
Visual lookout - inadequatePilot in commandCause
Visual lookout - inadequatePilot of other aircraftCause
Traffic advisory - not issuedAtc personnel(lcl/gnd/clnc)Factor
Planning/decision - improperFaa(other/organization)Factor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - residential area

Analysis

A Mooney had completed a go-around, and was flying a right traffic pattern for runway 22. A Piper was entering the traffic pattern from the west, consistent with a 45-degree entry to a right downwind for runway 22. According to radar data, the Mooney was making a right turn toward a northeasterly direction, consistent with a crosswind to downwind leg for runway 22. The Piper was west of the Mooney target, and appeared to converge in an easterly direction. Three air traffic controllers were on duty at the time of the accident. Prior to the collision, two controllers were in the cab, and one controller was in the break room. The accident controller combined positions to let the second controller in the cab go out of the tower for a meal break. The third controller had been out of the cab for approximately 3 hours, but remained in the break room, which left only one controller in the cab. At that time, there were four aircraft in the traffic pattern, and the pilot of a fifth aircraft was requesting entry into the pattern. About 10 minutes later, with six airplanes in the traffic pattern, two pilots were cut-off and two pilots performed a go-around. One of the pilots subsequently stated that the controller was having difficulty correctly identifying the airplanes in the pattern. The pilot of the Piper had contacted the tower, and reported that he was 7.5 miles west of the airport at 2,500 feet. The controller instructed the pilot to report a right downwind leg for runway 22, but did not provide a sequence or traffic advisory. Additionally, the controller spent approximately 1 minute conversing with the pilot of a helicopter. When the collision occurred, the controller did not see it, nor did he provide traffic advisories to either pilot. The controller thought the Mooney would be ahead of the Piper in the traffic pattern. The weather was clear, and although witness statements varied, they reported that both accident airplanes had lights illuminated. One witness stated that the Mooney converged into the Piper at an approximate 45-degree angle. A second witness stated that the Piper was in the traffic pattern, straight and level, when the Mooney appeared in a climbing right turn, converging on an approximate 45-degree angle. A third witness, who was a flight instructor, saw one airplane on a downwind leg that was struck by the other aircraft turning crosswind to downwind. The third witness added that it was possible the airplane on the downwind leg had entered the traffic pattern incorrectly. He further stated that both airplanes were well lit, and both accident pilots should have been able to see each other. The left wing of the Mooney exhibited several propeller strikes, cut at an approximate 45-degree angle to the wing chordline, and progressing toward the cockpit. Toxicological testing for the pilot of the Piper revealed Butalbital in the blood and urine. However, the level of Butalbital found in the blood suggested that the pilot had not taken the drug in well over 24 hours prior to the accident.

A Mooney had completed a go-around, and was flying a right traffic pattern for runway 22. A Piper was entering the traffic pattern from the west, consistent with a 45-degree entry to a right downwind for runway 22. According to radar data, the Mooney was making a right turn toward a northeasterly direction, consistent with a crosswind to downwind leg for runway 22. The Piper was west of the Mooney target, and appeared to converge in an easterly direction. Three air traffic controllers were on duty at the time of the accident. Prior to the collision, two controllers were in the cab, and one controller was in the break room. The accident controller combined positions to let the second controller in the cab go out of the tower for a meal break. The third controller had been out of the cab for approximately 3 hours, but remained in the break room, which left only one controller in the cab. At that time, there were four aircraft in the traffic pattern, and the pilot of a fifth aircraft was requesting entry into the pattern. About 10 minutes later, with six airplanes in the traffic pattern, two pilots were cut-off and two pilots performed a go-around. One of the pilots subsequently stated that the controller was having difficulty correctly identifying the airplanes in the pattern. The pilot of the Piper had contacted the tower, and reported that he was 7.5 miles west of the airport at 2,500 feet. The controller instructed the pilot to report a right downwind leg for runway 22, but did not provide a sequence or traffic advisory. Additionally, the controller spent approximately 1 minute conversing with the pilot of a helicopter. When the collision occurred, the controller did not see it, nor did he provide traffic advisories to either pilot. The controller thought the Mooney would be ahead of the Piper in the traffic pattern. The weather was clear, and witnesses reported that both accident airplanes had lights illuminated. One witness stated that the Mooney converged into the Piper from the right, at an approximate 45-degree angle. A second witness stated that the Piper was in the traffic pattern, straight and level, when the Mooney appeared in a climbing right turn, converging on an approximate 45-degree angle. A third witness, who was a flight instructor, saw one airplane on a downwind leg that was struck by the other aircraft turning crosswind to downwind. The third witness added that it was possible the airplane on the downwind leg had entered the traffic pattern incorrectly. He further stated that both airplanes were well lit, and both accident pilots should have been able to see each other. The left wing of the Mooney exhibited several propeller strikes, cut at an approximate 45-degree angle to the wing chordline, and progressing toward the cockpit. Toxicological testing for the pilot of the Piper revealed Butalbital in the blood and urine. However, the level of Butalbital found in the blood suggested that the pilot had not taken the drug in well over 24 hours prior to the accident.

Factual narrative

History of flight

On November 15, 2002, at 1908 eastern standard time, a Mooney M10 (Cadet), N9502V, and a Piper PA-32R-300 (Lance), N216CL, were substantially damaged when they collided while maneuvering for an approach to Essex County Airport (CDW), Caldwell, New Jersey. The certificated private pilot in the Mooney, and the certificated private pilot in the Piper were fatally injured. Night visual meteorological conditions prevailed, and no flight plan was filed for either flight. The personal flights were conducted under 14 CFR Part 91.

According to radar data and communication tapes from the Federal Aviation Administration (FAA), the Mooney had been conducting touch-and-go landings on runway 22 at CDW. The pilot of the Piper departed Alexandria Airport (N85), Pittstown, New Jersey, about 1830. At 1905, he established communication with the air traffic control tower (ATCT), and reported that he was about 7.5 miles west northwest of the airport, at 2,500 feet msl. The tower controller acknowledged the transmission, and instructed the pilot of the Piper to report a right downwind for runway 22. There were no further communications between the controller and the pilot of the Piper.

Review of the radar data revealed that both accident airplane targets were depicted on the CDW tower non-standard D-Brite radar display. Prior to the collision, the Mooney had completed a go-around. The Mooney target displayed a transponder code of 1200, and flew an upwind leg for runway 22. Several seconds before the collision, the Mooney target was turning right toward a northeasterly direction, consistent with a crosswind to downwind leg for runway 22. The Mooney target displayed an altitude of 1200 feet, which was the published traffic pattern altitude. The Piper target displayed only a primary radar return, but the pilot had reported an altitude of 2,500 feet during his initial transmission to the CDW tower. The Piper target was west of the Mooney target, and appeared to converge in an easterly direction, consistent with a 45-degree entry into the right traffic pattern for runway 22.

At the time of the collision, the tower controller was in communication with 9 airplanes, including the two accident airplanes, six were operating in the traffic pattern.

Three people witnessed the mid-air collision. The first witness was a student pilot, at a restaurant near the airport. The witness observed that one airplane was slow, and he assumed it was in the traffic pattern for CDW. It passed over the witness heading east, with both nav lights and the rotating beacon illuminated. The witness then saw a second set of nav lights converge from the right of the first airplane. He estimated that the airplanes converged on a 45-degree angle. The second witness, who was a helicopter pilot, was walking through his office parking lot. He observed the Piper, "...in the traffic pattern, heading east, straight and level..." The Mooney then suddenly "popped" into vision in what appeared to be a climbing right turn. Both airplanes had position lights illuminated, and converged at an approximate 45-degree angle. The third witness, who was a flight instructor, was flying an upwind leg for runway 22. He saw one airplane on a downwind leg, and was struck by the other aircraft while turning crosswind to downwind. The airplanes appeared to converge on an approximate 90-degree angle. The flight instructor added that it was possible:

"...the aircraft on downwind was not established in the traffic pattern prior to the accident and was in fact entering the traffic pattern incorrectly: instead of entering on a 45' angle to the midfield downwind, it is possible that he entered the pattern already on his downwind leg."

The flight instructor further stated that both airplanes were well lit at the time, and both pilots should have been able to see each other.

The accident occurred during the hours of darkness; located approximately 40 degrees, 52.35 minutes north longitude, 74 degrees, 18.15 minutes west latitude.

Personnel information

The pilot of the Mooney held a private pilot certificate, with a rating for airplane single engine land. His most recent FAA third class medical certificate was issued on March 12, 2002. According the pilot's logbook, he had accumulated a total flight experience of approximately 108 hours; of which, about 7 hours were at night.

The pilot of the Piper held a private pilot certificate, with ratings for airplane single engine land, multi-engine land, and instrument airplane. His most recent FAA third class medical certificate was issued on August 25, 2001. According to the pilot's logbook, he had accumulated a total flight experience of approximately 653 hours; of which, about 112 hours were at night.

Aircraft information

The Mooney's most recent annual inspection was performed on March 20, 2002. At that time, the airplane had approximately 1,738 hours of total flight time. It had accumulated about 44 hours of flight time since the annual inspection.

The Piper's most recent annual inspection was performed on February 1, 2002. At that time, the airplane had approximately 3,572 hours of total flight time. It had accumulated about 80 hours of flight time since the annual inspection.

Meteorological information

The reported weather at CDW, at 1853, was: wind calm; visibility 10 miles; sky clear; temperature 50 degrees F, dew point 37 degrees F; altimeter 30.04 inches Hg.

Wreckage and impact information

Both wreckage sites were located in a residential neighborhood, about 1 mile northwest of the airport. Both sites were documented on November 15 and 16, 2002, and the wreckage was subsequently moved to a secure hangar for further examination during November 16 to 18, 2002. A strong smell of fuel was present at both wreckage sites.

The main wreckage of the Mooney was located approximately 40 degrees, 52.346 minutes north latitude, and 74 degrees, 18.153 minutes west longitude, on Fairfield Road, Fairfield, New Jersey. It was oriented about a 260-degree heading, and consisted of both wings, the engine, and the cockpit area. The rear fuselage, empennage, and horizontal stabilizer had separated from the main wreckage and were located about 500 feet south of the main wreckage. The vertical stabilizer was located on a rooftop about 400 feet south of the main wreckage.

Examination of the Mooney wreckage revealed tire-tread markings on the left side of the empennage. Additionally, propeller strikes were observed along both wings. Four strikes were found on the trailing edge of the left wing, originating about 15 inches inboard of the wing tip, and progressing toward the wing root. There was approximately 14-16 inches of spacing between each propeller strike. Seven strikes were observed on the trailing edge of the right wing, originating about 11 inches from the wing root, and extending toward the wing tip. There was approximately 17-20 inches of spacing between each propeller strike. All prop strikes were cut into the wing surface about a 45-degree angle to the chordline. Flight control continuity was established from the right aileron to the base of the cockpit control column. The left aileron had separated from the control rod due to impact forces, and continuity could not be verified. Control continuity was established from the elevator, rudder, and elevator trim to the aft bulkhead area.

The main wreckage of the Piper was located approximately 40 degrees, 52.348 minutes north latitude, and 74 degrees, 18.025 minutes west longitude, in the front yard of a residence along Plog Road, Fairfield, New Jersey. It was oriented about a 080-degree heading, and consisted of all major components of the airplane except the left wingtip. The left wingtip was located about 750 feet west of the main wreckage, in the vicinity of the empennage from the Mooney. Flight contro

History of flight

On November 15, 2002, at 1908 eastern standard time, a Mooney M10 (Cadet), N9502V, and a Piper PA-32R-300 (Lance), N216CL, were substantially damaged when they collided while maneuvering for an approach to Essex County Airport (CDW), Caldwell, New Jersey. The certificated private pilot in the Mooney, and the certificated private pilot in the Piper were fatally injured. Night visual meteorological conditions prevailed, and no flight plan was filed for either flight. The personal flights were conducted under 14 CFR Part 91.

According to radar data and communication tapes from the Federal Aviation Administration (FAA), the Mooney had been conducting touch-and-go landings on runway 22 at CDW. The pilot of the Piper departed Alexandria Airport (N85), Pittstown, New Jersey, about 1830. At 1905, he established communication with the air traffic control tower (ATCT), and reported that he was about 7.5 miles west northwest of the airport, at 2,500 feet msl. The tower controller acknowledged the transmission, and instructed the pilot of the Piper to report a right downwind for runway 22. There were no further communications between the controller and the pilot of the Piper.

Review of the radar data revealed that both accident airplane targets were depicted on the CDW tower non-standard D-Brite radar display. Prior to the collision, the Mooney had completed a go-around. The Mooney target displayed a transponder code of 1200, and flew an upwind leg for runway 22. Several seconds before the collision, the Mooney target was turning right toward a northeasterly direction, consistent with a crosswind to downwind leg for runway 22. The Mooney target displayed an altitude of 1200 feet, which was the published traffic pattern altitude. The Piper target displayed only a primary radar return, but the pilot had reported an altitude of 2,500 feet during his initial transmission to the CDW tower. The Piper target was west of the Mooney target, and appeared to converge in an easterly direction, consistent with a 45-degree entry into the right traffic pattern for runway 22.

At the time of the collision, the tower controller was in communication with 9 airplanes, including the two accident airplanes six were operating in the traffic pattern.

Three people witnessed the mid-air collision. The first witness was a student pilot, at a restaurant near the airport. The witness observed that one airplane was slow, and he assumed it was in the traffic pattern for CDW. It passed over the witness heading east, with both nav lights and the rotating beacon illuminated. The witness then saw a second set of nav lights converge from the right of the first airplane. He estimated that the airplanes converged on a 45-degree angle. The second witness, who was a helicopter pilot, was walking through his office parking lot. He observed the Piper, "...in the traffic pattern, heading east, straight and level..." The Mooney then suddenly "popped" into vision in what appeared to be a climbing right turn. Both airplanes had position lights illuminated, and converged at an approximate 45-degree angle. The third witness, who was a flight instructor, was flying an upwind leg for runway 22. He saw one airplane on a downwind leg, and was struck by the other aircraft while turning crosswind to downwind. The airplanes appeared to converge on an approximate 90-degree angle. The flight instructor added that it was possible:

"...the aircraft on downwind was not established in the traffic pattern prior to the accident and was in fact entering the traffic pattern incorrectly: instead of entering on a 45' angle to the midfield downwind, it is possible that he entered the pattern already on his downwind leg."

The flight instructor further stated that both airplanes were well lit at the time, and both pilots should have been able to see each other.

The accident occurred during the hours of darkness; located approximately 40 degrees, 52.35 minutes north longitude, 74 degrees, 18.15 minutes west latitude.

Personnel information

The pilot of the Mooney held a private pilot certificate, with a rating for airplane single engine land. His most recent FAA third class medical certificate was issued on March 12, 2002. According the pilot's logbook, he had accumulated a total flight experience of approximately 108 hours; of which, about 7 hours were at night.

The pilot of the Piper held a private pilot certificate, with ratings for airplane single engine land, multi-engine land, and instrument airplane. His most recent FAA third class medical certificate was issued on August 25, 2001. According to the pilot's logbook, he had accumulated a total flight experience of approximately 653 hours; of which, about 112 hours were at night.

Aircraft information

The Mooney's most recent annual inspection was performed on March 20, 2002. At that time, the airplane had approximately 1,738 hours of total flight time. It had accumulated about 44 hours of flight time since the annual inspection.

The Piper's most recent annual inspection was performed on February 1, 2002. At that time, the airplane had approximately 3,572 hours of total flight time. It had accumulated about 80 hours of flight time since the annual inspection.

Meteorological information

The reported weather at CDW, at 1853, was: wind calm; visibility 10 miles; sky clear; temperature 50 degrees F, dew point 37 degrees F; altimeter 30.04 inches Hg.

Wreckage and impact information

Both wreckage sites were located in a residential neighborhood, about 1 mile northwest of the airport. Both sites were documented on November 15 and 16, 2002, and the wreckage was subsequently moved to a secure hangar for further examination during November 16 to 18, 2002. A strong smell of fuel was present at both wreckage sites.

The main wreckage of the Mooney was located approximately 40 degrees, 52.346 minutes north latitude, and 74 degrees, 18.153 minutes west longitude, on Fairfield Road, Fairfield, New Jersey. It was oriented about a 260-degree heading, and consisted of both wings, the engine, and the cockpit area. The rear fuselage, empennage, and horizontal stabilizer had separated from the main wreckage and were located about 500 feet south of the main wreckage. The vertical stabilizer was located on a rooftop about 400 feet south of the main wreckage.

Examination of the Mooney wreckage revealed tire-tread markings on the left side of the empennage. Additionally, propeller strikes were observed along both wings. Four strikes were found on the trailing edge of the left wing, originating about 15 inches inboard of the wing tip, and progressing toward the wing root. There was approximately 14-16 inches of spacing between each propeller strike. Seven strikes were observed on the trailing edge of the right wing, originating about 11 inches from the wing root, and extending toward the wing tip. There was approximately 17-20 inches of spacing between each propeller strike. All prop strikes were cut into the wing surface about a 45-degree angle to the chordline. Flight control continuity was established from the right aileron to the base of the cockpit control column. The left aileron had separated from the control rod due to impact forces, and continuity could not be verified. Control continuity was established from the elevator, rudder, and elevator trim to the aft bulkhead area.

The main wreckage of the Piper was located approximately 40 degrees, 52.348 minutes north latitude, and 74 degrees, 18.025 minutes west longitude, in the front yard of a residence along Plog Road, Fairfield, New Jersey. It was oriented about a 080-degree heading, and consisted of all major components of the airplane except the left wingtip. The left wingtip was located about 750 feet west of the main wreckage, in the vicinity of the empennage from the Mooney. Flight control

Aircraft · 2

Registration
N9502V
Reported as
Mooney M10
Category
Airplane
Serial number
690003
Airframe hours
1,782
Engine
Continental C90, 95 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Bulent Bolukbasi
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 20, 2002 · 45 hours before
Departed
CDW · Caldwell, NJ
Destination
CDW
Airport
CDW · Essex County Airport, runway 22, 4,553 × 80 ft, asphalt

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
N216CL
Reported as
Piper PA-32R-300
Category
Airplane
Serial number
32R-7780200
Airframe hours
3,572
Engine
Lycoming IO-540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Paul J. DiSarro
Registered owner
CL Flyers llc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 1, 2002 · 80 hours before
Departed
N85 · Pittstown, NJ
Destination
CDW · Caldwell, NJ
Airport
CDW · Essex County Airport, runway 22, 4,553 × 80 ft, asphalt

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 N9502V
Age
47
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
October 8, 2002
Seat
Left
Toxicology
Performed
Flight hours
108 total · 33 in this make and model · 68 as pilot in command · 22 in the last 90 days · 13 in the last 30 days · 1 in the last 24 hours
Role
Pilot, aircraft N216CL
Age
48
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
January 24, 2001
Seat
Left
Toxicology
Performed
Flight hours
653 total · 350 in this make and model · 600 as pilot in command · 9 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
50 °F, dew point 37 °F
Altimeter
30.04 inHg
Observed at
CDW, 1 nm away

FAA reports on this event · 2

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