WPR09LA024

NTSB accident investigation · Holm Michael J Kitfox IV 1200 · Glendale, AZ · October 24, 2008

Accident · No injuriesLimited investigationFinal report
Date
October 24, 2008, 14:10 local (21:10 UTC)
Place
Glendale, AZ
Injuries
2 uninjured
Phase of flight
Taxi
Aircraft
N427ETHolm Michael J Kitfox IV 1200N27639Taylorcraft BL-65
Defining events
Taxi-from runway: Ground collisionTaxi-to runway: Ground collision
Weather
Visual (VMC) · Day
Status
Completed · report November 9, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20081024852581A
Case key
69355

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 NTSB’s determination of the probable cause, and any contributing factors.

The Kitfox's pilot's failure to ascertain if the intersection he approached was clear of conflicting traffic and the controller's failure to provide pertinent traffic advisories to both pilots. Contributing to the accident was the reduced visibility from the cockpits of the conventional gear airplanes.

Findings · 8

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings.

Analysis

The Kitfox's pilot notified the local controller that he experienced a malfunction with his airspeed indicator and desired to make a full stop landing on runway 19. Meanwhile, the Taylorcraft pilot requested clearance to taxi for takeoff. The local and ground controllers issued the pilots their respective clearances, and the pilots proceeded as cleared. The Kitfox landed without further mishap and chose to egress the runway in a southwesterly direction using high speed taxiway A6, which terminates at taxiway A. The pilot of the Kitfox remained on the local control frequency during the time the airplane was exiting the runway and approaching taxiway A. The Taylorcraft pilot was monitoring the ground control frequency as he proceeded as cleared in a northerly direction on taxiway A, located west and parallel to runway 19. The Kitfox initially decelerated on runway 19, and further slowed on taxiways A6 and A. The collision occurred as the Kitfox began occupying the intersection of taxiways A6 and A. The visibility from both cockpits was reduced due to the fact that both airplanes were equipped with tail wheels. The converging taxi routes and the airplanes were in clear view of the controllers; however, the controllers failed to issue the pilots advisories or instructions to preclude the collision. The airport was designed such that the midfield egress point from runway 19 was located near the ingress point for airplanes that are taxiing out of the midfield parking ramp.

Factual narrative

The factual narrative1,092 words

HISTORY OF FLIGHT On October 24, 2008, about 1410 mountain standard time, an experimental Kitfox IV 1200, N427ET, and a Taylorcraft BL-65, N27639, collided while taxiing at the Glendale Municipal Airport, Glendale, Arizona. Both airplanes were owned and operated by their respective pilots. The Kitfox sustained minor damage, and the Taylorcraft was substantially damaged. Neither the airline transport certificated pilot in the Kitfox nor the private pilot in the Taylorcraft was injured. Visual meteorological conditions prevailed, and no flights plans were filed. Both airplanes were being operated under the provisions of 14 Code of Federal Regulations Part 91. The Kitfox pilot reported to the National Transportation Safety Board investigator that he was located in the right seat of his conventional gear airplane. The pilot reported that, while in the traffic pattern, he initially informed the local controller he desired to make a touch-and-go landing. Subsequently, he experienced a malfunction with his airspeed indicator. The pilot advised the controller of his airspeed problem, and he was immediately cleared to make a full stop landing. The accident occurred upon completing one circuit of the traffic pattern. According to the pilot and the local controller (as reported to the Safety Board investigator through the Federal Aviation Administration (FAA) coordinator), the pilot touched down on runway 19 pursuant to the air traffic clearance he had received. The airplane exited the runway in a southwesterly direction onto high speed taxiway A6, which terminates at the intersection of taxiway A. During the pilot's approach, landing, and rollout onto the taxiways, the pilot was monitoring the local control tower frequency. The pilot additionally reported that during the accident flight he did not receive any air traffic communication regarding issuance of a hold short instruction. Accordingly, the Kitfox initially decelerated on runway 19, and the airplane further decelerated on high speed taxiway A6. As the airplane rolled clear of taxiway A6 and entered the intersection of A6 and taxiway A, the Kitfox and Taylorcraft collided. (See the airport diagram for the runway and taxiway orientation, and the ingress/egress points between the taxiways.) The Taylorcraft pilot reported to the Safety Board investigator that he was located in the left seat of his conventional gear airplane. He was following the ground control clearance that he had received to taxi from his parked location (west of taxiway A, near midfield) and to proceed toward runway 19, via taxiway A. Accordingly, he was taxiing in a northerly direction toward the approach end of runway 19, where he planned to takeoff. The pilot stated that the ground controller neither directed him to hold his position, nor issued any communication to him regarding the approaching airplane that had been cleared to land on runway 19. In particular, the pilot indicated to the Safety Board investigator that theground controller did not warn him that an airplane was taxiing toward him from his 1 to 2 o'clock position. The northbound Taylorcraft's right wing and lift struts were bent during the impact sequence with the propeller and engine cowl of the southwestbound Kitfox, which had just landed on runway 19 and was proceeding via taxiway A6 onto taxiway A. The collision occurred on taxiway A. Both pilots reported they did not observe the convergence between their conventional gear airplanes because of a combination of their respective seat positions and taxi paths. ADDITIONAL INFORMATION Airport Design The public-use municipal airport's ownership and operations personnel have the authority to design placement of the taxiways and intersections. The airport is designed in such a manner that airplanes landing on runway 19 may egress (near midfield) utilizing taxiway A6, which terminates at the intersection of taxiway A. Aircraft parked west of the runway, near midfield, whose pilots desire to taxi to runway 19, are directed by air traffic personnel to taxi to runway 19 via taxiway A. Using this route, northbound taxiing aircraft proceed nearly head-on to southwest bound aircraft, which are egressing from runway 19 via A6. Controller Visibility The FAA coordinator reported to the Safety Board investigator that he examined the visibility from the non-federal airport control tower's cab. According to the FAA coordinator, the local and ground controllers had the capability of viewing the landing and taxi paths taken by both airplanes. The accident airplanes were in visible movement areas during their operations and during their daytime collision near the intersection of taxiways A and A6. Air Traffic Controller Duties and Responsibilities Notwithstanding other higher priority duties, the air traffic controllers were responsible for monitoring the taxi paths taken by airplanes under their control, and for issuance of safety instructions to promote avoidance of ground collisions. The FAA coordinator reported to the Safety Board investigator that, after the local controller issued the Kitfox an appropriate landing clearance, the controller's attention was diverted to traffic duties associated with other airplanes near/in the downwind leg. After the ground controller issued the Taylorcraft an appropriate taxi clearance, the controller's attention was directed to issuing an instrument clearance to a waiting airplane. One or both of the controllers observed the converging airplanes seconds prior to the collision. Neither controller issued a safety alert to the airplanes. Pilot Responsibility and Procedures Neither pilot reported experiencing any mechanical malfunction or anomaly that affected the operation of their respective airplanes during ground operation. Pursuant to guidance provided in the FAA's "Aeronautical Information Manual" and the local controller's clearance, the Kitfox was authorized to taxi clear of the landing runway and proceed onto taxiway A, atwhich time the pilot was to contact the ground controller for any additional clearance. Pursuant to guidance provided in the FAA's "Aeronautical Information Manual" and the local controller's clearance, the Kitfox was authorized to taxi clear of the landing runway. This action was accomplished when his entire airplane proceeded beyond the hold line adjacent to taxiway A. Upon passing this hold line, the Kitfox was on taxiway A and was required to contact the (ground) controller for additional clearance. The Taylorcraft pilot was authorized to taxi to runway 19 pursuant to the clearance he had been issued. The FAA coordinator reported that, notwithstanding the pilots' respective clearances, each pilot still had a responsibility to operate their airplanes safely. Taxi Route and Procedure Changes Following the accident, air traffic control management personnel reported that they modified the taxi route in the vicinity of the accident area. The revision increased separation between taxiing and landing aircraft. Also, controllers received enhanced training on the issuance of taxi instructions to aircraft proceeding northbound on taxiway A, when other aircraft have been cleared to land on runway 19.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident.

N427ET · Holm Michael J Kitfox IV 1200

Ground collisionTaxi-from runwayDefining event

Aircraft · 2

Registration
N427ET
Reported as
Holm Michael J Kitfox IV 1200
Category
Airplane, amateur-built
Serial number
C9420007
Airframe hours
529
Engine
Rotax 912UL, 80 horsepower, reciprocating
Damage
Minor damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · October 24, 2008
Departed
GEU · Glendale, AZ
Destination
GEU · Glendale, AZ
Airport
GEU · Glendale Municipal, runway 19, 7,150 × 100 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
N27639
Reported as
Taylorcraft BL-65
Category
Airplane
Serial number
2281
Airframe hours
1,500
Engine
Continental C65, 65 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 19, 2008 · 0 hours before
Departed
GEU · Glendale, AZ
Destination
GEU · Glendale, AZ
Airport
GEU · Glendale Municipal, runway 19, 7,150 × 100 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 N427ET
Age
59
Injuries
None
Certificates
Military, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
June 8, 2008
Seat
Right
Flight hours
4,775 total · 487 in this make and model · 3,926 as pilot in command · 21 in the last 90 days · 6 in the last 30 days · 0 in the last 24 hours
Role
Pilot, aircraft N27639
Age
54
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Seat
Left
Flight hours
970 total · 240 in this make and model · 900 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 5 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 14 °F
Altimeter
29.96 inHg
Observed at
GEU

Docket · 14

The files NTSB released with the investigation on August 31, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.2 MB in all.

FAA reports on this event · 1

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