WPR10LA169

NTSB accident investigation · Ultramagic S-160 · Rancho Santa Fe, CA · March 18, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
March 17, 2010, 18:55 local (Mar 18, 2010, 01:55 UTC)
Place
Rancho Santa Fe, CA
Injuries
3 serious, 6 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N30048Ultramagic S-160
Defining event
Landing-flare/touchdown: Hard landing
Weather
Visual (VMC) · Dusk
Status
Completed · report July 12, 2011
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20100317030889A
Case key
75550

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

A reduction of burner/heat production due to low fuel. Contributing to the accident was the pilot's continued flight with a low fuel status.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Object/animal/substance: wireEnvironmental issues › Physical environment · Contributed to outcomeUltramagic S-160: 1 caseAll aircraft: 588 cases
WindEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeUltramagic S-160: 1 caseAll aircraft: 110 cases
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelUltramagic S-160: 1 caseAll aircraft: 1,695 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that as the air tour balloon flight progressed, the wind moving the balloon gradually dissipated to a calm state. He stated that to reach his selected landing site, he needed to cross over some high power transmission wires; however, the balloon's three burners failed to produce full power and he elected to land short of the transmission wires. He performed an emergency descent by pulling the top out of the envelope and subsequently, the balloon landed hard. During the landing, three passengers were injured, and the envelope snagged on several trees resulting in substantial damage to the envelope. According to the pilot, at the time of the landing, each of the three 20-gallon fuel tanks was approximately 15 to 20 percent full. A balloon repair station owner reported that burner utilization during flight is either FULL on or totally off (except for the pilot light). When the fuel level of a tank is between approximately 10 to 20 percent, the liquid propane will begin to cavitate in a vortex manner due to the rapid evacuation of fuel through the fuel tank's liquid dip tube, which supplies each respective burner via a fuel hose. When this occurs, there is a discernible difference in the sound of a burner, a pulsing woof-woof, and the power output/thermal output is dramatically reduced. The Flight Manual for the balloon stated in the landing section: "Burner, connect if possible to a fuel cylinder filled to at least 40 percent of its capacity." Additionally, the Flight Manual states "Any contact with electric power lines is extremely dangerous and should be avoided at all costs."

Factual narrative

On March 17, 2010, approximately 1855 Pacific daylight time, an Ultramagic S-160 balloon, N30048, sustained substantial damage when it landed hard near Rancho Santa Fe, California. The commercial pilot and five of his passengers were not injured; however, three passengers received serious injuries. Panorama Balloon Tours was operating the balloon under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the commercial air tour flight, which originated approximately 55 minutes before the accident. A flight plan had not been filed. The pilot reported that as the flight progressed, the wind moving the balloon south-eastward gradually dissipated to a becalmed state. The pilot stated that he had selected a landing spot, but needed to cross over some high power transmission wires to reach it. However, the pilot reported that the balloon's three burners failed to produce their full power and he elected to land short of the power lines. In order to avoid drifting into the power lines, he pulled the top out of the envelope and the balloon landed hard. The envelope snagged on several trees resulting in major damage to the envelope. The pilot reported that at the time of the landing, each of the three 20-gallon fuel tanks were approximately 15 to 20 percent full. This equates to approximately 3 to 4 gallons of fuel in each tank at the time of the accident. A balloon repair station owner said burner utilization during flight is either FULL on or totally off (except for the pilot light). When the fuel level of a tank is between approximately 10 and 20 percent, the liquid propane will begin to cavitate in a vortex manner due to the rapid evacuation of the fuel through the fuel tank's liquid dip tube, which supplies each respective burner via a fuel hose. When this occurs, there is a discernible difference in the sound of a burner, a pulsing woof-woof, and the power output/thermal output is dramatically reduced. The Flight Manual for Ultramagic Hot Air Balloons suggests that each burner have two separate fuel supplies as an additional safety factor. The manufacturer also recommends, if possible, that landings should be made with burners connected to fuel tanks filled to at least 40 percent capacity. The Flight Manual states that the fuel gauges affixed to the top of each tank will not begin to register until it is at least 25 percent full of fuel. Additionally, the Flight Manual states, "Any contact with electrical power lines is extremely dangerous and should be avoided at all costs."

Aircraft

Registration
N30048
Reported as
Ultramagic S-160
Category
Balloon
Serial number
160/27
Airframe hours
417
Damage
Substantial damage
Flight
Aerial observation · Part 91
Operator
Panorama Balloon Tours
Registered owner
Jamie Charland
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 1, 2009
Departed
NONE · Encinitas, CA
Destination
NONE · Rancho Santa Fe, CA

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
45
Injuries
None
Certificate
Commercial
Last flight review
August 21, 2008
Seat
Left
Flight hours
590 total · 88 in this make and model · 496 as pilot in command · 40 in the last 90 days · 14 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
270° at 3 knots
Visibility
5 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 45 °F
Altimeter
29.90 inHg
Observed at
CRQ, 10 nm away

Docket · 3

The files NTSB released with the investigation on May 11, 2011, on NTSB’s docket system: statements, records, photos and specialists’ reports. 782 KB 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.