WPR11LA233

NTSB accident investigation · Palmer RV6A · Cody, WY · May 21, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
May 21, 2011, 14:50 local (20:50 UTC)
Place
Cody, WY
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N52VCPalmer RV6A
Defining event
Enroute-climb to cruise: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed · report November 3, 2014
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20110521009269A
Case key
79198

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 pilot’s failure to maintain sufficient altitude to avoid rising terrain. Contributing to the accident was the pilot’s visual illusion and disorientation due to the flat light conditions.

Findings · 6

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.

Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedPalmer Joe A RV6A: 1 caseAll aircraft: 1,310 casesProbable cause
Terrain: mountainous/hilly terrainEnvironmental issues › Physical environment · Contributed to outcomePalmer Joe A RV6A: 1 caseAll aircraft: 329 cases
Terrain: snowy/icy terrainEnvironmental issues › Physical environment · Effect on operationPalmer Joe A RV6A: 1 caseAll aircraft: 77 casesProbable cause
Light condition: flat lightEnvironmental issues › Conditions/weather/phenomena · Effect on operationPalmer Joe A RV6A: 1 caseAll aircraft: 42 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, when the airplane was at 13,500 feet mean sea level and flying over snow-covered mountainous terrain, he changed course and initiated a descent to avoid moisture-laden clouds. During the descent into a valley, the pilot noticed "slightly rising terrain," so he initiated a climb. The pilot reported that it appeared he had a visual illusion because he thought the airplane was at a higher altitude than the approaching terrain. The airplane subsequently impacted the snow-covered mountain and sustained substantial damage to the fuselage. The passenger stated that he and the pilot had become disoriented. It is likely that the snow-covered terrain and the overcast sky created a flat light condition, which inhibited the visual cues necessary for the pilot to orient himself to the terrain. The pilot reported no preimpact mechanical failures or malfunctions with the airplane that would have precluded normal operation.

Factual narrative

On May 21, 2011, about 1450 mountain daylight time, an experimental amateur built Palmer RV6A airplane, N52VC, impacted mountainous terrain in the Teton National Forest near Cody, Wyoming. The pilot/owner operated the airplane under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. The pilot and one passenger received serious injuries. The airplane sustained substantial damage to the fuselage. Visual meteorological conditions prevailed for the flight that departed from Marsing, Idaho, at 1138, and no flight plan had been filed. According to the Federal Aviation Administration (FAA) coordinator, the pilot had Visual Flight Rules (VFR) flight following services with Salt Lake City Center (SLCC) about an hour prior to the accident, when SLCC terminated flight following services due to no radar coverage in the mountains. SLCC personnel had to relay the flight following termination through another pilot. The accident pilot responded affirmatively to the flight following termination, via relay with the other pilot. Before the accident, SLCC relayed to the pilot that there were several pilot reports (PIREPS) for icing between 11,000 feet and 16,500 feet mean sea level (MSL). In the pilot's written statement, he reported that the airplane was at 13,500 feet to clear high terrain in a mountainous area. The pilot changed course and descended from 13,500 feet to avoid clouds that appeared to be "moisture laden." During the descent into a valley, the pilot noticed "slightly rising terrain" and initiated a climb. The pilot stated that it appeared he had a visual illusion, and thought they were at a higher altitude than the upcoming terrain. The airplane subsequently impacted a mound of snow. According to the passenger, they had been flying in a mountainous area, and had become disoriented from the white out conditions. The pilot reported not preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation. The Park County Search and Rescue coordinator stated that, the airplane came to rest upright in 4 feet of snow at an elevation of 10,800 feet. The pilot was able to relay a mayday call through a pilot to Salt Lake City Center.

Aircraft

Registration
N52VC
Reported as
Palmer RV6A
Category
Airplane, amateur-built
Serial number
24642
Built
2003
Airframe hours
556
Engine
Lycoming O-320 SERIES, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Special, Experimental (Special)
Last inspection
Condition · October 1, 2010 · 27 hours before
Departed
ID40 · Marsing, ID
Destination
KBYG · Buffalo, WY
Flight plan
VFR

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
74
Injuries
Serious
Certificates
Flight instructor, Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
August 27, 2009
Seat
Left
Flight hours
7,400 total · 130 in this make and model · 7,100 as pilot in command · 10 in the last 90 days · 5 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 11 knots
Visibility
10 statute miles
Lowest ceiling
6,000 ft overcast
Temperature
52 °F, dew point 30 °F
Altimeter
29.96 inHg
Icing
Unknown
Observed at
KJAC, 50 nm away

Docket · 4

The files NTSB released with the investigation on September 26, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.6 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.