WPR13LA004

NTSB accident investigation · Piper PA-28-161 · Chandler, AZ · October 5, 2012

Accident · No injuriesLimited investigationFinal report
Date
October 5, 2012, 14:07 local (21:07 UTC)
Place
Chandler, AZ
Injuries
4 uninjured
Phase of flight
Maneuvering
Aircraft
N8115QPiper PA-28-161N4184MPiper PA-28R-201
Defining events
Maneuvering: Midair collisionManeuvering: Midair collision
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
CAE Global Academy, Piper Aircraft, FAA-FSDO
Case key
85265

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

On this page

Probable cause

The failure of both flight instructors to see and avoid the other airplane while providing instrument flight training, which resulted in a midair collision.

Findings · 2

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.

N8115Q · Piper PA-28-161

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Instructor/check pilotPiper PA-28-161: 8 casesAll aircraft: 231 casesProbable cause

N4184M · Piper PA-28R-201

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Instructor/check pilotPiper PA-28R-201: 2 casesAll aircraft: 231 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.

N8115Q · Piper PA-28-161

N4184M · Piper PA-28R-201

Analysis

During instructional flights with a flight instructor and a student pilot on board each airplane, a Piper Warrior and a Piper Arrow collided in midair during day visual meteorological conditions. The instructors reported that their students were simulating instrument conditions and were wearing view-limiting devices as they practiced instrument maneuvers. Both flight instructors reported that they saw the other airplane only moments before the collision and were not aware of other aircraft in the area. Neither airplane was using flight following services nor did they have any radar guidance during the flight. A review of recorded radar data for the area depicted two targets on a southwesterly heading, one ahead of the other. The targets were spaced about 2 miles apart and both were at 4,000 feet mean sea level. The rear target, the Arrow, changed its southwesterly heading to a westerly heading, and shortly after, the target identified as the Warrior started a wide right turn. Both airplanes were flying toward each other when the Warrior’s right wing and the Arrow’s left wing collided. After the collision, both airplanes subsequently made uneventful landings.

Factual narrative

On October 5, 2012, about 1407 mountain standard time, a Piper PA-28-161, Warrior, N8115Q, and a Piper PA-28R-201, Arrow, N4184M, collided midair approximately 12 miles south of Chandler, Arizona. Both airplanes were being operated under the provisions of 14 Code of Federal Regulations (CFR) Part 91 as local instructional flights. The Warrior was owned and operated by Chandler Air Service Inc., and the Arrow was owned by Aircraft Guaranty Corp., and operated by CAE Oxford Aviation Academy. Both airplanes had a certified flight instructor (CFI) and student pilot on board. No injuries were reported from either airplane. The Warrior departed Chandler Municipal Airport (CHD), Chandler, Arizona about 1335. The Arrow departed Falcon Field Airport (FFZ), Mesa, Arizona about 1230. Visual meteorological conditions prevailed and no flight plan was filed for either airplane. According to the flight instructor of the Arrow, he and the student pilot had just completed a non-directional beacon (NDB) interception exercise with the student wearing a view limiting devise. Shortly after, the flight instructor noticed a very close, fast-moving blurred object approaching from almost directly ahead. The object seemed to be in a left turn and was lower than his airplane. After the impact, the airplane yawed left and wing down. The flight instructor took control and stabilized the airplane. The flight instructor of the Warrior reported that he had given his student pilot a simulated instrument clearance. The student was wearing a view limiting device. The flight instructor then saw an airplane directly ahead and slightly higher in altitude. He further stated that the airplane appeared to be in a slight left turn. He took the controls and made an abrupt nose down left turn prior to impacting the other airplane. After the midair collision, the Warrior landed at Gila River Memorial Airport (34AZ), in Chandler, Arizona, with substantial damage to the right wing. The Arrow landed on the Volkswagen Group of America test track in Maricopa, Arizona, with substantial damage to its left wing and horizontal stabilator. The Warrior’s right wing separated about 3-1/2 feet from the wing tip along with an outboard section of the right aileron. The aileron balance weight was not found during the examination. The Arrow’s left wing was damaged outboard and adjacent to the wing fuel tank. About 14 inches of the leading edge structure was crushed to the main spar, and a portion of the Warrior’s wing remained within the structure. The Warrior's right wing tip protruded from the top and the bottom of the Arrow’s wing. The leading edge of the left horizontal stabilizer sustained impact damage. Recorded radar data from the FAA's Phoenix Terminal Radar Approach Control (TRACON) ARTS IIIA radar system was obtained and reviewed. Neither airplane was on flight following or had any radar guidance during the accident flights. Between 1405:39 and 1406:20, two radar beacon targets proceeded on asouthwesterly track, one ahead of the other, about 6 miles northeast of the University of Arizona Maricopa Ag Center Airport (3AZ2). The targets were spaced about 2 miles apart, and both indicated mode C reported altitudes of 4,000 feet mean sea level. At 1406:25 the rear target, the Arrow, changed to a westerly heading, and 40 seconds later the forward target, the Warrior, began a right turn into the path of the rear target. At 1407:06 both targets merged and then separated. One target, the Warrior, then departed to the northeast, and then changed heading to the north, disappearing near Gila River Memorial Airport (34AZ). The other target, the Arrow, departed to the southwest, and disappeared from radar 2 miles east of 3AZ2. The Arrow was equipped with a Portable Collision Avoidance System (PCAS) unit capable of detecting and displaying range, bearing, and altitude information of transponder equipped aircraft in the vicinity of the unit. According to the flight instructor of the Arrow, the unit had alerted him twice during the flight but, did not alert him prior to the midair collision. The unit was sent to the National Transportation Safety Board Materials Laboratory for further examination. Its alert settings were set to a range of 3 nautical miles and a vertical range of 1,500 feet. The external speaker and headset interfaced audio tested properly, and no anomalies were noted with the unit. An examination report is contained in the public docket for this accident. Neither pilot reported any preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft · 2

Registration
N8115Q
Reported as
Piper PA-28-161
Category
Airplane
Serial number
28-8016121
Airframe hours
3,931
Engine
Lycoming O-320 SERIES, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Chandler Air Service, doing business as Flight Training/Rental/Sales/Aerobatics/Tailwheel
Registered owner
Triumph Aviation LLC
Last inspection
Annual · August 29, 2012 · 2,027 hours before
Departed
CHD · Chander, AZ
Destination
CHD · Chander, AZ
Airport
CHD · Chandler Municipal Airport

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
N4184M
Reported as
Piper PA-28R-201
Category
Airplane
Serial number
2844062
Airframe hours
10,734
Engine
Lycoming IO360 SER A&C, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Aircraft Guaranty Holdings & Trust LLC Trustee, doing business as Flight School
Registered owner
Aircraft Guaranty Holdings & Trust LLC Trustee
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · August 29, 2012 · 2,144 hours before
Departed
FFZ · Mesa, AZ
Destination
FFZ · Mesa, AZ
Airport
CHD · Chandler Municipal Airport

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 · 4

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor, aircraft N8115Q
Age
53
Injuries
None
Certificate
Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
September 21, 2011
Seat
Right
Flight hours
15,986 total · 4,700 in this make and model · 15,820 as pilot in command · 74 in the last 90 days · 30 in the last 30 days · 2 in the last 24 hours
Role
Student pilot, aircraft N8115Q
Age
25
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 1, Without waivers/limitations
Last flight review
June 2, 2011
Seat
Left
Flight hours
179 total · 80 in this make and model · 75 as pilot in command · 10 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours
Role
Flight instructor, aircraft N4184M
Age
63
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
September 24, 2012
Seat
Right
Flight hours
8,524 total · 4,201 in this make and model · 8,472 as pilot in command · 206 in the last 90 days · 57 in the last 30 days · 5 in the last 24 hours
Role
Student pilot, aircraft N4184M
Injuries
None
Certificate
Student
Seat
Left
Flight hours
122 total

Weather

Conditions
Visual (VMC) · Day
Visibility
30 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 37 °F
Altimeter
29.90 inHg
Observed at
KCHD, 15 nm away

Docket · 10

The files NTSB released with the investigation on September 5, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.3 MB in all.

FAA reports on this event · 2

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