WPR13LA145

NTSB accident investigation · Cirrus Design SR20 · Kernville, CA · March 11, 2013

Accident · Minor injuriesLimited investigationFinal report
Date
March 11, 2013, 15:01 local (22:01 UTC)
Place
Kernville, CA
Injuries
1 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N427GECirrus Design SR20
Defining event
Landing-aborted after touchdown: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed · report October 21, 2015
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administratin, Cirrus Aircraft
Case key
86400

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 pilot’s application of excessive pitch and his failure to achieve adequate airspeed during the go-around attempt, which resulted in an aerodynamic stall.

Findings · 3

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: pitch controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedCirrus Design SR20: 6 casesAll aircraft: 526 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCirrus Design SR20: 13 casesAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCirrus Design SR20: 47 casesAll aircraft: 9,295 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, while in the landing flare with the flaps configured full down, the airplane drifted right, and he then decided to execute a go-around. After he added power for the go-around, the left main wheel contacted the runway, and the airplane then veered left, continued off the left side of the runway, and impacted a ditch. Flight data from the primary flight display showed that the airplane had a high engine rpm and a 9-degree left bank with a 17-degree nose-up pitch attitude and was at an airspeed of 56 knots during the attempted go-around. The Pilot's Operating Handbook states that, during a go-around, the best angle-of-climb airspeed (between 81 and 83 knots indicated airspeed [KIAS]) should be set and maintained and that the flaps should then be retracted. It also states that, if the airplane is configured with full flaps in a 15-degree bank angle, it will stall between 55 and 57 KIAS. It is likely that the excessive pitch angle and low airspeed during the go-around attempt resulted in an aerodynamic stall.

Factual narrative

On March 11, 2013, at 1501 Pacific daylight time, a Cirrus SR20, N427GE, veered off the left side of the runway and into a ditch at the Kern Valley Airport, Kernville, California. The airplane was registered to East Pole Aviation, and operated by Justice Aviation under the provisions of 14 Code of Federal Regulations, Part 91. The private pilot and two passengers sustained minor injuries, and the airplane was substantially damaged. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight originated at Bakersfield, California, about 1438.The pilot stated that while in the landing flare with the flaps configured full down, the airplane drifted right so that the right main landing gear was no longer over the runway. The pilot decided to execute a go-around. After he added power for the go-around, the left main wheel contacted the runway; the airplane veered left, continued off the left side of the runway, impacted a ditch, and came to rest inverted. The pilot indicated in the NTSB Pilot/Operator Accident Report (Form 6120.1) that there were no mechanical malfunctions or failures prior to the accident. The Avidyne Primary Flight Display (PFD) was removed from the airplane and sent to the NTSB Vehicle Recorders Laboratory for data download and review. The Avidyne PFD unit includes a solid state Air Data and Attitude Heading Reference System (ADAHRS) and displays aircraft parameter data including altitude, airspeed, attitude, vertical speed, and heading. The PFD unit has external pitot/static inputs for altitude, airspeed, and vertical speed information. The PFD has a data logging function, which is used by the manufacturer for maintenance and diagnostics. Maintenance and diagnostic recordings consists of system information, event data, and flight data. The data extracted from the PFD contained the accident flight and other flights on March 11, 2013. The following data was extracted from the Avidyne PFD for the accident sequence of events. At 1501:24, the data indicated that the airplane's roll was 7 degrees left, the pitch was 2 degrees nose down, and the airspeed was 69 knots. At 1501:28, the data indicated that the airplane's roll was 3 degrees right, the pitch was 5 degrees nose up, and the airspeed was 66 knots. At 1501:30, the data indicated that the propeller rpm was 1,350, the airplane's roll was 2 degrees left, the pitch was 2 degrees nose up, and the airspeed was 62 knots. At 1501:30 and 1501:36, the propeller rpm was 1,350 and 2,400, respectively. During this time period, the pitch, roll, and airspeed were sampled at a higher frequency. As such, determining when power was applied relative to pitch increase is limited by the sampling rate differences. However, during this period the pitch increased from 2 degrees nose up to 12 degrees nose up, the roll increased to 9 degrees left, the airspeed decreased to 56 knots, and by 1501:32, the longitudinal acceleration began to increase. Also during this period, themagnetic heading changed left from 351 degrees to 327 degrees. At 1501:38, the pitch reached a maximum value of 17 degrees nose up when the airspeed was about 56 knots. Between 1501:38 and 1501:41, the pitch decreased to 16 degrees nose down, and the aircraft rolled to 31 degrees right, before rolling back to the left through 20 degrees. After 1501:41, the vertical acceleration increased to a full scale value of XYZ, the left roll angle increased to a full scale value of 180 degrees left, and the airspeed decreased to 0 knots. The Cirrus SR20 Pilot Operating Handbook contains stall speeds for a gross weight of 3,000 pounds, flaps configuration, and angle of bank factors. The accident airplane configuration was flaps at 100% (full down), and for this configuration the stall speed at 15 degrees angle of bank is between 55-57 knots indicated airspeed (KIAS). The Pilot Operating Handbook lists the following procedures for a Balked Landing/Go-Around. 1. Autopilot – Disengage 2. Power Lever – FULL FORWARD 3. Flaps – 50% 4. Airspeed – Best Angle of Climb (81-83 KIAS) After clear of obstacles 5. Flaps – Up (0%)

Aircraft

Registration
N427GE
Reported as
Cirrus Design SR20
Category
Airplane
Serial number
1984
Airframe hours
1,318
Engine
Cont Motor IO-360-ES, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Justice Aviation
Registered owner
East Pole Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 25, 2013 · 37 hours before
Departed
KBFL · Bakersfield, CA
Destination
KL05 · Kernville, CA
Airport
KL05 · Kern Valley Airport, runway 35, 3,500 × 50 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
54
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
July 30, 2012
Seat
Left
Flight hours
1,532 total · 34 in this make and model · 1,474 as pilot in command · 5 in the last 90 days · 2 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 2 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
61 °F
Altimeter
30.23 inHg
Observed at
KIKY, 30 nm away

Docket · 8

The files NTSB released with the investigation on September 24, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.8 MB in all.