WPR15LA154

NTSB accident investigation · Diamond Aircraft Ind DA 20 C1 · Van Nuys, CA · April 24, 2015

Accident · No injuriesLimited investigationFinal report
Date
April 24, 2015, 12:00 local (19:00 UTC)
Place
Van Nuys, CA
Injuries
4 uninjured
Phase of flight
Taxi
Aircraft
N309EFDiamond Aircraft Ind DA 20 C1N6211KCessna 150M
Defining events
Taxi: Ground collisionTaxi-to runway: Ground collision
Weather
Visual (VMC) · Day
Status
Completed · report November 29, 2016
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
Case key
91103

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

Both pilots’ failure to see and avoid each other, which resulted in an on ground collision while taxiing. Contributing to the accident was the ground controller’s failure to notify either pilot about the presence of the other airplane on the taxiway.

Both pilots' failure to see and avoid each other, which resulted in an on-ground collision while taxiing. Contributing to the accident was the ground controller's failure to notify either pilot about the presence of the other airplane on the taxiway.

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.

N309EF · Diamond Aircraft Ind DA 20 C1

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftDiamond Aircraft Ind DA20-C1: 5 casesAll aircraft: 231 casesProbable cause

N6211K · Cessna 150M

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftCessna 150M: 4 casesAll aircraft: 231 casesProbable cause
Communication (personnel): lack of communicationPersonnel issues › Task performance · ATC personnelCessna 150M: 1 caseAll aircraft: 84 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.

N309EF · Diamond Aircraft Ind DA 20 C1

N6211K · Cessna 150M

Analysis

A Cessna 150M and a Diamond DA20 collided on the ground during taxi operations. The student pilot of the Diamond received clearance from the ground controller to taxi to the run-up area for runway 16R via taxiway A1. The Diamond student reported that he stopped and looked in both directions before slowly proceeding left onto taxiway A (not A1 as instructed), at which point he observed the Cessna moving to his left around a jet on taxiway A and approaching his position. The Diamond student stopped to see what the Cessna pilot was going to do, and his airplane was then struck by the Cessna. The Cessna pilot reported that, while taxiing on taxiway A as he approached A1, he observed an airplane at his 10-o'clock position, which appeared to be entering his path. The Cessna pilot applied the brakes but was unable to avoid striking the Diamond. The Diamond sustained damage to both propeller blades, and the Cessna sustained substantial damage to the leading edge of the left wing. A review of airport surveillance video showed the Cessna taxiing on taxiway A and converging with the Diamond before the collision. The surveillance video and on-site documentation of the area did not reveal any obstructions that would have prevented the pilots from seeing and avoiding the other airplane before the collision. Review of radio transmissions revealed that both pilots received and acknowledged clearance instructions from ground control; however, neither pilot was given information about the other aircraft's position on the taxiway. Seventeen seconds before the collision occurred, the ground controller began issuing instructions to another aircraft pilot; this transmission continued as the collision occurred. It is likely that the ground controller's attention was diverted to issuing instructions to the other aircraft pilot, which led to his failure to notify the accident pilots about the presence of the other airplane on the taxiway.

A Cessna 150M and a Diamond DA20 collided on the ground during taxi operations. The student pilot of the Diamond received clearance from the ground controller to taxi to the run-up area for runway 16R via taxiway A1. The Diamond student reported that he stopped and looked in both directions before slowly proceeding left onto taxiway A (not A1 as instructed), at which point he observed the Cessna moving to his left around a jet on taxiway A and approaching his position. The Diamond student stopped to see what the Cessna pilot was going to do, and his airplane was then struck by the Cessna. The Cessna pilot reported that, while taxiing on taxiway A as he approached A1, he observed an airplane at his 10-o'clock position, which appeared to be entering his path. The Cessna pilot applied the brakes but was unable to avoid striking the Diamond. The Diamond sustained damage to both propeller blades, and the Cessna sustained substantial damage to the leading edge of the left wing. A review of airport surveillance video showed the Cessna taxiing on taxiway A and converging with the Diamond before the collision. The surveillance video and on-site documentation of the area did not reveal any obstructions that would have prevented the pilots from seeing and avoiding the other airplane before the collision. Review of radio transmissions revealed that both pilots received and acknowledged clearance instructions from ground control; however, neither pilot was given information about the other aircraft's position on the taxiway. Seventeen seconds before the collision occurred, the ground controller began issuing instructions to another aircraft pilot; this transmission continued as the collision occurred. It is likely that the ground controller's attention was diverted to issuing instructions to the other aircraft pilot, which led to his failure to notify the accident pilots about the presence of the other airplane on the taxiway.

Factual narrative

On April 24, 2015, about 1200 Pacific daylight time, a Cessna 150M, N6211K, and a Diamond DA20, N309EF, sustained damage during a ground collision at Van Nuys Airport (VNY), Van Nuys, California. The Cessna sustained substantial damage and the Diamond sustained minor damage. The private pilot and pilot rated passenger of the Cessna, and the student pilot of the Diamond were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for either of the local flights, which were both conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The pilot of the Cessna was cleared by ground control to taxi to runway 16 via taxiways A and C, and communication was maintained with the ground controller during the taxi. The Cessna pilot was instructed to stay to the right side of taxiway A for opposite direction traffic to which he complied. As the Cessna approached taxiway A1 the pilot noted the Diamond airplane at his 10 o'clock position entering his pathway. The Cessna pilot applied brakes; however, the two airplanes collided on taxiway A. The Cessna pilot reported that he was not advised by the ground controller of the Diamond entering taxiway A before the collision. The second pilot on board the Cessna acknowledged the clearance to taxi and stated that the airplane was taxied at an appropriate and safe speed. The second pilot did not witness the collision as he was looking out of the right window at the time. The student pilot of the Diamond received clearance from ground control to taxi to the run-up area for runway 16R via A1. The Diamond pilot reached the end of taxiway A1, stopped and noted that there was a jet to his right on taxiway A. The Diamond pilot stated that he observed both directions before slowly proceeding left onto taxiway A when he observed a Cessna on taxiway A moving around a jet and approaching. The Diamond pilot reported that he immediately stopped in order to see what the Cessna pilot was going to do when he was struck by the Cessna. The Diamond sustained damage to the propeller with about half of the length of each wooden propeller blade broken off. The Cessna sustained substantial damage to the leading edge of the left wing. Review of airport surveillance video at the time of the accident showed the accident Cessna taxing north bound on taxiway A and converging with the Diamond before the collision occurred. On site documentation did not reveal any obstructions in the area around where the collision occurred. Review of radio transmissions revealed that both pilots received and acknowledged clearance instructions from ground control; however, neither pilot was given information about one another's position on the airport. 17 seconds before the collision occurred, the ground controller began issuing instructions to another aircraft; this transmission continued as the collision occurred between the Cessna and the Diamond.

On April 24, 2015, about 1200 Pacific daylight time, a Cessna 150M, N6211K, and a Diamond DA20, N309EF, sustained damage during a ground collision at Van Nuys Airport (VNY), Van Nuys, California. The Cessna sustained substantial damage and the Diamond sustained minor damage. The private pilot and pilot rated passenger of the Cessna, and the student pilot of the Diamond were not injured. Visual meteorological conditions prevailed, and no flight plan was filed for either of the local flights, which were both conducted under the provisions of Title 14 Code of Federal Regulations Part 91. The pilot of the Cessna was cleared by ground control to taxi to runway 16 via taxiways A and C, and communication was maintained with the ground controller during the taxi. The Cessna pilot was instructed to stay to the right side of taxiway A for opposite direction traffic to which he complied. As the Cessna approached taxiway A1 the pilot noted the Diamond airplane at his 10 o'clock position entering his pathway. The Cessna pilot applied brakes; however, the two airplanes collided on taxiway A. The Cessna pilot reported that he was not advised by the ground controller of the Diamond entering taxiway A before the collision. The second pilot on board the Cessna acknowledged the clearance to taxi and stated that the airplane was taxied at an appropriate and safe speed. The second pilot did not witness the collision as he was looking out of the right window at the time. The student pilot of the Diamond received clearance from ground control to taxi to the run-up area for runway 16R via A1. The Diamond pilot reached the end of taxiway A1, stopped and noted that there was a jet to his right on taxiway A. The Diamond pilot stated that he observed both directions before slowly proceeding left onto taxiway A when he observed a Cessna on taxiway A moving around a jet and approaching. The Diamond pilot reported that he immediately stopped in order to see what the Cessna pilot was going to do when he was struck by the Cessna. The Diamond sustained damage to the propeller with about half of the length of each wooden propeller blade broken off. The Cessna sustained substantial damage to the leading edge of the left wing. Review of airport surveillance video at the time of the accident showed the accident Cessna taxing north bound on taxiway A and converging with the Diamond before the collision occurred. On site documentation did not reveal any obstructions in the area around where the collision occurred. Review of radio transmissions revealed that both pilots received and acknowledged clearance instructions from ground control; however, neither pilot was given information about one another's position on the airport. 17 seconds before the collision occurred, the ground controller began issuing instructions to another aircraft; this transmission continued as the collision occurred between the Cessna and the Diamond.

Aircraft · 2

Registration
N309EF
Reported as
Diamond Aircraft Ind DA 20 C1 (C1)
Category
Airplane
Serial number
C0262
Built
2004
Engine
Continental IO-240, reciprocating
Damage
Minor damage
Flight
Personal · Part 91
Operator
Amval LLC
Registered owner
Amval LLC
Airworthiness certificate
Standard, Utility
Departed
VNY · Van Nuys, CA
Airport
VNY · Van Nuys
Equipment
Unknown

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
N6211K
Reported as
Cessna 150M (M)
Category
Airplane
Serial number
15077588
Built
1975
Airframe hours
6,552
Engine
Cont Motor O-200 SERIES, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Continental Aviation Inc
Registered owner
Continental Aviation Inc
Airworthiness certificate
Standard, Utility
Last inspection
Annual · March 11, 2015
Departed
VNY · Van Nuys, CA
Destination
KCMA · Camarillo, CA
Airport
VNY · Van Nuys
Equipment
None

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 · 3

As NTSB recorded them. NTSB leaves out names.

Role
Student pilot, aircraft N309EF
Age
52
Injuries
None
Certificate
Student
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
44.4 total · 34.9 in this make and model
Role
Pilot, aircraft N6211K
Age
44
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
May 1, 2013
Seat
Left
Restraint
3-point
Flight hours
361 total · 60 in this make and model · 308 as pilot in command
Role
Flight instructor, aircraft N6211K
Age
47
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
November 1, 2014
Seat
Right
Restraint
3-point
Flight hours
1,842 total · 100 in this make and model · 1,783 as pilot in command · 127 in the last 90 days · 55 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 8 knots
Visibility
10 statute miles
Lowest ceiling
3,500 ft broken
Temperature
64 °F, dew point 55 °F
Altimeter
29.12 inHg
Observed at
VNY

Docket · 11

The files NTSB released with the investigation on August 23, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 10.1 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.

Other investigations on N309EF · 1

Matched to the same aircraft by N-number and date.