WPR16LA016

NTSB accident investigation · Cessna 310C · Primm, NV · October 23, 2015

Accident · No injuriesLimited investigationFinal report
Date
October 23, 2015, 10:15 local (17:15 UTC)
Place
Primm, NV
Injuries
3 uninjured
Phase of flight
Maneuvering
Aircraft
N310CDCessna 310CN9475NPiper PA 28R-200
Defining events
Maneuvering: Midair collisionManeuvering: Midair collision
Weather
Visual (VMC) · Day
Status
Completed · report May 1, 2017
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
Case key
92220

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 inadequate visual lookout by the pilots of both airplanes, which resulted in a midair collision. Contributing to the accident was the pilots' failure to tune to, monitor, and communicate over the common traffic advisory frequency their relative positions while in the training area.

The inadequate visual lookout by the pilots of both airplanes, which resulted in a midair collision. Contributing to the accident was the pilots' failure to tune to, monitor, and communicate over the common traffic advisory frequency their relative positions while in the training area.

Findings · 5

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.

N310CD · Cessna 310C

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Instructor/check pilotCessna 310C: 1 caseAll aircraft: 231 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Student/instructed pilotCessna 310C: 1 caseAll aircraft: 231 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftCessna 310C: 1 caseAll aircraft: 231 casesProbable cause

N9475N · Piper PA 28R-200

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftPiper PA-28R-200: 3 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.

N310CD · Cessna 310C

N9475N · Piper PA 28R-200

Analysis

Both the multi-engine airplane and the single-engine airplane were maneuvering in the local practice area at 6,500 ft mean sea level. The flight instructor and private pilot receiving instruction on board the multi-engine airplane were performing an introductory/familiarization flight. The flight instructor reported that the airplane was on a northwesterly heading when he observed a small dot in front of him; he then saw an approaching airplane just before impact. He stated that the pilot receiving instruction, who was controlling the airplane at the time, made a slight nose-down input just before the collision. After assessing the damage as a jammed rudder, the flight instructor elected to proceed back to the departure airport, where he landed the airplane uneventfully. The private pilot of the single-engine airplane stated that, while performing engine power checks on a southwesterly heading and while in a left turn, he heard a loud bang. He subsequently observed another airplane flying away from his position and then heard a radio transmission on the departure airport's tower frequency, advising that the pilot had been involved in a midair collision. The airplane then experienced a total loss of engine power, and the pilot subsequently performed an uneventful forced landing on a dry lake bed. Examination of the airplane revealed substantial damage to the right forward wing root area, which compromised the fuel system and resulted in the subsequent loss of engine power. The practice area where the accident occurred was used widely for training flights, and pilots operating in the area typically monitored the common traffic advisory frequency (CTAF) of a nearby, non-tower-controlled airport. The pilots of both accident airplanes, however, were only monitoring the tower frequency of their departure airport. Had the pilots of both airplanes been more vigilant in scanning for potential traffic in the area while maneuvering, as well as monitoring and communicating their positions on the CTAF frequency, the midair collision would most likely have not occurred.

Both the multi-engine airplane and the single-engine airplane were maneuvering in the local practice area at 6,500 ft mean sea level. The flight instructor and private pilot receiving instruction on board the multi-engine airplane were performing an introductory/familiarization flight. The flight instructor reported that the airplane was on a northwesterly heading when he observed a small dot in front of him; he then saw an approaching airplane just before impact. He stated that the pilot receiving instruction, who was controlling the airplane at the time, made a slight nose-down input just before the collision. After assessing the damage as a jammed rudder, the flight instructor elected to proceed back to the departure airport, where he landed the airplane uneventfully. The private pilot of the single-engine airplane stated that, while performing engine power checks on a southwesterly heading and while in a left turn, he heard a loud bang. He subsequently observed another airplane flying away from his position and then heard a radio transmission on the departure airport's tower frequency, advising that the pilot had been involved in a midair collision. The airplane then experienced a total loss of engine power, and the pilot subsequently performed an uneventful forced landing on a dry lake bed. Examination of the airplane revealed substantial damage to the right forward wing root area, which compromised the fuel system and resulted in the subsequent loss of engine power. The practice area where the accident occurred was used widely for training flights, and pilots operating in the area typically monitored the common traffic advisory frequency (CTAF) of a nearby, non-tower-controlled airport. The pilots of both accident airplanes, however, were only monitoring the tower frequency of their departure airport. Had the pilots of both airplanes been more vigilant in scanning for potential traffic in the area while maneuvering, as well as monitoring and communicating their positions on the CTAF frequency, the midair collision would most likely have not occurred.

Factual narrative

On October 23, 2015, about 1015 Pacific daylight time, a Cessna 310C multiengine airplane, N310CD, and a single-engine Piper PA-28-200, N9475N, collided in midair, about 5 nautical miles south of Primm, Nevada. The Cessna's certified flight instructor (CFI), who occupied the right pilot seat, and the pilot/owner receiving instruction who occupied the left pilot seat, were not injured. Additionally, the pilot of the Piper, who was the sole occupant, was not injured. Visual meteorological conditions prevailed at the time of the accident. The local flights were being operated in accordance with 14 Code of Federal Regulations Part 91, and no flight plans had been filed. Both airplanes departed the Henderson Executive Airport (HND), Henderson, Nevada, the Cessna about 0915, the Piper about 0950. In a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the CFI of the Cessna reported that while giving the pilot/owner instruction in approach configurations at 6,500 feet mean sea level (msl), on a magnetic heading of 340 degrees, he observed a small dot in front of him, and just prior to impact he saw an approaching airplane; the CFI opined that he thought the pilot/owner had made a slight nose down control input prior to the collision. After assessing the damage to the airplane, which had resulted in a jammed rudder, the CFI contacted the HND air traffic control tower, reported the midair collision, and indicated that he would be returning to HND. The Cessna subsequently landed at HND without further incident. A postaccident examination revealed that the airplane's vertical stabilizer and rudder had sustained substantial damage. In a telephone conversation with the NTSB IIC, the pilot of the Piper stated that he was level on a southwest heading at 6,500 msl level doing engine power checks, and as he initiated, or was already in a left turn, he heard a loud bang. The pilot reported that after the impact, he observed another airplane flying away from his position, and shortly thereafter heard a radio transmission to the HND tower from a pilot indicating that he had been involved in a midair collision, and was returning to HND. The pilot further stated that he subsequently experienced a loss of engine power, after which he elected to land on a dry lake bed. The pilot added that upon landing and during the landing roll, he had no right brake, which was the result of the right main landing gear brake line having been compromised due to the collision. Additionally, fuel was dripping from the right side of the airplane, due to a fuel line having been compromised as a result of the impact with the Cessna. It was also revealed that the right wing's forward wing root area had sustained substantial damage, as well as the left horizontal stabilizer. According to a local Federal Aviation Administration operations aviation safety inspector who interviewed the pilots of both airplanes, the inspector reported thatthe area in which the accident occurred, near the Jean Airport (0LF), Jean, Nevada, is widely used for training. As such, a common practice is for pilots in the area to use the 0LF Common Traffic Advisory Frequency (CTAF) 122.9, while in the area to make position reports, monitor other aircraft, and to continue to do so while operating in the area. The inspector reported that none of the three pilots reported using the 0LF CTAF frequency at any time leading up to the accident; they were monitoring the HND control tower frequency. The FAA Airplane Flying Handbook states, "Collision Avoidance: All pilots must be alert to the potential for midair collision and near midair collision. This concept requires that vigilance shall be maintained at all times, by each person operating an aircraft regardless of whether the operation is conducted under instrument flight rules (IFR) or visual flight rules (VFR). Most midair collision accidents and reported near midair collision incidents occur in good VFR weather conditions, and during the hours of daylight. Most of these accident/incidents occur within 5 miles of an airport, and/or near navigation aids."

On October 23, 2015, about 1015 Pacific daylight time, a Cessna 310C multiengine airplane, N310CD, and a single-engine Piper PA-28-200, N9475N, collided in midair, about 5 nautical miles south of Primm, Nevada. The Cessna's certified flight instructor (CFI), who occupied the right pilot seat, and the pilot/owner receiving instruction who occupied the left pilot seat, were not injured. Additionally, the pilot of the Piper, who was the sole occupant, was not injured. Visual meteorological conditions prevailed at the time of the accident. The local flights were being operated in accordance with 14 Code of Federal Regulations Part 91, and no flight plans had been filed. Both airplanes departed the Henderson Executive Airport (HND), Henderson, Nevada, the Cessna about 0915, the Piper about 0950.In a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the CFI of the Cessna reported that while giving the pilot/owner instruction in approach configurations at 6,500 feet mean sea level (msl), on a magnetic heading of 340 degrees, he observed a small dot in front of him, and just prior to impact he saw an approaching airplane; the CFI opined that he thought the pilot/owner had made a slight nose down control input prior to the collision. After assessing the damage to the airplane, which had resulted in a jammed rudder, the CFI contacted the HND air traffic control tower, reported the midair collision, and indicated that he would be returning to HND. The Cessna subsequently landed at HND without further incident. A postaccident examination revealed that the airplane's vertical stabilizer and rudder had sustained substantial damage. In a telephone conversation with the NTSB IIC, the pilot of the Piper stated that he was level on a southwest heading at 6,500 msl level doing engine power checks, and as he initiated, or was already in a left turn, he heard a loud bang. The pilot reported that after the impact, he observed another airplane flying away from his position, and shortly thereafter heard a radio transmission to the HND tower from a pilot indicating that he had been involved in a midair collision, and was returning to HND. The pilot further stated that he subsequently experienced a loss of engine power, after which he elected to land on a dry lake bed. The pilot added that upon landing and during the landing roll, he had no right brake, which was the result of the right main landing gear brake line having been compromised due to the collision. Additionally, fuel was dripping from the right side of the airplane, due to a fuel line having been compromised as a result of the impact with the Cessna. It was also revealed that the right wing's forward wing root area had sustained substantial damage, as well as the left horizontal stabilizer. According to a local Federal Aviation Administration operations aviation safety inspector who interviewed the pilots of both airplanes, the inspector reported thatthe area in which the accident occurred, near the Jean Airport (0LF), Jean, Nevada, is widely used for training. As such, a common practice is for pilots in the area to use the 0LF Common Traffic Advisory Frequency (CTAF) 122.9, while in the area to make position reports, monitor other aircraft, and to continue to do so while operating in the area. The inspector reported that none of the three pilots reported using the 0LF CTAF frequency at any time leading up to the accident; they were monitoring the HND control tower frequency. The FAA Airplane Flying Handbook states, "Collision Avoidance: All pilots must be alert to the potential for midair collision and near midair collision. This concept requires that vigilance shall be maintained at all times, by each person operating an aircraft regardless of whether the operation is conducted under instrument flight rules (IFR) or visual flight rules (VFR). Most midair collision accidents and reported near midair collision incidents occur in good VFR weather conditions, and during the hours of daylight. Most of these accident/incidents occur within 5 miles of an airport, and/or near navigation aids."

Aircraft · 2

Registration
N310CD
Reported as
Cessna 310C (C)
Category
Airplane
Serial number
35853
Built
1959
Airframe hours
2,608.8
Engines
Cont Motor IO-470-D, 260 horsepower, reciprocatingCont Motor IO-470-D, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 20, 2015 · 1 hours before
Departed
HND · Henderson, NV
Destination
HND · Henderson, NV
Equipment
Stall warning system

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
N9475N
Reported as
Piper PA 28R-200 (200)
Category
Airplane
Serial number
28R-35192
Built
1969
Airframe hours
4,558.36
Engine
Lycoming I0360 SER
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 5, 2015 · 52 hours before
Departed
HND · Henderson, NV
Destination
HND · Henderson, NV
Equipment
Auto-pilot, Stall warning system

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
Flight instructor, aircraft N310CD
Age
56
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
September 16, 2015
Seat
Right
Restraint
Lap only
Flight hours
11,349 total · 32 in this make and model · 10,065 as pilot in command · 48 in the last 90 days · 25 in the last 30 days · 2 in the last 24 hours
Role
Pilot, aircraft N310CD
Age
45
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
October 30, 2015
Seat
Left
Restraint
Lap only
Flight hours
1,600 total · 6 in this make and model · 1,520 as pilot in command · 7 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours
Role
Pilot, aircraft N9475N
Age
59
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
February 8, 2014
Seat
Left
Restraint
3-point
Flight hours
169 total · 52 in this make and model · 114 as pilot in command · 4 in the last 90 days · 1 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F, dew point 45 °F
Altimeter
30.11 inHg
Observed at
HND, 30 nm away

Docket · 4

The files NTSB released with the investigation on March 14, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.3 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.