WPR18LA118

NTSB accident investigation · Diamond Aircraft Ind DA 42 NG · Bozeman, MT · April 4, 2018

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 4, 2018, 12:29 local (18:29 UTC)
Place
Bozeman, MT
Injuries
4 uninjured
Phase of flight
Taxi
Aircraft
N621ZCDiamond Aircraft Ind DA 42 NGN7709HPiper PA 12
Defining events
Taxi-from runway: Ground collisionTaxi-from runway: Ground collision
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration FSDO
Case key
97004

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 student pilot and flight instructor's failure to see and avoid the stationary airplane during taxi, which resulted in a ground collision.

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.

N621ZC · Diamond Aircraft Ind DA 42 NG

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Pilot of other aircraftDiamond Aircraft Ind DA 42 NG: 1 caseAll aircraft: 231 casesProbable cause

N7709H · Piper PA 12

Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Student/instructed pilotPiper PA-12: 1 caseAll aircraft: 231 casesProbable cause
Attention/monitoring: monitoring other aircraftPersonnel issues › Psychological · Instructor/check pilotPiper PA-12: 1 caseAll 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.

N621ZC · Diamond Aircraft Ind DA 42 NG

N7709H · Piper PA 12

Analysis

The tailwheel-equipped airplane had completed a series of touch-and-go takeoffs and landings with the student pilot in the front seat and flight instructor in the rear seat. The airplane was equipped with large tundra tires which, in combination with the tailwheel configuration, provided limited forward visibility when on the ground. The tower controller cleared the pilots to cross the landing runway, and then subsequently cleared the airplane across the parallel runway, which led it onto a taxiway where a low-wing airplane, having just cleared the parallel runway after landing, was stopped and preparing to contact ground control. Neither of the pilots onboard the tailwheel airplane saw the low-wing airplane before they collided with it on the taxiway, resulting in substantial damage to both airplanes. The student pilot stated that he perceived that he should expedite the taxi across the parallel runway due to airplanes on approach to that runway, although review of air traffic control voice recordings revealed that the controller issued no instructions to expedite the taxi. Because of the faster taxi speed, the pilots did not perform any "S"-turn maneuvers to enhance forward visibility, which likely would have allowed them to see the low-wing airplane and prevented the collision.

Factual narrative

On April 4, 2018, at 1229 mountain daylight time, a Piper PA-12, N7709H, collided with a Diamond Aircraft Inc. DA42 NG, N621ZC, during taxi at Bozeman Yellowstone International Airport (BZN), Bozeman, Montana. Both airplanes sustained substantial damage. Neither the student pilot or the flight instructor in the PA-12, nor the flight instructor and pilot receiving instruction in the DA-42 were injured. Both airplanes were operated as Title 14 Code of Federal Regulations Part 91 instructional flights. The pilots of the DA-42 were conducting an instrument approach for runway 12 and the tower controller cleared the airplane to land. The PA-12, which had been conducting touch-and-go takeoffs and landings in the pattern for runway 11, requested to switch to runway 12 and was instructed by the tower to follow the DA-42 for landing on runway 12. Shortly thereafter, the controller contacted the PA-12, advised that they were unable to approve a landing on runway 12, and cleared the airplane to land on runway 11. The PA-12 subsequently landed on runway 11 and was instructed to taxi back to the approach end. Over the next minute, the tower controller provided a landing clearance to another airplane that was on the right downwind leg for runway 12, and then instructed the DA-42, which had landed, to exit runway 12 and contact the ground controller. The DA-42 exited the runway at taxiway A3 and stopped short of taxiway A. At this time, while two airplanes were now in the final approach stages for landing on runway 12, the tower controller cleared the PA-12 to cross runway 11 and hold short of runway 12. Shortly thereafter, the controller cleared the PA-12 to cross runway 12 and contact the ground controller. At this time, the DA-42 was still stationary on taxiway A3, and about 30 seconds later, the controller exclaimed, "09H, STOP;" however, the PA-12 collided with the tail of the DA-42. At the time of the collision, the DA-42 was positioned about 220 ft beyond the runway 12 hold short lines (440 ft from the edge of runway 12). According to the instructor onboard the DA-42, after landing on runway 12, they were instructed to exit at taxiway A3 and hold short of taxiway A. After exiting at A3, he stated that they stopped short of A, and just as they were switching to the ground control frequency, they felt a collision. Neither pilot onboard the DA-42 saw the airplane that struck them. Both the student and instructor onboard the PA-12 stated that the tower controller issued a clearance to cross runway 12 while they were still holding short of runway 11. As such, they felt pressure to perform a fast taxi and did not execute the typical "S"-turns for enhanced forward visibility. Air traffic control audio recordings revealed that the tower controller issued the PA-12 with progressive instructions to hold short of and cross runway 11, and subsequently, to hold short of and then cross runway 12. Those instructions were read back correctly by the student as the taxiprogressed, and at no time did the tower controller provide the PA-12 with instructions to expedite the taxi. Both occupants stated that they did not see the DA-42 on the taxiway. The instructor did notice the student pilot glance down at the instrument panel to switch to the ground control frequency just before the impact. The airport was equipped with four runways, including the parallel runways 12/30 and 11/29. Taxiway A3 branched from runway 12, 4,300 ft beyond the displaced threshold. It was 630 ft long and connected runway 12 to the parallel taxiway A. Taxiway C3 was directly in line with A3 and connected the landing threshold of runway 11 to runway 12 at midfield. (see Figure 1.) The Piper PA-12 was a high-wing, single-engine airplane with a tandem seating configuration and was equipped with conventional (tailwheel) landing gear and tundra tires. The student pilot was seated in the front seat, and the instructor in one of the rear seats. The instructor stated that the forward visibility from the front seat was limited and that the forward visibility from the rear seats was even worse. Figure 1. Landing and Taxi Paths

Aircraft · 2

Registration
N621ZC
Reported as
Diamond Aircraft Ind DA 42 NG (NG)
Category
Airplane
Serial number
42.NC002
Built
2012
Airframe hours
1,801.5
Engines
Austro E4B, 170 horsepower, reciprocatingAustro E4B, 170 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Summit Aviation Inc, doing business as Summit Aviation Inc
Registered owner
Summit Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 26, 2018
Departed
BZN · Bozeman, MT
Destination
BZN · Bozeman, MT
Airport
BZN · Bozeman Yellowstone Intl, runway 12, 8,994 × 150 ft, asphalt
Equipment
Electronic primary flight display, Onboard weather, Stall warning system, ADS-B, Auto-pilot, Electronic multifunction display

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
N7709H
Reported as
Piper PA 12 (NO SERIES)
Category
Airplane
Serial number
12-601
Built
1946
Airframe hours
1,635.8
Engine
Lycoming O-290 SERIES, 135 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 25, 2017 · 46 hours before
Departed
BZN · Bozeman, MT
Destination
BZN · Bozeman, MT
Airport
BZN · Bozeman Yellowstone Intl, runway 11, 5,050 × 75 ft, asphalt
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 · 4

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor, aircraft N621ZC
Age
26
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 27, 2017
Seat
Right
Restraint
3-point
Flight hours
1,780.8 total · 211.8 in this make and model · 1,723 as pilot in command · 130.3 in the last 90 days · 41.2 in the last 30 days · 5.5 in the last 24 hours
Role
Pilot, aircraft N621ZC
Age
21
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
October 17, 2017
Seat
Left
Restraint
3-point
Flight hours
127.6 total · 3 in this make and model · 15.6 in the last 90 days · 5.8 in the last 30 days · 1.2 in the last 24 hours
Role
Student pilot, aircraft N7709H
Age
45
Injuries
None
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Front
Restraint
Lap only
Flight hours
20 total · 20 in this make and model
Role
Flight instructor, aircraft N7709H
Age
74
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 14, 2015
Seat
Front
Restraint
Lap only
Flight hours
25,638 total · 200 in this make and model · 25,451 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 7 knots
Visibility
10 statute miles
Lowest ceiling
7,000 ft overcast
Temperature
46 °F, dew point 23 °F
Altimeter
29.94 inHg
Observed at
KBZN, 1 nm away

Docket · 7

The files NTSB released with the investigation on February 18, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 56.3 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.