WPR22FA309

NTSB accident investigation · Cessna 152 · Watsonville, CA · August 18, 2022

Accident · FatalClass 3 · FieldFinal report
Date
August 18, 2022, 14:55 local (21:55 UTC)
Place
Watsonville, CA
Injuries
3 fatal
Phase of flight
Approach
Aircraft
N49931Cessna 152N740WJCessna 340A
Defining events
Approach-VFR pattern final: Midair collisionApproach: Midair collision
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Textron Aviation Int., Airport Director Watsonville, Federal Aviation Administration
Case key
105763

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 the pilot of the multi-engine airplane to see and avoid the single-engine airplane while performing a straight-in approach for landing.

Findings · 4

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.

N49931 · Cessna 152

Not determinedNot determined › Not determined · Unknown/Not determinedCessna 152: 15 casesAll aircraft: 2,247 cases

N740WJ · Cessna 340A

Action: lack of actionPersonnel issues › Action/decision · PilotCessna 340A: 2 casesAll aircraft: 792 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 340A: 10 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.

N49931 · Cessna 152

Midair collisionApproach-VFR pattern finalCessna 152: 4 casesAll aircraft: 196 casesDefining event

N740WJ · Cessna 340A

Analysis

The pilot of the single-engine airplane was operating in the airport traffic pattern and had been making position reports on the airport’s common traffic advisory frequency (CTAF). The pilot of the multi-engine airplane made an initial radio call on the CTAF 10 miles from the airport, announcing his intention to perform a straight-in approach for landing. Both pilots continued to make appropriate position reports, but did not communicate with each other until the multi-engine airplane was about one mile from the airport and the single-engine airplane had turned onto the base leg of the traffic pattern for landing. Realizing that the multi-engine airplane was converging upon him, the pilot of the single-engine airplane announced a go-around, and the airplanes collided on final approach for the runway about 150 ft above ground level (agl). Examination of the airplanes revealed no evidence of mechanical malfunctions or anomalies that would have precluded normal operation. The multi-engine airplane’s wing flaps and landing gear were both retracted at the accident site, consistent with the pilot’s failure to configure the airplane for landing, and flight track information indicated that the pilot maintained a ground speed of about 180 knots throughout the approach until the collision occurred, which may have reduced the time available for him to see and avoid the single-engine airplane. The toxicology report for the pilot of the single-engine airplane revealed THC, metabolites for THC, metabolites for cocaine, and ketamine; the low amounts of each drug were not considered causal to the accident. The toxicology report for the multi-engine airplane pilot revealed THC, and metabolites of THC; the low amounts of each drug were not considered causal to the accident.

Factual narrative

The Aeronautical Information Manual stated in part, 4-3-3 Traffic Patterns. NOTE- Pilots are encouraged to use the standard traffic pattern. However, those pilots who choose to execute a straight-in approach, maneuvering for and execution of the approach should not disrupt the flow of arriving and departing traffic. Likewise, pilots operating in the traffic pattern should be alert at all times for aircraft executing straight-in approaches. FAA Advisory Circular (AC) 90-66B, “Non-Towered Airport Flight Operations,” stated in part, The FAA does not regulate traffic pattern entry, only traffic pattern flow. Traffic pattern entry information is advisory… Collision avoidance. The pilot in command’s (PIC) primary responsibility is to see and avoid other aircraft and the help then see and avoid his or her aircraft.” “The FAA encourages pilots to use the standard traffic pattern when arriving or departing a non-towered airport or a part-time-towered airport when the control tower is not operating, particularly when other traffic is observed or when operating from an unfamiliar airport. However, there may are occasions where a pilot can choose to execute a straight-in approach for landing when not intending to enter the traffic pattern, such as a visual approach executed as part of the termination of an instrument approach. Pilots should clearly communicate on the CTAF and coordinate maneuvering for and execution of the landing with other traffic so as not to disrupt the flow of other aircraft. Therefore, pilots operating in the traffic pattern should be alert at all times to aircraft executing straight-in landings, particularly when flying base leg prior to turning final. The FAA Pilot’s Handbook of Aeronautical Knowledge stated in part, In either case, it is vital to announce your intentions, and remember to scan outside. Before joining the downwind leg, adjust your course or speed to blend into the traffic. Adjust power on the downwind leg, or sooner, to fit into the flow of traffic. Avoid flying too fast or too slow. Speeds recommended by the airplane manufacturer should be used. They will generally fall between 70 to 80 knots for fixed-gear singles and 80 to 90 knots for high-performance retractable. On August 18, 2022, about 1455 Pacific daylight time, a Cessna 152, N49931, and a Cessna 340, N740WJ, were destroyed when they were involved in a midair collision near Watsonville, California. The pilot of N49931 and the pilot and passenger of N740WJ were fatally injured. Both airplanes were operated as a Title 14 Code of Federal Regulations Part 91 personal flights. The pilot of the Cessna 152 was performing takeoffs and landings in the traffic pattern at Watsonville Municipal Airport (WVI). The WVI CTAF was recorded, and review of the recordings revealed that the pilot had been making position reports for most of the traffic pattern legs during his previous four traffic patterns. The Cessna 340 pilot made his initial position report ten miles east ofthe airport at 4,500 ft feet mean sea level (msl), and reported that he would be descending for a straight-in approach to runway 20. Less than one minute later, the Cessna 152 pilot reported that he was crosswind for runway 20, and less than a minute after that call, he reported downwind for runway 20. The Cessna 340 pilot then reported that he was three miles from runway 20 on a straight-in approach. The Cessna 152 pilot then reported that he was turning left base for runway 20. About 19 seconds later, the Cessna 340 pilot reported that he was one mile from the airport and that he was looking for the traffic on left base. The Cessna 152 pilot stated that he did see the Cessna 340 and that the Cessna 340 was behind him. About 13 seconds later, the Cessna 152 pilot stated that he was, “going around, because you are coming at me pretty quick man.” Recorded automatic dependent surveillance-broadcast (ADS-B) data provided by the Federal Aviation Administration (FAA) revealed that the Cessna 340 departed Turlock Airport (O15), Turlock, California, and proceeded west toward runway 20 at WVI. The Cessna 340 maintained about 180 knots ground speed until the collision. The data showed that the airplanes’ flight paths intersected about 1455:13, at an altitude about 225 to 300 ft msl, or about 150 ft agl, as seen in Figure 1. Figure 1. View of the two airplanes’ ADS-B flight track data. A witness stated that he was flying over WVI at 1,300 ft msl when he heard the two pilots on the CTAF and realized that they were getting close to each other. He focused his attention on the final approach for runway 20 and observed the Cessna 340 moving much quicker than usual for landing. He saw the Cessna 152 turn final and heard the pilot call a go around. He then saw the Cessna 340 try to turn right and its wing hit the wing of the Cessna 152. He subsequently saw both airplanes descend to the ground. A witness on the ground at WVI captured an image of the two airplanes before the collision, as seen in Figure 2. Figure 2. Image captured before the collision. Information provided by the FAA indicated that the pilot of the Cessna 340 received visual flight rules flight following services from O15 to WVI. When services were terminated, the pilot was advised to use caution due to other aircraft in the traffic pattern at WVI. The pilot of the Cessna 152 was not in communication with air traffic control. Cessna 152 Pilot Toxicology testing performed for the county coroner on the pilot’s chest cavity blood detected the primary major psychoactive compound of cannabis, delta-9-tetrahydrocannabinol (THC), at 1.1 nanograms per milliliter (ng/mL) and THC’s inactive metabolite, carboxy-delta-9-tetrahydrocannabinol (THC-COOH), at 8.4 ng/mL. Toxicology testing performed by the FAA Forensic Sciences Laboratory detected THC in the pilot’s cavity blood at 1.1 ng/mL, THC-COOH in his cavity blood at 10.6 ng/mL, and THC-COOH in his urine at 139.7 ng/mL. Benzoylecgonine, an inactive cocainemetabolite, was detected in his cavity blood and in his urine at 438 ng/mL. Ecgonine methyl ester, a minor inactive metabolite of cocaine, was detected in the pilot’s urine. The anesthetic ketamine was detected in his cavity blood and in his urine at 34 ng/mL. The active metabolite of ketamine, norketamine, was detected in his cavity blood at 25 ng/mL and in his urine at 208 ng/mL. The non-sedating pain and fever reducing over-the-counter medication salicylic acid, commonly known as aspirin, was detected in the pilot’s cavity blood and urine. Cessna 340 Pilot Toxicology testing performed for the county coroner was negative for ethanol and tested-for drugs in the pilot’s abdominal blood. Toxicology testing performed by the FAA Forensic Sciences Laboratory detected THC in the pilot’s cavity blood at 0.8 ng/mL. THC’s short-lived psychoactive metabolite, 11-hydroxy-delta-9-THC (11-OH-THC) was detected in his urine at 5.9 ng/mL, but not in his blood. THC-COOH was detected in his cavity blood at 1 ng/mL and in his urine at 36.3 ng/mL. The high blood pressure medication atenolol and the enlarged prostate treatment medication tamsulosin were detected in his cavity blood and urine. Desloratadine, the metabolite of the non-impairing antihistamine loratadine, was detected in his cavity blood but inconclusive in his urine. Atenolol, tamsulosin, and desloratadine are generally considered non-impairing. The Cessna 152 came to rest on the airport property about 1,200 ft northeast of the approach end of runway 20. The left wing, from about the strut outboard, separated from the airplane and came to rest about 500 ft northeast of the main wreckage. The left horizontal stabilizer and elevator separated and came to rest about 380 ft northeast of the main wreckage. Two small sections of the Cessna 340’s left tip tank were located near the Cessna 152 wreckage. The Cessna 340 came to rest in a hangar storage room located on the southeast side of the airport. All major components of the Cessna 340 were located at the site. A postimpact fire ensued outside of the hangar. Examination of the wreckage revealed that the flap handle was in the up position, and that the landing gear were retracted.

Aircraft · 2

Registration
N49931
Reported as
Cessna 152
Category
Airplane
Serial number
15281402
Built
1978
Engine
Lycoming 0-235 SERIES, 110 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
United Flight Services
Registered owner
Monterey Bay Aviation Inc
Airworthiness certificate
Standard, Normal
Destination
Same as departure
Airport
WVI · Watsonville Muni, runway 20, 4,501 × 149 ft, asphalt
Equipment
ADS-B, 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
N740WJ
Reported as
Cessna 340A
Category
Airplane
Serial number
340A0740
Built
1979
Engines
Cont Motor TSIO-520-NB, 310 horsepower, reciprocatingCont Motor TSIO-520-NB, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Alm Holding LLC
Registered owner
Alm Holding LLC
Airworthiness certificate
Standard, Normal
Departed
O15 · Turlock, CA
Destination
WVI · Watsonville, CA
Equipment
ADS-B

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft N49931
Age
32
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Unknown
Last flight review
August 14, 2022
Seat
Left
Restraint
3-point
Toxicology
Performed
Flight hours
111 total · 77 in this make and model · 47.4 as pilot in command
Role
Pilot, aircraft N740WJ
Age
75
Injuries
Fatal
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
1,200 total · 744.9 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 55 °F
Altimeter
29.96 inHg
Observed at
KWVI
METAR
KWVI 182153Z AUTO 21009KT 10SM CLR 21/13 A2996 RMK AO2 SLP144 T02110133

Docket · 23

The files NTSB released with the investigation on March 28, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 150 MB in all.