Monday, April 27, 2015

No formal tracking of pilot crashes found among authorities

WFSB 3 Connecticut


NEW BRITAIN, CT (WFSB) -

There have been high profile plane crashes that have made headlines in the last two years.

The Eyewitness News I-Team started looking into general aviation pilots who had crashed more than once in their flying career.

There were dozens of repeat offenders found during the investigation into pilots who fly Cessnas, Pipers and sometimes even bigger planes.

In November, Dan Hall of Torrington, was flying his Cessna when his engine stalled.

He said, in a previous interview with Eyewitness News, he knew he was headed down, and made one last call to air traffic control.

"I said, 'Tell my kids I love them if I don't make it.' He said, 'OK. Good luck',” Hall said.

Whether it was luck or skill, Hall managed to set his Cessna down on the completed, but still not used, Hartford to New Britain Busway.

"I'm a little sore, my back, but other than that it feels really good to survive," Hall said.

The November crash wasn't Hall's first.

In 2008, an engine failure two miles from Westerly Airport brought down another Cessna with Hall at the controls.

Two crashes, and both times Hall survived.

Another pilot's 2013 crash in East Haven had a much worse outcome.

Joann Mitchell, of East Haven, lost her two daughters in that crash.

"I'm thinking 'it just went over the top of the house, let me go check on the girls, make sure they're OK. I know Sade is freaking out'," Mitchell said in a previous interview with Eyewitness News. "When I opened up her bedroom door, there was a plane in the middle of her room."

Also killed in that crash was pilot Bill Henningsgaard and his 17-year-old son who was on the plane.

Like Hall, the incident was Henningsgaard's second crash.

Four years earlier, the former Microsoft executive crashed into the Columbia River in Washington State, and he and his mother survived.

The Eyewitness News I-Team started digging to see how many pilots have crashed more than once.

The National Transportation Safety Board in Washington and the Federal Aviation Association said they don't track crashes by pilots' names.

Public information officers at the two agencies charged with regulating pilots and investigating crashes both said they look at individual crashes but don't track crashes per pilot.

It doesn't matter if it is the first, second or tenth crash; they don't know.

The I-Team dug through hundreds of incident reports looking for the name of the pilot involved in each incident, in Connecticut, between 1982 and 2014.

There were seven pilots who appeared on the list twice or more, and 18 reports where the only operator listed was a company name, but some of those companies made the list as many as seven times.

The government agencies that the I-Team reached out to said they don't track crashes by pilot names.

While the government is not tracking those statistics, a safety expert said it may not be as bad as someone might think.

Dr. Michael Teiger, a West Hartford pulmonologist, is an FAA-certified aviation medical examiner.

He has been a general aviation pilot for 28 years and performs dozens of required physicals every year.

He said even if the names aren't entered into a database, every incident triggers an investigation and that investigation will look into any prior crashes for that pilot to see if it is just bad luck, or a pattern, or something worse.

“Once somebody is identified as an offender, your one, two, three-time accidents, then that raises the flags, and I think the process is in place to investigate,” Teiger said. “I've seen that happen.”

What could happen is more training or even a “check ride” where a government official actually flies along to make sure a pilot is competent to fly.

“So I am comfortable with the process, but I think it's almost impossible to police everybody and make sure they make the right decisions all the time,” Teiger said.

The I-Team reached out to many of the pilots on the list, but none wanted to talk on camera.

Hall, who crash-landed on the Busway, said he is expecting an FAA check ride in the next couple of weeks.

He has been grounded since the November crash.

He called his two crashes just “freak bad luck” and he is hopeful that they will give him the approval to get back in the air.

Original article can be found here:  http://www.wfsb.com

NTSB Identification: ERA15LA063 
14 CFR Part 91: General Aviation
Accident occurred Saturday, November 29, 2014 in Hartford, CT
Aircraft: CESSNA 182Q, registration: N759VG
Injuries: 1 Uninjured.

This is preliminary information, subject to change, and may contain errors. Any errors in this report will be corrected when the final report has been completed. NTSB investigators may not have traveled in support of this investigation and used data provided by various sources to prepare this aircraft accident report.

On November 29, 2014, at 1500 eastern standard time, a Cessna 182Q, N759VG, was substantially damaged when it collided with a fence during an forced landing in West Hartford, Connecticut. The private pilot was not injured. The airplane was registered to and operated by the private pilot under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the personal flight. The flight originated from Robertson Field Airport (4B8), Plainville, Connecticut at 1450.

According to the pilot, during the climbout he noticed that the engine began to run rough and lose power. He assumed that the carburetor was collecting ice and engaged the carburetor heat control to eliminate the presence of any ice. The pilot verified that the fuel selector was in the on position and all engine instruments were operating in the green; but the engine continued to run rough and lose power. After determining that the airplane could not maintain altitude and the engine would not regain power, the pilot attempted a forced landing on a road. During the forced landing the right wing collided with a barrier fence and came to rest on the road. The airplane was recovered for further examination.


NTSB Identification: ERA13FA358
14 CFR Part 91: General Aviation
Accident occurred Friday, August 09, 2013 in East Haven, CT
Probable Cause Approval Date: 10/27/2014
Aircraft: ROCKWELL INTERNATIONAL 690B, registration: N13622
Injuries: 4 Fatal.

NTSB investigators either traveled in support of this investigation or conducted a significant amount of investigative work without any travel, and used data obtained from various sources to prepare this aircraft accident report.

The pilot was attempting a circling approach with a strong gusty tailwind. Radar data and an air traffic controller confirmed that the airplane was circling at or below the minimum descent altitude of 720 feet (708 feet above ground level [agl]) while flying in and out of an overcast ceiling that was varying between 600 feet and 1,100 feet agl. The airplane was flying at 100 knots and was close to the runway threshold on the left downwind leg of the airport traffic pattern, which would have required a 180-degree turn with a 45-degree or greater bank to align with the runway. Assuming a consistent bank of 45 degrees, and a stall speed of 88 to 94 knots, the airplane would have been near stall during that bank. If the bank was increased due to the tailwind, the stall speed would have increased above 100 knots. Additionally, witnesses saw the airplane descend out of the clouds in a nose-down attitude. Thus, it was likely the pilot encountered an aerodynamic stall as he was banking sharply, while flying in and out of clouds, trying to align the airplane with the runway.

Toxicological testing revealed the presence of zolpidem, which is a sleep aid marketed under the brand name Ambien; however, the levels were well below the therapeutic range and consistent with the pilot taking the medication the evening before the accident. Therefore, the pilot was not impaired due to the zolpidem. Examination of the wreckage did not reveal any preimpact mechanical malfunctions.

The National Transportation Safety Board determines the probable cause(s) of this accident to be:
The pilot's failure to maintain airspeed while banking aggressively in and out of clouds for landing in gusty tailwind conditions, which resulted in an aerodynamic stall and uncontrolled descent.

HISTORY OF FLIGHT

On August 9, 2013, about 1121 eastern daylight time, a Rockwell International 690B, N13622, was destroyed after impacting two homes while maneuvering for landing in East Haven, Connecticut. The airplane was registered to Ellumax, LLC, and was operated by a private individual. The commercial pilot, one passenger, and two people on the ground were fatally injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan was filed for the flight that departed Teterboro Airport (TEB), Teterboro, New Jersey, about 1049 and was destined for Tweed-New Haven Airport (HVN), New Haven, Connecticut.

Review of data from the Federal Aviation Administration (FAA) revealed that at 1104, the pilot was advised by a New York Approach controller to expect an instrument landing system (ILS) approach to runway 2, with a circle to land runway 20 at HVN, which he acknowledged. At 1115, the flight was cleared for that approach and the pilot was instructed to contact the HVN tower, which he did. At 1116, the pilot reported to the tower controller that the airplane was 7.5 miles from the final approach fix and the controller instructed the pilot to report a left downwind leg of the traffic pattern for runway 20. The pilot then asked if anybody had landed straight in and the controller replied no, the winds were 190 degrees at 17 knots, which the pilot acknowledged. At 1119 the pilot reported that the airplane was on a left downwind and the controller cleared the flight to land.

At 1120:42, the controller stated, "November one two two are you going to be able to maintain visual contact with the airport?" The pilot replied "are you talking to six two two" and the controller replied "six two two affirmative." At 1520:51, the pilot replied, "six two two is in visual contact now." No further communications were received from the accident airplane. The last recorded radar target was at 1120:53, about .7 miles north of the runway 20 threshold indicating an altitude of 800 feet mean seal level.

After the accident, the HVN tower controller stated that he observed the airplane on a midfield left downwind leg of the airport traffic pattern for runway 20 and it was "skimming" the cloud bases. He asked the pilot if he could maintain visual contact with the runway and the pilot replied yes. The controller then lost visual contact with the airplane and about 2 to 3 seconds later, it re-appeared nose-down, rotating counter-clockwise and descending from the clouds to the ground. Several other witnesses near the accident site reported seeing the airplane descend in an unusual attitude and/or the sound of loud engine noise just before impact.

PERSONNEL INFORMATION

The pilot held a commercial pilot certificate, with ratings for airplane single-engine land, airplane multiengine land, and instrument airplane. His most recent FAA third-class medical certificate was issued on September 13, 2011. At that time, he reported a total flight experience of 1,952 hours.

Review of the pilot's logbook revealed that he had accumulated a total flight experience of approximately 2,067 hours; of which, about 1,407 hours were in multiengine airplanes and 574 hours of that were in turbine aircraft. The pilot had flown about 394 hours in actual instrument meteorological conditions. Additionally, the pilot completed a flight review and instrument proficiency check on March 2 and March 18, 2013, respectively. The last entry in the pilot's logbook was dated March 19, 2013. There was no record of flight time between that date and the accident. A determination could not be made of how many circling approaches the pilot had performed in actual conditions.

AIRCRAFT INFORMATION

The 11-seat, high wing, retractable gear airplane, serial number 11469, was manufactured in 1978. It was powered by two Honeywell TPE331 engines, serial numbers P79297C, and P79001C respectively. According to FAA records, the airplane was issued a standard airworthiness certificate on March 8, 1982. Review of copies of maintenance logbook records revealed an annual inspection was completed February 13, 2013 at a recorded tachometer reading of 1250.1 hours, airframe total time of 8827.1 hours, and engine time since major overhaul of 1249.5 hours. The tachometer and the Hobbs hour-meter were not located at the accident site.

METEOROLOGICAL INFORMATION

The recorded weather at HVN, at 1126, was: wind from 170 degrees at 12 knots, gusting to 19 knots; visibility 9 miles in light rain, overcast ceiling at 900 feet; temperature 24 degrees C; dew point 23 degrees C; altimeter 29.88 inches Hg. Remarks: Rain began at 18 minutes after the hour, and the ceiling height was variable between 600 feet and 1,100 feet.

Prior to the accident flight, the pilot contacted flight service and received an abbreviated weather briefing for the accident flight. For more information, see Meteorology Factual Report in the public docket.

WRECKAGE AND IMPACT INFORMATION

The airplane was located inverted, with about one-half of the cockpit and fuselage inside a house and basement. The wreckage came to rest on a magnetic heading about 185 degrees. The total circumference of the wreckage debris field was approximately 90 feet. The distance and direction from the wreckage to the approach end of runway 20 at HVN was 180 degrees magnetic and about .6 mile.

The cockpit section rearward to the crew entrance door was separated from the fuselage, crushed, thermally damaged, and located inside the basement of the house. The instrument panel exhibited crushing and thermal damage. The cockpit windscreens were fragmented. The nose landing gear remained attached and in the down and locked position and corresponded with the landing gear selection handle on the instrument panel.

The right wing impacted an adjacent house and separated from the fuselage. The wing was destroyed by thermal damage, and came to rest against the adjacent house. The right main landing gear separated from the attachment point to the wing. The left wing impacted the ground and was separated from the fuselage. There was thermal damage the entire length of the wing. The wing was lying inverted in the back of the main wreckage. The left aileron was present and attached to two connecting rods. The flap had separated and the preimpact flap setting could not be determined. The left main landing gear remained attached to the wing, was thermal damaged, and in the extended position.

The left engine was detached from the wing and lying in the basement of the primary house. The engine exhibited crushing and thermal damage. The right engine was detached from the wing and lying in a 12-inch crater between both houses. The engine exhibited crushing and thermal damage. A teardown examination of both engines was performed at the manufacturer facility under the supervision of an NTSB investigator. The examination did not reveal any preimpact mechanical malfunctions or anomalies that would have precluded normal operations.

The left propeller remained connected to the gearbox and exhibited thermal damage and chordwise scratching of all three propeller blades. The right propeller remained also connected to its gearbox. All three propeller blades exhibited s-bending and chordwise scratching. A detailed examination of both propellers did not reveal any preimpact mechanical malfunctions or anomalies that would have precluded normal operations.

About 12 feet of fuselage was resting on the ground in between both houses, connected to the empennage section, and exhibited thermal damage. The vertical and horizontal surfaces remained connected to their respective connecting rods, and also exhibited thermal damage. Control cable continuity was confirmed from the elevator and rudder to the cockpit area. Due to impact and thermal damage, aileron control cable continuity could not be confirmed.

An enhanced ground proximity warning system and cockpit display were recovered from the wreckage and forwarded to the NTSB Vehicle Recorder Laboratory, Washington, D.C.; however, due to thermal and impact damage, data could not be recovered from either unit.

MEDICAL AND PATHOLOGICAL INFORMATION

An autopsy was performed on the pilot on August 10, 2013, by the State of Connecticut Office of the Chief Medical Examiner, Farmington, Connecticut. Review of the autopsy report revealed that the cause of death was "blunt impact injuries of head, trunk, and extremities."

Toxicological testing was performed on the pilot by the FAA Bioaeronautical Science Research Laboratory, Oklahoma City, Oklahoma.

Review of the toxicology report revealed:

"0.029 (ug/ml, ug/g) Zolpidem detected in Liver
0.008 (ug/ml, ug/g) Zolpidem detected in Blood"

TESTS AND RESEARCH

Review of an approach chart for the instrument landing system approach to runway 2, circle to land runway 20, revealed that the minimum descent altitude was 720 feet.

Further review of radar data by an NTSB performance engineer revealed that during the circling approach, the airplane flew as close as 1,800 feet east of the approach end of runway 20 (abeam the numbers) on the downwind leg of the airport traffic pattern, which would require an approximate 180-degree turn within a radius of 900 feet to align with the runway. At the last airspeed approximation from the radar trajectory of 100 knots, the airplane would have had to bank about 45 degrees to complete the turn (assuming a consistent bank throughout the turn and not accounting for the tailwind); however, the airplane's stall speed at that bank would increase to 88 knots in the landing configuration or 94 knots with flaps retracted. The stall speed would increase beyond 100 knots as the bank increased beyond 45 degrees.

Additionally, at that time, the airplane was at 600 feet and the controller queried the pilot if he could maintain visual contact with the runway. The airplane then climbed to 800 feet into the clouds, before reappearing in a nose-down descent.

For more information, see Aircraft Performance Study in the public docket.

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