Thursday, April 04, 2019

Aircraft Structural Failure: Cessna 180 Skywagon, N3683C, fatal accident occurred June 01, 2017 in Ventura, California

Michael Brannigan, 52, was killed June 1st, 2017 when his Cessna 180 Skywagon crashed in the foothills above Ventura, California.


The National Transportation Safety Board traveled to the scene of this accident.

Additional Participating Entities:

Federal Aviation Administration / Flight Standards District Office; Van Nuys, California
Textron Aviation; Wichita, Kansas
Continental Motors; Mobile, Alabama 

Aviation Accident Final Report - National Transportation Safety Board: https://app.ntsb.gov/pdf 

Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms

http://registry.faa.gov/N3683C



Location: Ventura, CA
Accident Number: WPR17FA117
Date & Time: 06/01/2017, 1155 PDT
Registration: N3683C
Aircraft: CESSNA 180
Aircraft Damage: Destroyed
Defining Event: Aircraft structural failure
Injuries: 1 Fatal
Flight Conducted Under: Part 91: General Aviation - Personal 

Analysis 

The private pilot was conducting a local, personal flight over mountainous terrain. Several witnesses near the accident site reported that they heard a loud sound. Two witnesses stated that before hearing the loud sound, it sounded like the engine was powering up. Another witness stated that after hearing the loud sound, he looked up and saw the airplane spinning towards the ground, and that the engine and both wings had separated from the airplane.

During postaccident examination of the airplane, no pre-existing cracks or anomalies with the horizontal stabilizers, elevators, or wing structures were found. Additionally, the airplane was likely operated within the weight and balance limitations. Further, no preaccident anomalies with the flight controls were found that would have precluded normal airplane control. Damage noted at the wing and empennage separation points indicated that all cables were intact before the breakup. However, damage and deformation were observed on the right horizontal stabilizer and elevator that was consistent with a significant download that exceeded the capabilities of the structure. The wings had separated from the airplane, and the fractures and deformations were consistent with a negative overload failure of the wings.

Examination of the left horizontal stabilizer and elevator could not conclusively determine the cause of the damage and deformation but indicated that it was likely caused by a partial downward failure. The loads required to fail the horizontal stabilizers and elevators could not have been generated by normal flight or control movements. Such failures would have required the pilot to abruptly pull back on the yoke and move the elevator to a trailing-edge-up position, at speeds higher than the airplane's maneuvering speed. A review of the radar data returns indicated that before the in-flight breakup, the airplane was accelerating and had reached a speed that was higher than its maneuvering speed.

Given the radar data and wreckage examinations, it is likely that the pilot performed an abrupt and substantial pull up maneuver, while flying the airplane above maneuvering speed, which caused a downward failure of the right horizontal stabilizer and partial downward failure of the left horizontal stabilizer, which resulted in the airplane rapidly pitching nose down. Subsequently, the wings were overloaded in the negative direction and fragmented due to the abnormal aerodynamic loads. It could not be determined why the pilot would suddenly pull up; no radar returns or structural damage indicative of airplanes or birds were detected in the area. Further, a review of the weather information revealed that no significant weather or turbulence was reported or forecast in the accident area around the time of the accident.

Probable Cause and Findings

The National Transportation Safety Board determines the probable cause(s) of this accident to be:
The pilot's abrupt and substantial pullup maneuver while flying the airplane above the maneuvering speed, which resulted in an in-flight breakup. The reason for the pilot's maneuver could not be determined based on the available evidence. 

Findings

Aircraft
Climb capability - Capability exceeded (Cause)
Airspeed - Capability exceeded (Cause)
Pitch control - Capability exceeded (Cause)
Horizontal stabilizer - Capability exceeded (Cause)
Elevators - Capability exceeded (Cause)
Spar (on wing) - Capability exceeded (Cause)

Personnel issues
Aircraft control - Pilot (Cause)

Not determined
Not determined - Unknown/Not determined (Cause)

Factual Information

History of Flight

Enroute
Abrupt maneuver
Aircraft structural failure (Defining event)

Uncontrolled descent

Collision with terr/obj (non-CFIT)

On June 1, 2017, about 1155 Pacific daylight time, a Cessna 180 airplane, N3683C, experienced an in-flight breakup and was destroyed when it impacted terrain about 7 miles west-northwest of Ventura, California. The private pilot was fatally injured. The airplane was registered to the pilot who was operating it as a Title 14 Code of Federal Regulations Part 91, local personal flight. Visual meteorological conditions existed along the flight route, and no flight plan had been filed. The flight departed Santa Paula Airport, Santa Paula, California, about 1110. 

Several witnesses near the accident site reported hearing a loud sound. Two witnesses stated that before hearing the loud sound, it sounded like the engine was powering up. Another witness stated that after hearing the loud sound, he looked up and saw the airplane spinning towards the ground, and that the engine and both wings had separated from the airplane. He added that, when he first saw the airplane, the tail section was still attached to the main cabin.


Michael Brannigan 

Pilot Information

Certificate: Private
Age: 52, Male
Airplane Rating(s): Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used: 3-point
Instrument Rating(s): None
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: Yes
Medical Certification: Class 3 With Waivers/Limitations
Last FAA Medical Exam: 05/11/2016
Occupational Pilot: No
Last Flight Review or Equivalent:
Flight Time:  (Estimated) 1100 hours (Total, all aircraft) 

The pilot held a private pilot certificate with an airplane single-engine land rating. The pilot was issued a Federal Aviation Administration (FAA) third-class airman medical certificate on May 11, 2016, with the limitation that he must wear corrective lenses. 

The pilot reported on the application for this medical certificate that he had accumulated 1,100 total hours of flight experience and had logged 50 flight hours in the 6 months before the examination. The pilot's logbook was not located during the investigation.



Aircraft and Owner/Operator Information

Aircraft Make: CESSNA
Registration: N3683C
Model/Series: 180 UNDESIGNATED
Aircraft Category: Airplane
Year of Manufacture: 1954
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: 31182
Landing Gear Type: Tailwheel
Seats:
Date/Type of Last Inspection: 05/14/2017, Annual
Certified Max Gross Wt.: 2550 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 4566.1 Hours as of last inspection
Engine Manufacturer: CONT MOTOR
ELT: C91  installed, activated, did not aid in locating accident
Engine Model/Series: O-470 SERIES
Registered Owner: On file
Rated Power: 230 hp
Operator: On file
Operating Certificate(s) Held: None 

The high-wing, fixed gear, all metal airplane, was manufactured in 1954. It was powered by a 230 horsepower Continental O-470-S series engine that drove a two-bladed McCauley 2A34C66-NP constant speed propeller.

A review of maintenance logbooks revealed that the airplane's most recent annual inspection was completed on May 14, 2017, at a total time of 4,566.1 hours. In January 2005, the outboard right wing and right elevator were repaired due to damage from a ground event. In November 2016, the horizontal stabilizer was rebuilt, the right elevator repaired, and the pitch trim actuators were replaced with new units.

The Airplane Owner's Manual (AOM) listed the maximum load factor as +3.8 g and the minimum load factor as -1.5 g. Additionally, it listed the maximum structural cruising speed as 160 mph (139 knots) and the maneuvering speed (Va) as 122 mph (106 knots). Full flight control application at any speed greater than Va could result in g-loads that exceeded the design limits.



Weight and Balance

The distribution of the airplane's contents throughout the debris field prevented an accurate weight and balance assessment, and the airplane's most recent weight and balance records were not located. Therefore, an estimated weight and balance calculation was conducted. According to the AOM, the airplane had a factory basic weight of 1,520 lbs. The FAA's airman certification system reported that the pilot's weight was 185 lbs. Assuming a total fuel load of 55 gallons, the airplane would have been about several hundred pounds below its maximum gross weight of 2,550 lbs and within CG limits, at the time of the accident.



Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: KOXR, 36 ft msl
Distance from Accident Site: 10 Nautical Miles
Observation Time: 1151 PDT
Direction from Accident Site: 137°
Lowest Cloud Condition: Scattered / 2300 ft agl
Visibility:  10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 7 knots /
Turbulence Type Forecast/Actual: /
Wind Direction: 240°
Turbulence Severity Forecast/Actual: /
Altimeter Setting: 29.89 inches Hg
Temperature/Dew Point: 19°C / 13°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: SANTA PAULA, CA (SZP)
Type of Flight Plan Filed: None
Destination: SANTA PAULA, CA (SZP)
Type of Clearance: None
Departure Time: 1110 PDT
Type of Airspace: Class G

The 1151 weather observation at Oxnard Airport, Oxnard, California, located about 10 miles southeast of the accident site, reported wind 240° at 7 knots, visibility 10 statute miles, scattered clouds at 2,300 ft, temperature 19º C, dew point 13º C, and an altimeter setting of 29.89 inches of mercury. 

A review of the weather information revealed that no significant weather or turbulence was reported or forecast in the accident area around the time of the accident. The local weather surveillance radars for the 1 hour before and after the accident, detected no weather echoes over the area for that period. 

An AIRMET, valid at the time of the accident, was issued for instrument flight rules conditions along the western coast of the United States with cloud ceilings below 1,000 ft above ground level and visibility below 3 miles and mist. No AIRMET Tango advisories for turbulence, or low-level wind shear, or SIGMETS, were valid in the area at the time of the accident. 

The wind speed at the accident area around the time of the accident was estimated to be from the southwest between 5 and 8 knots from the surface to about 2,000 ft mean sea level (msl). However, wind modeling estimated a high probability of moderate or greater turbulence between 2,300 ft msl and 3,300 ft msl.



Wreckage and Impact Information

Crew Injuries: 1 Fatal
Aircraft Damage: Destroyed
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 1 Fatal
Latitude, Longitude: 34.318056, -119.340278 (est) 

The airplane impacted mountainous terrain, at an elevation of about 1,015 ft msl, and the debris was scattered throughout an oil field. The main wreckage was located on a mountaintop, in a cleared area where oil extraction equipment and associated facilities were located. The main wreckage consisted of the fuselage starting from the nose and ending just short of the vertical stabilizer. The main fuselage had come to rest upright between two parallel sets of power lines. One power line was fractured and ran underneath the fuselage. 

Most of the recovered debris was located within about ½ mile south of the main wreckage. Some smaller, lighter pieces of wreckage were recovered farther south. The part found farthest from the main wreckage was a section of the right wing, which was found about 1.5 miles south of the main wreckage. All major components of the airplane were recovered in the debris field. 

The inboard left wing was found about 295 ft southeast of the fuselage. The empennage, which had separated from the airplane as a unit and included the horizontal stabilizers, vertical stabilizer, left elevator, rudder, and tailwheel, was found about 455 ft south-southeast of the fuselage; the right wing was located about 420 ft south-southeast of the fuselage. Fragments of both wings and the engine, elevator counterweights, right elevator, and cabin door were also found along the debris path.

The engine and propeller had separated from the airplane and were found embedded in an asphalt road about 510 ft southwest of the fuselage. The engine case had fractured through the engine mounts, and the engine case fractures all had a dull, grainy appearance, consistent with ductile overload. 

Examination of the engine revealed no evidence of any preimpact malfunctions or failures that would have precluded normal operation.

No damage or paint transfer marks were observed on the wreckage, indicating that the airplane likely did not collide with a foreign object. An area of paint transfer was observed on the right side of the vertical stabilizer, that matched the color of other airplane parts, which was consistent with it being struck by these other airplane parts during the in-flight break up. 

Structures Examination

Both wings separated during the in-flight break up. The forward spars of each wing were examined in detail because they are most affected by the wing bending loads. The fractures and deformations were determined to be consistent with a negative overload failure of the wings. Further fragmentation of the wings was due to abnormal aerodynamic loads. No corrosion or pre-existing cracking was observed on any of the spar fracture surfaces. 

Examination of the empennage revealed that the right horizontal stabilizer sustained damage and was deformed down and aft, and the leading edge was twisted down about 90°. Additionally, the right horizontal stabilizer's spars were fractured, and the upper and lower surfaces were buckled diagonally in line with the deformation. The right elevator had separated but exhibited similar downward deformation. The damage and deformation of the right stabilizer and elevator were consistent with a significant down load that exceeded the capabilities of the structures. 

Examination of the left horizontal stabilizer revealed that it was deformed upward about 20°. The left horizontal stabilizer's spars were fractured, and the upper and lower surfaces were buckled diagonally in line with the deformation. The left elevator remained attached, and it sustained deformation damage that was in line with the left horizonal stabilizer. Examination of the left horizontal stabilizer and elevator could not conclusively determine the cause of the damage and deformation but indicated that it likely was caused by a partial downward failure.

Control continuity was established to all primary flight controls and the pitch trim. Damage noted at the wing and empennage separation points indicated that all control cables were intact before the breakup. All fractured flight control cables had a splayed, broom-strawed appearance, consistent with tension overload. 

The pitch trim's design enabled the entire stabilizer to be trimmed to meet different load and speed conditions. The pitch trim actuators remained installed in the tail and could be actuated normally. The pitch trim chain remained engaged with the sprockets on the lower end of the actuators. The trim wheel position for takeoff was to be at an incidence angle of -3°. Further, the cockpit pitch trim wheel was observed to be slightly forward of the takeoff position, well within the trim range indicator.

Medical And Pathological Information

The Ventura County Medical Examiner's Office, Ventura, California, conducted an autopsy on the pilot. The medical examiner determined that the cause of death was "blunt force injuries."

The FAA's Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed toxicological testing on the pilot. Testing was negative for ethanol and all tested for drugs.

Tests And Research

Airplane Performance

An airplane performance study that was conducted using radar data that started at 1152:42. A review of the data revealed that the airplane was flying a relatively steady southwesterly (between 230° and 240°), which continued for the next 2 minutes 49 seconds. However, the airplane gained speed towards the end of the data. Starting at 1153:55, the groundspeed increased from 82 to 127 knots, in 67 seconds. The calculated calibrated airspeeds were less than the maximum structural cruising speed of 139 knots, but higher than the maneuvering speed of 106 knots. Any large control surface deflection during this time would have put the airframe at risk for structural overstress.

The calculated groundspeed was consistent with flight until 1155:31, at which time the groundspeeds dropped significantly, and the calculated flight track deviated considerably. The final primary radar returns were not indicative of the continued flight path; given this evidence, the loss of groundspeed, and the debris field, they were likely radar returns from individual pieces of broken up airplane. No other radar returns were noted near the accident site.

PZL-Okecie PZL-104 WILGA 80, N9726N: Accident occurred May 13, 2017 at Talkeetna Airport (PATK) and incident occurred July 28, 2016 in Iliamna, Alaska

Additional Participating Entity:
Federal Aviation Administration / Flight Standards District Office; Anchorage, Alaska

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf

Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms

http://registry.faa.gov/N9726N

Location: Talkeetna, AK
Accident Number: ANC17CA023
Date & Time: 05/13/2017, 1730 AKD
Registration: N9726N
Aircraft: WSK-PZL WARZAWA-OKECIE PZL 104 WILGA 80
Aircraft Damage: Substantial
Defining Event: Loss of control on ground
Injuries: 1 None
Flight Conducted Under: Part 91: General Aviation - Ferry 

The pilot of a tailwheel-equipped airplane stated that during the landing roll the airplane veered slightly left of the runway centerline. To correct for the veer, the pilot applied right rudder, and the airplane subsequently veered to the right. The pilot was unable to regain directional control, and the airplane continued off the right side of the runway encountering soft gravel which resulted in a rapid right ground loop. The left landing gear leg fractured and the left wing and elevator impacted the runway surface substantially damaging the left aileron and fuselage.

The pilot stated that he had no experience flying this model of airplane on wheels. According to the airplane owner, the PZL-104 Wilga's rudder and brake system are unique and can be difficult to operate. The pilot reported no pre-impact mechanical malfunctions or anomalies that would have precluded normal operation. 

Pilot Information

Certificate: Airline Transport; Flight Instructor; Flight Engineer
Age: 60, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used: 3-point
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s): Airplane Single-engine
Toxicology Performed: No
Medical Certification: Class 2 With Waivers/Limitations
Last FAA Medical Exam: 03/23/2017
Occupational Pilot: Yes
Last Flight Review or Equivalent: 03/26/2016
Flight Time:   (Estimated) 10001 hours (Total, all aircraft), 1 hours (Total, this make and model), 4059 hours (Pilot In Command, all aircraft), 30 hours (Last 90 days, all aircraft), 10 hours (Last 30 days, all aircraft), 0 hours (Last 24 hours, all aircraft)

Aircraft and Owner/Operator Information

Aircraft Make: WSK-PZL WARZAWA-OKECIE
Registration: N9726N
Model/Series: PZL 104 WILGA 80
Aircraft Category: Airplane
Year of Manufacture: 1980
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: CF139510
Landing Gear Type: Tailwheel
Seats: 4
Date/Type of Last Inspection: 05/09/2016, Annual
Certified Max Gross Wt.: 3086 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 658.7 Hours as of last inspection
Engine Manufacturer: PZL
ELT: C91  installed, activated, did not aid in locating accident
Engine Model/Series: M-14
Registered Owner: Jerry Jacques
Rated Power: 260 hp
Operator: On file
Operating Certificate(s) Held: None 

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: PATK, 356 ft msl
Distance from Accident Site: 0 Nautical Miles
Observation Time: 0153 UTC
Direction from Accident Site: 335°
Lowest Cloud Condition:
Visibility:  10 Miles
Lowest Ceiling: Overcast / 4600 ft agl
Visibility (RVR): 
Wind Speed/Gusts: 5 knots /
Turbulence Type Forecast/Actual: / None
Wind Direction: 140°
Turbulence Severity Forecast/Actual: /
Altimeter Setting: 29.61 inches Hg
Temperature/Dew Point: 9°C / 8°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: WILLOW, AK (UUO)
Type of Flight Plan Filed: None
Destination: Talkeetna, AK (TKA)
Type of Clearance: None
Departure Time:
Type of Airspace:  Class E

Airport Information

Airport: TALKEETNA (TKA)
Runway Surface Type: Asphalt
Airport Elevation: 364 ft
Runway Surface Condition: Dry
Runway Used: 36
IFR Approach: None
Runway Length/Width: 3500 ft / 75 ft
VFR Approach/Landing: Full Stop; Traffic Pattern

Wreckage and Impact Information

Crew Injuries: 1 None
Aircraft Damage: Substantial
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 1 None
Latitude, Longitude:  62.319167, -150.094167 (est)

July 28, 2016:  Aircraft lost power and made a forced landing.

Date: 28-JUL-16
Time: 17:53:00Z
Regis#: N9726N
Aircraft Make: PZL OKECIE
Aircraft Model: PZL104
Event Type: Incident
Highest Injury: None
Damage: Minor
Flight Phase: LANDING (LDG)
City: ILIAMNA
State: Alaska

Nanchang CJ-6A, N10EB and Nanchang CJ-6A, N33CY, privately owned and operated under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as personal flights: Fatal accident occurred October 21, 2016 in Blackshear, Pierce County, Georgia

Liz and John Ford in 2009 outside the three story building they built in Coral Bay opposite the Romeo Company Fire Station, U.S. Virgin Islands.

John Ford shared a love of adventure with his family, on land, at sea and in the air. It was fitting to some of those who knew him that his last moments were spent practicing to perform in an air show. The performance group is called RedStar Fly. For the past twenty years the group, made up of about 40 planes and pilots, has put on an annual air show at the Ware County Airport. Ford was described as a skilled pilot.


The National Transportation Safety Board traveled to the scene of this accident.

Additional Participating Entity: 
Federal Aviation Administration / Flight Standards District Office; Atlanta, Georgia

N10EB Aviation Accident Factual Report - National Transportation Safety Board:http://app.ntsb.gov/pdf/N10EB

Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms

http://registry.faa.gov/N10EB


Location: Blackshear, GA
Accident Number: ERA17FA027A
Date & Time: 10/21/2016, 1430 EDT
Registration: N10EB
Aircraft: NANCHANG CJ6
Aircraft Damage: Substantial
Defining Event: Midair collision
Injuries: 1 Fatal
Flight Conducted Under: Part 91: General Aviation - Personal 

HISTORY OF FLIGHT

On October 21, 2016, about 1430 eastern daylight time, an experimental Nanchang CJ-6A airplane, N10EB, impacted terrain near Blackshear, Georgia, after a midair collision while maneuvering in formation with another experimental Nanchang CJ-6A airplane, N33CY. The private pilot of N10EB was fatally injured, and the airplane was substantially damaged by impact forces and a postcrash fire. The airline transport pilot and the passenger aboard N33CY were not injured, and the airplane sustained minor damage. Both airplanes were privately owned and operated. Both flights were being operated under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as personal flights. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed for either of the local flights, which departed from Waycross-Ware County Airport (AYS), Waycross, Georgia.

The formation flight was a part of an event organized by the Red Star Pilots Association. One purpose of the event was for the association's members to practice their formation flying skills. The two accident airplanes were part of a four-airplane formation, with N10EB in the No. 3 position in the formation and N33CY in the No. 1 (lead) position. The formation flight was conducted with two other Nanchang airplanes and involved a "fingertip strong" left formation, in which there are an even number of airplanes in formation, the left side of the formation has an extra airplane on the left (outside) when looked at from above.

For the formation flight, the call sign "Bama" was used. Bama 1 was the lead airplane, and Bama 2 through 4 were the second through fourth airplanes in the formation, respectively; Bama 1 and Bama 3 were the airplanes involved in the midair collision. Bama 1 had a passenger in the rear seat, and Bama 2 and 4 each had a safety pilot in the rear seat because the Bama 2 pilot was in a training status and the Bama 4 pilot was receiving a "recommendation ride" for formation proficiency. The Bama 1 pilot stated that the Bama 3 pilot had proficiency status for the formation flight.

About 1400, the four airplanes took off in staggered 15-second spacing. The airplanes departed the traffic pattern to the northeast where they began several different formation maneuvers, including pitch-outs and subsequent rejoins.

The accident occurred during the fourth pitch-out and rejoin maneuver of the day. The airplanes in the formation had successfully executed three pitchouts and rejoin maneuvers. During the fourth rejoin maneuver, at an altitude of about 2,500 ft mean sea level (msl), Bama 1, the lead airplane, was established in a standard-rate right turn, and Bama 2, after maneuvering inside of the turn, was positioned aft and to the right of Bama 1.

Bama 3 was expected to maneuver toward the left formation spot on the outside of the turn and off the left wing of Bama 1 (see figure 1). Bama 4 was following about 1,000 ft behind Bama 3 and had not yet performed his rejoin maneuver. The Bama 1 pilot reported that he saw Bama 3 approaching from the right at an acute angle (forward of the desired bearing line and at a high aspect angle), at a high rate of closure, and the pilot was not adjusting the airplane's flight path. The Bama 1 pilot announced on the radio, "Bama [3] you are overshooting. Take it to the outside!" The Bama 1 pilot further reported that Bama 3 had "disappeared under my [airplane's] right front." The Bama 1 pilot then looked to the left because he expected to see Bama 3 emerge from under his airplane and continue the lateral movement outside of the formation's turn, but instead the collision occurred.


Figure 1.
Bama 1 pilot's depiction of the formation of airplanes before the accident. Red annotations added for clarity.

The Bama 2 pilot reported that, during the rejoin maneuver, his airplane was positioned off of Bama 1's right wing. The Bama 2 pilot stated that he heard the radio call "underrun" and then saw Bama 3 below Bama 1. The Bama 2 pilot also stated that the Bama 3 climbed steeply and impacted Bama 1. The Bama 4 pilot reported that, when his airplane was about 1,000 ft from the other airplanes in the formation, he saw Bama 3 suddenly pitch up and then saw that the airplane's horizontal stabilizer had separated from the fuselage.

Following Bama 3's impact with Bama 1, the entire tail of Bama 3 separated. Bama 3 then pitched down, entered uncontrolled flight, and impacted terrain. After the collision, Bama 1 maneuvered toward AYS and landed safely.

PERSONNEL INFORMATION

The Bama 3 pilot, age 65, held a Federal Aviation Administration (FAA) private pilot certificate with an airplane single-engine land rating. He held an FAA third-class medical certificate with the limitation to wear corrective lenses. His most recent medical examination occurred on July 9, 2015, at which time he reported 1,020 hours total flight experience and 50 hours during the last 6 months. The pilot's logbooks were not recovered.

The Bama 1 pilot, age 67, held an FAA airline transport pilot certificate with airplane single- and multi-engine land. He also held a flight instructor certificate with a rating for airplane single-engine. He held an FAA second-class medical certificate without any limitations and reported 18,500 hours total flight experience on his FAA medical certificate application dated June 23, 2016. The pilot also reported 61 hours of flight experience in Nanchang CJ-6A airplanes with 13 and 3 hours in the previous 90 and 30 days, respectively.

At the time of the accident, both the Bama 3 and Bama 1 pilots were qualified as a Formation and Safety Team (FAST) cardholders. The Bama 3 pilot had qualified as a FAST wingman in 2007. The Bama 1 pilot had qualified as a FAST wingman in 2004 and as a FAST lead pilot in 2010. According to the FAA, pilots who possess FAST cards "have received sufficient training and have been evaluated to conduct formation flying in a safe manner."

AIRCRAFT INFORMATION

The Bama 3 airplane (N10EB) was manufactured in 1969 and contained a Vedeneye M14P 360-horsepower radial engine and a wooden three-blade constant-speed propeller. The airplane received a special airworthiness certificate, experimental exhibition, on August 12, 2004. The Bama 3 pilot purchased the airplane on August 9, 2004. At the time of the airplane's last annual inspection on November 18, 2015, the airplane had accumulated a total of 3,760 hours on the airframe and a total of 1,011 hours on the engine.

The Bama 1 airplane (N33CY) was manufactured in 1985 and contained a Housai HS-6A, 285-horsepower radial engine and a metal two-blade constant-speed propeller. The airplane received a special airworthiness certificate, experimental exhibition, on October 6, 2008. At the time of the airplane's last annual inspection on September 16, 2016, the airplane had accumulated a total of 3,122 hours on the airframe. The total number of hours that the engine had accumulated since the last annual inspection could not be determined from the available evidence.

Both airplanes were low-wing designs of semi-monocoque construction with tandem seating under a bubble-top plexiglass canopy windscreen.

METEOROLOGICAL INFORMATION

The AYS 1415 weather observation indicated the following: wind from 320° at 12 knots, visibility 10 statute miles, clear sky, temperature 28°C, dew point 12°C, and altimeter setting 29.79 inches of mercury.

AIRPORT INFORMATION

AYS was a public, nontowered, uncontrolled airport located 3 miles northwest of Waycross, Georgia. AYS had three asphalt runways, 01/19, 05/23, and 13/31. Communications on the CTAF/UNICOM for AYS were not recorded at the time of the accident.

WRECKAGE AND IMPACT INFORMATION

Bama 3

The Bama 3 main wreckage was located in a dirt field about 8 miles northeast of AYS. All sections of the airplane except for the empennage, which was missing aft of the vertical stabilizer fairing, were found in the main wreckage debris field. The empennage came to rest about 1,200 ft southwest of the main wreckage. The nose of the airplane was oriented on a 35° heading. All major structural components of the airplane were accounted for at the scene.

The airplane sustained significant compression damage during ground impact. The bottom of the airframe was flattened, and buckling was observed throughout the entire fuselage and on both wings. The engine remained attached to the firewall. The propeller assembly remained attached to the engine at the crankshaft/propeller flange junction. The propeller blades were shattered about 9 inches from the spinner, and fragments of the blades on both sides of the propeller arc were found up to 25 ft from the wreckage. Examination of the engine and the propeller revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

The left and right wings remained attached to the fuselage and exhibited span-wise buckling. The fuel tanks remained intact, and about 25 gallons of fuel remained. During impact, the header fuel tank behind the engine ruptured, resulting in a post accident fire that consumed the cockpit area, including instrumentation, gauges, and switches.

The control surfaces remained attached and control continuity was confirmed by operation of both left and right ailerons through the forward and aft control sticks. Rudder control continuity was confirmed. All rudder cables showed evidence of overload and were traced to their respective locations in the tail assembly and through the fuselage to the rudder pedals. Flight control continuity was verified from the respective flight control surfaces to the cockpit. 
The left vertical stabilizer, left elevator, and rudder all showed signs of propeller blade strike damage. There were blade strike impact marks on the fuselage 12 inches aft of the vertical stabilizer fairing; a slice about 24 inches long propagated the entire diameter of the fuselage.

Bama 1

The Bama 1 propeller had numerous gouges and scrapes along the length of both propellers blades, with one propeller blade exhibiting gouging that penetrated ¾ inch into the leading edge of the propeller. Both propeller blade tips were curved slightly outward. Paint transfer marks in dark blue and red (the colors of the Bama 3 airplane) were observed on the propeller. In addition, about 4 ft from the right wing root, there were several scrapes and a dent on the top side of the right wing leading edge that appeared along with dark blue paint transfer marks.

MEDICAL AND PATHOLOGICAL INFORMATION

The Georgia Bureau of Investigation, Division of Forensic Sciences, Decatur, Georgia, performed an autopsy of the Bama 3 pilot, and the autopsy report stated that the cause of death was multiple injuries. The autopsy report noted an area of 50% stenosis in the proximal left anterior descending coronary artery.

The FAA's Bioaeronautical Research Sciences Laboratory, Oklahoma City, Oklahoma, performed toxicology testing on the Bama 3 pilot. No carbon monoxide or ethanol was identified. Tetrahydrocannabinol (the active component in marijuana) was identified in lung and cavity blood, but the amount could not be quantified. The laboratory can quantify amounts of THC that are at least0.001 µg/ml. THC's inactive metabolite, tetrahydrocannabinol carboxylic acid, was identified at 0.0487 ug/g in lung and at 0.0071 ug/ml in cavity blood.

ADDITIONAL INFORMATION

The Red Star Pilots Association formation manual, which stated that all members must read and comprehend detailed the procedures for conducting formation flying, including the steps required to rejoin a formation. Chapter 6, Ship Maneuvers, pages 58 and 59, stated the following:

TURNING REJOIN

Once all the wingmen have called in position, the flight leader will rock his wings to initiate the rejoin, and then begin a turn in either direction, using approximately 25° to 30° of bank. The flight leader will maintain a constant bank, a constant airspeed and a constant altitude while the wingmen maneuver to rejoin.

If rejoin airspeed has not been briefed, or if Lead is not within 10 knots of the briefed rejoin airspeed, Lead will make a radio call announcing the airspeed. Once the rejoin has been initiated, wing pilots can expedite the rejoin by accelerating and holding up to 10 knots or +10% of additional airspeed.

When the leader signals the rejoin and establishes the rejoin turn, all wingmen should use the six-step procedure….summarized here:

STEP 1
Push up the power. The goal is to add a minimum of 10 knots or +10% of the leader's rejoin airspeed as expeditiously as possible.

STEP 2
Determine position inside or outside of the leader's turn circle (TC). If the leader's AA remains stable with an increasing LOS rate, the wingman is inside the TC. If the Leader's AA continues to increase with a low LOS rate, the wingman is outside the TC.

STEP 3
If inside the turn circle, start pulling lead pursuit to capture and maintain the rejoin bearing line. Check airspeed and stay as close to the leader's altitude as possible. If the rejoin is stable approaching route position, continue into fingertip to complete the rejoin.

STEP 4
If outside the turn circle, get to the TC ASAP by flying toward the reference point on the horizon where the leader started his rejoin turn. This will preserve turning room and prevent an uncontrollable, very acute rejoin.

STEP 5
When the leader's AA stabilizes, and the LOS rate starts increasing, the wingman is inside the turn circle. Now, the wingman should proceed with Step 3 and complete an inside the TC rejoin.

STEP 6
Number 3 and #4 must complete their rejoin to the corresponding fingertip position on the outside of the leader's turn circle. If these wingman approach route position with a stabilized rejoin, they should maintain their overtake and simply perform a cross-under to their corresponding position. As the overtake rate increases, wingman should cross-under farther back to give themselves more time outside the leader's turn circle to dissipate excessive overtake.

OVERSHOOT

With the 4-ship rejoin, there are two additional aircraft in motion, moving up the bearing line toward Lead. When executing individual rejoins, such as after a pitchout, the wingmen will "join by the numbers." In other words, each wingman will join on Lead, in turn. As an example, #4 will not join on #3 before #3 has rejoined with Lead. This allows #2 to overshoot, if required, and gives #3 and #4 time and space to react to this overshoot and preserve their ability to complete their own rejoin.

Signal

There is no signal for an overshoot, however, the wingman will make a radio call to advise the flight leader that he is executing the overshoot ("Bigdog 2, overshooting").

Description

Once #2 has completed the rejoin via the overshoot, #3 and #4 can recommence their rejoins. Both should pull lead to reacquire the bearing line, push up the power, and descend, if required, to keep sight of the lead element. Now, they both complete their rejoins by flying Step 5 and 6. If #3 has excess Vc [design cruise speed] and cannot move directly into the fingertip position on the outside of the turn, he can use reduced power, speed brakes, and fly a wider echelon or fingertip position until his Vc allows him to slide into normal fingertip position. Number 4 should not complete his rejoin until #3 is in fingertip. Number 4 can use the same procedures if excess Vc needs to be dissipated. Number 3 and #4 must not be overly aggressive dissipating Vc and hurry to get into position. They must use the same care completing their rejoins as #2 does when using overshoot procedures.

Performance Guidelines

• Wingman will recognize the excess closure in a timely manner and in a smooth, controlled maneuver, execute the overshoot.
• Number 3 and #4 will delay their rejoins, as required, to keep #2 in sight and give him time and space to complete the rejoin via the overshoot.
• If #3 and/or #4 need to dissipate excess Vc, they will do so in a controlled fashion on the outside of the leader's turn.

Common Errors

• Not recognizing excessive closure
• Flying to a lateral position forward of Lead's 3/9 line
• After overshooting as #2, flying to an elevation position higher than Lead
• After overshooting as #2, not making a radio call advising
• Lead of the overshoot
• Number 3 and/or #4 not giving #2 enough time or space to complete the rejoin via the overshoot.
• Number 3 and/or #4 dissipating excess Vc on the outside of the turn in an overly aggressive manner.


Figure 2. 
Overshoot maneuver depicted in Red Star Pilots Association formation manual. The figure represents a left-hand turn and does not represent the accident formation flight.

Pilot Information

Certificate: Private
Age: 65, Male
Airplane Rating(s): Single-engine Land
Seat Occupied: Front
Other Aircraft Rating(s): None
Restraint Used: 5-point
Instrument Rating(s): None
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: Yes
Medical Certification: Class 3 With Waivers/Limitations
Last FAA Medical Exam: 07/09/2015
Occupational Pilot: No
Last Flight Review or Equivalent: 03/28/2015
Flight Time: 1020 hours (Total, all aircraft)

Aircraft and Owner/Operator Information

Aircraft Make: NANCHANG
Registration: N10EB
Model/Series: CJ6 A
Aircraft Category: Airplane
Year of Manufacture: 1969
Amateur Built: No
Airworthiness Certificate: Experimental
Serial Number: 1532010
Landing Gear Type: Retractable - Tricycle
Seats: 2
Date/Type of Last Inspection: 11/18/2015, Annual
Certified Max Gross Wt.: 3086 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 3760 Hours as of last inspection
Engine Manufacturer: Vedeneye
ELT: Installed, not activated
Engine Model/Series: M-14P
Registered Owner: On file
Rated Power: 360 hp
Operator: On file
Operating Certificate(s) Held: None 

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: KAYS, 141 ft msl
Distance from Accident Site: 7 Nautical Miles
Observation Time: 2015 UTC
Direction from Accident Site: 60°
Lowest Cloud Condition: Clear
Visibility:  10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 12 knots /
Turbulence Type Forecast/Actual: /
Wind Direction: 320°
Turbulence Severity Forecast/Actual: /
Altimeter Setting: 29.79 inches Hg
Temperature/Dew Point: 28°C / 12°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: WAYCROSS, GA (AYS)
Type of Flight Plan Filed: None
Destination: WAYCROSS, GA (AYS)
Type of Clearance: Unknown
Departure Time: 1530 EDT
Type of Airspace: Class E

Airport Information

Airport: WAYCROSS-WARE COUNTY (AYS)
Runway Surface Type: N/A
Airport Elevation: 141 ft
Runway Surface Condition: Unknown
Runway Used: N/A
IFR Approach: None
Runway Length/Width:
VFR Approach/Landing:  None

Wreckage and Impact Information

Crew Injuries: 1 Fatal
Aircraft Damage: Substantial
Passenger Injuries: N/A
Aircraft Fire: On-Ground
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 1 Fatal
Latitude, Longitude: 31.302500, -82.280000

N33CY  Aviation Accident Factual Report - National Transportation Safety Board:  https://app.ntsb.gov/pdf

Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms


https://registry.faa.gov/N33CY 

Location: Blackshear, GA

Accident Number: ERA17FA027B
Date & Time: 10/21/2016, 1430 EDT
Registration: N33CY
Aircraft: NANCHANG CJ6
Aircraft Damage: Minor
Defining Event: Midair collision
Injuries: 2 None
Flight Conducted Under: Part 91: General Aviation - Personal 

HISTORY OF FLIGHT

On October 21, 2016, about 1430 eastern daylight time, an experimental Nanchang CJ-6A airplane, N10EB, impacted terrain near Blackshear, Georgia, after a midair collision while maneuvering in formation with another experimental Nanchang CJ-6A airplane, N33CY. The private pilot of N10EB was fatally injured, and the airplane was substantially damaged by impact forces and a postcrash fire. The airline transport pilot and the passenger aboard N33CY were not injured, and the airplane sustained minor damage. Both airplanes were privately owned and operated. Both flights were being operated under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91 as personal flights. Visual meteorological conditions prevailed at the time of the accident, and no flight plan had been filed for either of the local flights, which departed from Waycross-Ware County Airport (AYS), Waycross, Georgia.

The formation flight was a part of an event organized by the Red Star Pilots Association. One purpose of the event was for the association's members to practice their formation flying skills. The two accident airplanes were part of a four-airplane formation, with N10EB in the No. 3 position in the formation and N33CY in the No. 1 (lead) position. The formation flight was conducted with two other Nanchang airplanes and involved a "fingertip strong" left formation, in which there are an even number of airplanes in formation, the left side of the formation has an extra airplane on the left (outside) when looked at from above.

For the formation flight, the call sign "Bama" was used. Bama 1 was the lead airplane, and Bama 2 through 4 were the second through fourth airplanes in the formation, respectively; Bama 1 and Bama 3 were the airplanes involved in the midair collision. Bama 1 had a passenger in the rear seat, and Bama 2 and 4 each had a safety pilot in the rear seat because the Bama 2 pilot was in a training status and the Bama 4 pilot was receiving a "recommendation ride" for formation proficiency. The Bama 1 pilot stated that the Bama 3 pilot had proficiency status for the formation flight.

About 1400, the four airplanes took off in staggered 15-second spacing. The airplanes departed the traffic pattern to the northeast where they began several different formation maneuvers, including pitch-outs and subsequent rejoins.

The accident occurred during the fourth pitch-out and rejoin maneuver of the day. The airplanes in the formation had successfully executed three pitchouts and rejoin maneuvers. During the fourth rejoin maneuver, at an altitude of about 2,500 ft mean sea level (msl), Bama 1, the lead airplane, was established in a standard-rate right turn, and Bama 2, after maneuvering inside of the turn, was positioned aft and to the right of Bama 1.

Bama 3 was expected to maneuver toward the left formation spot on the outside of the turn and off the left wing of Bama 1 (see figure 1). Bama 4 was following about 1,000 ft behind Bama 3 and had not yet performed his rejoin maneuver. The Bama 1 pilot reported that he saw Bama 3 approaching from the right at an acute angle (forward of the desired bearing line and at a high aspect angle), at a high rate of closure, and the pilot was not adjusting the airplane's flight path. The Bama 1 pilot announced on the radio, "Bama [3] you are overshooting. Take it to the outside!" The Bama 1 pilot further reported that Bama 3 had "disappeared under my [airplane's] right front." The Bama 1 pilot then looked to the left because he expected to see Bama 3 emerge from under his airplane and continue the lateral movement outside of the formation's turn, but instead the collision occurred.


Figure 1. 
Bama 1 pilot's depiction of the formation of airplanes before the accident. Red annotations added for clarity.

The Bama 2 pilot reported that, during the rejoin maneuver, his airplane was positioned off of Bama 1's right wing. The Bama 2 pilot stated that he heard the radio call "underrun" and then saw Bama 3 below Bama 1. The Bama 2 pilot also stated that the Bama 3 climbed steeply and impacted Bama 1. The Bama 4 pilot reported that, when his airplane was about 1,000 ft from the other airplanes in the formation, he saw Bama 3 suddenly pitch up and then saw that the airplane's horizontal stabilizer had separated from the fuselage.

Following Bama 3's impact with Bama 1, the entire tail of Bama 3 separated. Bama 3 then pitched down, entered uncontrolled flight, and impacted terrain. After the collision, Bama 1 maneuvered toward AYS and landed safely.

PERSONNEL INFORMATION

The Bama 3 pilot, age 65, held a Federal Aviation Administration (FAA) private pilot certificate with an airplane single-engine land rating. He held an FAA third-class medical certificate with the limitation to wear corrective lenses. His most recent medical examination occurred on July 9, 2015, at which time he reported 1,020 hours total flight experience and 50 hours during the last 6 months. The pilot's logbooks were not recovered.

The Bama 1 pilot, age 67, held an FAA airline transport pilot certificate with airplane single- and multi-engine land. He also held a flight instructor certificate with a rating for airplane single-engine. He held an FAA second-class medical certificate without any limitations and reported 18,500 hours total flight experience on his FAA medical certificate application dated June 23, 2016. The pilot also reported 61 hours of flight experience in Nanchang CJ-6A airplanes with 13 and 3 hours in the previous 90 and 30 days, respectively.

At the time of the accident, both the Bama 3 and Bama 1 pilots were qualified as a Formation and Safety Team (FAST) cardholders. The Bama 3 pilot had qualified as a FAST wingman in 2007. The Bama 1 pilot had qualified as a FAST wingman in 2004 and as a FAST lead pilot in 2010. According to the FAA, pilots who possess FAST cards "have received sufficient training and have been evaluated to conduct formation flying in a safe manner."

AIRCRAFT INFORMATION

The Bama 3 airplane (N10EB) was manufactured in 1969 and contained a Vedeneye M14P 360-horsepower radial engine and a wooden three-blade constant-speed propeller. The airplane received a special airworthiness certificate, experimental exhibition, on August 12, 2004. The Bama 3 pilot purchased the airplane on August 9, 2004. At the time of the airplane's last annual inspection on November 18, 2015, the airplane had accumulated a total of 3,760 hours on the airframe and a total of 1,011 hours on the engine.

The Bama 1 airplane (N33CY) was manufactured in 1985 and contained a Housai HS-6A, 285-horsepower radial engine and a metal two-blade constant-speed propeller. The airplane received a special airworthiness certificate, experimental exhibition, on October 6, 2008. At the time of the airplane's last annual inspection on September 16, 2016, the airplane had accumulated a total of 3,122 hours on the airframe. The total number of hours that the engine had accumulated since the last annual inspection could not be determined from the available evidence.

Both airplanes were low-wing designs of semi-monocoque construction with tandem seating under a bubble-top plexiglass canopy windscreen.

METEOROLOGICAL INFORMATION

The AYS 1415 weather observation indicated the following: wind from 320° at 12 knots, visibility 10 statute miles, clear sky, temperature 28°C, dew point 12°C, and altimeter setting 29.79 inches of mercury.

AIRPORT INFORMATION

AYS was a public, nontowered, uncontrolled airport located 3 miles northwest of Waycross, Georgia. AYS had three asphalt runways, 01/19, 05/23, and 13/31. Communications on the CTAF/UNICOM for AYS were not recorded at the time of the accident.

WRECKAGE AND IMPACT INFORMATION

Bama 3

The Bama 3 main wreckage was located in a dirt field about 8 miles northeast of AYS. All sections of the airplane except for the empennage, which was missing aft of the vertical stabilizer fairing, were found in the main wreckage debris field. The empennage came to rest about 1,200 ft southwest of the main wreckage. The nose of the airplane was oriented on a 35° heading. All major structural components of the airplane were accounted for at the scene.

The airplane sustained significant compression damage during ground impact. The bottom of the airframe was flattened, and buckling was observed throughout the entire fuselage and on both wings. The engine remained attached to the firewall. The propeller assembly remained attached to the engine at the crankshaft/propeller flange junction. The propeller blades were shattered about 9 inches from the spinner, and fragments of the blades on both sides of the propeller arc were found up to 25 ft from the wreckage. Examination of the engine and the propeller revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

The left and right wings remained attached to the fuselage and exhibited span-wise buckling. The fuel tanks remained intact, and about 25 gallons of fuel remained. During impact, the header fuel tank behind the engine ruptured, resulting in a post accident fire that consumed the cockpit area, including instrumentation, gauges, and switches.

The control surfaces remained attached and control continuity was confirmed by operation of both left and right ailerons through the forward and aft control sticks. Rudder control continuity was confirmed. All rudder cables showed evidence of overload and were traced to their respective locations in the tail assembly and through the fuselage to the rudder pedals. Flight control continuity was verified from the respective flight control surfaces to the cockpit. 
The left vertical stabilizer, left elevator, and rudder all showed signs of propeller blade strike damage. There were blade strike impact marks on the fuselage 12 inches aft of the vertical stabilizer fairing; a slice about 24 inches long propagated the entire diameter of the fuselage.

Bama 1

The Bama 1 propeller had numerous gouges and scrapes along the length of both propellers blades, with one propeller blade exhibiting gouging that penetrated ¾ inch into the leading edge of the propeller. Both propeller blade tips were curved slightly outward. Paint transfer marks in dark blue and red (the colors of the Bama 3 airplane) were observed on the propeller. In addition, about 4 ft from the right wing root, there were several scrapes and a dent on the top side of the right wing leading edge that appeared along with dark blue paint transfer marks.

MEDICAL AND PATHOLOGICAL INFORMATION

The Georgia Bureau of Investigation, Division of Forensic Sciences, Decatur, Georgia, performed an autopsy of the Bama 3 pilot, and the autopsy report stated that the cause of death was multiple injuries. The autopsy report noted an area of 50% stenosis in the proximal left anterior descending coronary artery.

The FAA's Bioaeronautical Research Sciences Laboratory, Oklahoma City, Oklahoma, performed toxicology testing on the Bama 3 pilot. No carbon monoxide or ethanol was identified. Tetrahydrocannabinol (the active component in marijuana) was identified in lung and cavity blood, but the amount could not be quantified. The laboratory can quantify amounts of THC that are at least0.001 µg/ml. THC's inactive metabolite, tetrahydrocannabinol carboxylic acid, was identified at 0.0487 ug/g in lung and at 0.0071 ug/ml in cavity blood.

ADDITIONAL INFORMATION

The Red Star Pilots Association formation manual, which stated that all members must read and comprehend detailed the procedures for conducting formation flying, including the steps required to rejoin a formation. Chapter 6, Ship Maneuvers, pages 58 and 59, stated the following:

TURNING REJOIN

Once all the wingmen have called in position, the flight leader will rock his wings to initiate the rejoin, and then begin a turn in either direction, using approximately 25° to 30° of bank. The flight leader will maintain a constant bank, a constant airspeed and a constant altitude while the wingmen maneuver to rejoin.

If rejoin airspeed has not been briefed, or if Lead is not within 10 knots of the briefed rejoin airspeed, Lead will make a radio call announcing the airspeed. Once the rejoin has been initiated, wing pilots can expedite the rejoin by accelerating and holding up to 10 knots or +10% of additional airspeed.

When the leader signals the rejoin and establishes the rejoin turn, all wingmen should use the six-step procedure….summarized here:

STEP 1
Push up the power. The goal is to add a minimum of 10 knots or +10% of the leader's rejoin airspeed as expeditiously as possible.

STEP 2
Determine position inside or outside of the leader's turn circle (TC). If the leader's AA remains stable with an increasing LOS rate, the wingman is inside the TC. If the Leader's AA continues to increase with a low LOS rate, the wingman is outside the TC.

STEP 3
If inside the turn circle, start pulling lead pursuit to capture and maintain the rejoin bearing line. Check airspeed and stay as close to the leader's altitude as possible. If the rejoin is stable approaching route position, continue into fingertip to complete the rejoin.

STEP 4
If outside the turn circle, get to the TC ASAP by flying toward the reference point on the horizon where the leader started his rejoin turn. This will preserve turning room and prevent an uncontrollable, very acute rejoin.

STEP 5
When the leader's AA stabilizes, and the LOS rate starts increasing, the wingman is inside the turn circle. Now, the wingman should proceed with Step 3 and complete an inside the TC rejoin.

STEP 6
Number 3 and #4 must complete their rejoin to the corresponding fingertip position on the outside of the leader's turn circle. If these wingman approach route position with a stabilized rejoin, they should maintain their overtake and simply perform a cross-under to their corresponding position. As the overtake rate increases, wingman should cross-under farther back to give themselves more time outside the leader's turn circle to dissipate excessive overtake.

OVERSHOOT

With the 4-ship rejoin, there are two additional aircraft in motion, moving up the bearing line toward Lead. When executing individual rejoins, such as after a pitchout, the wingmen will "join by the numbers." In other words, each wingman will join on Lead, in turn. As an example, #4 will not join on #3 before #3 has rejoined with Lead. This allows #2 to overshoot, if required, and gives #3 and #4 time and space to react to this overshoot and preserve their ability to complete their own rejoin.

Signal

There is no signal for an overshoot, however, the wingman will make a radio call to advise the flight leader that he is executing the overshoot ("Bigdog 2, overshooting").

Description

Once #2 has completed the rejoin via the overshoot, #3 and #4 can recommence their rejoins. Both should pull lead to reacquire the bearing line, push up the power, and descend, if required, to keep sight of the lead element. Now, they both complete their rejoins by flying Step 5 and 6. If #3 has excess Vc [design cruise speed] and cannot move directly into the fingertip position on the outside of the turn, he can use reduced power, speed brakes, and fly a wider echelon or fingertip position until his Vc allows him to slide into normal fingertip position. Number 4 should not complete his rejoin until #3 is in fingertip. Number 4 can use the same procedures if excess Vc needs to be dissipated. Number 3 and #4 must not be overly aggressive dissipating Vc and hurry to get into position. They must use the same care completing their rejoins as #2 does when using overshoot procedures.

Performance Guidelines

• Wingman will recognize the excess closure in a timely manner and in a smooth, controlled maneuver, execute the overshoot.
• Number 3 and #4 will delay their rejoins, as required, to keep #2 in sight and give him time and space to complete the rejoin via the overshoot.
• If #3 and/or #4 need to dissipate excess Vc, they will do so in a controlled fashion on the outside of the leader's turn.

Common Errors

• Not recognizing excessive closure
• Flying to a lateral position forward of Lead's 3/9 line
• After overshooting as #2, flying to an elevation position higher than Lead
• After overshooting as #2, not making a radio call advising
• Lead of the overshoot
• Number 3 and/or #4 not giving #2 enough time or space to complete the rejoin via the overshoot.
• Number 3 and/or #4 dissipating excess Vc on the outside of the turn in an overly aggressive manner.


Figure 2.
 Overshoot maneuver depicted in Red Star Pilots Association formation manual. The figure represents a left-hand turn and does not represent the accident formation flight.

Pilot Information

Certificate: Airline Transport; Flight Instructor
Age: 67, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Front
Other Aircraft Rating(s): None
Restraint Used: 5-point
Instrument Rating(s): Airplane
Second Pilot Present: Yes
Instructor Rating(s): Airplane Single-engine
Toxicology Performed: Yes
Medical Certification: Class 2 Without Waivers/Limitations
Last FAA Medical Exam: 06/23/2016
Occupational Pilot: No
Last Flight Review or Equivalent: 07/06/2015
Flight Time:  (Estimated) 22600 hours (Total, all aircraft), 61 hours (Total, this make and model), 18000 hours (Pilot In Command, all aircraft), 29 hours (Last 90 days, all aircraft), 9 hours (Last 30 days, all aircraft)

Aircraft and Owner/Operator Information

Aircraft Make: NANCHANG
Registration: N33CY
Model/Series: CJ6 A
Aircraft Category: Airplane
Year of Manufacture: 1985
Amateur Built: No
Airworthiness Certificate: Experimental
Serial Number: 4332005
Landing Gear Type: Retractable - Tricycle
Seats: 2
Date/Type of Last Inspection: 09/16/2016, Condition
Certified Max Gross Wt.: 3086 lbs
Time Since Last Inspection: 8 Hours
Engines: 1 Reciprocating
Airframe Total Time: 3122 Hours as of last inspection
Engine Manufacturer: Housai
ELT: C91  installed, activated, did not aid in locating accident
Engine Model/Series: HS-6A
Registered Owner: On file
Rated Power: 285 hp
Operator: On file
Operating Certificate(s) Held: None

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: KAYS, 141 ft msl
Distance from Accident Site: 7 Nautical Miles
Observation Time: 2015 UTC
Direction from Accident Site: 60°
Lowest Cloud Condition: Clear
Visibility:  10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 12 knots /
Turbulence Type Forecast/Actual: /
Wind Direction: 320°
Turbulence Severity Forecast/Actual: /
Altimeter Setting: 29.79 inches Hg
Temperature/Dew Point: 28°C / 12°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: WAYCROSS, GA (AYS)
Type of Flight Plan Filed: None
Destination: WAYCROSS, GA (AYS)
Type of Clearance: Unknown
Departure Time: 1530 EDT
Type of Airspace: Class E

Airport Information

Airport: WAYCROSS-WARE COUNTY (AYS)
Runway Surface Type: N/A
Airport Elevation: 141 ft
Runway Surface Condition: Unknown
Runway Used: N/A
IFR Approach: None
Runway Length/Width:
VFR Approach/Landing: Precautionary Landing; Straight-in

Wreckage and Impact Information

Crew Injuries: 2 None
Aircraft Damage: Minor
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 2 None
Latitude, Longitude: 31.302500, -82.280000