12 Oct 2014: CESSNA 170B UNDESIGNAT

12 Oct 2014: CESSNA 170B UNDESIGNAT (N3558C) — Unknown operator

2 fatalities • Yerington, NV, United States

Probable cause

The failure of the Savannah pilot to maintain awareness of the position of the Cessna while attempting a join up maneuver. Contributing to the accident was the impaired decision-making of the Savannah's pilot due to the combined effects of licit and illicit medications. Also contributing to the accident was the failure of the Cessna pilot to maintain awareness of the position of the Savannah as it was departing.

— NTSB Determination

Accident narrative

HISTORY OF FLIGHTOn October 12, 2014 about 0812 Pacific daylight time, a Cessna 170B, N3558C, and an experimental amateur built Pettit Savannah, N991TP, collided in midair about 12 miles north of Yerington, Nevada. The commercial pilot, sole occupant of the Cessna, and the private pilot, sole occupant of the Savannah, were fatally injured. Both the Cessna and Savannah impacted terrain and were destroyed. Both airplanes were registered to and operated by the pilot as a Title 14 CFR Part 91 personal flight. Visual meteorological conditions prevailed, and no flight plan was filed for either flight. The Cessna departed from a nearby dry lake bed about 0809 and the Savannah about 0811. Both airplanes had a planned destination of Carson City, Nevada.

Witnesses, who were participating in a fly in, located at the dry lake bed, reported that they observed the experimental Savannah take off about 45 degrees to the left of the outlined airstrip runway heading and then turn immediately left towards the Cessna and another airplane on the downwind leg. The Cessna was heading west while flying on downwind and the Savannah was climbing out to the north and turning left while attempting to join up with the Cessna. The witnesses observed the airplanes impact at nearly a perpendicular angle to each other.

According to the pilot in the first airplane that just departed the airstrip, the Cessna and Savannah airplane were to join up with his airplane and then depart the local area, flying as three airplanes together in a loose formation. His airplane was the lead airplane on downwind and the Cessna was the second airplane established on downwind. The Savannah was the third and last airplane in the group, and planned to join with the other two airplanes on the traffic pattern downwind. PERSONNEL INFORMATIONThe pilot, age 28, held a private pilot certificate with an airplane single engine land rating. The most recent medical that could be determined was a third-class airman medical certificate on August 30, 2011, with no limitations stated. The pilot reported on his most recent medical certificate application; that he had accumulated 10.9 total flight hours and 10.9 hours in the last six months. In addition, the pilot had logged several hours in the accident airplane, that he purchased the previous month. AIRCRAFT INFORMATIONThe two-seat, high-wing, amateur built experimental fixed-gear airplane, serial number 04-06-51-297, was manufactured in 2004. It was powered by a Rotax experimental O-360-A4M, 100-hp engine. The airplane's maintenance logbooks were not located during the investigation. METEOROLOGICAL INFORMATIONThe 0755 Carson Airport (CXP), Carson City, Nevada, recorded data from the automated weather observation station, located about 27 miles east of the accident site, revealed conditions were wind calm, visibility 10 statute miles, clear sky, temperature 7 degrees Celsius, dew point 2 degrees Celsius, and an altimeter setting of 29.97 inches of mercury. AIRPORT INFORMATIONThe two-seat, high-wing, amateur built experimental fixed-gear airplane, serial number 04-06-51-297, was manufactured in 2004. It was powered by a Rotax experimental O-360-A4M, 100-hp engine. The airplane's maintenance logbooks were not located during the investigation. ADDITIONAL INFORMATIONSeveral personal electronic devices were sent to the NTSB Vehicle Recorders Division for potential data download. Some of devices had recoverable data. However, of the devices that had data, no information pertinent to the investigation was present.

Federal Aviation Administration (FAA) regulations [14 CFR 91.113(b)] required that each person operating an aircraft maintain vigilance so as to "see and avoid other aircraft." When aircraft of the same certification category are converging, "the aircraft to the other's right has the right-of-way." However, the FAA Pilot's Handbook of Aeronautical Knowledge (FAA-H-8083-25B) noted that even if entitled to the right-of-way, a pilot should yield if another aircraft seemed too close. The handbook also stated that high-wing and low-wing aircraft have their respective blind spots. The pilot of a high-wing aircraft should momentarily raise the wing in the direction of the intended turn and look for traffic prior to commencing the turn. The handbook further states that in order to assist with collision avoidance, pilots should execute clearing procedures periodically during sustained periods of straight-and-level flight. During climbs and descents, pilots should execute gentle banks left and right to permit visual scanning of the airspace. Vigilance should also be maintained during training operations and clearing turns should be made prior to a practice maneuver being performed.

A rejoin is used to expedite forming up together with another airplane and is frequently used in military formation flying. The maneuver is complex, since closure rate, airspeed, altitude, and alignment with the airplane that one is forming up to must be continuously monitored. According to Air Force's Primary Flying Manual for their T-6 primary trainer airplane, the following factors contribute significantly to the potential for a midair collision: Failure of the lead airplane to properly clear or visually monitor the number 2 airplane during a critical phase of flight, such as a rejoin. Failure of the number 2 airplane to recognize excessive overtake and the failure of the number 2 airplane to maintain lateral or vertical separation during rejoins.

Further examination of the airframe and engine was accomplished by the NTSB investigator-in charge (IIC), and an additional NTSB investigator. The damaged portion of the Savannah's vertical stabilizer and rudder, corresponded to the width and shape of the flattened portion of the Cessna's wing leading edge.

A collision angle was calculated utilizing the paint transfer and scratches on the Savannah's right wing. The two airplanes collided on about a 90 degrees converging angle.

The examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. COMMUNICATIONSThe accident airplanes were not in contact with Air Traffic Control and the remote, mountainous area where the dry lake bed was located provided no radar coverage.

Contributing factors

  • cause Pilot of other aircraft
  • factor Pilot of other aircraft
  • factor Pilot of other aircraft
  • factor Pilot
  • cause Pilot
  • factor Pilot
  • factor Pilot
  • factor Pilot of other aircraft

Conditions

Weather
VMC, vis 10sm

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