text
stringlengths 0
3.21k
|
---|
The 1056 weather observation at BED included calm wind, an overcast ceiling at 400 ft above ground level, 2 statute miles (sm) visibility with mist, temperature 20°C, dew point 18°C, and an altimeter setting of 30.22 inches of mercury. |
A pilot who landed at BED about 1045 reported the tops of the clouds at 1,800 ft msl and cloud bases at 400 ft msl. |
He also reported visibility under the cloud bases at 2 sm and no turbulence during his approach to runway 29. |
The airplane collided with trees and terrain on a heading of 070° in a wooded area behind a residence about 4.2 miles east-southeast of BED. |
The wreckage path was about 300 ft in length. |
A large tree, about 3 ft in diameter, was brought down by the wreckage. |
The airframe was highly fragmented. |
There was a postaccident fire that consumed about 20% of the wreckage. |
The engine separated from the firewall and the propeller separated from the engine during the impact sequence. |
All primary structural components and flight control surfaces were accounted for within the debris field. |
The aileron and elevator control tubes were found connected to the left and right control sticks. |
The aileron control rod was intact from the side stick to the aileron torque tube bell crank. |
The elevator push/pull tube was attached to the elevator interconnect assembly. |
The aileron control tubes and the elevator control tubes separated from their mounts and were found along the wreckage path. |
All fractures exhibited overload signatures. |
The rudder cables were attached to the rudder torque tubes. |
The cables separated in tension overload near the center of the fuselage. |
The rudder separated from the empennage. |
The elevator trim tab cable exhibited tensile overload signatures. |
The cabin seats detached from their mounting points during impact. |
The seat bases were fractured into multiple pieces and dispersed from the final impact point in several directions. |
The engine sustained substantial impact damage to the No. |
2 cylinder head, which allowed only partial rotation of the crankshaft. |
The crankshaft was fractured aft of the propeller flange where it exited the nose seal of the crankcase. |
The fracture surface displayed 45-degree shear lips. |
The crankshaft was manually rotated by inserting an adapter into the right accessory drive gear. |
Internal crankshaft continuity was confirmed through manual rotation of the accessory drive gears. |
Partial compression and valve train continuity were established; impact damage prevented compression confirmation on all cylinders. |
The camshaft was not observed; however, camshaft continuity was confirmed during partial rotation of the crankshaft. |
The left magneto was separated from its mounting pad and the housing sustained impact damage that deformed the housing in the capacitor area. |
The magneto drive was manually rotated and a spark was observed in firing order during the audible snap of the impulse coupling. |
The right magneto remained attached to the mounting pad. |
The magneto was removed and the drive was manually rotated. |
The impulse coupling produced an audible snap, but no spark was observed from any of the leads. |
All of the spark plugs displayed normal wear and light combustion deposits with no signs of lead or carbon fouling when compared to a Champion Check-a-Plug chart. |
The fuel system was examined. |
There were no indications of preaccident anomalies or malfunctions of the engine-driven fuel pump, throttle body, fuel metering unit, intake plenum, fuel manifold, or fuel injector nozzles. |
Fuel was recovered from the line between the engine-driven fuel pump and the fuel metering unit. |
Fuel was also recovered from the engine-driven fuel pump. |
Residual fuel was observed in the line between the fuel metering unit and the fuel manifold valve, though the inlet fitting of the fuel manifold valve was fractured. |
The three-bladed propeller hub remained intact and all three blades remained attached to the hub. |
All of the blades rotated independently within the hub, indicative of pitch change link fractures. |
The blades were arbitrarily labeled A, B, and C for descriptive purposes. |
Blade A displayed chord-wise paint burnishing, significant blade twisting toward low pitch, and s-bending on the trailing edge. |
Blade B was bent in in half with impact-related damage on the trailing edge. |
Blade C was bent aft and twisted toward low pitch, with slight s-bending on the trailing edge. |
Two tree branches were observed at the accident site that displayed angular cuts with gray paint transfers, consistent with propeller contact. |
According to FAA Advisory Circular 60-4A, Pilot's Spatial Disorientation: The attitude of an aircraft is generally determined by reference to the natural horizon or other visual reference with the surface. |
If neither horizon nor surface references exist, the attitude of an aircraft must be determined by artificial means from the flight instruments. |
Sight, supported by other senses, allows the pilot to maintain orientation. |
However, during periods of low visibility, the supporting senses sometimes conflict with what is seen. |
When this happens, a pilot is particularly vulnerable to disorientation. |
The degree of orientation may vary considerably with individual pilots. |
Spatial disorientation to a pilot means simply the inability to tell which way is 'up.'…Surface references and the natural horizon may at times become obscured, although visibility may be above flight rule minimums. |
Lack of natural horizon or such reference is common on over water flights, at night, and especially at night in extremely sparsely populated areas, or in low visibility conditions…. |
The disoriented pilot may place the aircraft in a dangerous attitude… therefore, the use of flight instruments is essential to maintain proper attitude when encountering any of the elements which may result in spatial disorientation. |
The Office of the Chief Medical Examiner of the Commonwealth of Massachusetts performed the autopsy of the pilot. |
The cause of death was blunt force injuries. |
The FAA Forensic Sciences Laboratory performed toxicology testing on specimens from the pilot. |
Testing was not performed for carbon monoxide and cyanide. |
FAA testing detected the previously reported medication losartan. |
Also present was atorvastatin, a prescription medication used to reduce high cholesterol and triglyceride levels. |
Neither of these are considered impairing. |
Ethanol was found at 13 mg/dl in muscle tissue consistent with postaccident production. |
No ethanol was found in brain tissue. |
According to the pilot, the airplane departed the runway and climbed to 3000 feet above ground level. |
She reported that while maneuvering, the airplane lost engine power. |
After several attempts to restart the engine, the pilot made a forced landing on a highway bridge. |
She reported that during the landing roll, the airplane's right wing struck a sign that was affixed to the bridge. |
According to the pilot, at the time of the accident, there were twenty gallons of fuel on board the airplane. |
She reported that the airframe and power plant mechanic removed approximately two cups of water from the fuel tanks after the accident in preparation for the airplane's recovery. |
The airplane sustained substantial damage to the right wing spar and aileron. |
Fuel contamination resulting in the loss of engine power, a forced landing on a highway, and subsequent right wing impact with highway signage. |
During a night flight, the pilot reported that after he landed on the runway, he slowed the airplane to taxi speed, and continued to the taxiway turnoff. |
The pilot misidentified the taxiway turn and turned off the runway into a grass area between the runway and taxiway. |
The pilot reported that the grass area had a downslope that led to level ground and he felt a bump from the tail as the airplane transitioned from the downslope to level ground. |
The airplane sustained substantial damage to the rudder. |
The pilot reported no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. |
The National Transportation Safety Board determines the probable cause(s) of this accident to be:The pilot's failure to identify the taxiway, which resulted in a runway excursion and impact with terrain while turning off the runway at night. |
The pilot practiced several maneuvers and then entered a straight-in practice autorotation. |
He pointed the helicopter into the wind at 800 feet above ground level near midfield and above the runway. |
He reduced the throttle to flight idle and lowered the collective while gently flaring the nose of the helicopter to set up the appropriate main rotor rpm and airspeed. |
He reported that he monitored those parameters carefully during the descent and noted that they remained well within the normal range. |
At the bottom of the descent, the pilot flared a little high to allow a margin of safety for tail boom clearance as he was planning a power recovery from the autorotation. |
The pilot stated that he did not add power at that point and that there was inadequate rotor inertia to dampen the landing, even though he applied full collective deflection. |
The helicopter hit hard and sustained substantial damage. |
The aft portion of the tail boom and tail rotor separated due to a main rotor blade contact and the skids were damaged. |
The National Transportation Safety Board determines the probable cause(s) of this accident to be:The pilot’s inadequate use of throttle during the practice autorotation that resulted in a hard landing. |
The 79-year-old private pilot was making a local personal flight in his airplane when he reported over the aircraft emergency frequency that he was losing vision in one of his eyes. |
About the same time, a radar target using the emergency transponder squawk code was acquired traveling northbound along the coastline. |
The airplane wreckage was subsequently located on a beach close to the last radar target. |
The damage to the airplane was consistent with a high-speed, left wing-low impact due to a loss of control. |
According to the pilot's son, the pilot had been diagnosed with multiple chemical sensitivity and had a history of sudden vision loss, sometimes in just one eye but at other times in both eyes, which had been attributed to his chemical sensitivity. |
He had not reported the episodes of vision loss or the chemical sensitivity on any of his Federal Aviation Administration (FAA) medical applications. |
His most recent FAA medical certificate had expired 5 years before the accident, and it had been 5 years since he had accomplished a flight review. |
The pilot continued to fly, and his flight instructor, who had given the pilot his last flight review and flew with him 1 year before the accident, reported a significant degradation in the pilot's flying skills. |
The National Transportation Safety Board determines the probable cause(s) of this accident to be:The pilot's loss of vision during cruise flight, which resulted in a loss of aircraft control. |
Contributing to the accident was the pilot's decision to fly with a known medical condition. |
On January 13, 2017, about 1125 Pacific standard time, a Piper PA28-236 airplane, N81839, impacted a beach near Port Orford, Oregon. |