N732XE

Destroyed
Fatal

Cessna T210MS/N: 21061850

Accident Details

Date
Monday, September 24, 2007
NTSB Number
DEN07FA165
Location
Moriarty, NM
Event ID
20071004X01496
Coordinates
34.981666, -105.998336
Aircraft Damage
Destroyed
Highest Injury
Fatal
Fatalities
1
Serious Injuries
1
Minor Injuries
0
Uninjured
0
Total Aboard
2

Probable Cause and Findings

the instructor pilot's failure to maintain aircraft control during aborted landing and attempted go-around which resulted in an inadvertent elevator trim stall. Contributing to the accident were the instructor pilot's inadequate supervision during the landing, improper recovery from a bounced landing, and the improper airplane configuration for the attempted go-around.

Aircraft Information

Registration
N732XE
Make
CESSNA
Serial Number
21061850
Engine Type
Reciprocating
Year Built
1977
Model / ICAO
T210MC210
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
UNITED STATES CUSTOMS SERVICE
Address
5020 S MERIDIAN AVE
Status
Deregistered
City
OKLAHOMA CITY
State / Zip Code
OK 73119-5105
Country
United States

Analysis

HISTORY OF FLIGHT

On September 24, 2007, at 1024 mountain daylight time, a Cessna T210M single-engine airplane, N732XE, was destroyed when it impacted terrain following a loss of control during landing at Moriarty Airport (0E0), Moriarty, New Mexico. The flight instructor (instructor pilot) sustained serious injuries and the commercial pilot receiving instruction (pilot trainee) sustained fatal injuries. The airplane was registered to and operated by the United States (U.S.) Customs and Border Protection (CBP), Washington, DC. Visual meteorological conditions prevailed, and a company flight plan was filed for the Title 14 Code of Federal Regulations Part 91 instructional flight. The flight departed the Albuquerque International Sunport Airport (ABQ), Albuquerque, New Mexico, at 0934.

Prior to departure, at 0929, the instructor pilot and pilot trainee contacted ABQ approach and requested a heading of 060 degrees and an altitude of 9,500 feet mean sea level (msl). At 0933, the airplane was cleared for takeoff from ABQ, and at 0939, radar services were terminated. During the flight, the CBP Air and Marine Operations Center tracked the airplane via satellite tracking. Tracking data showed, at 1004, the airplane approached 0E0 from the north and entered a left downwind for runway 26. The data showed the airplane conducted four landings to runway 26, and at 1024, the satellite signal was lost on the fifth landing.

A pilot-rated witness, who was located in his airplane at 0E0 taxiway/intersection D, observed the airplane performing several touch and go maneuvers on runway 26 (The witness was a tow airplane pilot for glider operations based at 0E0). He stated the accident airplane appeared to be set up for a short field landing based on the final approach descent angle and full flap position. Approximately 10 to 12 feet above ground level (agl), the airplane appeared to flare and then drop onto the runway. The airplane bounced and became airborne with the wings in a straight and level position. The airplane then drifted to the right of runway centerline, and the witness heard the "engine power come up." The airplane's nose suddenly pitched up and approximately 30 to 40 feet agl, the airplane stalled and impacted the terrain in a nose low attitude. The witness and another individual exited their aircraft and ran toward the accident site. They observed the right seat occupant (instructor pilot) exit the right side of the airplane and attempt to assist the left seat occupant (pilot trainee) from the left side of the airplane. The witness stated that after impact, a fire started near the firewall and shortly thereafter, the entire airplane was engulfed in flames. At the time of the accident, the winds were from the southwest approximately 15 knots.

PERSONNEL INFORMATION

Instructor Pilot

The instructor pilot, age 37, held an airline transport pilot certificate, issued October 26, 2001, with an airplane multiengine land rating, and a commercial pilot certificate with an airplane single-engine land and helicopter ratings. The pilot also held a certified flight instructor's certificate, issued October 19, 2006, with an airplane single-engine land rating. His most recent Federal Aviation Administration (FAA) second-class medical certificate was issued on April 24, 2007, with no limitations or restrictions.

According to the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1), which was completed by CBP, the instructor's total flight time at the time of the accident was 3,687 hours, with 1,047 in single-engine airplanes, and 711 as a flight instructor. He had accumulated 252 hours in the accident airplane make and model, of which 21 were logged as a flight instructor. In the 90 days preceding the accident, the instructor had accumulated 69 total flight hours, of which 25 were in the accident airplane make and model, and 12 total hours in the 30 days preceding the accident.

CBP reported that in 1994, the instructor received his initial flight training at the US Naval Aviation Training Facility, Corpus Christi, Texas. In February 2001, he was assigned as a primary flight instructor in T-34C airplanes. In September 2003, he was hired by the U.S. Immigration and Customs Enforcement service as a pilot. On August 2, 2004, the instructor completed the Cessna 210 initial training per the Aircrew Standardization Manual (ACSM) at the Albuquerque Air Branch. On February 15, 2005, the instructor completed the Cessna 210 initial vendor training with Flight Safety International, Wichita, Kansas.

On February 16, 2007, he completed his CBP instructor pilot initial training per the ACSM at the National Aviation Training Center (NATC) in Oklahoma City, Oklahoma. He was designated as a Cessna C-210 instructor pilot in accordance with the Aviation Operations Handbook and the Crewmember Standardization Manual (CSM) on March 8, 2007. On August 3, 2007, the instructor completed a flight review, instrument proficiency check, and Cessna 210 recurrent training at Flight Safety International. On August 23, 2007, he was designated as an instructor pilot in Cessna 100 and 200 series airplanes.

On July 10 and 11, 2007, the instructor pilot completed vendor supplied stall and unusual attitude flight training in an Extra 300L airplane.

Pilot Trainee

The pilot trainee, age 39, held a commercial pilot certificate, issued on December 10, 2000, with airplane single-engine land and instrument airplane ratings. His most recent FAA first-class medical certificate was issued on October 4, 2006, with no limitations or restrictions.

According to the NTSB Form 6120.1, the trainee's total flight time at the time of the accident was 512 hours, 444 hours as pilot-in-command, and 7 hours in the accident make and model. The pilot's logbook was not located.

CBP reported that in 2004, the trainee received an initial training assessment by the U.S. Border Patrol, El Paso Flight Operations, El Paso, Texas. The assessment was in accordance with Border Patrol procedures at that time, and the pilot indicated he had accumulated 335.7 total flight hours. At an unknown date, the trainee applied for the CBP Pilot Trainee Program. On the application form, the trainee indicated he had accumulated 436 total flight hours.

On February 17, 2007, the pilot trainee entered the CBP Pilot Trainee Program. At that time, the CBP's El Paso Air Branch was establishing the trainee program. While the trainee was stationed in El Paso, he logged approximately 72 hours in helicopters while flying with a CBP pilot who held a flight instructor certificate. CBP reported that the trainee's flight time was accrued while serving as a crewmember on operational missions as time permitted.

On September 18, 2007, the trainee was sent to the CBP Albuquerque Air Unit to begin his fixed wing flight time in Cessna 210 airplanes. Prior to his arrival in Albuquerque, the trainee received ground instruction and computer based training in El Paso, in accordance to the Aircrew Standardization Manual (ASM). During the five days following the trainee's arrival to Albuquerque, the trainee was scheduled with and trained by the instructor pilot on four of those days. During that time, the trainee accumulated 5.9 hours in the Cessna 210. The training was conducted in accordance with the Pilot Trainee Program issued by CBP Air and Marine on March 20, 2007. The training was also conducted in accordance with training procedures developed by the El Paso Air Branch to supplement the Pilot Trainee Program.

During the four days of flight training, the trainee was graded on various components of pre-flight, flight maneuvers, flight techniques, and judgment. A 1, 2, or 3, on a Cessna 100 and 200 series grade sheet, designated the grading format. The grade scores were noted as the following: 1 = Unsafe or well below standards for stage of training and needs additional training, 2 = Below standards and needs additional training, 3 = Within standards.

For the days of September 19, 20, 22, and 23, the trainee received the following scores for these graded components, respectively:

Approach to Landing Stall: 2, 2, 3, 2

Short-Field Landing: 3, 3, 3, 2

Judgment: 3, 2, 3, 3

In addition to the grades, the instructor pilot also provided comments regarding the trainee's flight. The following excerpts were noted in the instructor's comments to the trainee on the September 23rd flight: "Flew a simulated check today, not ready for the real thing...[Trainee] sometimes struggles with aircraft trim, tries to 'muscle' aircraft...Flew a better pattern today, more thorough with pwr settings and BCGUMPS. Sometimes initiates flare too high, but has enough finesse for a safe landing -- except for short field landings, where he doesn't have the airspeed to sacrifice. For short field approaches, needs to work on a stabilized approach and not flaring high."

AIRCRAFT INFORMATION

The 1977-model Cessna T210M, serial number 21061850, was a single-engine, high-wing, retractable tri-cycle landing gear, semi-monocoque design airplane. The airplane was powered by a six-cylinder Teledyne Continental Motors TSIO-520-R9B turbocharged engine, serial number 289602-R, rated at 300 horsepower, and equipped with a three-bladed McCauley constant speed propeller. The airplane was configured to carry a maximum of three occupants; 2 forward seats and a rear observer seat.

The airplane was issued a standard airworthiness certificate on April 4, 1977, and was certificated for normal category operations. The airplane was registered to the owner on September 30, 1986, and was maintained under a continued airworthiness maintenance program. A review of the maintenance logbook revealed the most recent annual inspection was performed on January 5, 2007, at a total airframe time of 4,911.1 hours, and an engine time of 30.1 hours. A 50-hour inspection on the airframe was completed on August 3...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# DEN07FA165