N5225J

Substantial
Fatal

CESSNA 310RS/N: 310R0807

Accident Details

Date
Wednesday, February 17, 2010
NTSB Number
WPR10FA136
Location
Palo Alto, CA
Event ID
20100217X24906
Coordinates
37.461112, -122.114997
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
3
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
3

Probable Cause and Findings

The pilot’s failure follow the standard instrument departure as instructed, and his failure to attain a sufficient altitude to maintain clearance from power lines during takeoff in instrument meteorological conditions.

Aircraft Information

Registration
N5225J
Make
CESSNA
Serial Number
310R0807
Engine Type
Reciprocating
Year Built
1976
Model / ICAO
310RC310
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
AIR UNIQUE INC
Address
641 WILSON CT
Status
Deregistered
City
SANTA CLARA
State / Zip Code
CA 95051-6214
Country
United States

Analysis

HISTORY OF FLIGHT

On February 17, 2010, about 0754 Pacific standard time, a Cessna 310R airplane, N5225J, was substantially damaged when it impacted multiple residential structures and terrain following an in-flight collision with power lines and a power line tower shortly after takeoff from the Palo Alto Airport (PAO), East Palo Alto, California. The commercial pilot and his two passengers were killed. There were no reported ground injuries. The airplane was registered to Air Unique Inc., Santa Clara, California, and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. Instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan was filed for the cross-country flight. The flight was originating at the time of the accident with an intended destination of Hawthorne, California.

Review of recorded air traffic control tower communications between the pilot and controller revealed that the pilot was issued his IFR clearance at 0741, which cleared the pilot to Hawthorne Airport via a right turn to a heading of 060 degrees within one mile of Palo Alto, vectors San Jose, Salinas as filed, climb and maintain 3,000 feet, expect 9,000 feet five minutes after departure. The pilot acknowledged the IFR clearance by reading it back to the controller. At 0746, the pilot contacted the air traffic control tower controller, stating he was "ready three one, IFR to Hawthorne." The controller responded, telling the pilot to hold for IFR release.

At 0749, the controller transmitted that information November was current, wind variable at 5 knots, visibility 1/8th mile, fog, vertical visibility of 100 feet above ground level (agl). At 0751, the controller transmitted to the pilot that he had his IFR release and stated "the runway is not visible, so it's at your own risk." The pilot responded shortly thereafter, "[I] understand." At 0752, the controller informed the pilot that he had two minutes for his IFR release. The pilot responded that he did not hear a "cleared for takeoff." The controller responded that "I cannot clear you for takeoff because I don't have visibility on the runway, so ah, the release is all yours and it's at your own risk sir." The pilot responded "ok, 25 Juliet, rolling." No further radio communications were heard from the pilot.

Multiple witnesses located adjacent to the accident site reported observing portions of the accident sequence. One witness, who was walking on a levee near the accident site, reported that she observed an airplane “suddenly” emerge from the fog to the left of her position. The witness stated that she continued to watch the airplane fly in a level or slightly nose up attitude from her left to her right at a low altitude until it impacted power lines shortly thereafter.

PERSONNEL INFORMATION

The pilot, age 56, held a commercial pilot certificate with airplane single-engine land, multi-engine land, and instrument airplane ratings. The pilot also possessed a flight instructor certificate with airplane single-engine and multi-engine ratings. A second-class airman medical certificate was issued on November 12, 2009, with the limitation “Must wear corrective lenses for near and distant vision." The pilot reported on his most recent medical certificate application that he had accumulated 2,900 total flight hours. Review of the pilot's logbook revealed that from May, 2009 to September 23, 2009, only dates were recorded with no flight time or aircraft information. No entries were recorded from September 23, 2009 to the most recent entry, dated January 27, 2010. The most recent logbook entry noted 1.8 hours of flight time, of which 1 hour was simulated instrument flight time and 0.2 hours in actual instrument conditions, flight time that was part of the pilot's most recent instrument competency-check. The pilot's most recent flight review was completed on November 11, 2009.

AIRCRAFT INFORMATION

The six-seat, low-wing, fixed-gear airplane, serial number (S/N) 310R0807, was manufactured in 1977. It was powered by two Teledyne Continental Motors (TCM) IO-550-A (8) engines, rated at 300 horse power and equipped with McCauley variable-pitch propellers.

Review of copies of the aircraft maintenance logbook records recovered from the wreckage revealed that an annual inspection was completed on April 27, 2009, at a recorded tachometer reading of 743 hours, airframe total time of 6,350 hours, left engine total time since new of 150 hours, and right engine total time since new of 150 hours. The factory new left and right engines were installed on the airframe on August 25, 2004, at an airframe total time of 6,191 hours.

METEOROLOGICAL INFORMATION

A review of recorded data from the automated weather observation station located at PAO revealed that at 0654, wind was variable at 4 knots, visibility (M)1/4 mile, fog, vertical visibility of 100 feet agl, and an altimeter setting of 30.03 inches of Mercury. At 0742, the ATCT controller at PAO reported wind variable at 5 knots, visibility 1/8th mile, fog, and a vertical visibility of 100 feet agl. Review of a weather log for the Palo Alto Air Traffic Control Tower revealed that at 0805, visibility was 1/16th mile, fog, and a vertical visibility of 100 feet agl.

At 0853, the weather observation station at PAO reported wind variable at 4 knots, visibility 1/8th mile, fog, and a vertical visibility of 100 feet agl.

WRECKAGE AND IMPACT INFORMATION

Examination of the accident site by representatives from Cessna Aircraft Company and Teledyne Continental Motors under the supervision of the Federal Aviation Administration (FAA) and NTSB investigator-in-charge (IIC) revealed that the First Identified Point of Contact (FIPC) was an electrical tower located about 0.41 nautical miles northwest of the departure end of runway 31. Examination of the tower revealed that the airplane struck the tower and power lines about 40 to 50 feet agl. Wreckage debris from the aircraft was spread throughout the approximate 897-foot long wreckage energy path, which was oriented on a magnetic heading of about 237 degrees.

Two left propeller blade tips were located adjacent to the FIPC. Remains of the left engine cowling, nose cowling, left main gear door, and left gear door hinge were located near the FIPC. The outboard portion of the left wing (left fuel tank, left aileron, and a portion of the left flap) was located adjacent to a residential structure about 462 feet southwest of the FIPC and exhibited thermal damage. The inboard portion of the left wing (top left engine cowling, left engine nacelle, inboard portion of the left flap, left main gear) was located 560 feet from the FIPC and in a partially inverted position. The left main gear was observed secured within the wheel well. Forty-five degree striations were observed on the top middle area of the nacelle baggage door.

Three impact marks were observed on the street curb about 686 feet from the FIPC. The impact marks observed were consistent with propeller blade strikes. An impact mark on the adjacent sidewalk was consistent with engine impact. Additional scoring was observed on the sidewalk within the area of the propeller strike marks and was consistent with the main fuel tank impact.

About 15 feet beyond the strike marks on the curb, a portion of a landscaping retaining wall was displaced and extended towards the main wreckage. The main wreckage was observed adjacent to a residential structure, remaining partially on the residence driveway, yard, sidewalk, and street. Within the main wreckage, three vehicles and a light standard were observed. The main wreckage consisted of remains of the fuselage, cockpit structure, empennage, horizontal stabilizer, elevators, vertical stabilizer, rudder, right wing, and right engine. The main wreckage, vehicles, and light standard exhibited severe thermal damage.

The left and right engine and left and right propellers were shipped to their respective manufacturers for further examination.

MEDICAL AND PATHOLOGICAL INFORMATION

The San Mateo County Coroner’s Office conducted an autopsy on the pilot on February 18, 2010. The medical examiner determined that the cause of death was “...Multiple Blunt Injuries.”

The FAA's Civil Aeromedical Institute (CAMI) in Oklahoma City, Oklahoma, performed toxicology tests on the pilot. According to CAMI's report, carbon monoxide, cyanide, volatiles, and drugs were tested. The report noted the following positive results: "0.011 (ug/ml, ug/g) Diphenhydramine detected in Blood, Diphenhydramine detected in Urine, Metoprolol detected in Urine, Metoprolol detected in Blood."

TESTS AND RESEARCH

The left and right engines were examined at the facilities of Teledyne Continental Motors (TCM) under the supervision of the Safety Board IIC on March 1, 2, and 3, 2010. The examination of the left and right engines revealed no preimpact mechanical anomalies that would have precluded normal operation.

A handheld Garmin GPS was located within the wreckage debris path. The GPS was sent to the NTSB Vehicle Recorders Laboratory, Washington, DC for further examination. The recovered recorded data revealed that on the day of the accident, a data track was observed from the parking area of PAO to runway 31. No further data was recovered from the GPS unit.

Examination of both recovered propellers was conducted at the facilities of McCauley Propeller Systems, Wichita, Kansas, on February 23, 2011, under the supervision of an NTSB investigator. The McCauley Propeller Systems representative reported that the examination found that propeller damage was a result of impact forces and no indications of propeller failure prior to impact were found. Both propellers were rotating at the time of impact and that neither propeller was at or near the feathered position at the time of impact. The representative further reported that both propellers were being operated under...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# WPR10FA136