Accident Details
Probable Cause and Findings
The flight instructor's failure to recognize or implement adequate remedial action to counter the effects of spatial disorientation. Contributing to the accident was the spatial disorientation experienced by one or both pilots.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On February 16, 2011, at 1828 eastern standard time, a Cessna 172S, N6345L, operated by Phoenix East Aviation, Inc., was substantially damaged when it impacted ocean waters just off New Smyrna Beach, Florida. The certificated flight instructor (CFI) and the private pilot under instruction were fatally injured. Twilight visual meteorological conditions prevailed, and at the time, the airplane was not operating on a flight plan. The instructional flight, which departed Sarasota/Bradenton International Airport (SRQ), Sarasota, Florida, at 1606, destined for Daytona Beach International Airport (DAB), Daytona Beach, Florida, was operating under the provisions of 14 Code of Federal Regulations Part 91.
According to the private pilot's training folder, he was working toward his instrument rating, and the flight objective was "to learn how to accurately plan and conduct an IFR [(instrument flight rules)] cross-country flight and become more familiar with IFR departure, en route and arrival procedures." A view limiting device was required.
According to a flight school representative, the airplane was originally operating on an IFR flight plan from SRQ, to Melbourne International Airport (MLB), Melbourne, Florida, and then to DAB. The private pilot was in the left front seat, and per the lesson completion standard, "the student should have command of the airplane at all times during the flight."
A Federal Aviation Administration (FAA) partial air traffic control transcript revealed that one of the pilots contacted Daytona Approach Control at 1818:15, and stated that the airplane was at 7,000 feet. The controller subsequently told the crew to expect vectors for a visual approach to runway 7 Left [at DAB].
At 1818:46, a pilot advised the controller of cancellation of the IFR flight plan, but that they would get back with him later to do an approach. After the controller confirmed the cancellation, a pilot stated that they would contact him in about 20 minutes.
After a number of back and forth radio transmissions, a final transmission came from the airplane, at 1820:23, stating, "squawking v-f-r (unintelligible.)"
Radar data indicated that when the crew initially contacted Daytona Approach Control, the airplane was about 8 nautical miles (nm) inland, and about 20 nm south of DAB. The airplane then turned to the northeast and descended, reaching the southeast-northwest ocean coastline at an altitude of about 5,900 feet. The airplane subsequently followed the coastline to the northwest, but gradually moved eastward and offshore.
At 1826:14, when the airplane was about 700 yards offshore, it turned to the northeast, eventually making two right turns until it was then headed southeast, and turning again to the right until it completed a circuit just before 1826:51. Altitudes throughout the circuit generally ranged from 4,300 feet, to 4,500 feet, with the circuit completed about 4,000 feet. The airplane then angled toward the shoreline, arriving overhead at 1827:10, at an altitude of 3,800 feet. It subsequently turned to the north and angled out to sea again.
The airplane continued north, until 1827:28, when it was approaching 400 yards offshore, at 4,100 feet (for report clarity, designated Point A.)
There were four subsequent radar contacts:
Point B: At 1827:33, altitude 3,600 feet, less than 100 yards southwest of Point A.
Point C: At 1827:37, altitude 3,100 feet, less than 150 yards northeast of Point A.
Point D: At 1827:46, altitude 2,300 feet, directly over Point A.
Point E: At 1827:51, altitude 1,700 feet, about 125 yards northeast of Point A.
No primary (skin paint) radar contacts were noted.
According to an FAA inspector, he interviewed two witnesses who resided in a local condominium and who were sitting on their balcony directly in front of, and facing the accident site. The witnesses stated that they looked up and noticed an airplane descending at a high rate, in a nearly vertical, extreme nose-low attitude before it impacted the water. They did not see any rotation of the airplane and did not hear any engine noise. They also did not see any smoke or flames, and did not see any other items descend separately from the airplane.
METEROLOGICAL INFORMATION
Weather, recorded at New Smyrna Beach Municipal Airport (EVB), New Smyrna Beach, Florida, located about 2 nm inland, at 1818, included wind from 070 degrees true at 7 knots, visibility 5 statute miles in light mist, scattered clouds at 800 feet above ground level (agl), a broken cloud layer at 1,900 feet agl, temperature 15 degrees C, dew point 15 degrees C, altimeter setting 30.23 inches of mercury.
According to U.S. Naval Observatory astronomical data, sunset occurred at 1814, and the end of civil twilight occurred at 1838. Moonrise occurred at 1640, and moonset occurred at 2330. Moon phase was waxing gibbous with 96 percent of the visible disk illuminated. At 1830, the moon was 21 degrees above the horizon, about 85 degrees true, east of north.
PERSONNEL INFORMATION
The CFI, age 28, held a commercial pilot certificate for airplane single engine land, multi-engine land, instrument airplane. He was also a certificated flight instructor for single engine and multiengine airplanes, and instrument-airplane. His latest FAA first class medical certificate was issued on March 18, 2010, with no restrictions.
The CFI's logbook was not recovered. According to the operator, the CFI had accumulated 603.7 hours of total flight time and 378.7 hours as a CFI. As a previous student at the flight school, he flew his CFI-instrument check ride on March 12, 2010. The CFI was then hired as an instructor on March 29, 2010, and at that time, his resume indicated 6.3 hours of actual instrument time and 37.6 hours of simulated instrument time. Computer records indicated that as of the accident flight, the CFI had accumulated 18.0 hours of actual instrument time, while the 37.6 hours of simulated instrument time remained the same. On February 4, 2011, the CFI flew 1.4 hours solo in a flight training device, but the extent/type of instrument practice is unknown.
The pilot under instruction, age 21, held a private pilot certificate with an airplane single engine land rating, which was issued on December 28, 2010. His FAA first class medical certificate was issued on June 8, 2010, with no restrictions. The private pilot's logbook was not recovered. According to flight school records, the private pilot had accumulated 72.9 hours of total flight time, 0.8 hour of actual instrument time, and 20.6 hours of simulated instrument time.
AIRCRAFT INFORMATION
The four-seat, high-wing, fixed gear single engine airplane, serial number 172S10839, was manufactured in 2008. It was powered by a Lycoming IO-360-L2A, 180-horsepower engine. According to maintenance records, the most recent 100-hour inspection occurred on February 4, 2011, at an airframe/engine total time of 1,694.2 hours.
For primary flight instrumentation, the airplane was equipped with an electronic multifunction display and for backup, air driven flight instruments.
WRECKAGE AND IMPACT INFORMATION
The majority of wreckage was recovered from the Atlantic Ocean on February 22, 2011, from a depth of about 16 feet, approximately 150 yards from shore, abeam Mary McLeod Bethune Beach Park.
During initial recovery operations, the engine, firewall, instrument panel and pedestal, cabin floor assembly, vertical stabilizer with rudder, and right horizontal stabilizer with elevator were recovered. Components not recovered included the left and right wing, the center wing forward spar, the left and right cabin doors, cargo door, left horizontal stabilizer and left elevator.
Fragments of the left and right wing tips, tail cone assembly, interior plastic, cargo area structure, cowling, and left outboard aileron were also recovered from the water and beach in the days following the accident. The left and right main wheel and brake assemblies were also recovered.
The left landing gear strut exhibited aft bending, and the left wheel and the brake assembly were missing from the strut. The right landing gear strut was not bent aft, and although the right wheel was missing, the brake assembly remained attached to the strut. The nose wheel assembly was not recovered.
The engine appeared impact-separated from the airframe. The top tubular mounts were fractured at the top cluster and the bottom tubular mounts were torn out of the riveted firewall attachment brackets. The engine was damaged on all sides with greater damage on the lower front and left side. The No. 2 cylinder front baffle was crushed aft. The No. 2 cylinder intake and exhaust pipes were dislodged and the valve covers on the left side of the engine (Nos. 2 & 4) were dented. The muffler was crushed upward and aft.
The vacuum pump drive coupling, internal rotor and pump vanes were all intact. The airspeed indicator indicated 91 knots.
The propeller remained attached to the crankshaft flange, and the spinner exhibited rotational crush signatures. Both propeller blades were slightly bent aft, with one having abraded paint on the outboard trailing edge.
The outboard left side of the instrument panel was bent aft and the left pilot seat exhibited aft damage on the upper, outboard side.
The left wing was subsequently recovered, and exhibited accordion crushing of the leading edge, with the greater crush toward the wingtip and the crush toward the wing tip rolled under the wing.
There was no evidence of an in-flight fire.
MEDICAL AND TOXICOLOGICAL INFORMATION
Autopsies were performed on both pilots at the Florida Office of the Medical Examiner, Daytona Beach, Florida. Cause of death for both pilots was "multiple blunt traumatic injuries."
Toxicological testing was performed for both pilots by the FAA Toxicology Resear...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA11FA146