N221DV

Substantial
Fatal

CIRRUS DESIGN CORP SR22S/N: 2949

Accident Details

Date
Saturday, September 1, 2012
NTSB Number
ERA12FA540
Location
Falmouth, MA
Event ID
20120901X42234
Coordinates
41.584720, -70.542778
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
1
Serious Injuries
2
Minor Injuries
0
Uninjured
0
Total Aboard
3

Probable Cause and Findings

The flight instructor’s inadequate remedial action. Contributing to the accident was the student pilot’s poor control of the airplane during the approach.

Aircraft Information

Registration
N221DV
Make
CIRRUS DESIGN CORP
Serial Number
2949
Engine Type
Reciprocating
Year Built
2008
Model / ICAO
SR22SR22
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
BOBO AVIATION LLC
Address
11 E BEARHOUSE HILL RD
Status
Deregistered
City
GUILFORD
State / Zip Code
CT 06437-4709
Country
United States

Analysis

HISTORY OF FLIGHT

On September 1, 2012, about 1105 eastern daylight time, a Cirrus SR22, N221DV, was substantially damaged when it impacted trees during a landing attempt at Falmouth Airpark (5B6), Falmouth, Massachusetts. The certificated flight instructor (CFI) was fatally injured, and the student pilot and the passenger were seriously injured. Visual meteorological conditions prevailed, and no flight plan had been filed for the flight from Tweed-New Haven Airport (HVN), New Haven, Connecticut. The instructional flight was conducted under the provisions of 14 Code of Federal Regulations Part 91.

Due to the extent and severity of his injuries, the student pilot first provided a statement through his attorney on March 31, 2013. At that time, he stated that on the day of the accident, "the flight was conducted in the same manner as previous occasions." The student pilot had earlier advised the flight school that he and his wife wanted to fly to 5B6 to spend Labor Day weekend. When they arrived at the flight school, they met the CFI, who did the flight planning while the student pilot performed the airplane preflight inspection.

When the CFI was ready, they boarded the airplane with the student pilot in the left seat, the CFI in the right seat, and the student pilot's wife in one of the rear seats. The student pilot was manipulating the controls and performing radio communications at the direction of the CFI.

The flight to 5B6 was uneventful. The student pilot remembers obtaining weather information approaching Falmouth from, he believes, Hyannis, south of Falmouth. The CFI directed that he enter the landing pattern at 5B6 by flying over the airport at 3,000 feet and then descending to enter the downwind for a right traffic pattern to runway 7. They conducted the landing checklist before turning onto the base leg. As in the past, the student pilot was flying the airplane with the CFI's hands and feet on the controls. The student pilot remembered making a right turn to enter the base leg of the approach and turning onto final. The airplane cleared the trees at the approach end of runway 7 when the CFI said that the airplane was "low and slow." The student pilot did not remember much thereafter other than then being "jounced around a bit" in the airplane. He did not remember "seeking" the runway or touching down on or near the runway. He did not know if the CFI took control of the airplane, or if he continued to fly it, nor did he recall the CFI saying anything else to him other than they were "low and slow." The next thing the student pilot remembered was the airplane hitting trees, breaking up and coming to rest. He did not realize that there was a fire until he saw the skin on his hands was coming off. He could not unfasten his seat belt but his wife had been able to do so and had left the airplane. He called for help and she returned and unbuckled him and pulled him from the burning wreckage.

In response to additional questions posed through his attorney, and after his release from the hospital, the student pilot recalled that the CFI had not said that they were low and slow. Instead, the CFI had pointed to the airspeed indicator, "to indicate a slower than desired landing approach speed. He did not verbalize any words; he just pointed at the electronic display which I understood to mean that he wanted me to note our speed which was 69 knots, a slightly low speed. I corrected that condition…I was still in the hospital and heavily medicated when I initially spoke to [my attorney], and do not recall our exact conversation."

The student pilot further noted that his wife was also wearing headphones, and did not recall any conversation between himself and the CFI.

According to the student pilot's wife, her first awareness of something unusual was the crash itself. She realized that she was standing in fire in the airplane on the ground. She recalled unbuckling her husband and pulling him out of the plane with her right hand. The fire was so intense that they had to exit the airplane, and she shouted that the CFI was still in the airplane to the people who began arriving at the site.

The wife also believed that her husband was flying the airplane, with the CFI providing instruction. She did not know if the CFI had his hands on any of the airplane's controls at any point that day, but in the past had seen him do so.

According to several witnesses, the airplane completed a right downwind for runway 7. The final approach over trees was described as "unstable, with rocking wings," and one witness asked another if he thought the airplane was going to go around.

Exact recollections differed, but in general, witnesses recalled that as the airplane neared the runway, the airplane's rate of descent increased, and there were some additions and reductions in power. The airplane started veering to the left, there was an addition of power, and the left wing almost hit the ground. The airplane then touched down in the grass to the left of the runway, went through the last section of a wooden fence, entered some woods and burst into flames.

In an email, one witness stated, "Subject aircraft was on a short final when he came in over the trees…he was low and slow…he got in to a high sink rate and he went to full power and pulled the nose up abruptly about 30 to 40 degrees nose up and the plane veered to the left and went in to the trees and exploded on impact."

In an interview, one witness stated that at the crash site, the student pilot repeatedly said that he was "sorry I did that."

PERSONNEL INFORMATION

The CFI, age 24, held a commercial pilot certificate with single engine land, multi-engine land, and instrument-airplane ratings. He also held a flight instructor certificate with single engine land, multi-engine land and instrument-airplane ratings. The CFI's latest FAA first class medical certificate was dated May 1, 2012.

The CFI completed "Cirrus Standardized Instructor Pilot" training on September 29, 2011.

A copy of the CFI's logbook entries through August 13, 2012, listed 1,519 total flight hours, with 1,407 hours of single engine flight time, and 1,002 hours of instructor time.

The CFI's fiancée, who had moved to the local area in preparation for their wedding, was asked about the CFI's recent history leading up to the accident. According to the fiancée, she worked as a nurse during the night shift, and because of their differing schedules, and not wanting to disturb each other's sleep, she was sleeping on the couch while he slept in the bedroom. She saw the CFI on the morning of the day before the accident, but because of their work schedules, she didn't see him that night. The day of the accident, he had left for work prior to her waking up.

CFI Employer

According to the employer's attorney, "Robinson Flight, LLC ('Robinson Flight'), and Robinson Aviation, Inc. ('Robinson Aviation'), are two separate and distinct entities with their own legal status. Robinson Flight is a subsidiary company of Robinson Aviation – it is a single-member limited liability company with its single member being Robinson Aviation [Flight?]. Robinson Aviation is a C-corporation with [one person] serving as the President and Treasurer. Those who actually manage Robinson Aviation are not necessarily the same as those who manage Robinson Flight. Robinson Flight maintains its own separate payroll, has its own checks, and pays rent to Robinson Aviation. [The CFI] was employed by and paid by Robinson Flight."

"All of the time that was billed for the [student pilot's] flights was for instructional purposes." In addition, "Robinson Aviation was unaware of the passenger onboard. Officers of Robinson Flight also were unaware that there was to be a passenger on board."

CFI Student Pass Rate

According to FAA records, seven of the CFI's student pilots attempted the private pilot practical (flight) test. Of the seven, five failed the test on their initial try, but all of those passed their test on their second try.

Four of the five former students who initially failed were able to be contacted. None of the four indicated any instructional lapses for their initial failures, and none of the failures involved landing pattern work or normal landings. Two of the pilots attributed their initial performance to nerves, one due to fatigue because a family member had returned home the night before, and one included weather as a factor and was off required altitude. Most involved navigation. The designated examiner for the fifth student pilot confirmed that his failure also did not involve landing pattern work or normal landings.

When asked about the CFI's low initial pass rate, or if any corrective actions were taken, the attorney for the flight school responded, "Robinson Flight disagrees with the above characterizations. Robinson Flight is interested in seeing the basis for these conclusions. Robinson Flight saw no reason to take corrective action."

CFI – Students' Perceptions

From the four student pilots previously noted and one additional student who switched to another airplane make and model in the midst of training (she didn't continue with the CFI because he wasn't qualified in that airplane at the time):

"Very mellow and relaxed in the cockpit. He was a good pilot, a good instructor, good instincts, who always had a plan, while other instructors would just show up to fly. He always had something he wanted to accomplish during the flight." He was also always alert; and the student pilot felt safe with him.

"The best of all of them." He was the best rounded, patient, and made the student pilot feel comfortable; "very thorough and meticulous."

Always professional in the airplane; "encouraging," and loved to fly; always at the airport.

A "very good instructor" who knew what he wanted to do, how to do it, and then did it. The student pilot enjoyed flying with him, felt no fear with him and was comfortable with him as an ...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA12FA540