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NTSB investigation record

ERA09FA148

Completed

Cirrus design corp Sr22· N224SB

Date
January 29, 2009
Location
Moncks Corner, SC
Conditions
VMC
Record
Published September 25, 2020

Primary finding

Probable cause

A loss of aircraft control during the landing approach for undetermined reasons.

Investigator assessment

Analysis narrative

About 6 minutes after departing in visual meteorological conditions, the pilot reported fumes in the cockpit to air traffic control, and advised them that he planned to divert. The pilot subsequently began descending toward a nearby airport, and entered the traffic pattern. As the airplane neared the runway threshold, on what appeared to be a "normal" approach, it suddenly pitched nose down and impacted the ground about 900 feet short of the runway threshold. A witness who approached the airplane immediately following the accident reported no fire, smoke, or abnormal fumes. Post accident review of the airplane's maintenance records revealed that about 3 weeks prior to the accident, the pilot had reported an odor of "burnt electronics" in the cabin, and subsequently had the airplane inspected by a maintenance facility. No anomalies were found during the inspection and all of the airplane's systems continued to function normally thereafter. A post-accident examination of the wreckage revealed no evidence of any pre-impact mechanical malfunctions, failures, or fire in the accident airplane. A detailed inspection of the airplane's electrical system and avionic components revealed a single damaged capacitor located in the primary flight display that displayed evidence of thermal distress. Functional testing of the circuit card containing the damaged capacitor suggested normal operation. The pilot’s cause of death was noted as "blunt trauma" and toxicological testing on specimens from the pilot showed no traces of carbon monoxide or cyanide.

Source record

Factual narrative

HISTORY OF FLIGHT On January 29, 2009, about 1450 eastern standard time, a Cirrus Design Corporation SR22, N224SB, was substantially damaged when it impacted terrain while on final approach to Berkley County Airport (MKS), Monks Corner, South Carolina. The certificated commercial pilot/owner was fatally injured. Visual meteorological conditions prevailed, and no flight plan was filed for the flight, which departed Charleston International Airport (CHS), Charleston, South Carolina about 1440 and was destined for Lake Norman Airpark (14A), Mooresville, North Carolina. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. The airplane's Primary Flight Display (PFD) and Multi-Function Display (MFD) were recovered from the wreckage and downloaded in the National Transportation Safety Board (NTSB) Vehicle Recorders Laboratory. Data from the PFD, MFD, along with air traffic control (ATC) radar and voice communication data provided by the Federal Aviation Administration (FAA), showed that the accident airplane departed CHS about 1440, and shortly thereafter began tracking in a northwesterly climb, toward 14A. About 1446, the pilot advised ATC, "I have some fumes in the cockpit, I'm turning around." The pilot then advised the controller that he was going to divert to MKS, and was subsequently issued a frequency change. No further communications were received from the pilot. About that time, the airplane leveled about 5,800 feet above mean sea level (msl), turned northeasterly toward MKS, and then began a descent. The airplane continued on that track, passing north of MKS, and about 1448 the MFD data ceased recording. About 1449 the airplane reversed course and began heading toward runway 23 at MKS. The airplane's last recorded radar position was observed at 1449:18, at 700 feet msl, about 2 nautical miles northeast of the runway 23 threshold. The PFD also ceased recording position information about this time, though other parameters continued recording until 14:50:15. The final information recorded by the PFD included; 148 feet pressure altitude, 93 knots indicated airspeed, 232-degree heading, and a positive pitch of 0.6 degrees. The final seconds of the accident flight were not recorded by the PFD. Several witnesses observed the accident airplane as it was on final approach to runway 23. Three of the witness were certificated pilots, and during separate interviews recounted a similar series of events. The witnesses stated that when they initially observed the airplane's approach, it looked "normal". None of the witnesses observed any flames or smoke emanating from the airplane. The airplane cleared the trees and fence prior to the approach end of the runway, but then "pitched [nose] over and went down." They further described that the airplane's attitude was consistent with one normally approaching to land, but the airplane then unexpectedly pitched down into a near 45-degree dive and impacted terrain. One of the witnesses responded immediately to the accident site and noted no fire, smoke, or abnormal fumes. PERSONNEL INFORMATION According to FAA records, the pilot held a commercial pilot certificate with ratings for airplane single engine land and instrument airplane. The pilot possessed 1,164 total hours of flight experience, and his most recent FAA second-class medical certificate was issued on June 5, 2008. AIRCRAFT INFORMATION A review of maintenance records revealed the airplane's most recent annual inspection was completed on November 13, 2008. On that date the airplane had accumulated 903 total hours of operation. On January 7, 2009, the pilot had the airplane serviced by an avionics repair station. According to the entry in the airframe logbook: "Discrepancy – Pilot reported A/P & Skywatch failed in flight an odor of burnt electronics detected in cabin, A/P and Skywatch functioned fine on subsequent flight after cycling A/P and Skywatch breakers. Preliminary ground check revealed all units functioned properly, found external GPU power plug to be INOP. Removed radios from radio stack, PFD, & MFD checked for any signs of burnt components or malfunction, check satisfactory. Reinstalled units. Removed seats visually checked A/P roll & trim relays below rear seats, no trouble found, reinstalled seats. Gained access behind circuit breaker panel, inspected for loose connections, loose parts, & shorted/chafed wiring. All checked good, closed panel. Removed bolster switch panel, inspect for burnt/chafed wiring or components all checked good, reinstalled bolster switch panel. Opened empennage close out panel, cleaned connections power and ground connections for aft battery, closed aft close out panel. Removed cowling, opened Master Control Unit, inspected for burnt or damaged components, cleaned all contacts, tightened all connectors and power connect points, re-flowed cold solder joints. Closed and resealed Master Control Unit. External power receptacle functioned normally after cleaning of Master Control Unit. Reinstalled cowling. Ground ran aircraft engine and all aircraft systems and radios for extended time, no trouble found with any systems, no indication of unusual odors in cockpit." METEOROLOGICAL INFORMATION The 1455 reported weather at MKS included clear skies, 10 statute miles visibility, winds from 340 degrees at 3 knots, temperature 12 degrees Celsius (C), dewpoint 7 degrees C, and an altimeter setting of 29.95 inches of mercury. AIRPORT INFORMATION Berkley County Airport was comprised of a single 4,351-foot-long by 75-foot-wide asphalt runway oriented in a 05/23 configuration. A two-light precision approach path indicator light was located on the left side of runway 23, and projected a 3-degree glide path. The airport was bounded by a perimeter fence, with the northeastern boundary oriented roughly perpendicular to runway 23, and located about 1070 feet from the approach end. The terrain between the airport perimeter fence and the runway 23 threshold was generally flat, with no obstructions present. WRECKAGE AND IMPACT INFORMATION The initial impact point was an imprint on the ground consistent with the size and shape of the airplane's wings and three landing gear, and was located about 875 feet from the threshold of runway 23. The airplane's nose landing gear was found at the center of the imprint. The wreckage path was oriented about 210 degrees magnetic, with various pieces of composite structure strewn along it. The next major component found along the path was the propeller, which was located about 35 feet from the initial impact point. The main portion of the wreckage came to rest about 120 feet beyond the initial impact point, and was oriented on a magnetic heading about 138 degrees. The fuselage was destroyed forward of the forward seats; however, the aft portion of the fuselage remained largely intact. No evidence of an in-flight or post-impact fire was observed. The integrated airframe parachute system was intact, and had not been deployed. The right wing was separated from the fuselage at the aft portion of the wing root, while the left wing remained attached. Control continuity was traced from all flight control surfaces to the central portion of the cabin. Measurement of the flap actuator correlated to a 50-percent flap position. Both of the battery master switches, as well as their corresponding alternator switches, were found in the "on" position. The avionics switch, which was located immediately to the right of the alternator 2 switch, was in the "off" position. The ice protection, pitot heat, and exterior light switches were all in the "off" position. The fuel selector was positioned to the right fuel tank, and the electric fuel boost pump switch was in the neutral position. The magneto switch was in the "both" position, with the key broken off in the switch tumbler. All of the circuit breakers were in their operative

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