Primary finding
Probable cause
The pilot exceeded the design limits of the airplane, which resulted in an in-flight break up while maneuvering in adverse weather conditions.
Investigator assessment
Analysis narrative
The airplane was over water, operating on an instrument flight rules (IFR) flight plan at 7,000 feet, and approaching the middle of the western shore of Puerto Rico, when the pilot canceled the flight plan to “clear this weather.” The airplane subsequently turned northeast and descended to 5,500 feet. After proceeding over land for about 28 miles, and as it approached the island’s northern coast, the airplane disappeared from radar in the vicinity of a well-defined cumulus congestus cloud, containing level 5 “intense” activity, typically associated with severe turbulence. Witnesses reported seeing the airplane “spiral” and “spin straight down” from clouds before it impacted the ocean. The accident occurred 14 minutes after sunset, and the airplane did not have onboard weather radar or downloadable satellite weather, but did have a lightning detector. There were no weather advisories or pilot reports of adverse weather at the time of the accident, and no “mayday” calls from the pilot. Some smaller, less-aerodynamic items, including windshield material, were recovered on land; however, the majority of the wreckage was located 300 to 800 yards offshore. Missing items included the right horizontal stabilizer, the right elevator, the vertical stabilizer and the rudder, which could have been swept away by ocean currents. No preaccident mechanical anomalies were noted with the airplane, but weight and balance calculations indicated that it was about 300 pounds overweight at the time of the accident. The airplane’s ground speed at the end of the flight was calculated to be 189 knots; however, the in-flight airspeed during the encounter with intense weather was unknown. The airplane’s “never exceed speed” was 180 knots calibrated airspeed (KCAS), the “maximum structural cruising speed” was 147 KCAS, and the “maneuvering speed” was 123 KCAS at maximum gross weight. Observed downward bending of wing components, missing tail components, and witness reports of a “pop” or “boom” when the airplane was still at altitude indicate that portions of the tail likely separated in flight from the airplane due to overstress.
Source record
Factual narrative
HISTORY OF FLIGHT On February 8, 2009, at 1836 Atlantic standard time, a Cessna 206H, N118ME, was destroyed when it impacted offshore waters near Quebradillas, Puerto Rico (PR). The certificated commercial pilot and five passengers were killed. Visual meteorological conditions prevailed near the surface, while instrument meteorological conditions prevailed at higher altitudes. An instrument flight rules (IFR) flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91 flight. The flight originated at Casa De Campo International Airport (MDLR), La Romana, Dominican Republic about 1720, destined for Fernando Luis Dominicci Airport (TJIG) in San Juan, Puerto Rico. According to the owner of the accident airplane, the accident pilot had been scheduled to fly five passengers to MDLR in a Piper PA-31 on February 6, 2009, but since the airplane was grounded, the flight was conducted in the accident airplane. The flight departed TJIG and arrived at MDLR uneventfully, and the pilot returned to TJIG later the same day. No flights were conducted in the accident airplane on Saturday, February 7. On Sunday, February 8, 2009, Federal Aviation Administration (FAA) inspectors conducted a ramp check of the airplane while it was parked at TJIG. No serious discrepancies were noted. The airplane later departed TJIG and arrived at MDLR to pick up five passengers, four of whom the pilot had flown to MDLR on Friday, to return them to San Juan. The accident flight departed MDLR with a planned route of flight of airway W9 to the MELLA intersection, airway G633 to the Dorado (DDP) non-directional beacon, then direct to TJIG. At 1811, the San Juan en route radar approach (ZSU) controller identified the airplane on radar 29 miles west of Mayaguez (MAZ), Puerto Rico at 7,000 feet mean sea level (msl). At 1819, the controller cleared the pilot to proceed direct to the destination airport. When the airplane was between MELLA intersection and the MAZ very high frequency omnidirectional range (VOR), about 28 miles southwest of the accident site, the pilot cancelled the IFR flight plan and requested to continue under visual flight rules (VFR) “so we can clear this weather.” The controller approved the pilot’s request, and also requested that the airplane remain on the last assigned discreet transponder code. The airplane subsequently turned to the northeast, over land, toward the northern coastline of Puerto Rico. At 1830, after a query by the controller, the pilot reported that he was descending to 5,500 feet. At 1838, just after the last radar return of the airplane was observed, the controller again queried the pilot about his altitude, but received no response. The controller then solicited assistance from another pilot in the area, who also attempted radio contact, but without success. There were no mayday or other distress calls, nor were there any low altitude alerts heard or observed. The last radar return was observed over Quebradillas at 5,000 feet, and at a calculated ground speed of 189 knots. Shortly thereafter, the local police received telephone calls reporting an airplane crash, and subsequently, the U.S. Coast Guard confirmed that the airplane was in the water, less than 0.25 miles offshore. A witness who was at a restaurant overlooking the accident site reported that she heard a “pop” or “boom” sound, then observed the airplane descend out of the clouds. She heard another loud boom as the airplane hit the water. The witness also noted that the engine was running between the booms, and that it was raining, with big heavy drops, and windy at the time. Another witness reported that while he was closing some windows, he heard an “aircraft engine” that was “making strange noise followed by some silence.” Suddenly, a “backfire” was heard, followed by silence, and he then saw the airplane descending until it disappeared behind a house. A third witness was outside when he heard an airplane that seemed to be having a problem with its engine, and compared the sound to “a lawn mower getting out of fuel.” He subsequently watched the airplane in a “spiral nose down attitude going into the sea.” A fourth witness stated that she was outside when she heard an airplane that “sounded like it was misfiring and suddenly the engine sound stopped.” She looked in the direction of the sound, and saw the airplane spinning without a wing, and later heard the sound of an impact. A witness who was at MDLR at the time of the airplane’s takeoff called the NTSB Investigator-in-Charge (IIC) to report his observations of the airplane before it departed. He reported that he was at his partner’s fixed base operator (FBO) picking up a passenger, and observed the airplane taxiing out for departure in a “very tail low condition.” He also stated that the “nose wheel was barely on the taxiway.” He took a picture of the airplane with his cell phone camera because he thought the airplane was “overloaded and out of aft CG.” He also reported that the airplane required about 3,000 feet of runway to get airborne, with a 10-knot headwind. A friend of the passengers provided an additional photo taken of the airplane while on the ramp at MDLR prior to departure. Although no occupants appeared to be in the front seats at the time, the airplane was in a tail-low, nose-high attitude. PERSONNEL INFORMATION Pilot The pilot, age 28, held a commercial pilot certificate with single- and multi-engine land ratings and an instrument airplane rating. The following is a chronological summary of the pilot’s qualifications, based on FAA records: On July 16, 2005, the pilot received a private pilot, single-engine land rating. The airman file indicated he had a total of 78.0 flight hours at the time. On September 28, 2007, the pilot received an instrument airplane rating. The airman file indicated he had a total of 181.7 flight hours at the time. On July 21, 2008, the pilot received his commercial pilot certificate with airplane single-engine land and instrument airplane ratings. The airman file indicated he had a total of 381.2 flight hours at the time. On August 18, 2008, the pilot received his commercial certificate with a multi-engine land rating. The airman file indicated he had a total of 428.4 flight hours at the time. The pilot held an FAA first class medical certificate that was issued on October 10, 2008. The medical certificate indicated that the pilot had reported a total flight time of 1,100 hours at the time of the medical examination. The pilot's logbook indicated that he had a total of about 622 flight hours total time, of which, approximately 235 hours were in the accident airplane. The pilot's logbook indicated that he had a total of 47 hours of flight in actual instrument conditions, but had not logged any hours in instrument conditions within 90 days of the accident. An inspector from the FAA Flight Standards District Office (FSDO) in San Juan conducted an interview with the girlfriend of the pilot to determine the pilot's 72-hour history prior to the accident. The 72-hour history revealed no factors that precluded the pilot from performing his flying duties in a normal manner. Passengers The owner of the airplane reported that the five passengers on the accident flight were friends and business associates of his father and himself, and that the flight was a personal flight. He further noted that the passengers routinely traveled to La Romana because they owned property there, and that there was no financial remuneration for the flight. AIRCRAFT INFORMATION The airplane, manufactured in 2000, was equipped with a Lycoming IO-540-AC1A5 six-cylinder engine and a McCauley three-bladed constant-speed propeller. The airplane did not have onboard weather radar or downloadable satellite weather, but did have a “Strikefinder” lightning detecto