Primary finding
Probable cause
The pilot’s misjudgment of the airplane’s altitude above the water and early flare for a landing on water with a glassy condition, which led to the airplane exceeding its critical angle-of-attack and experiencing an aerodynamic stall.
Investigator assessment
Analysis narrative
Witnesses reported observing the twin-engine amphibious airplane flying southbound low above a river and hearing the engine running. The airplane then made a 180-degree left turn, which was consistent with the pilot flying a tight traffic pattern before attempting a water landing. The airplane then descended, leveled off above the water, and suddenly banked left. The airplane's nose and left pontoon then struck the water, and the airplane nosed over, caught fire, and sank. Postrecovery examination of the wreckage revealed that the landing gear was in the "up" position and that the flaps were extended, which indicates that the airplane had been configured for a water landing. No evidence of any preimpact failures or malfunctions of the airplane or engines was found that would have precluded normal operation. At the time of the accident, a light breeze was blowing, the river was at slack tide, and the water conditions were calm, all of which were conducive to glassy water conditions. It is likely that the glassy water conditions adversely affected the pilot's depth perception and led to his inability to correctly judge the airplane's height above the water. He subsequently flared the airplane too high, which resulted in the airplane exceeding its critical angle-of-attack, entering an aerodynamic stall, and impacting the water in a nose-low attitude.
Source record
Factual narrative
Glassy Water According to the FAA's Seaplane, Skiplane, and Float Equipped Helicopter Operations Handbook (FAA-H-8083-23), Glassy water conditions are defined as a calm water surface with no distinguishable surface features, with a glassy or mirror like appearance which can deceive a pilot's depth perception. When landing, the flat, featureless surface makes it far more difficult to gauge altitude accurately, and reflections can create confusing optical illusions. The Handbook advises that when the wind is calm or light, or when the water is like a mirror, or when ripples with the appearance of scales are formed without foam crests, that pilots should check their glassy water technique before water flying under these conditions. The handbook advised, that flat, calm, glassy water looks inviting and may give a pilot a false sense of safety. By its nature, glassy water indicates no wind, so there are no concerns about which direction to land, no crosswind to consider, no weathervaning, and obviously no rough water. Unfortunately, both the visual and the physical characteristics of glassy water hold potential hazards. Consequently, this surface condition is frequently more dangerous than it appears for a landing seaplane as the visual aspects of glassy water make it difficult to judge the seaplane's height above the water. The handbook also advised that the lack of surface features can make accurate depth perception very difficult, even for experienced seaplane pilots. Without adequate knowledge of the seaplane's height above the surface, the pilot may flare too high or too low, and that either case could lead to an upset. If the seaplane flares too high and stalls, it will pitch down, very likely hitting the water with the bows of the floats and flipping over. If the pilot flares too late or not at all, the seaplane may fly into the water at relatively high speed, landing on the float bows, driving them underwater and flipping the seaplane. Glassy Water Landing Technique According to FAA-H-8083-23, there are some simple ways to overcome the visual illusions and increase safety during glassy water landings. Perhaps the simplest is to land near the shoreline, using the features along the shore to gauge altitude. The handbook advises though to assure that the water is sufficiently deep and free of obstructions by performing a careful inspection from a safe altitude. Another technique is to make the final approach over land, crossing the shoreline at the lowest possible safe altitude so that a reliable height reference is maintained to within a few feet of the water surface. When adequate visual references are not available, the handbook advised to make glassy water landings by establishing a stable descent in the landing attitude at a rate that will provide a positive, but not excessive, contact with the water. The handbook also advised to recognize the need for this type of landing in ample time to set up the proper final approach, to always perform glassy water landings with power, and to perform a normal approach, but prepare as though intending to land at an altitude well above the surface. For example, in a situation where a current altimeter setting is not available and there are few visual cues, this altitude might be 200 feet above the surface. Landing preparation should include completion of the landing checklist and extension of flaps as recommended by the manufacturer. The objective is to have the seaplane ready to contact the water soon after it reaches the target altitude, so at approximately 200 feet above the surface, the pilot should raise the nose to the attitude normally used for touchdown, and to adjust the power to provide a constant descent rate of no more than 150 feet per minute at an airspeed approximately 10 knots above stall speed. The pilot should maintain this attitude, airspeed, and rate of descent until the seaplane contacts the water. Once the landing attitude and power setting are established, the airspeed and descent rate should remain the same without further adjustment, and the pilot should closely monitor the instruments to maintain this stable glide. Power should only be changed if the airspeed or rate of descent, deviate from the desired values. The pilot should not flare, but let the seaplane fly onto the water in the landing attitude. An Autopsy was performed on the pilot by St. Peter's Hospital Laboratory Department of Pathology on behalf of the Greene County Coroner. Cause of death was massive blunt force injuries. Toxicological testing of the pilot was conducted at the FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma. The specimens from the pilot were negative for carbon monoxide, cyanide, basic, acidic, and neutral drugs with the exception of: - Diclofenac; which is a nonsteroidal anti-inflammatory drug with analgesic and antipyretic activity. - Rosuvastatin; which is a member of the drug class of statins, used to treat high cholesterol and related conditions, and to prevent cardiovascular disease. - Valsartan; which is an angiotensin receptor blocker indicated for treatment of high blood pressure. Both Diclofenac and Valsartan had been previously reported to his Aviation Medical Examiner. The recorded weather at Albany International Airport (ALB), Albany, New York, located approximately 29 nautical miles north of the accident site, at 1651, included: winds 190 degrees at 3 knots, visibility 10 miles, few clouds at 9,000 feet, temperature 27 degrees C, dew point 03 degrees C, and an altimeter setting of 30.29 inches of mercury. Review of the National Oceanic and Atmospheric Administration Tide Prediction Chart for the area of the accident indicated that at the time of the accident the river was at slack tide. Witnesses described the water conditions at the time as calm. The accident aircraft was a twin engine, high wing, tail wheel equipped, amphibious airplane of conventional metal construction. It was powered by two 295 horsepower, horizontally opposed, air cooled, geared, 6-cylinder engines, driving three bladed, constant speed, variable pitch propellers. According to FAA and maintenance records, the airplane was manufactured in 1943. The airplane's most recent annual inspection was completed on May 25, 2012. At the time of the accident, the airplane had accrued 2,251 total hours of operation. According to Federal Aviation Administration (FAA) and pilot records, the pilot held an airline transport pilot certificate with multiple ratings including airplane multi-engine land and airplane multi-engine sea, commercial privileges for airplane single engine land and airplane single engine sea, and a type rating for the G-73. His most recent FAA third-class medical certificate was issued on February 2, 2012, with limitations that required him to wear lenses that correct for distant vision and possess glasses that correct for near vision. He also possessed a statement of demonstrated ability for defective color vision. He had accrued approximately 5,735 total hours of flight experience of which approximately 411 hours, were in the accident airplane make and model. Accident Site Examination The airplane came to rest on the bottom of the Hudson River in 20 to 25 feet of water. Examination of the river bottom utilizing side scan sonar revealed that the airplane had broken apart and that the major portions of the airplane were contained within an approximately 250 foot long debris field oriented on a 039 degree magnetic heading. Wreckage Examination Examination of the wreckage recovered from the debris field revealed that the airplane break up occurred during the impact sequence and not prior to impact with the water. Further examination revealed that the damage pattern was consistent with witness observations, with the airplane having made contact with the surface of the river with the airplane's nose first, then the le