Primary finding
Probable cause
the pilot's failure to maintain an adequate airspeed while maneuvering during a scenic flight, which led to an inadvertent stall/spin and secondary stall/spin encounter. Contributing factors were the pilot's lack of total flight experience, his inadequate flight training, and the unfavorable wind conditions.
Investigator assessment
Analysis narrative
During a for-hire sightseeing flight, the glider entered an inadvertent stall and spun to ground impact. The flight was conducted in an area where normal wind conditions brought trade winds that produced strong updrafts when they encountered the accident site ridgeline. On the day of the accident, the winds were described as shifty and gusting and they did not produce the updraft along the ridgeline that was most common in that area. In addition, the cloud bases would not allow for a tow greater than 2,000 feet. A witness (also a glider pilot), observed the accident glider eastbound about 400 to 500 feet above the ridge. She then noticed the glider "turn right (toward the ridge) and its nose come up slightly." The glider turned "approximately 45 degrees to the right, then turned back to the left and immediately entered a spin to the left." The witness reported that the glider rotated twice before it entered a second spin to the right. Post-accident examination of the glider revealed no anomalies that would have prevented its normal operation. A video recording of the flight revealed no anomalies with the glider. As captured during the final moments of an audio recording of the flight, the pilot's last transmission indicated that the glider was encountering a sink rate. According to the accident glider's flight manual, after spin entry, the pilot might experience one nose up and down oscillation before the stable spin occurs. The rotations are relatively slow with an altitude loss of approximately 300 feet per turn. Recovery technique was normal, except that considerably more control was needed to stop the rotation and to lower the nose. Instead of easing off back pressure on the stick, it must be pushed forward of neutral and instead of neutralizing the rudder, opposite rudder must be applied. The rotation could be stopped in 1/4 to 1/2 turn. Review of the pilot's training records and experience brought into serious question the quality of both. In less than 3 months after beginning flight training the pilot obtained his commercial pilot certificate, just 2 days after passing his private pilot check ride. Upon obtaining his commercial pilot certificate the pilot began conducting tour flights for fare-paying passengers; at this point his total flight experience amounted to 48.4 hours of flight time, of which 31.2 hours were as pilot-in-command. Review of the pilot's training records revealed he received stall/spin training on the same day he received training on a myriad of complex subjects. The operator said that when he conducted spin training with the pilot, on one occasion the pilot didn't get the control stick forward enough on a spin recovery and got into a secondary stall. The operator then had the pilot demonstrate two additional spin/spin recovery maneuvers. Federal Aviation Regulations indicated that an applicant may obtain their commercial glider certificate with as little as 25 hours of flight time and 100 flights as pilot-in-command. According to the Soaring Society of America and the Soaring Safety Foundation, it is unusual to obtain a commercial glider pilot certificate in as little time as the accident pilot, and it usually takes about 6 months to 1 year to obtain the required experience.
Source record
Factual narrative
1.1 HISTORY OF FLIGHT On April 6, 2005, at 1300 Hawaiian standard time, a Schweizer SGS 2-32 glider, N693U, impacted mountainous terrain 0.4 miles south of the Dillingham Airfield, Mokuleia, Hawaii. The commercial glider pilot was fatally injured and the two passengers sustained minor injuries. The glider sustained substantial damaged. Sailplane Ride Adventures, Inc., owned and operated the glider under the provisions of 14 CFR Part 91 as a scenic sailplane ride. Visual meteorological conditions prevailed, and a flight plan had not been filed for the local flight. The 20-minute commercial scenic flight was in the air approximately 17 minutes. 1.1.1 Passenger and Witness Statements According to an interview summary provided by the Federal Aviation Administration (FAA), the passengers reported that they were circling around a hill and thought that they were returning to the airport. The glider crossed over a ridge to a valley to look at a waterfall. The glider turned left then right in a gentle but accelerating manner. The glider also pitched up and down, and the passengers felt like they were falling. The pilot announced that they were "going in." The glider impacted trees and terrain, and came to rest upside down. A witness, who had 7,000 hours of glider experience and was flying at the time of the accident, observed the accident glider behind her, heading east approximately 400 to 500 feet above the ridge. She checked back on the glider's position relative to hers and noticed the glider "turn right (toward the ridge) and its nose come up slightly." The glider turned "approximately 45 degrees to the right, then turned back to the left and immediately entered a spin to the left." The witness reported that the glider rotated twice before it entered a spin to the right. The witness then lost sight of the glider behind trees before it completed a rotation to the right. 1.1.2 Onboard Video and Audio Recording System The glider was equipped with a custom designed and installed video and audio recording system intended to provide customers with a video record of their tour flight. The videotape was retrieved from the accident glider and sent to the National Transportation Safety Board Vehicle Recorders Division located in Washington, D.C. A Vehicle Recorders Division engineer provided a factual summary and partial transcripts gleaned from the onboard video recording. The VHS tape was recorded by an on-board video/audio recording system that would normally provide two camera views; one inside the glider looking rearward at the passenger(s) in the rear seat, and another camera in the tail of the glider with a view looking forward. Both cameras could be recorded at the same time, with one set as the "main view" that would fill the viewing screen, and the other as a smaller inset overlaid on top of the main view, in the upper left portion of the viewing screen, in a "picture-in-picture" type of configuration. Two individual video frames (about 0.06 seconds), located at the beginning of the recording, show the "main view" from the internal camera and the smaller inset view from the external tail camera. However, for the remainder of the recording the view from the tail camera was not recorded. Both the main full screen view and the small inset area contained the same video, from the interior passenger view camera. The VHS tape contained about 20 minutes 12 seconds of recorded data While primarily an internal view of the glider, small portions of the side and overhead canopy were visible, along with a waist up view of the passengers. The pilot was generally not visible, though occasionally his left arm/shoulder, neck, and left side of his face were visible. No controls or instruments could be seen in the recording. Audio was recorded consisting of communication between the pilot and the passengers, describing the landmarks and sights on the tour. Some relative motion can be seen in the clouds above and behind the glider, and at times, some ground features can be seen in the background. There were no audio or visual cues that indicated any problems with the glider or its operation, the weather, or any other concerns, until about 1 second before the end of the recording. While the location and altitude of the glider at the time of the end recording could not be determined from the video, it appeared that the recording ended prior to impact, and after the airplane had been rolling toward the left (the roll attitude could not be determined, only the trend in roll as indicated by the clouds in the background). A partial transcript of the conversation between the pilot and passengers was generated by the Safety Board Vehicle Recorders Division. The transcript was limited to statements or observations that may provide information about the location or operation of the glider, other traffic, weather conditions, and conversations about the pilot's experience. Review of the transcripts revealed that the male passenger asked, "with these wind currents you guys can stay up for, hours?" The pilot answered, " Yup. Today not so much cause it's mostly ah east wind...but when it's a northeast wind we can stay up for as long as we want." Later the male passenger asked if, "the weather was good would you go further south and north...?" The pilot responded, "...if lift was a little better, I'd go you know, further west and further east but...lift just isn't doin well for us so that's our main concern since we don't have any other ways...of makin it back to the airport. And when the lift is good and we're at about 3,500 feet, I'll go way into the Great Valley way over there and cruise around, have some fun over there, but, its just not enough today." The pilot then mentioned a waterfall and conducted a steep turn. Following the steep turn, he began to report on some of the local highlights. The male passenger then asked, "So how long did it take you to get your license...six months?" The pilot answered, "Uh I think it was close to that...but I was flyin everyday, so..." Near the end of the recording the pilot began to point out a 200-foot waterfall to the passengers and said he would make a slight turn so they could see it (clouds/horizon in background indicate a roll to the right). He pointed it out and said it was tough to see and began a roll back toward the left. About 8 seconds later the pilot said, "Whoa, we're in some sink here," which was the last recorded communication. 2.1 PERSONNEL INFORMATION 2.1.1 Pilot Information The pilot began his glider flight training in January 2005, and received his student pilot certificate on February 18, 2005. On March 16, 2005, the pilot failed his first attempt to obtain his private pilot certificate with a glider rating (in the areas of weather information, operation of systems, visual signals, airport, national airspace, and runway and taxiway signs, markings and lighting), but on March 24, 2005, he successfully passed the private pilot check ride with a FAA Designated Examiner (DE). On March 26, 2005, he obtained his commercial pilot certificate with a glider rating from the same DE that gave him his private pilot certificate 2 days prior. According to the pilot's logbook, as of April 5, 2005 (the day before the accident), he accumulated a total of 48.4 hours of flight time, of which 31.2 hours were as pilot-in-command and 7.1 hours were accumulated in the accident glider make and model. The logbook entries indicated that the pilot provided 7.8 hours of scenic tour flights prior to the accident. Review of the pilot's logbook revealed that he began providing scenic flights to the public on the day of his commercial check ride. 2.1.2 Pilot Training Review of the pilot's Glider Flight & Ground Training Syllabus for the student, private, and commercial course revealed he obtained ground and flight training in spins and spin recovery (left and right spins