Primary finding
Probable cause
The non-instrument-rated pilots’ loss of situational awareness during a dark night flight over a remote area, which resulted in their failure to maintain an altitude sufficient to ensure adequate terrain clearnance. Contributing to the accident was the pilots’ fatigue due to their long duty day.
Investigator assessment
Analysis narrative
The airplane collided with terrain while maneuvering in dark night visual meteorological conditions while on the third leg of a 1,665 nautical mile (nm) cross-country flight. The airplane, with the pilot/owner and a pilot-rated passenger aboard, had departed the east coast in the morning and had been en route for about 16 hours. It could not be determined which of the two pilots was manipulating the flight controls at the time of the accident. The planned length of the last leg of the flight was 660 nm, which was about equal to the airplane’s calculated maximum range for a no wind condition with a 45 minute reserve. Radar data revealed that during the last few minutes of the flight, the airplane changed course several times toward different nearby airports. These heading excursions were most likely due to a decision by the pilots to divert to an alternate airport after realizing that the destination airport could possibly be beyond the current range of the airplane. The last radar return was about 0.1 nm south of the accident site, which was located in a remote, sparsely populated area. Examination of the accident site revealed signatures, including tree strikes and wreckage distribution, consistent with controlled flight into terrain. Postaccident examination of the engine and airframe revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. It is likely that the pilots lost situational awareness and failed to maintain terrain clearance. Conditions conducive to controlled flight into terrain included fatigue due to the pilots’ long duty day, the dark night light condition, the lack of ground lighting in the region, and the fact that neither pilot was instrument rated.
Source record
Factual narrative
HISTORY OF FLIGHT On July 29, 2011, about 2100 mountain standard time, a Cirrus Design Corp SR20, N365DP, was substantially damaged after impacting terrain while maneuvering about 30 nautical miles (nm) southwest of Fredonia, Arizona, in the Kaibab National Forest. Both the private pilot and registered owner of the airplane, and commercial pilot/passenger, sustained fatal injuries. The flight was conducted under the provisions of 14 Code of Federal Regulations Part 91 as a personal cross-country flight. Visual meteorological conditions (VMC) prevailed at the time of the accident, and no flight plan had been filed. The flight departed from the Rock Hill Airport-Bryant Field (UZA), Rock Hill, South Carolina, about 0800 eastern daylight time (EDT), with its destination being the Henderson Executive Airport (HND), Henderson, Nevada. A family member of the private pilot reported to the National Transportation Safety Board investigator-in-charge (IIC), that the purpose of the flight was to reposition the airplane from UZA to HND. The family member further reported that she thought the flight departed UZA about 0800 EDT on the morning of the accident, but wasn’t entirely sure of the precise time. The family member stated that she spoke with the pilot that afternoon, who reported that he was refueling in Stillwater, Oklahoma, and would be arriving HND about 2130 or 2200 Pacific daylight time (PDT) that evening. The family member revealed that after falling asleep and awakening about 0300 PDT the next morning and realizing that the flight had not returned, she became very concerned and began making phone calls in an effort to locate the pilots. A family member of the commercial pilot reported to the IIC that the majority of her conversation with the pilot was basically of a personal nature, with very little of the conversation regarding the trip itself. However, she did provide a communication timeline relative to the personal texting she and the pilot conducted while he was en route (all times are Pacific daylight times): 7:00 am received text stating he was on the move 9:41 am received two texts stating he was in Tennessee and Arkansas 10:41 am about eating in Arkansas in a 737 [restaurant] 11:48 am: stating “off we go” 4:50 pm: voicemail saying they were leaving from Guymon after getting food and gas 5:57 pm: text stating he was about to pass Taos, New Mexico 8:23 pm: text mentioning it was slow going, still 90 min[utes] out 8:45 pm: texting personal information, about 10 texts until she did not receive any more (7 min or so worth of texting if she were to estimate) Law enforcement personnel reported to the IIC that in a conversation with a family member of the private pilot, the family member stated that the flight had departed from UZA at 0800 EDT. The family member further stated that the airplane had landed somewhere in the Oklahoma panhandle to refuel. The family member revealed that the commercial pilot called a family member at 2023 and said that they were going to refuel somewhere in Arizona before proceeding to HND. She added she thought that the commercial pilot had sent a text message to the family member at 2045. Law enforcement personnel reported to the IIC that in a conversation with a family member of the commercial pilot, she had received a text message from him stating that they planned to land at HND by 2130. The family member added that it was her belief that the airplane had not landed anywhere else to refuel after leaving Oklahoma. An alert notification (ALNOT) was issued by the Prescott Flight Service Station, Prescott, Arizona, about 0800 MST on the morning of July 30. The airplane wreckage was subsequently located that morning about 1000, 31 nm southeast of Fredonia, Arizona. It was determined by fuel receipts and witness statements that after departing UZA, the airplane landed at the Walnut Ridge Airport (ARG), Walnut Ridge, Arkansas, at about 1330 central daylight time (CDT); the distance between UZA and ARG was about 486 nm. After landing, the airplane was refueled by the pilot using the self-service fuel island with 50.1 gallons of aviation fuel; according to Cirrus Aircraft, the total usable fuel for the SR20 is 56.0 gallons. Witnesses reported that the airplane departed ARG about 1400 CDT. After departing ARG, the airplane proceeded westbound to the Guymon Municipal Airport (GUY), Guymon, Oklahoma; the arrival time could not be determined during the investigation. The distance between Walnut Ridge, Arkansas and Guymon, Oklahoma is about 512 nm. Guymon airport personnel stated that they didn’t think the pilots had eaten at the airport during their stopover, but they were not certain. A fuel receipt did indicate that the airplane was refueled with 44.2 gallons of aviation fuel, time stamped at 1851 CDT. Airport personnel did say that they thought the airplane departed about 1900 CDT. Radar data provided by the 84 RADES, Hill Air Force Base, Ogden, Utah, revealed the last 26 minutes of the accident flight covered a distance of 58 nm. During this period of time, the airplane was transmitting a 1200 transponder code, but was not transmitting MODE C (altitude) reporting information. From 20:28:55 to 20:54:10 (25 minutes, 15 seconds), data indicated that the airplane was flying a magnetic heading of 244 degrees with an average ground speed of 132 knots. At 20:54:10, radar data indicated the airplane turned right approximately 16 degrees, followed by an approximately 50-degree turn to the left 36 seconds later. From 20:54:47 to 20:55:24 (37 seconds), radar data indicated that the airplane’s magnetic heading was 210 degrees with an average ground speed of 116 knots. This heading was determined to be in line with the Kingman Airport (IGN), Kingman, Arizona, which was located about 115 nm from the airplane’s position at the time of the turn. From 20:55:24 until the last radar return at 20:55:36 (12 seconds), radar data revealed that the airplane had turned right about 90 degrees to a northwest heading. This heading was in line with the Kanab Airport (KNB), Kanab, Utah, which was located 34 nm northwest of the last radar return. The accident site was located about 0.1 miles north of the last radar return in the Saddle Mountain Wilderness of the Kaibab Plateau, a sparsely populated area about 20 nm north of the Grand Canyon National Park’s north rim. The airplane had impacted high standing trees at an elevation of about 8,900 feet msl, on a measured magnetic heading of 355 degrees. The energy path extended along the impact heading for about 385 feet, and extended over a lateral distance of about 110 feet. Subsequent to an on site survey of the wreckage and the surrounding area, the airplane was recovered to a secured storage facility in Phoenix, Arizona, for further examination. PERSONNEL INFORMATION The private pilot, age 39, was the owner of the airplane and possessed a private pilot certificate with a rating for airplane single-engine land. A review of Federal Aviation Administration (FAA) records revealed that the pilot received his private pilot certificate on April 13, 2008, in a Cessna 172 airplane. According to the Airman Certificate and/or Rating Application submitted to the FAA examiner prior to his private pilot check ride, the pilot listed a total flying time of 73.4 hours. During the investigation, the pilot’s personal logbook was not recovered, and as a result his time in make and model, as well as a breakdown of other pilot times was not determined. A search of FAA records revealed that the pilot’s most recent application for his airman medical certificate was dated July 24, 2007, which was his initial medical examination for a student pilot certificate. A third-class FAA medical was approved on July 31, 2007, with 0 flight time noted. The commercial pilot, age 32, possessed a commercial pilot cert