Aircraft Accident/Incident Report

Hopland, California 95449
Monday, August 27, 2001 18:40 PDT

NTSB Narrative Summary Released at Completion of Accident

During an aerial fire suppression mission for the California Department of Forestry (CDF), two Grumman TS-2A airplanes, operating as Tanker 92 (N442DF) and Tanker 87 (N450DF), collided in flight while in a holding pattern awaiting a retardant drop assignment on the fire. All of the airplanes fighting the fire were TS-2A's, painted in identical paint schemes. The Air Tactical Group Supervisor (AirTac) was orbiting clockwise 1,000 feet above the tankers, who were in a counterclockwise orbit at 3,000 feet mean sea level (msl). The pilots of both aircraft involved in the collision had previously made several drops on the fire. Records from the Air Tac show that Tankers 86, 91, and 92 were in orbit, and investigation found that Tanker 87 was inbound to enter the orbit after reloading at a nearby airport base. AirTac would write down the tanker numbers as they made their 3-minutes-out call, and usually ordered their drops in the same order as their check-in. The AirTac's log recorded the sequence 86, 91, 21, and 92. The log did not contain an entry for Tanker 87. Other pilots on frequency did not recall hearing Tanker 87 check in. Based on clock codes with 12-o'clock being north, the tankers were in the following approximate positions of the orbit when the collision occurred. Tanker 92 was at the 2-o'clock position; Tanker 86 was turning in at the 5-o'clock position; and Tanker 91 was in the 7-o'clock position. The AirTac's log indicated that Tanker 92 was going to move up in sequence and follow Tanker 86 in order to drop immediately after him. Post accident examination determined that Tanker 92's flaps were down, indicating that the pilot had configured the airplane for a drop. Tanker 92 swung out of the orbit wide (in an area where ground witnesses had not seen tankers all day) to move behind Tanker 86, and the pilot would likely have been focusing on Tanker 86 out of his left side window. Tanker 87 was on line direct to the center of the fire on a path that witnesses had not observed tankers use that day. Reconstruction of the positions of the airplanes disclosed that Tankers 86 and 91 would have been directly in front of Tanker 87, and Tanker 92 would have been wide to his left. Ground witnesses said that Tanker 87 had cleared a ridgeline just prior to the collision, and this ridgeline could have masked both collision aircraft from the visual perspective of the respective pilots. The right propeller, engine, and cockpit of Tanker 92 contacted and separated the empennage of Tanker 87. The propeller chop was about 47 degrees counterclockwise to the longitudinal axis of Tanker 87 as viewed from the top. The collision appeared to have occurred about 2,500 feet, which was below orbit altitude. CDF had no standard operating manual, no established reporting or entry point for the holding orbits, and a tanker could enter any point of the orbit from any direction. While no standardized procedures were encoded in an operating manual, a CDF training syllabus noted that a tanker was not to enter an orbit until establishing positive radio contact with the AirTac. The entering tanker would approach 1,000 feet below AirTac's altitude and stay in a left orbit that was similar to a salad bowl, high and wide enough to see and clear all other tankers until locating the tanker that it was to follow, then adjust speed and altitude to fall in behind the preceding airplane.

NTSB Probable Cause Narrative

the failure of both pilots to maintain an adequate visual lookout. The failure of the pilot in Tanker 87 to comply with suggested procedures regarding positive radio contact and orbit entry was a factor.

Event Information

Type of Event Accident
Event Date 8/27/2001
Event Day of the Week Monday
Time of Event 1840
Event Time Zone Pacific Daylight Time
Event City Hopland
Event State CALIFORNIA
Event Country --
Zipcode of the event site 95449
Event Date Year 2001
Event Date Month 8
MidAir Collision Indicator Yes
On Ground Collision occurred ? No
Event Location Latitude 390105N
Event Location Longitude 1231139W
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1856 Pacific Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID UKI
Elevation of weather observation facility 614
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 30
Dew Point at event time (in degress fahrenheit) 6
Wind Direction (degrees magnetic) 340
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29.87
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 18286
NTSB Notification Source CDF
NTSB Notification Date Aug 27 2001 12:00AM
NTSB Notification Time 2030
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Sep 13 2005 12:54PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-OAK-FSDO

Aircraft Involved

Aircraft #1

Aircraft #2

Aircraft Registration Number N442DF N450DF
NTSB Number LAX01GA291A LAX01GA291B
Missing Aircraft Indicator -- --
Federal Aviation Reg. Part Public Use Part 91: General Aviation
Type of Flight Plan filed None None
Flight plan Was Activated? No No
Damage Destroyed Destroyed
Aircraft Fire Ground Ground
Aircraft Explosion Ground Ground
Aircraft Manufacturer's Full Name Grumman Grumman
Aircraft Model TS-2A TS-2A
Aircraft Series Identifier -- --
Aircraft Serial Number 255 421
Certified Max Gross Weight 27000 27000
Aircraft Category Airplane Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No No
Flight Crew Seats -- --
Cabin Crew Seats -- --
Passenger Seats -- --
Total number of seats on the aircraft 2 2
Number of Engines 2 2
Fixed gear or retractable gear Retractable Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness Continuous Airworthiness
Date of Last Inspection Aug 23 2001 12:00AM Aug 21 2001 12:00AM
Airframe hours since last inspection 8 8
Airframe Hours 9868 10354
ELT Installed Yes Yes
ELT Activated No No
ELT Aided Location of Event Site No No
ELT Type -- --
Aircraft Owner Name CALIFORNIA DEPARTMENT OF FORESTRY CALIFORNIA DEPARTMENT OF FORESTRY
Aircraft Owner Street Address 1416 Ninth St. 1416 NINTH ST
Aircraft Owner City SACRAMENTO SACRAMENTO
Aircraft Owner State CA CA
Aircraft Owner Country USA USA
Aircraft Owner Zipcode 95814 95814
Operator is an individual? No No
Operator Name -- --
Operator Same as Owner? Yes Yes
Operator Is Doing Business As -- --
Operator Address Same as Owner? Yes Yes
Operator Street Address -- --
Operator City -- --
Operator State -- --
Operator Country -- --
Operator Zip code -- --
Operator Code -- --
Owner has at least one certificate None None
Other Operator of large aircraft? -- --
Certified for Part 133 or 137 Operation -- --
Operator Certificate Number -- --
Indicates whether an air carrier operation was scheduled or not -- --
Indicates Domestic or International Flight -- --
Operator carrying Pax/Cargo/Mail -- --
Type of Flying (Per_Bus / Primary) Public Use Public Use
Second Pilot on Board No No
Departure Point Same as Event No No
Departure Airport Code UKI UKI
Departure City UKIAH UKIAH
Departure State CA CA
Departure Country USA USA
Departure Time 1830 1834
Departure Time Zone PDT PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere dest & departure same, accident can occur anywhere
Destination Airport Code -- --
Destination City -- --
Destination State -- --
Destination Country -- --
Specific Phase of Flight Maneuvering Maneuvering
Report sent to ICAO? Yes No
Evacuation occurred No No
Date of most recent change to record Jul 7 2005 11:06AM Jul 7 2005 11:06AM
User who most recently changed record COOS COOS
Since inspection or accident -- Time of Accident
Event Location Runway Number and Location NA NA
Runway Length -- --
Runway Width -- --
Sight Seeing flight No No
Air Medical Flight No No
Medical Flight -- --