Aircraft Accident/Incident Report

New River, Arizona 85331
Thursday, May 16, 2002 21:54 MST

NTSB Narrative Summary Released at Completion of Accident

During a sales demonstration flight, the pilot descended into the upsloping face of mountainous terrain about 17 nm north of the destination airport. The accident occurred under dark, nighttime, visual meteorological conditions, and after about a 22-minute flight. Illumination of the moon's visible disk was 19 percent. No roads or ground structures were in the vicinity to provide ground reference or to illuminate the accident area terrain. The direct course between the departure and destination airports (71 nm apart) was 180 degrees magnetic. Recorded radar data indicated that during the last 3 minutes of flight, the airplane's average ground track was 176 degrees, and its average ground speed was 168 knots. The radar ground track ended near the centerline of the direct course between the departure and destination airports, and about 1/4-mile north of the initial point of impact (IPI). The wreckage distribution path was 640 feet long on a magnetic bearing of 177 degrees. An examination of the impact ground scars disclosed that the airplane was in controlled flight in a shallow descent when it collided with the terrain. Review of the radar derived accident airplane's flight track in conjunction with the associated underlying terrain and the ambient lighting conditions revealed that the terrain would have been, at best, marginally visible to the pilot. Initially during the descent, the lights of the greater Phoenix area would have been visible to the pilot in the distance, but the area would have disappeared from the pilot's view seconds before impact. The airplane was equipped with an autopilot, a KLN 94 global positioning satellite receiver, and a KMD 550 multifunction color display that, if operated in the topographic mode, had the capability to display terrain elevation information. During the wreckage examination of the airframe's structure and the engine, no evidence of any preimpact failures or malfunctions was found. The avionics components were found too impact-damaged to provide data. Accordingly, the investigation was unable to ascertain if the pilot was using the multifunction display to receive topographic data while descending toward the destination airport. The KLN 94 and the KMD 550 Pilot's Guides state: "CAUTION NEVER USE THE TOPOGRAPHIC ELEVATION DISPLAYED ON THIS EQUIPMENT AS YOUR SOLE REFERENCE FOR TERRAIN AVOIDANCE."

NTSB Probable Cause Narrative

the pilot's failure to maintain an adequate terrain clearance altitude during a cruise descent that resulted in controlled flight into terrain (CFIT). Factors in the accident were the rising mountainous terrain, the dark nighttime lighting condition, and the pilot's loss of situational awareness regarding terrain proximity.

Event Information

Type of Event Accident
Event Date 5/16/2002
Event Day of the Week Thursday
Time of Event 2154
Event Time Zone Mountain Standard Time
Event City New River
Event State ARIZONA
Event Country --
Zipcode of the event site 85331
Event Date Year 2002
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 335740N
Event Location Longitude 1120046W
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 2153 Mountain Standard Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID DVT
Elevation of weather observation facility 1478
Distance of event from weather observation facility (units?) 17
Time Zone of the weather observation MST
Lighting Conditions Night
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) 20
Dew Point at event time (in degress fahrenheit) 5
Wind Direction (degrees magnetic) 240
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.93
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) 18543
NTSB Notification Source
NTSB Notification Date May 17 2002 12:00AM
NTSB Notification Time 845
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Oct 27 2005 6:51AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-FSDO Scottsdale, Arizona

Aircraft Involved

Aircraft #1

Aircraft Registration Number N328CG
NTSB Number LAX02FA166
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name SOCATA
Aircraft Model TB-21
Aircraft Series Identifier --
Aircraft Serial Number 2025
Certified Max Gross Weight 3083
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 5
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Apr 5 2002 12:00AM
Airframe hours since last inspection 50
Airframe Hours 145
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Avex, Inc.
Aircraft Owner Street Address 205 Durley Avenue, Suite A
Aircraft Owner City Camarillo
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 93010
Operator is an individual? No
Operator Name The New Avex, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City --
Operator State --
Operator Country --
Operator Zip code --
Operator Code --
Owner has at least one certificate 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) Other Work Use
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code SEZ
Departure City Sedona
Departure State AZ
Departure Country USA
Departure Time 2132
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code DVT
Destination City Phoenix
Destination State AZ
Destination Country USA
Specific Phase of Flight Descent
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record --
User who most recently changed record --
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --