North Central Airport
Aircraft Accident/Incident Report

Pawtucket, Rhode Island 02860
Friday, June 6, 2008 17:45 EDT

NTSB Narrative Summary Released at Completion of Accident

A Piper PA-30 was on an instrument flight rules (IFR) flight plan in instrument meteorological conditions and was cleared for an instrument approach. As the Piper approached the missed approach point, the pilot visually acquired the airport, and notified the air traffic controller to cancel his IFR flight plan. According to the Piper pilot, after the controller acknowledged the cancellation request, the pilot retuned his radio to the Common Traffic Advisory Frequency (CTAF) and announced his intention for landing. Due to the wind direction, the Piper pilot elected to circle and land on Runway 15, which was in the opposite direction of his approach. The pilot of a Beech A36, who was ready to depart from Runway 5 of the same airport, and who was also on an IFR flight plan, requested permission to take off but was told to "hold for release" by the controller. However, the controller did not explicitly inform the Beech pilot of the reason for the delay. Less than a minute later, the controller released the Beech. The two airplanes collided near the intersection of the two runways. Both pilots reported that they were not aware of the other airplane until immediately prior to the collision. Several witnesses heard the Beech pilot announce his intentions multiple times, but did not hear the Piper pilot's transmissions. The investigation also revealed that the two controllers were both aware of the proximity of the two airplanes, but neither one communicated that information to either of the pilots. A review of the recorded communications also revealed that the approach controller had a brief personal conversation with another controller just prior to the accident. The lack of received position or intent transmissions from the Piper, and the controllers' failure to inform the pilots of the proximity of the two airplanes, deprived the pilots of information that was critical to the pilots' situational awareness, and which could have enabled one or both pilots to prevent this accident.

NTSB Probable Cause Narrative

Both pilots' failure to see and avoid the other airplane. Contributing to the accident was the air traffic controllers failure to notify either pilot of the potential conflict.

Event Information

Type of Event Accident
Event Date 6/6/2008
Event Day of the Week Friday
Time of Event 1745
Event Time Zone Eastern Daylight Time
Event City Pawtucket
Event State RHODE ISLAND
Event Country --
Zipcode of the event site 02860
Event Date Year 2008
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? Yes
Event Location Latitude 415517N
Event Location Longitude 0712945W
Event Location Airport North Central Airport
Event Location Nearest Airport ID SFZ
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 441
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1735 Eastern Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID SFZ
Elevation of weather observation facility 441
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 600
Lowest Non-Ceiling Height 600
Sky/Lowest/Cloud Conditions Thin Overcast
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 11
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.13
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None 2
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 26346
NTSB Notification Source New England Region ROC
NTSB Notification Date Jun 6 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Nov 13 2009 3:07PM
User who most recently changed record muzd
Basic weather conditions Instrument Meteorological Cond
FAA District Office Boston FSDO

Aircraft Involved

Aircraft #1

Aircraft #2

Aircraft Registration Number N27199 N7660Y
NTSB Number NYC08LA207A NYC08LA207B
Missing Aircraft Indicator -- --
Federal Aviation Reg. Part Part 91: General Aviation Part 91: General Aviation
Type of Flight Plan filed IFR IFR
Flight plan Was Activated? Yes Yes
Damage Substantial Substantial
Aircraft Fire None Ground
Aircraft Explosion None None
Aircraft Manufacturer's Full Name BEECH PIPER
Aircraft Model A36 PA-30
Aircraft Series Identifier -- --
Aircraft Serial Number E-2321 30-738
Certified Max Gross Weight 3650 3725
Aircraft Category Airplane Airplane
Aircraft Registration Class -- --
Aircraft is a homebuilt? No No
Flight Crew Seats -- --
Cabin Crew Seats -- --
Passenger Seats -- --
Total number of seats on the aircraft 6 4
Number of Engines 1 2
Fixed gear or retractable gear Retractable Retractable
Aircraft, Type of Last Inspection Annual Annual
Date of Last Inspection Oct 1 2007 12:00AM Apr 1 2008 12:00AM
Airframe hours since last inspection -- 50
Airframe Hours 2662 5278
ELT Installed Yes Yes
ELT Activated No No
ELT Aided Location of Event Site No No
ELT Type -- C91-A
Aircraft Owner Name Kodar LLC Stuart Gitlow
Aircraft Owner Street Address -- --
Aircraft Owner City Basking Ridge Woonsocket
Aircraft Owner State NJ RI
Aircraft Owner Country USA USA
Aircraft Owner Zipcode 07920 02895
Operator is an individual? Yes Yes
Operator Name Richard J. Darche Stuart Gitlow
Operator Same as Owner? No Yes
Operator Is Doing Business As -- --
Operator Address Same as Owner? No Yes
Operator Street Address -- --
Operator City Basking Ridge Woonsocket
Operator State NJ RI
Operator Country USA USA
Operator Zip code 07920 02895
Operator Code -- --
Owner has at least one certificate None None
Other Operator of large aircraft? No No
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) Personal Personal
Second Pilot on Board No No
Departure Point Same as Event Yes No
Departure Airport Code SFZ ACK
Departure City Pawtucket Nantucket
Departure State NJ MA
Departure Country USA USA
Departure Time 1744 1710
Departure Time Zone EDT EDT
Destination Same as Local Flt -- crash at destination city
Destination Airport Code MMU SFZ
Destination City Morristown Pawtucket
Destination State NJ NJ
Destination Country USA USA
Specific Phase of Flight Takeoff - roll/run Landing - roll
Report sent to ICAO? -- --
Evacuation occurred -- --
Date of most recent change to record Nov 13 2009 3:07PM Nov 13 2009 3:06PM
User who most recently changed record muzd muzd
Since inspection or accident Time of Accident Last Inspection
Event Location Runway Number and Location 05 15
Runway Length 5000 3210
Runway Width 100 75
Sight Seeing flight No No
Air Medical Flight No No
Medical Flight -- --