Aviation Accident Summaries

Aviation Accident Summary WPR19FA154

Grover, UT, USA

Aircraft #1

N809SR

Cirrus SR22

Analysis

The pilot departed on an instrument flight rules cross-country flight and climbed to a cruise altitude of 14,000 ft mean sea level (msl). About 30 minutes into the flight, he requested a climb to 16,000 ft msl. Radar data indicated that over the next several minutes, the airplane climbed to 14,500 ft, then began an increasingly rapid descent as its groundspeed decayed from about 111 knots (kts) to about 64 kts before radar contact was lost. Witnesses reported that they heard the airplane and looked up to see it descending nose down like a corkscrew before it impacted terrain. Postaccident examination of the airframe and engine did not reveal any anomalies that would have precluded normal operation. AIRMET Zulu for moderate icing conditions was valid for the area of the accident site at the time of the accident, and an atmospheric sounding supported the likely formation of moderate rime and mixed-type icing in the area. The sounding also indicated the potential for supercooled large droplet icing formation near the top of the cloud layer near 15,000 ft msl. Satellite imagery depicted cumulus and cumulus congestus type clouds with vertical development over the flight track and accident site, and weather radar imagery depicted the airplane entering an area of light-to-moderate intensity echoes just before radar contact was lost. Immediately before and after the accident, two other aircraft operating at similar altitudes reported encountering light clear to mixed icing conditions. The pilot had received preflight weather information containing the relevant forecasts and advisories. In addition, the airplane was equipped with a TKS ice protection system, but it was heavily fragmented during the accident sequence and the investigation was unable to determine if the system was activated or working at the time of the accident. It is likely that, during the last minutes of the flight, the airplane encountered moderate-to-severe icing conditions, which adversely affected the airplane's handling characteristics and likely resulted in a loss of control.

Factual Information

HISTORY OF FLIGHTOn May 24, 2019, about 1116 mountain daylight time, a Cirrus SR22 airplane, N809SR, was destroyed when it was involved in an accident near Grover, Utah. The private pilot and passenger were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The airplane departed Canyonlands Field Airport (CNY), Moab, Utah, about 1042. Shortly after takeoff, the pilot contacted air traffic control, opened his instrument flight rules flight plan to Henderson Executive Airport (HND), Las Vegas, Nevada, and was assigned a cruise altitude of 14,000 ft mean sea level. About 1111, the pilot requested to climb to 16,000 ft msl; this was the last communication from the pilot. The airplane climbed from 13,900 ft to 14,500 ft at an average rate of 300 ft per minute and an average groundspeed of 111 knots. Shortly thereafter, the airplane's average groundspeed was 95 knots. The airplane then descended from 14,500 ft to 14,000 ft at an average rate of 833 ft per minute and an average groundspeed of 81 knots. The descent then increased to 2,000 ft per minute at an average groundspeed of 64 knots. Radar contact was lost at 1116. Witnesses reported to law enforcement that they heard the airplane, then looked up and saw it nose down, descending like a corkscrew. The airplane descended behind a hillside and shortly thereafter, they heard an explosion and saw smoke. Data recovered from the airplane's Avidyne multifunction display revealed that the engine was producing power until the time of the accident and that cylinder head and exhaust gas temperatures, fuel flow, oil temperature, and oil pressure values were consistent throughout the flight. METEOROLOGICAL INFORMATIONThe National Weather Service issued AIRMET Zulu, valid for the area of the accident site about the time of the accident, for moderate icing conditions between around 7,000 ft to 9,000 ft up to 21,000 ft msl. The High Resolution Rapid Refresh numerical model sounding over the accident site depicted a freezing level of 9,755 ft msl and a supported layer of clouds with bases at 10,860 ft msl with tops near 15,000 ft msl; this cloud layer had a greater than 90% probability of producing moderate rime-to-mixed-type icing. The sounding also indicated a mean vertical motion varying from 8 to 14 meters per second, which would enhance the growth of supercooled large droplet formation near the top of the cloud layer. The sounding wind profile supported a high probability of moderate turbulence due to strong vertical wind shear within the cloud environment. The GOES-17 visible imagery depicted cumulus to cumulus congestus clouds with vertical development over the flight track and accident site, which would also support the formation of larger supercooled water droplets, and vertical motion in the clouds, which would enhance the icing potential. Weather radar imagery depicted several small areas of light-to-moderate intensity echoes of 25 to 35 basic reflectivity values (dBZ) scattered over the area, with most of the echoes within 25 miles of the radar site in the range of 10 to 15 dBZ, or very light intensity. When overlaid with the airplane's flight track, imagery indicated that just before radar contact was lost, the airplane passed through one of these small cells with a maximum intensity of 25.5 dBZ. Immediately before and after the accident, two other aircraft operating at similar altitudes reported encountering light clear-to-mixed icing conditions. The pilot filed an instrument flight rules flight plan through ForeFlight before departure and received a corresponding route briefing, which included a description of the conditions and provided the advisory regarding potential icing conditions along the route of flight. WRECKAGE AND IMPACT INFORMATIONThe airplane impacted remote mountainous terrain. The debris field was about 330 ft long and was oriented on a magnetic heading of 217°. The airplane was heavily fragmented and scattered perpendicular to a cliffside. Flight control continuity was established throughout the airframe. The elevator and rudder controls were continuous. The aileron control cable was fracture separated at the control panel and the aileron actuation pulley. Both fractures were consistent with overload. The airplane’s TKS icing protection system, which was not certified for flight into known icing, was found fragmented and scattered throughout the debris field. The engine was separated from the airframe and came to rest about 211 ft from the initial impact crater. Several components were fracture separated from the engine and scattered throughout the debris field. The crankcase exhibited impact-related damage; there were no signs of catastrophic engine failure. The crankshaft was bent just aft of the propeller flange. The crankshaft gear displayed normal operating signatures. All six cylinders remained attached to the cylinder bays; the right-side cylinders exhibited more damage than the left side cylinders. Borescope examination of the cylinder bores, piston faces, and valve heads displayed normal operating signatures. The fuel pump was removed from the engine and the driveshaft was rotated; residual fuel pumped through the line. The upper and lower spark plugs exhibited normal operating signatures. The oil filter was removed from the engine and cut open; no metallic material was noted. The propeller assembly remained attached to the engine and the three blade shanks remained attached to the hub. Postaccident examination of the airframe and engine revealed no anomalies that would have precluded normal operation. MEDICAL AND PATHOLOGICAL INFORMATIONThe Office of the Medical Examiner from the Utah Department of Health, Taylorsville, Utah performed an autopsy of the pilot and determined the cause of death to be "multiple injuries". The FAA Forensic Sciences Laboratory performed forensic toxicology on specimens from the pilot with positive results for cetirizine which is not considered a hazard to flight safety.

Probable Cause and Findings

The pilot's encounter with moderate to severe icing conditions during cruise flight, which resulted in structural icing and a subsequent loss of control. Contributing to the accident was the pilot’s decision to continue a flight route through known moderate to severe icing conditions.

 

Source: NTSB Aviation Accident Database

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