Pilot Debrief

CONE JAMES A RV-6A near West Jordan, UT — 2011-09-15

Final reportWPR11FA450
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Date
2011-09-15
Location
West Jordan, UT, USA
Airport
U42
Aircraft
CONE JAMES A RV-6A
Registration
N641JC
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Descent

Probable cause

The pilot’s execution of an abrupt maneuver, likely to avoid birds, which resulted in a stall and spin.

NTSB narrative

While approaching the airport at the conclusion of a 4-hour flight, the pilot announced his intention over the common traffic frequency to join the traffic pattern. A short time later, an undiscernible distress transmission was made over the frequency. A few seconds later, the airplane was observed spiraling to the ground. Global positioning system data recovered from the airplane revealed that it was traveling at an appropriate airspeed for entry into the downwind leg of the traffic pattern with a sufficient margin above the stall speed to maintain flight. It then made an abrupt left turn, resulting in a spiral dive, which progressed into a spin. A postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. No evidence of a bird-strike was found, and review of radar data did not reveal the presence of other aircraft in the vicinity just prior to the accident. However, radar data did reveal that the airplane passed through a cluster of primary targets (with no altitude information) at the time of the accident. Such primary targets could potentially be radar system anomalies, thermal air currents, or bird reflections. According to a bird mitigation specialist, large birds, or flocks of smaller birds, are often present at that time of year, and such birds typically fly circling patterns in thermal air currents at traffic pattern altitudes. The pilot’s abrupt maneuver during the approach was consistent with an avoidance maneuver. The maneuver, which was calculated to be a 65-degree angle of bank to the left, most likely placed the airplane into an accelerated stall condition, which developed into a spin. The airplane was loaded toward its aft center of gravity limit, which could have increased its pitch sensitivity, thereby exacerbating the turn. A successful recovery from an unintentional stall-spin at pattern altitude is extremely unlikely.

Analysis

Primary failure mode
Loss of control
First missed decision gate
Pilot could have aborted the descent when experiencing distress signals.

NTSB coding

Evidence available

  • ADS-B / radar
  • Photos
  • 30 docket documents
View NTSB final reportView NTSB docket

Docket documents30