An early January midair
over Denver, CO, has been laid to the failure of both pilots to see
and avoid each other. The final report, released earlier this week,
does note that a transponder problem contributed to the situation
in which a Cessna 172 and a Piper Cheyenne collided, killing five
on board both aircraft and doing extensive damage to structures on
the ground in NW Denver.
NTSB Publishes Details
On January 24, 2003, at 1720:36 mountain standard time, a Piper
PA-31T, N360LL, registered to and operated by Lee Larson Aircraft
Sales of Northglenn, Colorado, and a Cessna 172P, N52241,
registered to EDB Air, Inc., and doing business as Key Lime Flights
of Englewood, Colorado, collided in midair over Denver, Colorado.
The commercial pilot-in-command and the commercial certificated
pilot-passenger aboard N360LL and the private pilot and two
passengers aboard N52241 were fatally injured. The Denver Police
Department (DPD) reported that six persons on the ground, including
a 15-year old boy and a 2-year old girl, received minor injuries
from falling debris. Visual meteorological conditions prevailed,
and neither pilot had filed flight plans. Both flights were being
operated under Title 14 CFR Part 91. N5224's flight originated at
Centennial Airport, Englewood, Colorado, at 1708, and was en route
to Cheyenne, Wyoming. N360LL's flight originated at Jeffco Airport,
Broomfield, Colorado, at 1716, and was en route to Centennial
Airport.
At 1708, the pilot of
N52241 was cleared for takeoff from Centennial Airport's runway
17L, and to proceed VFR (visual flight rules) "on course." At 1716,
the pilot of N360LL was cleared for takeoff from Jeffco Airport's
runway 29R, VFR, with a southbound departure. At 1717:52, the pilot
of N360LL contacted Denver Terminal Radar Control (TRACON) and
advised "We're just off Jeffco, down to Centennial." [At this
point, radar data indicated N52241 was about 10 miles northwest of
Centennial, its transponder transmitting a beacon code of 1200
(VFR)]. At 1718:04, the controller assigned the pilot a transponder
beacon code of 5250. At 1718:26, he identified the airplane on
radar: "Cheyenne Zero Lima Lima, radar contact, four (miles) south
of Jeffco. Proceed as requested. [Note: According to NTSB's
Operational Factors Division (AS-30), "proceed as requested" does
not constitute an ATC clearance, which requires an aircraft to
proceed under conditions specified by ATC, nor was one required
because the pilot was operating in Class E airspace under visual
flight rules.] I'm not getting any mode C on you. You squawking
altitude?" The pilot replied, "Ah, yes, sir, we are." [At this
point, radar data indicated N360LL was 10.73 miles from N52241]. At
1718:34, the controller asked the pilot for his altitude. He
replied he was at 7,800 feet. [Radar data indicated the N360LL's
mode C was still inoperative and it remained so throughout the
flight. The radar-computed ground speed indicated "23," or 230
knots.]
At 1718:58, the pilot of N52241 contacted Denver Terminal Radar
Control (TRACON): "Denver, Cessna Five Two Two Four One is over
Denver at seven thousand, three hundred feet, with a request." The
controller issued the pilot a transponder beacon code of 5251. The
pilot acknowledged the instruction and requested clearance to climb
to 8,500 feet, which would place the airplane in Class B airspace.
He also advised he was en route to Cheyenne. [At this point,
Centennial tower called the controller with a request for another
aircraft's IFR departure release. The controller issued the release
and assigned a departure heading of 050 degrees, then coordinated
the departure with the south sector controller]. At 1720:04, the
controller identified the airplane on radar when it was 15 miles
southeast of Jeffco Airport, and asked the pilot to repeat his
requested altitude. He repeated his request for 8,500 feet. [At
this point, separation between N360LL and N52241 had closed to 2.91
miles. N52241's radar-computed ground indicated "11," or 110 knots.
At about this time, the controller made a transmission to an
aircraft that was on the downwind leg at Centennial Airport. He
then vectored another airplane onto the NDB (nondirectional beacon)
approach to Centennial Airport. The controller was also monitoring
other aircraft that were getting close to a restricted area and the
airport traffic area]. At 1720:16, the controller cleared N52241 to
enter class B airspace and climb to 8,500 feet. Two seconds later,
radar showed target separation as 1.64 miles. At 1720:22, target
separation was 1.20 miles. At 1720:27, target separation was 0.80
miles.
At 1720:28, the
controller asked the pilot of N360LL to report his altitude. The
pilot replied, "(Unintelligible) six." The controller said, "Say
again." At 1720:31, target separation had reduced to 0.29 miles.
The pilot said, "Seven thousand, six hundred." At 1720:33, the
controller issued the pilot a traffic advisory: "Traffic is at
twelve o'clock and a mile at seventy seven hundred, a Cessna." The
pilot did not acknowledge this transmission. At 1720:36, the two
airplanes were 0.06 miles apart. Immediately thereafter, radar data
indicated both targets had entered "coast" mode (i.e.
computer-generated projection of targets' tracks and positions). At
1720:47, the controller advised N360LL that the previously reported
traffic was no longer a factor and issued another advisory for
traffic 4 miles away. Receiving no reply from the pilot, the
controller attempted several times to contact both airplanes. The
controller then contacted a traffic patrol pilot and asked him to
fly over the area where radar contact was lost. Shortly thereafter,
the traffic patrol pilot reported that it appeared there had been
an accident. The TRACON controller initiated search and rescue
procedures.
The collision occurred 2 minutes, 43 seconds and 1 minute, 35
seconds after the pilots of N360LL and N52241 made initial contact
with Denver TRACON, respectively.
Wreckage and debris from both airplanes covered an area of
approximately 24 city blocks. N52241 impacted the northeast corner
of a house at 3421 W. Moncrieff Place. When examined inside the
house, the airplane was in a vertical attitude. The wreckage
consisted of the fuselage, both wings with control surfaces and
lift struts still attached, the vertical and horizontal stabilizers
with both elevators and rudder attached, and the engine and
detached propeller. Smaller pieces of debris --- pieces of the
engine and cowling; nose landing gear strut, wheel and tire; left
main landing gear strut, wheel, and tire, and right main landing
gear wheel and tire --- were scattered over the area in a generally
south-to-north direction.
N360LL was located
inverted in the backyard of a residence at 3221 W. 26th Avenue. The
ground scar and crush lines were consistent with a left spin.
Attached to the fuselage were the left wing with aileron and flap,
the left engine and propeller hub with two of three attached
propeller blades, and the inboard portion (to W.S. 109) of the
right wing with an attached 7-foot section of flap. The third
propeller blade from the left propeller assembly was found
underneath the wreckage. Scattered nearby were the left tip tank,
nose baggage door, and nose cone. The outboard portion of the right
wing, from about W.S. 147.0 to the attached tip tank, was located
in the backyard of a residence near 26th Avenue and Irving Street.
The horizontal stabilizer (the right leading edge aft to the spar
was missing) struck a parked automobile at 26th Avenue and Julian
Street. The right engine, with attached propeller, was located in
the 3100 block of W. 25th Avenue. Smaller pieces of debris ---
internal wing structure, hydraulic fluid lines and fittings, engine
cowling, and fuselage skin --- were scattered over the area in a
generally north-to-south direction.
NTSB's Final Word
The National Transportation Safety Board determines the probable
cause(s) of this accident as follows:
Both pilots' inadequate visual lookout. A
contributing factor was the Cheyenne pilot operating the airplane
with a known transponder deficiency.