Mosinee – Waukegan
Flight / Schedule
Mosinee – Waukegan
Aircraft
Socata TBM-850Registration
N850SY
MSN
546
Year of Manufacture
2010
Operator
Green PlaneDate
September 5, 2011 at 06:33 PM
Type
CRASHFlight Type
Private
Flight Phase
Landing (descent or approach)
Crash Site
Airport (less than 10 km from airport)
Crash Location
Racine Wisconsin
Region
North America • United States of America
Coordinates
42.7314°, -87.7835°
Crash Cause
Human factor
Narrative Report
On September 5, 2011 at 06:33 PM, Mosinee – Waukegan experienced a crash involving Socata TBM-850, operated by Green Plane, with the event recorded near Racine Wisconsin.
The flight was categorized as private and the reported phase was landing (descent or approach) at a airport (less than 10 km from airport) crash site.
1 people were known to be on board, 1 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 100.0%.
Crew on board: 1, crew fatalities: 1, passengers on board: 0, passenger fatalities: 0, other fatalities: 0.
The listed crash cause is human factor. During cruise flight, the pilot reported to an air traffic controller that the airplane was having engine fuel pressure problems. The controller advised the pilot of available airports for landing if necessary and asked the pilot's intentions. The pilot chose to continue the flight. GPS data recorded by an onboard avionics system indicated that the engine had momentarily lost total power about 20 seconds before the pilot reported a problem to the controller. About 7 minutes later, when the airplane was about 7,000 feet above ground level, the engine lost total power again, and power was not restored for the remainder of the flight. The pilot attempted to glide to an airport about 10 miles away, but the airplane crashed in a field about 3 miles from the airport. GPS data showed a loss of fuel pressure before each of the engine power losses and prolonged lateral g forces consistent with a side-slip flight condition. The rudder trim tab was found displaced to the left about 3/8 inch. Flight testing and recorded flight data revealed that the rudder trim tab displacement was consistent with that required to achieve no side slip during a typical climb segment. The GPS and flight data indicated that the lateral g-forces increased as the airplane leveled off and accelerated, indicating that the automatic rudder trim feature of the yaw damper system was either not engaged or not operating. The recorded data indicated autopilot system engagement, which should have automatically engaged the yaw damper system. However, the data indicated the yaw damper was not engaged; the yaw damper could have subsequently been turned off by several means not recorded by the avionics system. Testing of the manual electric rudder (yaw) trim system revealed no anomalies, indicating that the pilot would have still been able to trim the airplane using the manual system. It is likely that the pilot's failure to properly trim the airplane's rudder led to a prolonged uncoordinated flight condition. Although the fuel tank system is designed to prevent unporting of the fuel lines during momentary periods of uncoordinated flight, it is not intended to do so for extended periods of uncoordinated flight. Therefore, the fuel tank feed line likely unported during the prolonged uncoordinated flight, which resulted in the subsequent loss of fuel pressure and engine power. The propeller and propeller controls were not in the feathered position, thus the windmilling propeller would have increased the airplane's descent rate during the glide portion of the flight. The glide airspeed used by the pilot was 20 knots below the airspeed recommended by the Pilot's Operating Handbook (POH), and the reduced airspeed also would have increased the airplane's descent rate during the glide. The flight and GPS data indicated that the airplane had a gliding range of about 16 nautical miles from the altitude where the final loss of engine power occurred; however, the glide performance was dependent on several factors, including feathering the propeller and maintaining the proper airspeed, neither of which the pilot did. Although the POH did not contain maximum range glide performance data with a windmilling propeller, based on the available information, it is likely that the airplane could have glided to the alternate airport about 10 miles away if the pilot had followed the proper procedures.
Aircraft reference details include registration N850SY, MSN 546, year of manufacture 2010.
Geospatial coordinates for this crash are approximately 42.7314°, -87.7835°.
Fatalities
Total
1
Crew
1
Passengers
0
Other
0
Crash Summary
During cruise flight, the pilot reported to an air traffic controller that the airplane was having engine fuel pressure problems. The controller advised the pilot of available airports for landing if necessary and asked the pilot's intentions. The pilot chose to continue the flight. GPS data recorded by an onboard avionics system indicated that the engine had momentarily lost total power about 20 seconds before the pilot reported a problem to the controller. About 7 minutes later, when the airplane was about 7,000 feet above ground level, the engine lost total power again, and power was not restored for the remainder of the flight. The pilot attempted to glide to an airport about 10 miles away, but the airplane crashed in a field about 3 miles from the airport. GPS data showed a loss of fuel pressure before each of the engine power losses and prolonged lateral g forces consistent with a side-slip flight condition. The rudder trim tab was found displaced to the left about 3/8 inch. Flight testing and recorded flight data revealed that the rudder trim tab displacement was consistent with that required to achieve no side slip during a typical climb segment. The GPS and flight data indicated that the lateral g-forces increased as the airplane leveled off and accelerated, indicating that the automatic rudder trim feature of the yaw damper system was either not engaged or not operating. The recorded data indicated autopilot system engagement, which should have automatically engaged the yaw damper system. However, the data indicated the yaw damper was not engaged; the yaw damper could have subsequently been turned off by several means not recorded by the avionics system. Testing of the manual electric rudder (yaw) trim system revealed no anomalies, indicating that the pilot would have still been able to trim the airplane using the manual system. It is likely that the pilot's failure to properly trim the airplane's rudder led to a prolonged uncoordinated flight condition. Although the fuel tank system is designed to prevent unporting of the fuel lines during momentary periods of uncoordinated flight, it is not intended to do so for extended periods of uncoordinated flight. Therefore, the fuel tank feed line likely unported during the prolonged uncoordinated flight, which resulted in the subsequent loss of fuel pressure and engine power. The propeller and propeller controls were not in the feathered position, thus the windmilling propeller would have increased the airplane's descent rate during the glide portion of the flight. The glide airspeed used by the pilot was 20 knots below the airspeed recommended by the Pilot's Operating Handbook (POH), and the reduced airspeed also would have increased the airplane's descent rate during the glide. The flight and GPS data indicated that the airplane had a gliding range of about 16 nautical miles from the altitude where the final loss of engine power occurred; however, the glide performance was dependent on several factors, including feathering the propeller and maintaining the proper airspeed, neither of which the pilot did. Although the POH did not contain maximum range glide performance data with a windmilling propeller, based on the available information, it is likely that the airplane could have glided to the alternate airport about 10 miles away if the pilot had followed the proper procedures.
Cause: Human factor
Occupants & Outcome
Crew On Board
1
Passengers On Board
0
Estimated Survivors
0
Fatality Rate
100.0%
Known people on board: 1
Operational Details
Schedule / Flight
Mosinee – Waukegan
Operator
Green PlaneFlight Type
Private
Flight Phase
Landing (descent or approach)
Crash Site
Airport (less than 10 km from airport)
Region / Country
North America • United States of America
