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Controlled Flight Into Terrain

Background

We all find it difficult to imagine flying an airplane into the ground or an obstacle. As strange as it may seem, it happens way too frequently. According to the FAA, 17% of all general aviation fatalities are a result of Controlled Flight Into Terrain, or "CFIT".  The FAA provides the following definition:  "CFIT occurs when an airworthy aircraft is flown, under the control of a qualified pilot, into terrain (water or obstacles) with inadequate awareness on the part of the pilot of the impending collision." The statistic and the definition were taken from the Advisory Circular, AC61-134 which was prepared to address the problem.

Another FAA production, one of the "Safer Skies" series of DVDs, also addresses CFIT. In it, risk factors which may lead to a CFIT accident are presented. They are omission of an action or an inappropriate action, lack of positional awareness, flight handling, "getthere-itis", and poor professional judgment or airmanship. In this discussion, we will take the first risk factor, omission of an action or an inappropriate action, and see how it contributed to two recent accidents, one IFR and one VFR.

IFR Example

Our IFR example occurred near Ithaca, NY in October of 2005. The pilot of a Mooney struck trees and crashed into a residential neighborhood while attempting to execute a VOR/GPS approach into the Tompkins County Airport in Instrument Meteorological Conditions (IMC). Though dramatic, it had a relatively happy ending with the pilot escaping with only slight injuries and no injuries or serious property damage on the ground.

Approach and Landing DVD
CFIT Accident In late afternoon , under daylight but solid IMC, the pilot had been cleared for the VOR Runway 14 Approach. The airplane was equipped with an IFR certified GPS and the pilot reported to the control tower that he was 3.5 miles from the airport. Shortly thereafter, he reported that he saw the tops of trees about fifty feet in front of the airplane. The airplane impacted the trees and then the ground in a residential neighborhood.

Miraculously, the airplane made initial contact with the ground in the backyard of one house, traveled between two houses, only slightly nicking one of them, and came to rest inverted in the driveway of the other. Various parts, including one wing were shed along the way.

CBT
CFIT Accident Reviewing the profile view of the VOR/GPS Rwy 14 approach chart, the airplane should have been just descending out of 1700 ft. MSL. when the pilot reported being 3.5 miles from the airport since the minimum altitude for crossing the 4 mile fix is depicted as 1700 ft. MSL.
The crash site was approximately 1.5 miles from the end of the runway. This means that either the aircraft was well below the required 1700 ft. MSL when it passed the 4 mile fix, or that it descended very rapidly to impact the trees which were at approximately 1150 ft. MSL.
CFIT Accident The minimums section of the approach chart indicates that, assuming the pilot had the capability to identify the 4 mile fix, the Minimum Descent Altitude (MDA) is 1460 ft. MSL. The crash site is at relatively the same elevation as the airport.

According to the approach chart, that would have put the airplane 373 ft. above the terrain, or at least 323 ft. above the trees.

The pilot stated, "I can not really explain why I let the airplane descend too low. I felt comfortable with the approach throughout. I simply was too low, too far away from [the] airport." The official probable cause finding of the NTSB is as follows: "The pilot's failure to comply with the published instrument approach procedure, which resulted in an in-flight collision with trees."

So what really happened? We can only speculate on what was going on in the pilot's mind during the approach, but remember our first CFIT risk factor? It is, "omission of an action or an inappropriate action." It seems here that the pilot omitted the action of thoroughly studying the approach plate and firmly committing the MDA to memory. He then went on to perform an inappropriate action: that of continuing descent below MDA without having the airport in sight. Speaker
CFIT Accident
This is probably what the pilot saw seconds before impact.

CFIT Accident

This is looking back through the opening where the airplane came through the trees.


CFIT Accident
The airplane came to rest in the driveway. The path taken by the airplane between the two houses is shown by the red arrow.

CFIT Accident

This is another view of the path taken by the accident airplane. Note the parts strewn along the path.
CFIT Accident
Note the minor damage to the house. A few feet either way might have resulted in tragedy.

CFIT Accident
The airplane came to rest in the driveway of one of the houses. The white material is foam provided by the fire department.
CFIT Accident
This is a testimonial to the structural integrity of a Mooney. The pilot was treated and released from the hospital.

VFR Example

Our VFR example occurred near Fullerton, CA in December of 2004 at about 0948 local time. The significance of the time will be evident later. This accident had a very unhappy ending, resulting in two fatalities and the destruction of a major radio transmission tower.  The Cessna 182 was en route to Fullerton on a perfect flying day with clear sky, visibility 10 miles, and the wind out of the north at 5 kts.

The tower controller stated that pilot made contact indicating that he was northwest of the airport. The pilot was cleared for a left base entry for runway 06. The pilot was cleared to land when he was about three miles north of the airport. shortly thereafter, the controller observed an explosion west of the airport and watched as the KFI tower collapsed.

 

The diagram to the right shows the approximate flight path of the accident airplane. Note that at the time of the collision with the radio tower, the airplane was heading directly into the sun, making it very difficult to see the tower.

CFIT accident

The tower was struck only about fifteen feet from the top. In the IFR accident previously discussed, tragedy was narrowly averted by the airplane's flight path taking it just a few feet from either of the houses that it careened past. In this case, a few feet difference in the flight path, either right, left, or higher, would have avoided the entire accident. But, that wasn't to be so let's take a look at the causal factors and what could have been done to prevent the accident.

During the investigation, questions were raised regarding the actions of the tower controller. Radar was available in the tower and it was being used at the time of the crash. The radio tower was depicted on the radar screen. It was suggested that perhaps the controller contributed to the accident by instructing the pilot to enter a left base leg from his position. This argument has some merit considering that the AIM suggests that pilots enter the traffic pattern on a 45 degree angle. From the position that the pilot was instructed to enter the left base leg, recommended procedures dictated a path very close to the radio tower.

But, a check of the Airport Facility Directory states that the recommended traffic pattern altitude (TPA) for Fullerton is 1100 ft. MSL and the top of the tower was 819 ft. MSL. The tower was located two miles west-northwest of the airport center. The collision occured approximately 300 ft. below TPA. However, since the airplane is usually descending while on base leg, we would expect the airplane to be below TPA. To put all that in perspective, the airplane hit a radio tower when it was about 700 ft. above the ground tow miles from the airport. That is probably a little too low for normal operations, but would not be considered as reckless. It should be noted that the pilot was initially rated in helicopters and had only recently begun to fly airplanes. Helicopters routinely fly lower than airplanes so this altitude would probably seemed rather high to the pilot.

CFIT Accident
This screen shot from MS Flight Simulator shows the KFI radio tower on approach to the other end of the runway.

So what caused the collision? It seems to go back to our risk factor "omission of an action or an inappropriate action." The pilot omitted the action of studying the airport  information available and and being familiar with the hazards present. On a clear, sunny day, it sometimes seems unnecessary to determine a safe minimum altitude for operation in the vicinity of an airport.

Certainly the radio tower was quite visible. But, when the pilot turned southeast to enter the base leg, the airplane was headed right into the sun, effectively making the forward visibility near zero.

The lesson to be learned from this is simply that pilots must always research the the hazards in the vicinity of an airport or any other location where low altitude maneuvering is necessary. A minimum safe altitude must be established and followed.

CFIT Accident
The KFI radio tower before.

CFIT Accident
The KFI radio tower after.
Air Crew

CFIT Accident
Crash scene in the parking lot.


CFIT Accident

Miraculously, there were no injuries to people on the ground.


In summary, these two accidents would be classified as CFIT, but they are typical of many accidents where a relatively minor oversight, omission of an action, or an inappropriate action has very unfavorable results. Most of these accidents involve pilots with at least moderate levels of experience. These accidents are not necessarily a result of poor training. In our IFR example, the pilot most certainly had been trained in the importance of maintaining MDA until the runway is in sight. He most certainly possessed the flying skill to control the altitude within 50 ft. But still he failed to properly brief the approach in his mind and have a minimum altitude firmly established. In our VFR example, the pilot most certainly knew about the radio tower. He had visited the same airport several times before. He probably failed to take all the precautions one would take on a marginal weather day such as know the height of all the obstacles in the vicinity of the airport and establish a minimum safe altitude in his mind. As pilots we have a responsibility to not only know the proper procedures, but to follow them on each and every aspect of each and every flight

 

Disclaimer:  Material contained on this web site and in this section is for informational purposes only. It is intended to be supplementary only and never to substitute for formal training. It should not be construed as directive, doctrinal, or instructive.  Individuals should consult with their flight school management, certificated flight instructors, aircraft manufacturer recommendations and directives, Flight Standards District Office (FSDO) and/or appropriate FAA publications including the Aeronautical Information Manual (AIM), the Federal Aviation Regulations (FARs), and applicable FAA Advisory Circulars (ACs) for specific guidance relative to any information or before employing any recommendations contained on this web site or in this section.  Further, nothing on this web site or in this section is intended to contradict or be in disagreement with any official FAA rule or regulation, nor should such material be interpreted or construed as such.  This web site is intended exclusively to promote general aviation and to increase awareness of current events in aviation.

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