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Pilot crashes after failing to prepare to land at unusual island airport

By NTSB · April 18, 2018 ·

The private pilot and a passenger departed for a personal flight in a Cessna 172 to an island airport located on top of a plateau near Avalon, California.

While on final approach for landing, the airplane descended below the elevation of the runway threshold. The pilot attempted to conduct a go-around, but was unable to prevent a collision with the rising terrain. Both souls on board were seriously injured in the crash.

The airport’s website contained information for pilots about its unique operational hazards. The website explicitly warned that there were no visual cues for altitude reference on approach, that there was usually a strong downdraft near the approach end of the runway due to the surrounding terrain and prevailing winds, and that the upslope of the runway could cause approach and flare difficulties for inexperienced pilots.

The website further stated that most flying clubs required pilots flying into the airport for the first time to be accompanied by a flight instructor or another pilot familiar with the airport.

The pilot reported that the accident flight was his first experience flying to that airport, and that neither his co-owners of the airplane, nor his insurance company, required any checkout flight to that airport.

He reported that he was only vaguely aware of the visual illusions associated with the landing approach and that he was unaware of, and never saw or used, the pulsating visual approach slope indicator (PVASI) with which the runway was equipped.

Review of onboard GPS data revealed that he flew a straight-in approach, instead of the normal and recommended right traffic pattern.

The airplane joined the final approach course about 1.4 miles from the runway threshold and about 100′ below the nominal approach path slope. The airplane descended farther below the nominal approach path and remained in the PVASI flashing red (well below course) indication zone for the entire approach.

The pilot initiated the go-around about eight seconds before impact, as the airplane descended below the elevation of the threshold.

The pilot’s incomplete preparations for the flight, particularly with regard to the airport’s peculiarities and associated hazards, resulted in himconducting an inordinately low final approach.

Had he flown the recommended traffic pattern instead of a straight-in approach, he would have provided himself with another opportunity to detect the airport’s unusual characteristics and conduct his final approach accordingly.

Finally, ground and wind speed data suggest that the airplane was near or at the extreme low end of its normal approach speed range just before the go-around.

In combination, these factors placed the airplane in a position and energy state from which recovery was difficult or impossible once the airplane encountered the known downdraft phenomenon just short of the runway threshold.

Probable cause: The pilot’s failure to maintain a proper approach path on landing because he failed to familiarize himself with the airport’s unique approach hazards and recommended procedures before the flight. Also causal was the pilot’s failure to recognize the airplane’s improper approach and to execute a go-around in a timely manner.

NTSB Identification: WPR16LA093

This April 2016 accident report is provided by the National Transportation Safety Board. Published as an educational tool, it is intended to help pilots learn from the misfortunes of others.

About NTSB

The National Transportation Safety Board is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant events in the other modes of transportation, including railroad, transit, highway, marine, pipeline, and commercial space. It determines the probable causes of accidents and issues safety recommendations aimed at preventing future occurrences.

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Comments

  1. Warren Webb Jr says

    April 20, 2018 at 8:41 pm

    I think the main issue is fundamental approach-to-landing skills. One of the techniques thoroughly discussed in the FAA Flight Training Handbook is verifying the aiming point (the stable point on the ground controlled with pitch and power) is located at the desired point on the runway as the descent is progressing.

    • Warren Webb Jr says

      April 23, 2018 at 7:52 pm

      If that stable point moves short of the runway because of a downdraft or further down the runway from a drop in the wind, a simple pitch and power adjustment will re-establish it at the correct point in the threshold.

  2. Manny Puerta says

    April 19, 2018 at 9:11 am

    AVX.

    Unfortunately, scenarios like this hilltop flight operation are generally not covered by the majority of CFI’s.

    • Wylbur Wrong says

      April 19, 2018 at 10:21 am

      If one flies in mountainous areas (even east coast from GA to NY), it needs to be taught. There are some hilltop airports and some of them are a bit interesting in day VFR conditions. I’m not sure I would be so happy to try them at night IMC on an approach.

  3. Brian K says

    April 19, 2018 at 8:41 am

    AVX?

    • Warren Webb Jr says

      April 20, 2018 at 8:20 pm

      KAVX Catalina Airport, Avalon, CA

  4. gbigs says

    April 19, 2018 at 7:05 am

    It’s Catalina Island airport. No one lands there without FIRST going out with a CFI. This guy was just plain asking for it.

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