Human Factors

While carrying out Canadian AD CF90-03-R2, large leaks were found in the area surrounding the muffler tail pipe area under the structure for supporting the heat muff shroud. No defects were noticed in a visual inspection of this area. No data tag was on the muffler, so its assumed it is an original unit. The operators logs dont show it ever being changed.

By the time you read this, Ill be getting my Debonair out of its annual inspection. Its been a lengthy one, in part because of some items I had deferred from previous inspections and in part because the airplane was new to the shop doing the work. Basically, I decided it was time to catch up on a few wear-and-tear items that pop up with any kind of machine, from a Roomba vacuum cleaner to a personal airplane.

They expressed their nervousness, which was understandable. Who wants to show their flight skills to a critic when those skills are at low proficiency? It is human nature to want to show your best side, but a rusty pilot flight review will show the naked truth. I explained there is nothing wrong with being out of practice, and a flight review is not a test, but an opportunity to learn. Their anxiety acknowledged, we moved on to the needed practice.

Normally, I might have panicked, but with my experienced copilot at my side, I stayed calm. We talked through our options and decisions along as I continued to fly the plane. I began a series of small adjustments to the throttle and mixture to see how the engine responded. We quickly discovered these changes only made matters worse, so we left the settings as is. My buddy reminded me to stay high-altitude is our friend-and we looked for landing spots in case things deteriorated.

Radar data depicted the airplane flying northerly until about 1138, when it initiated a right turn to the south at about 400 feet msl. Witnesses then saw the airplane turn right to a westerly or northwesterly direction over land while radar depicted the airplane descending to about 200 feet msl. The airplane banked sharply left, and one witness observed the banner twist and separate. The airplane then banked to the right and impacted a 19-story condominium near its top floor. The airplane fell to the second floor deck and came to rest on its left side. Witnesses described the engine sound as either sputtering, operating normally or being at a low throttle setting.

Knowing of the low overcast, if that pilots autopilot had this auto-capture feature, his motivation would have been to ease his workload and obviate spatial disorientation during transition into the clag. The effect of his action would have been to capture the airport elevation as target altitude. The TruTrak, at least, takes a few seconds to process and implement settings, so that the airplane would be expected to do exactly what it did: ascend into the clouds and a few seconds later return to the preset target altitude of the runway.

Tom Turners February 2019 article, The Big Picture, highlighted for me that we should find ways to continuously improve the way we operate within the National Airspace System (NAS) and one way I can help-to give back, if you will-is to try explaining to pilots more about what goes on in the towers, Tracons and Centers throughout the U.S. Its not mysterious or difficult to understand, but it may be different from what you have been told, or told to expect.

Last year was a good one for general aviation manufacturers. According to the airframers trade association, the General Aviation Manufacturers Association (GAMA), global airplane shipments increased 4.7 percent in 2018, to 2443. Billings-what you and I pay for a new aircraft-increased 1.5 percent, from $20.2 billion to $20.6 billion. Meanwhile, worldwide rotorcraft shipments also rose-by 5.4 percent-from 926 to 976 units. The only disappointment in the year-end was that rotorcraft billings decreased slightly, by 0.7 percent, possibly reflecting growing demand for less-expensive training helicopters.

Upon raising the landing gear after takeoff, the gear motor continued to operate longer than normal, and the pilot heard an abnormal sound toward the end of the sequence. The right main gear was hanging at about a 45-degree angle, and the left main gear was not visible. The pilot completed the appropriate checklists, without change. The pilot declared an emergency and ATC confirmed during a fly-by that the main gear was not extended. During the landing, the nose gear remained extended and the two main gear were retracted. The airplane came to rest on the runway and the passengers egressed without further incident.

The old stereotype of crop dusters-excuse me, aerial applicators-is that they are scofflaw daredevils, perhaps with behavior issues. That caricature is a relic of the past, when an enterprising farmer would buy a $300 war-surplus Stearman, put a hopper in the front cockpit and fly the plane hard until it broke. It follows that some might think ag pilots are an unlikely source of safety wisdom, and have fallen far behind aviations cutting-edge technology, but the truth is quite different.