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AIR SAFETY INSTITUTE

2010 NALL REPORT


The Joseph T. Nall Report of Accident Trends and Factors
1
The Joseph T. Nall Report is the Air Safety Institute’s (ASI’s) annual
review of general aviation aircraft accidents that occurred during
the previous year. The report is dedicated to the memory of Joe Nall,
an NTSB Board member who died as a passenger in an airplane
accident in Caracas, Venezuela, in 1989.

Final vs. Preliminary Statistics


Following last year’s model, this This publication is based on NTSB As a supplement to the information
twenty-first edition of the Nall Report reports of accidents involving powered contained in this report, ASI
continues the Air Safety Institute’s fixed-wing general aviation aircraft offers its accident database online.
expanded coverage of U.S. general weighing 12,500 pounds or less and To search the database, visit
aviation, including helicopter accidents rotorcraft of all sizes. To provide www.airsafetyinstitute.org/database.
and accidents on commercial as well as the most current safety information,
non-commercial flights by light fixed- ASI gathered NTSB data on 2009’s ASI gratefully acknowledges the
wing aircraft. Commercial and non- accidents throughout 2010. technical support and assistance
commercial accidents are once again of the National Transportation
analyzed separately. Probable cause had been determined Safety Board, the Federal Aviation
for 1,181 of 1,418 accidents (83.3 Administration, and the Aircraft
Unlike prior years, the 2010 Nall percent) when the data were frozen for Owners and Pilots Association.
Report excludes foreign accidents that this year. The remaining 16.7 percent
appear in NTSB records solely due to were based on preliminary data. Financial support for the Nall Report
the Board’s secondary involvement However, probable cause had only comes from the Manuel Maciel
in investigations under the primary been established for 53.3 percent of Safety Research Endowment and
jurisdiction of other countries. Foreign fatal accidents, which typically require donations to the AOPA Foundation
accidents are not consistently reported more extensive investigations. This from individual pilots.
to the NTSB, and those reports that are is similar to the proportion of fatal
made generally contain little specific accidents that had received probable- Publisher: Bruce Landsberg
information. This year’s Nall Report is cause determinations in earlier reports. Statistician and Writer: David Jack Kenny
restricted to accidents that occurred in Editors: Paul Deres, Brian Peterson,
the airspace of the United States and Prior-year comparisons suggest that Kathleen Vasconcelos
its territories and possessions, plus this mix of preliminary and final data will Art Director: Samantha Duggan
accidents in neighboring countries not significantly change the conclusions
that involved U.S.-registered aircraft presented here when all final reports
on flights that departed from or were are analyzed. In the event that there
intended to arrive in the United States. are significant changes, especially in
This rule resulted in the exclusion of conclusions related to fatal accidents,
125 accidents over a 10-year period. ASI will publish an update.
Table of Contents
PRESIDENT’S VIEW 4 ACCIDENT CAUSES: HIGH OFF-AIRPORT GROUND
RISK PHASES OF FLIGHT 20 INJURIES 35
TRENDS IN GENERAL TAKEOFF AND CLIMB 20
ACCIDENT CASE STUDY: TAKEOFF AND CLIMB 21 ON-AIRPORT GROUND
AVIATION, 2000-2009 5
INJURIES 35
MANEUVERING 22
GENERAL AVIATION ACCIDENT CASE STUDY: MANEUVERING 23
PROPELLER AND ROTOR
ACCIDENTS, 2009 6 STRIKE INJURIES 35
DESCENT AND APPROACH 24
ACCIDENT CASE STUDY: DESCENT AND APPROACH 25
HELICOPTER ACCIDENTS: AMATEUR-BUILT AIRCRAFT 36
NON-COMMERCIAL 8 LANDING 26
ACCIDENT CASE STUDY: LANDING 27
SUMMARY 39
COMMERCIAL 10
ACCIDENT CASE STUDY: HELICOPTER 11 MECHANICAL/MAINTENANCE 28
APPENDIX 40
FIXED-WING ACCIDENTS: OTHER, UNKNOWN, OR
SUMMARY AND COMPARISON 12 NOT YET DETERMINED 29 ADDITIONAL RESOURCES 43

NON-COMMERCIAL 13 COMMERCIAL 31
PILOT-RELATED ACCIDENTS 15
UNUSUAL ACCIDENT FACTORS 34
ACCIDENT CAUSES: FLIGHT COLLISIONS 34
PLANNING AND DECISION MAKING 17
FUEL MANAGEMENT 17 ALCOHOL AND DRUGS 34
ACCIDENT CASE STUDY: FUEL MANAGEMENT 16

PHYSICAL INCAPACITATION 34
WEATHER 19
ACCIDENT CASE STUDY: WEATHER 18
2010 NALL REPORT: PRESIDENT’S VIEW

President’s View
2009 was a tough year economically In the not-so-good news category: Foundation) continues to reach record
and it was a tough year for certain numbers of pilots with online courses,
• There were 60 fewer accidents on
segments of general aviation webinars, and live seminars. Early data
non-commercial fixed-wing flights
concerning safety. Some categories, returns show that those who choose
than in 2008, but this 5% decrease
however, performed exceptionally well. to be safe by learning from others’
was barely half the estimated reduction
mistakes and avoiding risky flight
in flight activity. There were 10 more
First the good news: operations have an above-average
fatal accidents and eight more
safety record. It’s perfectly logical. GA
• The number of accidents on individual fatalities. Personal flights
flying is as safe as the pilot chooses to
commercial fixed-wing flights accounted for less than 47% of non-
make it and there can be a
decreased by one-third from 2008, and commercial fixed-wing flight time but
wide continuum.
the two fatal accidents represent an led to 78% of all accidents and 84%
88% decrease from the previous year. of fatal accidents.
As always, our thanks to colleagues
No fatal accidents occurred on fixed-
at FAA and NTSB, industry partners,
wing charter or cargo flights. • Mechanical accidents accounted
and especially to the pilot-donors who
for a record-high 17% of all accidents.
make these critical safety education
• The accident rate for helicopters More than half the fatal mechanical
programs possible.
operated non-commercially increased accidents occurred in amateur-built
from 6.56 per 100,000 flight hours in airplanes, which represent only about
Safe Flights,
2008 to 7.40 in 2009. However, this 15% of the fleet. We continue to work
is still a 41% reduction from the recent with EAA to better understand the
peak of 12.62 in 2002. The number causes and effects.
of fatal accidents was down by five,
President, AOPA Foundation
and the fatal accident rate decreased Statistics aside, the Air Safety
by 22%. Institute (formerly the AOPA Air Safety

4
Trends in General Aviation
2000-2009
More than 99% of all general aviation regulations impose more stringent to the range seen in the previous four
(GA) flight time in 2009 was logged by operating and equipment requirements years. The fatal accident rate of .07 per
either powered fixed-wing aircraft or on commercial flights, their risk profiles 100,000 hours flown was the lowest on
helicopters. (Gliders, autogyros, and and safety records differ from those of record; the only two fatal commercial
lighter-than-air craft accounted for the non-commercial aviation. fixed-wing accidents occurred on
rest.) The FAA estimates that non- aerial application flights, and the only
commercial flying – flights that did not Despite year-to-year fluctuations, victims were the pilots. The rates of
provide direct revenue to the aircraft’s the number of accidents per 100,000 non-commercial fixed-wing accidents,
owner or operator – made up 87% of hours of flight time is consistently and fatal and non-fatal alike, increased to
fixed-wing time and 58% of helicopter significantly lower in commercial flight their highest nominal levels since 2005,
flight time. These flights are usually (Figure 1). On the fixed-wing side, the slightly above their ten-year averages.
conducted under the general operating average accident rate over the past
rules of Part 91 of the Federal Aviation decade was 67% higher for non- The accident rate for commercial
Regulations (FARs). Most were made commercial flights (6.19 compared to helicopter flights in 2009 remained near
by people who were not employed 3.71), and the rate of fatal accidents its 2008 level, and was nominally lower
as pilots, but they also included was more than twice as high (1.23 vs. than the commercial fixed-wing rate for
repositioning flights by charter and 0.56). The average accident rate for the second consecutive year. The fatal
cargo operators, public-use flights by non-commercial helicopter flights was accident rate of 0.32 per 100,000 hours
government agencies, and corporate 2.3 times as high as for commercial was the lowest on record and less than
transport by professionally crewed flights (8.73 vs. 3.73), and the fatal half of the average rate over the past
flight departments. accident rate was 81% greater (1.27 decade. The accident rate on non-
vs. 0.70). The disparity in accident commercial helicopter flights reversed
All flights made specifically to produce rates between commercial and non- its 2008 decline; its increase from 6.65
revenue for the aircraft operators are commercial activities is not surprising to 7.40 essentially returned to the 2007
considered commercial. They include given the significant differences level. However, the fatal-accident rate
on-demand charter and cargo service in their regulatory and operational of 1.03 per 100,000 hours was the
conducted under FAR Part 135, aerial environments. second-lowest of the past decade, a
application flights made under Part 137, 22% decline from the preceding year
and helicopter external-load transport After spiking in 2008, the commercial and 19% below the decade’s average.
governed by Part 133. Because the fixed-wing accident rate dropped back

5
Commercial
2010 NALL REPORT: GENERAL Fixed
AVIATION Wing 2009
ACCIDENTS,

FIGURE 1A : GENERAL AVIATION ACCIDENTS TRENDS, 2000-2009


1500 1500 200 200
1466
1403 1422 166
1390
1320 1335 1318
1200 1241 1241 1200
1181 150 150
126
121
900 900
114 114
100 106
110 107 100
600 600 81
78

274 276 301 296 270 274 254 246 50 34 50


300 223 233
300 24 20 19 17 16
12 14 13
2

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2000 2001
Commercial 2002 2003 2004 2005 2006 2007 2008 2009
Helicopter
Non-Commercial Fixed-Wing Commercial Fixed-Wing

200 200 60 60
57

167
50 50
50
150 152 154 158 150
44
137 137
144 40 40
131 129 39
38 38
116 36
100 100 30 33 32 30
30

20 15 20
50 30
50 11
23 7
21 19 21 20 18 21
16 18 10 6 7
5 5
7 7
4
10

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Non-Commercial Helicopter Commercial Helicopter
ALL ACCIDENTS FATAL ACCIDENTS

General Aviation Accidents


2009
2009 saw a total of 1,418 general 83% of all GA accidents, 91% of 2004, but the numbers of accidents
aviation accidents involving 1,431 fatal accidents, and 89% of individual and fatal accidents were the lowest of
individual aircraft. (Because three were fatalities. The reductions in the the decade at 30 and four, respectively.
collisions between commercial and numbers of fatal accidents in other Commercial helicopter flights made up
non-commercial aircraft or between types of operations that occurred 5% of total GA time (down from 6% in
helicopters and airplanes, the numbers during 2008 were maintained in 2009, 2008) but accounted for only 2% of GA
of accidents within those categories leaving non-commercial fixed-wing accidents and less than 1% of all fatal
sums to 1,421.) They included 255 fatal flights to account for a historically accidents. Four of 30 accidents were
accidents that caused 452 deaths. All of disproportionate share. While the total fatal, killing 16. Commercial fixed-wing
these totals were the lowest in the past of 1,181 accidents was the lowest in accidents were the most survivable:
decade, but those reductions reflect a more than 30 years, the accident rate Less than 3% were fatal, compared to
mixture of diminished activity in some of 6.60 per 100,000 hours was the 13-20% for non-commercial fixed-wing
sectors and actual improvements in the second highest of the past decade, and helicopters. It is worth noting,
accident rates of others. and not significantly lower than the though, that all four lethality rates
2005 estimate of 6.64. The 233 fatal decreased from 2008. The number of
Non-commercial fixed-wing flight accidents were 10 more than in 2008, commercial fixed-wing accidents was
activity continued to decline in 2009. and the number of deaths increased by the second-lowest of the decade, only
A decrease of almost 10% from 2008 seven to 401. three more than the 78 registered in
more than accounted for the 5% drop 2006, and the two fatal accidents and
in the number of accidents, while the The volume of commercial flight in the two deaths that resulted were the
number of fatal accidents actually helicopters decreased even more lowest numbers on record. Estimated
increased by 10 (4%). Non-commercial sharply, down almost 15% from 2008. total flight hours were just 4% less than
fixed-wing flights accounted for 75% The estimated 1.26 million hours flown in 2008.
of all GA flight time (Figure 2) but in 2009 was the smallest amount since

6
FIGURE 1B : GENERAL AVIATION ACCIDENT RATES PER 100,000 FLIGHT HOURS, 2000-2009

8 8 8 8
7 7 7 7
6.64 6.55 6.60
6 6.21 6.26
6.04
6.28 6 6 6
6.00
5.78 5.81 5.68
5 5 5 5
4.82
4.52 4.64 4.50
4 4 4 4
3 3 3 3.15
3.39 3
3.01
2.51
2 1.35 1.30 1.24 1.36 1.23 1.22 1.30 2 2 1.16
2.31 2
1.08 1.14 1.13 0.95 0.81
1 1 1 0.55 0.54 0.48 0.42 0.31
0.57
0.07
1

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Non-Commercial Fixed-Wing Commercial Fixed-Wing

14 14 10 10

12 12.62 12
8 8.20 8
10 10.70 10
9.98 6.88
9.46 9.54
8
9.02
8 6 6.37 6.35 6
7.45 7.40
6 6.55 6.65 6 4 4
3.84
4 4 2.16
2.89
2.57
1.97
1.45 1.44 1.46
2 1.01
1.27 1.08 2.28 2.17
2.38 2
2 1.32 1.09 1.05 0.83
1.32 1.03 2 0.76
0.36 0.53 0.47
0.35 0.32

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Non-Commercial Helicopter Commercial Helicopter
ALL ACCIDENTS FATAL ACCIDENTS

Non-commercial helicopter flights were FIGURE 2 : GENERAL AVIATION ACCIDENTS IN 2009


the only sector to show no significant
NON-COMMERCIAL COMMERCIAL
decline in activity, decreasing less than
Fixed-Wing Helicopter Fixed-Wing Helicopter
1% from 2008, but the 129 accidents
that resulted represent an increase
of 11%. However, only 18 were fatal Number of accidents 1181 129 81 30
compared to 23 the year before; the Number of aircraft* 1190 129 82 30
14% lethality and 33 deaths returned Flight hours (millions) 17.89 1.74 2.69 1.26
to the middle of the previous decade’s Accident rate 6.60 7.40 3.01 2.38
range. Since commercial operators Number of fatal accidents 233 18 2 4
maintained the recent improvement in
Fatal accident rate 1.30 1.03 0.07 0.32
their accident rates, this leaves both
the accident and fatal accident rates in Lethality (percent) 19.7 14.0 2.5 13.3
non-commercial flights at about three Fatalities 401 33 2 16
times those of commercial rotorcraft. * Counts each aircraft involved in a collision separately.

7
2010 NALL REPORT: HELICOPTER ACCIDENTS, NON-COMMERCIAL

FIGURE 3 : AIRCRAFT CLASS: NON-COMMERCIAL HELICOPTER

Aircraft Class Accidents Fatal Accidents Fatalities

Single-engine piston 79 61% 9 50% 17 52%


Single-engine turbine 43 33% 7 39% 13 39%
Multiengine turbine 7 5% 2 11% 3 9%

FIGURE 4 : TYPE OF OPERATION: NON-COMMERCIAL HELICOPTER

Type of Operation Accidents Fatal Accidents Fatalities

Personal 42 33% 5 28% 9 27%


Instructional 40 31% 3 17% 4 12%
Public Use 13 10% 2 11% 3 9%
Positioning 15 12% 3 17% 7 21%
Aerial observation 2 2% 0 0% 0 0%
Business 3 2% 1 6% 4 12%
Other working use 10 8% 2 11% 2 6%
Other* 4 3% 2 11% 4 12%
* Includes corporate, flight tests, and unreported

HELICOPTER ACCIDENTS
Non-Commercial
The 129 non-commercial helicopter the previous year. The overall lethality 31% of accidents that occurred on
accidents in 2009 was an increase of non-commercial helicopter accidents instructional flights was comparable
of 13 (11%) from 2008 but still dropped from 20% in 2008 to 14% to their 28% share of flight activity,
the second-lowest count of the in 2009. a contrast with earlier years in which
past decade, and only 2007 saw a flight instruction accounted for a
significantly lower fatal accident Type of Operation disproportionately small share of
rate. The 18 fatal accidents matched Personal flying represents a much helicopter accidents. Only three of
2005 for the second-lowest, while the smaller share of helicopter activity 2009’s instructional accidents were
33 individual fatalities were slightly than it does for fixed-wing aircraft, but fatal, however. This 7.5% lethality
below the decade’s average. results in an even more disproportionate rate was less than half of that in all
number of accidents and fatalities other types of helicopter accidents
Aircraft Class (Figure 4). The FAA estimated that 7% combined. Eight instructional accidents
Reciprocating engines powered three- of non-commercial helicopter flight time occurred during solo flights by
fifths (61%) of the helicopters involved took place on personal flights, yet they certificated pilots, but none of them
in non-commercial accidents (Figure accounted for 33% of all accidents, were fatal. There were no accidents
3). This is one and a half times their 28% of fatal accidents, and 27% of on student solos.
share of non-commercial flight activity, individual fatalities.
which the FAA estimates at about Taken together, all other types of
40%. However, accidents in piston The amount of non-commercial operations suffered fewer accidents,
helicopters also tend to be less severe, helicopter time devoted to flight but those that occurred were more
with an 11% lethality rate compared instruction decreased 16% from likely to be deadly. The remaining 65%
to 16% in single-engine turbines and the year before, yet the number of of total flight activity led to 36% of all
29% in multiengine turbines. In all three instructional accidents increased by accidents but 56% of fatal accidents.
classes, though, a smaller share of almost half: There were 40 in 2009 The 20 individual fatalities in these
accidents were fatal in 2009 than in compared to 27 the year before. The flights represent 61% of the total. No

8
FIGURE 5 : LIGHT AND WEATHER CONDITIONS: NON-COMMERCIAL HELICOPTER

Conditions Accidents Fatal Accidents Fatalities

Day VMC 111 86% 12 67% 16 48%


Night VMC* 14 11% 3 17% 10 30%
Day IMC 1 1% 0 0% 0 0%
Night IMC* 3 2% 3 17% 7 21%
* Includes dusk

FIGURE 6 : PILOTS INVOLVED IN NON-COMMERCIAL HELICOPTER ACCIDENTS

Certificate Level Accidents Fatal Accidents Fatalities

ATP 17 13% 3 17% 3 9%


Commercial 81 63% 9 50% 20 61%
Private 28 22% 4 22% 6 18%
None or not reported 3 2% 2 11% 4 12%
CFI on board* 66 51% 9 50% 17 52%
* Includes Single-pilot accidents

single accident disproportionately use; the FAA estimates that 77% of which 63% of pilots-in-command held
increased the casualty count. A all helicopter flight time, including no certificate above the private pilot
business flight in a Robinson R44 that commercial operations, took place level (see Figure 11).
killed all four on board was the only in day VMC, while barely 1% was in
accident that caused more than instrument conditions. (These estimates Unlike 2008, fatalities were least
three fatalities. were not broken out separately for common in accidents involving
commercial and non-commercial commercial pilots or ATPs who were
Flight Conditions flights.) If commercial operators did in not CFIs; only three of 32 (9%) were
As shown in Figure 5, the overwhelming fact log most of the actual instrument fatal compared to 14% of accidents
majority (86%) of non-commercial time, IMC may present non-commercial on flights commanded by either private
helicopter accidents occurred in visual flights with both an increased risk of pilots or CFIs. Barely half the accidents
meteorological conditions (VMC) in accidents and a greater likelihood of involving CFIs (34 of 66), including
the daytime, but accidents occurring lethality in any accidents that do occur. only one-third of the fatal accidents,
at night or in instrument conditions occurred on instructional flights.
were more likely to prove fatal. Just Pilot Qualifications About two-thirds of the rest (including
11% of accidents in day VMC were Figure 6 shows that more than three- four fatal accidents) occurred on
fatal compared to 21% of those that quarters (76%) of the pilots involved in working flights of various kinds, eight
occurred in visual conditions at night non-commercial helicopter accidents of them on public-use and seven on
and three of the four accidents that held commercial or airline transport positioning flights.
occurred in instrument meteorological pilot (ATP) certificates, and two-thirds
conditions (IMC). of those were also certificated flight
instructors (CFIs). This continues the
The preponderance of accidents pattern reported the year before, and
in VMC during daylight hours likely marks a sharp contrast with non-
reflects the underlying patterns of commercial fixed-wing accidents, in

9
2010 NALL REPORT: HELICOPTER ACCIDENTS, COMMERCIAL

HELICOPTER ACCIDENTS
Commercial
Only 30 accidents, four of them fatal, The overall accident rate ticked up
occurred in commercial helicopter slightly to 2.38 per 100,000 flight hours,
operations in 2009. Eleven of but remained more than one-third
these, none fatal, were during aerial below its ten-year average of 3.73.
application flights, which accounted The rate of fatal accidents continued
for only 10% of commercial flight time. to decrease, dropping to its lowest level
Two of seven accidents in external- of the decade. The total number killed
load operations were fatal, as were two was 43% below the 28 who died in
of the 12 that occurred on Part 135 2008 but still higher than in five of the
flights. Neither of these were medical preceding nine years.
transports, though there were two non-
fatal accidents on medical flights. The Twenty-seven of the 30 accidents
crash of a Sikorsky S-76 transporting (90%), including all four fatals, took
workers to an oil platform in the Gulf place in daytime VMC. One accident
of Mexico killed eight of the nine on occurred in instrument conditions
board, while the Hudson River Corridor during the day and two in VMC at
midair collision killed the pilot and all night. Only five of the accident
five passengers on the Eurocopter helicopters had reciprocating engines,
AS350 that collided with a Piper PA- four of which were being used for
32R. These two accidents accounted aerial application (the other was a
for 14 of the 16 deaths on commercial charter flight). Twenty-one of the 25
helicopter flights. turbine-powered helicopters were
single-engine models.

10
ACCIDENT
CASE
STUDY
ACCIDENT CASE STUDY #WPR09CA470
AIRCRAFT: Robinson R44
LOCATION: Mt. Charleston, Nevada
SEVERITY: One minor injury and two uninjured
HISTORY OF FLIGHT
The pilot departed the North Las Vegas
airport in late afternoon to take two
passengers on a sightseeing flight. After
WEATHER
Conditions at the accident site included
clear skies with unlimited visibility, winds
from 260 degrees at 5 knots, a temperature
flying through Red Rock Canyon at 7,500 of 8 degrees Celsius, and an altimeter
msl, they climbed to 11,500 en route to setting of 29.78. Density altitude at the site
the 11,800-foot summit of Mt. Charleston. was calculated at 13,918 feet. The service
The pilot reported that he climbed to ceiling of the Robinson R44 is 14,000 feet.
about 100 feet above the summit before
orbiting it at an airspeed of 50 knots, only PROBABLE CAUSE
to encounter a downdraft on the leeward The pilot’s failure to maintain aircraft control
side that exceeded the helicopter’s climb and terrain clearance while maneuvering
performance. The pilot raised collective at a low altitude above high terrain.
and steered toward an open valley 5,000 Contributing to the accident was
feet below, but the helicopter hit the a downdraft and high density altitude.
mountainside, tumbled, and caught fire.
The pilot and passengers were able to ASI COMMENTS
evacuate before it exploded; one passenger Density altitude isn’t just a fixed-wing
suffered minor injuries. The emergency problem. Rotary-wing performance likewise
locator transmitter was destroyed, but after degrades with increasing temperature,
hiking back to the summit, they were able to and strong updrafts and downdrafts can
call for help on a passenger’s telephone. occur in the vicinity of mountain peaks
even in generally calm air and light winds.
PILOT INFORMATION Maneuvering close to the mountainside
The 39-year-old airline transport pilot held while at the limit of the helicopter’s ability
ratings for airplane single-engine land, to climb left the pilot with few options
airplane multiengine land, and helicopter, when he encountered an unexpectedly
with instrument ratings for airplanes and powerful downdraft.
helicopters. He reported 2,578 hours of total
flight experience including 359 hours in the
accident make and model.

11
2010 NALL REPORT: FIXED-WING ACCIDENTS, SUMMARY AND COMPARISON

FIXED-WING ACCIDENTS
Summary and Comparison
The causes of general aviation pilot-related causes (Figure 7). The
accidents may be grouped into three share attributed to either documented
broad categories for analysis: mechanical causes or unexplained
losses of engine power was one and a
Pilot-related: Accidents arising from half times as high on commercial flights
the improper actions or inactions of the (35% vs. 23%), but the rate of these
pilot. failures per hours flown was actually
lower (1.04 vs. 1.53 per 100,000 hours).
Mechanical/maintenance: Accidents The higher proportion thus represents
arising from mechanical failure of a a sharply lower rate of pilot-related
component or an error in maintenance. mishaps. However, pilot-related
causes still accounted for 60% of all
Other/unknown: Accidents for reasons commercial fixed-wing accidents.
such as pilot incapacitation, and those
for which a specific cause has not been
determined.

In 2009, the accident rate on


commercial fixed-wing flights was
less than half that of non-commercial
aviation, and a smaller proportion
of those accidents was attributed to

12
FIGURE 7 : CAUSES OF FIXED-WING GENERAL AVIATION ACCIDENTS, 2009
NON-COMMERCIAL COMMERCIAL
Major Cause Accidents Fatal Accidents Accidents Fatal Accidents

Pilot-related 829 70% 147 63% 50 62% 1 50%


Mechanical 203 17% 24 10% 23 28% 0 0%
Other or unknown 149 13% 62 27% 8 10% 1 50%

FIGURE 8 : AIRCRAFT CLASS: NON-COMMERCIAL FIXED-WING

Aircraft Class Accidents Fatal Accidents Lethality

Single-engine fixed-gear 888 75% 152 64% 17%


SEF conventional gear 403 63 16%
Single-engine retractable 230 19% 62 26% 27%
Single-engine turbine 19 7 37%
Multiengine 72 6% 22 9% 31%
Multiengine turbine 17 4 24%

FIXED-WING ACCIDENTS
Non-Commercial
2009 saw the lowest overall number of amount of time flown but more severe caused 86% of individual fatalities.
accidents and second-smallest number outcomes, with lethality increasing Instructional flights, on the other
of fatal accidents in the past decade, from 17% in fixed-gear singles to hand, occupied 16% of flight time and
but once again this was primarily due to 27% in retractable singles and 31% were involved in 13% of accidents, but
decreased flight activity; the accident in multiengine aircraft; these figures only 9% of instructional accidents were
and fatal accident rates were near the are similar to those reported in earlier fatal compared to 20% of accidents on
upper ends of their recent ranges. The years. Almost half (45%) of the fixed- other types of flights. This likely reflects
fluctuations from the previous year gear singles had conventional landing both the tightly structured environment
in both the overall and fatal accident gear (tailwheels), consistent with of flight training and the relatively low
rates were again within the margin of the greater proficiency demanded weight and speed of most primary
error of the estimates of flight time. The by conventional-gear aircraft that training aircraft. Instructional flights
proportions attributed to mechanical motivates the specific requirement also spend a high percentage of time
and pilot-related causes, respectively, for a tailwheel endorsement. Unlike in the traffic pattern, the site of a large
are typical of patterns that have been in 2008, however, there was essentially number of minor accidents during
observed for many years. no difference in SEF accident lethality takeoffs and landings. Corporate
between taildraggers and airplanes transport by professionally operated
Aircraft Class with tricycle gear. flight departments continued to have
As in prior years, about three-quarters the best safety record in general
of the accident aircraft were single- Type of Operation aviation, with just two accidents,
engine fixed-gear (SEF). These Once again, the vast majority (78%) neither of them fatal, in more than 2.3
were underrepresented among fatal of accidents occurred during personal million hours flown. Business travel
accidents, accounting for 64% flights (Figure 9), although personal flown by people not primarily employed
(Figure 8). Increasing aircraft speed flying made up less than 47% of all as pilots also fared well, accounting for
and complexity were associated non-commercial flight time. These 13% of overall flight time but just 4% of
with fewer mishaps relative to the included 84% of all fatal accidents and both fatal and non-fatal accidents.

13
2010 NALL REPORT: FIXED-WING ACCIDENTS, NON-COMMERCIAL

FIGURE 9 : TYPE OF OPERATION: NON-COMMERCIAL FIXED-WING

Type of Operation Accidents Fatal Accidents Fatalities

Personal 933 78% 199 84% 344 86%


Instructional 150 13% 13 6% 23 6%
Public use 9 1% 1 <1% 1 <1%
Positioning 15 1% 3 1% 5 1%
Aerial observation 7 1% 2 1% 2 <1%
Business 25 2% 10 4% 16 4%
Other working use 30 3% 6 3% 8 2%
Other* 21 2% 2 1% 2 <1%
* Includes corporate, flight tests, and unreported

FIGURE 10 : LIGHT AND WEATHER CONDITIONS: NON-COMMERCIAL FIXED-WING

Light/Weather Accidents Fatal Accidents Lethality

Day VMC 1029 87% 155 67% 15%


Night VMC 88 7% 27 12% 31%
Day IMC 48 4% 39 17% 81%
Night IMC 16 1% 12 5% 75%

These results follow the pattern were fatal (Figure 11). They make up but that number includes air-carrier
consistently reported in previous years, 36% of all active U.S. pilots but a larger and charter pilots whose non-
though the proportion of accidents that share of those flying non-commercially, commercial flying is largely limited
occurred on personal flights was the since they are ineligible to command to positioning legs in company
highest of the past decade. commercial flights. For this reason, and aircraft. The 24% of accident flights
because of the lack of reliable data on commanded by commercial pilots
Flight Conditions their risk exposure in terms of either and 13% flown by ATPs include all
Almost 95% of non-commercial fixed- number of flights or total flight hours, of the accidents in dual instruction
wing accidents took place in VMC, and it is not clear whether private pilots are and on positioning flights as well as
more than nine-tenths of those were at excess risk compared to pilots at most of those made for public benefit,
during daylight hours (Figure 10). Not higher certification levels. aerial observation, and other types of
surprisingly, however, accidents at night aerial work. However, two-thirds of all
were more often fatal, and lethality was Private pilots are less likely to have non-commercial accidents involving
two and a half times higher in accidents sought advanced training and almost ATPs (104 of 156) and more than 60%
that occurred in IMC, when the pilot is certainly spend a larger share of their of those befalling commercial pilots
less able to avoid obstacles or mitigate flight time in personal flying, already (174 of 280) occurred on personal
the severity of impact. noted as carrying a disproportionate flights. These included 77% and
accident risk. The 20% of active pilots 62% of fatal accidents, respectively,
By FAA estimates, 76% of 2009’s who hold commercial certificates demonstrating once again the
fixed-wing flight time was logged include full-time professional aviators, fundamental differences between the
in daytime VMC, but this does not flight instructors with no other paid natures of personal and professional
distinguish between commercial and flying duties, and pilots who have flight operations.
non-commercial uses. never flown for pay, among other
combinations. About 90% hold Accident lethality was essentially
Pilot Qualifications instrument ratings compared to 27% constant across certificate levels with
Private pilots were involved in 51% of of private pilots. Airline transport one exception: accidents on student
all accidents and 56% of those that pilots make up 24% of the population, solos were only one-quarter as likely

14
FIGURE 11 : PILOTS INVOLVED IN NON-COMMERCIAL FIXED-WING ACCIDENTS

Certificate Level Accidents Fatal Accidents Lethality

ATP 156 13% 31 13% 20%


Commercial 280 24% 58 25% 21%
Private 610 51% 132 56% 22%
Sport 27 2% 4 2% 15%
Student 94 8% 5 2% 5%
None 17 1% 3 1% 18%
Unknown or recreational 6 1% 3 1% 50%
Two pilots on board 153 13% 35 15% 23%
CFI on board* 248 21% 44 19% 18%
Noncommercial Fixed Wing Pilot-Related (TREND)
Instrument-rated 587 49% 130 55% 22%
pilot on board*
* Includes single-pilot accidents

FIGURE 12 : PILOT-RELATED ACCIDENT TREND FIGURE 13 : PILOT-RELATED ACCIDENT RATES


1200 1200 6 6

1094 1099
1000 74.6% 1054 1035 77.3%
1021 1039 1000 5 5.17 5
75.1% 74.5% 77.8%
77.3% 959 4.83 4.76
935 929 4.63 4.67 4.70 4.63
75.3% 72.8% 4.52
800 74.9%
829 800 4 4.31 4.37 4
70.2%

600 600 3 3

400 241 222 239 400 2 2


216 210 220 207
78.8% 73.1% 81.4% 82.2% 87.2% 191 175 1.19
76.1% 81.5% 77.6% 147 0.98 1.06 1.02 1.00 0.95
78.5% 0.85 0.87 0.88 0.82
63.1%
200 200 1 1

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
ALL ACCIDENTS FATAL ACCIDENTS ALL ACCIDENTS FATAL ACCIDENTS

to be fatal as accidents involving low number of accidents involving sport Pilot-Related Accidents
certificated pilots. This is consistent pilots is consistent with the relatively 829 total / 147 fatal
with both the conditions of flight, with small number of sport pilot certificates
almost all student solos taking place in issued, presently less than half of one Pilot-related categories made up
daytime VMC, and the types of aircraft percent of the population. Early returns 70% of non-commercial fixed-wing
most typically flown. Student pilots for 2010 show an increase consistent accidents in 2009 and 63% of fatal
make up 13% of the active population with an increasing sport pilot population. accidents. These are slightly lower than
and commanded 8% of all accident the aggregate figures for the previous
flights but just 2% of fatal accidents. Accident Causes nine years: 75% of all non-commercial
Of course, solos make up a relatively After excluding accidents due to fixed-wing accidents and 80% of fatal
small share of a student pilot’s flight mechanical failures or improper accidents between 2000 and 2008 were
time, and the CFI is pilot-in-command maintenance, accidents whose causes classified as pilot-related.
when providing dual instruction to a have not been determined, and the
student pilot. handful due to circumstances beyond While the number of pilot-related
the pilot’s control, those that remain accidents has tended to decline in
Only 153 (13%) of the accident flights are considered pilot-related. Most recent years (see Figure 12), this
were confirmed to have two certificated pilot-related accidents reflect specific mirrors the overall decline in the
pilots on board; these included 35 (15%) failures of flight planning or decision- number of non-commercial fixed-wing
of the fatal accidents, but there is little making or the characteristic hazards of accidents, which is largely attributable
data available on the amount of non- the high-risk phases of flight. Six major to decreasing flight activity. The rate of
commercial flying done with two-pilot categories of pilot-related accidents pilot-related accidents has remained
crews. Instrument-rated pilots were consistently account for a large number essentially constant over the same
on board 56% of the accident flights of accidents overall, a high proportion period, fluctuating between 4.3 and 5.2
commanded by private, commercial, of those that are fatal, or both. per 100,000 flight hours (Figure 13).
or airline transport pilots, slightly below Mechanical failures and unexplained The rate of 4.63 in 2009 is typical of the
the 61% of all pilots at those certificate mishaps make up most of the rest. past decade, though the rate of fatal
levels who hold instrument ratings. The pilot-related accidents has declined for

15
2010 NALL REPORT:

ACCIDENT
CASE
STUDY
ACCIDENT CASE STUDY #CEN09FA230
AIRCRAFT: Cessna 337C
LOCATION: Stillwater, Oklahoma
SEVERITY: One fatality
HISTORY OF FLIGHT
The aircraft departed from a private
strip about 45 minutes after sunset. Five
witnesses saw it turn east, then return to
PILOT INFORMATION
The 58-year-old airline transport pilot
reported 23,260 hours of total flight
experience on his last application for a
the airstrip westbound before turning south third-class medical certificate, issued 21
and then east before suddenly pitching months before the accident. He held ratings
down and crashing into a small pond at the for airplane single-engine land, airplane
bottom of a ravine. Three of the witnesses, multiengine land, and instrument airplane.
including a retired CFII / MEI, described the His experience in the accident make and
engines as “running rough” or “misfiring,” model was not reported.
and four of them reported that the engine
noise stopped altogether just before the WEATHER
crash. Stillwater Regional Airport, 10 miles from
the accident site, reported winds from 050
Investigators found no evidence of pre- degrees at 10 knots, clear skies, and 10
impact malfunctions in the engines or miles visibility in dark night conditions.
flight controls. The left main and auxiliary
tanks contained about three gallons of fuel PROBABLE CAUSE
apiece, while the two right tanks contained The total loss of power in both engines due
less than one gallon combined. Impact to fuel exhaustion as a result of the pilot’s
damage made it impossible to determine inadequate fuel planning.
the position of the fuel selectors. The rear
engine’s gascolator was empty; the front ASI COMMENTS
engine was submerged, and its gascolator There was no usable fuel in the two right
contained only water. tanks and less than five gallons of usable
fuel in the two left tanks combined. This
The airfield from which the airplane means that the previous flight ended not
departed was seven nm south of Stillwater only with far less than the one hour’s fuel
Regional Airport. The purpose of the flight the Air Safety Institute recommends as an
was reportedly to buy fuel. absolute minimum reserve, but an amount
well below any legal requirement. There is
no rational explanation for this mishap.

16
)DNERT( tmgM
Noncommercial leuF Wing
Fixed gniW Fuel
dexiF laicre(TREND)
Mgmt mmocnoN

FIGURE 14 : TYPES OF PILOT-RELATED ACCIDENTS FIGURE 15 : FUEL MANAGEMENT ACCIDENT TREND


50 100 150 200 250 300051 350 150 051 150
150
FUEL 10.2% 142
MANAGEMENT 136 10.0%
8 (3.4%) 74 (6.3%) 10.8% 521 125 9.7% 521 125
125
121 9.5%
WEATHER 26 (11.2%) 42 (3.6%) 61.9%
8.7% 90
111
001 100 8.3% 82 6.8% 001 100
TAKEOFF 6.6% 75 74
AND CLIMB 25 (10.7%) 153 (13.0%) 16.3% 6.0 %
6.3
%

57
ALL ACCIDENTS 75 57 75
MANEUVERING
39 (16.7%) 67 (5.7%) 58.2% FATAL ACCIDENTS
DESCENT AND
APPROACH
LETHALITY 05 50 05 50
19 (8.2%) 48 (4.1%) 39.6%
24 19
8.1% 16
LANDING 6 (2.6 )
52 25 12 12
4.3%
12
4.0%
5.9% 6.9% 13
5.1% 9 528 8
25
Noncommercial
%
Fixed Wing Fuel Mgmt (TYPE) 348 (29.5%) 1.7%
4.4%
3.7% 3.6% 3.4%
OTHER 24 (10.3%) 97 (8.2%) 24.7%
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
50 100 150 200 250 300 350 ALL ACCIDENTS FATAL ACCIDENTS

FIGURE 16 : TYPES OF FUEL MANAGEMENT ACCIDENTS FIGURE 17 : AIRCRAFT INVOLVED IN FUEL-MANAGEMENT


ACCIDENTS: NON-COMMERCIAL FIXED-WING
10
10 20
20 30
30 40
40 50
50

FLIGHT
Aircraft Class Accidents Fatal Accidents Lethality
PLANNING
5 (62.5%) 40 (54.1%)
Single-engine fixed-gear 45 61% 3 38% 7%
SEF conventional gear 17 2 12%
SYSTEMS
OPERATION Single-engine retractable 25 34% 3 38% 12%
3 (37.5%) 31 (41.9%)
Multiengine 4 5% 2 25% 50%

ALL ACCIDENTS
CONTAMI-
NATION FATAL ACCIDENTS
3 (4.1%)

10
10 20
20 30
30 40
40 50
50

four consecutive years. The stability • Ten midair collisions of which seven • Two non-fatal prop strikes, and one
of the pilot-related accident rate were fatal; five were between two collision with Canada geese during
suggests that an increasing number of airplanes flown non-commercially, two the landing roll
mechanical accidents (see page 28) involved an airplane and a helicopter,
rather than any improvement in this and one each involved collisions While the judgment leading to any
area is the principal reason a smaller between a non-commercial airplane pilot-related accident could be called
percentage of 2009’s accidents were and a commercial airplane, a glider, into question, fuel-management
found to be pilot-related. and a powered parachute and weather accidents can be seen
primarily as failures of flight planning
The number of accidents in each • Four accidents, two of them fatal, and in-flight decision-making.
major category is shown in Figure 14. were blamed on impairment of the Accidents occurring during takeoff
As always, bad landings damaged pilots by alcohol or drugs and climb, maneuvering, descent and
the most airplanes but were almost approach, and landing tend to result
never fatal; weather and maneuvering • Four non-fatal collisions with other more directly from deficient airmanship,
accidents were much less common, aircraft while taxiing, and another 20 though it may have been faulty decision-
but almost 60% were deadly. non-fatal taxi accidents that did not making that placed the pilots in
involve other aircraft situations beyond their skills.
The “Other” category of pilot-related
accidents includes a wide variety of • Four fatal accidents in cruise flight; Accident Causes: Flight
accident types that accounted for one appeared to be controlled flight Planning and Decision-Making
relatively few events apiece. Among into terrain while the other three Fuel Management
them were: involved in-flight losses of control 74 total / 8 fatal

• 25 accidents attributed to inadequate • Two fatal accidents in which After declining steadily over the
preflight inspections; three were fatal the pilots appear to have been previous ten years, the number of
incapacitated by hypoxia fuel-management accidents leveled
• 25 accidents, five of them fatal, off in 2009 (Figure 15); the 74 total
during attempted go-arounds
17
2010 NALL REPORT:

ACCIDENT
18 : 2010 NALL REPORT

CASE
STUDY
ACCIDENT CASE STUDY #ERA09FA185
AIRCRAFT: Cessna 182P
LOCATION: Carrollton, Georgia
SEVERITY: Three fatalities
HISTORY OF FLIGHT
The pilot and two passengers departed
shortly after 8:00 a.m. to attend a stock-car
race. No flight plan was filed, and there is
WEATHER
Witnesses at the scene described the
weather as “very foggy,” with “low cloud
cover” and fog over the surface of the
no record of the pilot having obtained a lake. The nearest airport, 26 miles to the
weather briefing. Conditions at the point of southeast, reported 5 statute miles visibility
departure included broken ceilings at 1,500 under a 500-foot overcast five minutes
feet, seven statute miles visibility, and a before the accident, decreasing to 300
two-degree temperature-dewpoint spread. feet overcast, a quarter mile visibility, and
The destination airport was only 40 nm no difference between temperature and
away, but a direct route would have passed dewpoint 20 minutes later.
directly through the core of Atlanta’s Class
B airspace. Instead, the pilot followed an PROBABLE CAUSE
arc around the west side of the city. Forty The pilot’s decision to continue visual
minutes after departure, a witness heard a flight rules flight into an area of reduced
“whining high-speed sound” followed by visibility weather conditions, which resulted
an impact, and saw water spouting up from in disorientation and subsequent loss of
the surface of a private lake. The fragments aircraft control.
of the airplane were eventually recovered
from 16 feet of water. Examination of the ASI COMMENTS
wreckage revealed no evidence of damage Attempts to fly by visual references in
or malfunction prior to impact. instrument conditions continue to claim
pilots at all levels of experience and,
PILOT INFORMATION worse, their passengers. Those without the
The pilot, age 51, received a private pilot training to fly by instrument references are
certificate for airplane single-engine land highly susceptible to spatial disorientation
just over one year before the accident. culminating in the loss of aircraft control,
He did not hold an instrument rating. His while instrument-rated pilots have a better
logbook showed 168 hours of total flight chance of maintaining controlled flight until
time, 130 of them in the accident make they hit structures or terrain. The results are
and model, which included 70 hours as equally deadly either way: Over the past ten
pilot-in-command, 3.2 hours in simulated years, 86% of VFR-into-IMC accidents have
instrument conditions, and no time in actual been fatal, causing 518 individual deaths.
instrument conditions.

18
Noncommercial Fixed Wing Weather (TREND)

Noncommercial Fixed Wing Weather (TYPE)

FIGURE 18 : WEATHER ACCIDENT TREND FIGURE 19 : TYPES OF WEATHER ACCIDENTS


5 10 15 20 25
75 65 65 75
4.6
% 63 4.9%
4.4%
58
VFR TO IMC
55 56 56 12 (46.2%) 14 (33.3%)
54 4.7%
4.2% 53
60 3.8 4.2%
60
%

3.9
%

4.3%
58 IFR
21.5% 42 TECHNIQUE 7 (26.9%) (16.7%)
3.6%
45 47
45
44 17.0% 44 44 THUNDER-
16.1% 41 14.9% 17.9% STORMS
40 39 6 (23.1%) 7 (16.7%)
13.6% 14.6% 15.4% 36
30 16.1% 30
TURBULENCE
26 4 (9.5%)
11.2% ALL ACCIDENTS
15 15
FATAL ACCIDENTS
ICING
1 (3.8%) 10 (23.8%)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 5 10 15 20 25
ALL ACCIDENTS FATAL ACCIDENTS

FIGURE 20 : AIRCRAFT INVOLVED IN WEATHER


ACCIDENTS: NON-COMMERCIAL FIXED-WING

Aircraft Class Accidents Fatal Accidents Lethality

Single-engine fixed-gear 33 79% 19 73% 58%


SEF conventional gear 11 5 45%
Single-engine retractable 7 17% 5 19% 71%
Multiengine 2 5% 2 8% 100%

and eight fatal accidents were just percent, including the three remaining Weather
about the same as in 2008. However, fatal accidents, were traced to errors 42 total / 26 fatal
fuel management remains one of the in fuel system management, typically
brighter points in the GA record. The the failure to select a tank with usable Bad weather caused fewer accidents
number of fuel-management accidents fuel or the inappropriate use of boost in 2009, both in absolute numbers
has dropped by more than half since or transfer pumps. Only three non- and as a percentage of the overall
1999, and they now represent about fatal accidents were blamed on fuel accident record, and a smaller
6% of all non-commercial fixed-wing contamination, all by water. proportion were fatal (Figure 18). The
accidents compared to 10% a decade 42 weather accidents represent a
earlier. Technological improvements Single-engine airplanes with retractable 21% decrease from 2008, when there
involving fuel-flow computers and glass gear were involved in 34% of 2009’s were 53 – itself the lowest count of the
cockpits as well as increased pilot fuel-management accidents (Figure 17) preceding decade. The 26 fatal weather
awareness have both contributed to but made up only 19% of the accident accidents constituted 11% of 2009’s
this encouraging trend. fleet overall. This is not surprising, since fatal accidents, one-third less than the
these aircraft fly cross-country to a average of 16% seen between 2000
Deficient flight planning – failures much higher degree than light fixed-gear and 2008. The 62% lethality of weather
to determine the fuel requirements singles. Only one occurred in IMC, while accidents was still the highest of any
for the intended flights, to verify the 85% took place in visual meteorological major category, but less than two-
quantity of fuel on board, or to make conditions in daylight. Private pilots thirds for the first time, and well below
timely decisions to divert for fuel in commanded 65% of the accident the overall 75% during the preceding
the face of changing circumstances – flights, including five of the eight that nine years. This is the first meaningful
remained the most common cause of were fatal. For the second straight improvement in the weather accident
fuel-management accidents, causing year, there were no fuel-management record of the past decade; compared
54% of the total and five of eight accidents on student solos. to the peak year of 2004, the number
fatal accidents (Figure 16). Forty-two of accidents was more than one-third

19
2010 NALL REPORT: FIXED-WING ACCIDENTS, TAKEOFF AND CLIMB

FIGURE 21 : FLIGHT CONDITIONS OF WEATHER


ACCIDENTS: NON-COMMERCIAL FIXED-WING

Light/Weather Accidents Fatal Accidents Lethality

Day VMC 14 33% 3 12% 21%


Night VMC 4 10% 2 8% 50%
Day IMC 18 43% 16 62% 89%
Night IMC 6 14% 5 19% 83%

FIGURE 22 : PILOTS INVOLVED IN WEATHER


ACCIDENTS: NON-COMMERCIAL FIXED-WING

Certificate Level Accidents Fatal Accidents Lethality

ATP 4 10% 0
Commercial 9 21% 6 23% 67%
Private 29 69% 20 77% 69%
CFI on board 3 7% 1 4% 33%
IFR pilot on board 22 52% 12 46% 55%

lower, and the number of fatal accidents fatalities. Only four accidents were Two-thirds of the pilots involved (69%)
decreased by more than half. attributed to turbulence outside held private certificates (Figure 22), a
thunderstorm encounters, and somewhat higher proportion than of
The most common type of weather everyone on board survived. accident pilots in general, but more
accident, and one of the most than half of all the pilots in weather
consistently fatal, continues to be the The proportion of weather accidents accidents were instrument-rated. For
attempt to fly by visual references in involving multiengine and retractable- the third consecutive year, no student
instrument meteorological conditions, gear airplanes was only 22%, barely pilots suffered weather accidents.
often called “VFR into IMC” (Figure 19). half the 40% seen in 2008 (Figure 20).
There were 14 VFR-into-IMC accidents It is not clear whether this reflects Accident Causes: High-Risk
in 2009, of which 12 (86%) were improvement in the record of higher- Phases of Flight
fatal. The same lethality was seen in end aircraft or a shift of use to simpler Takeoff and Climb
thunderstorm encounters, where six out and less expensive airplanes, perhaps 153 total / 25 fatal
of seven were fatal, as were all seven in reaction to economic conditions.
attributed to deficient execution of Five of the 42 accident aircraft were It is possible that many pilots
instrument procedures by appropriately amateur-built, including four of the 26 underestimate the risks inherent in
rated pilots on instrument flight plans. involved in fatal accidents. the takeoff phase, when aircraft are
However, the number of VFR-into-IMC operating at high power settings and
accidents was still one-third lower Weather was above VFR minimums angles of attack while accelerating
than a year earlier, when there were at 43% (18) of the accident sites, close to the ground. Takeoffs
21 (with 18 fatal). including five where the accident consistently see the second highest
chain began in instrument conditions number of accidents and cause more
There were 10 icing accidents, about (Figure 21). These included only 19% than 10% of those that are fatal. After
the same as the year before, but of the fatal accidents. Twenty-one of five years of modest decline, the
nine of these aircraft escaped without 24 accidents in IMC were fatal (88%). number of takeoff and climb accidents

20
ACCIDENT
CASE
STUDY
ACCIDENT CASE STUDY #CEN09FA393
AIRCRAFT: Piper PA32R-300
LOCATION: Lakeview, Arkansas
SEVERITY: Three fatalities, one seriously injured, one minor injury
HISTORY OF FLIGHT
The pilot attempted to take off with four
passengers from a 3,200-foot grass airstrip on
a calm summer morning. A videotape showed
PILOT INFORMATION
The instrument-rated private pilot was 52 years
old. His logbook showed 673.8 hours of total
flight experience, including 567.4 hours as pilot-
the airplane’s nose lifting off the turf about one- in-command and 165.3 in the accident make and
third of the way down the runway; the airplane model. He had completed a flight review in the
maintained a nose-high attitude until the end of same airplane three months before the accident.
the strip, where it lifted off before disappearing
into a depression in the terrain. It briefly climbed WEATHER
back into sight, still nose-high with the wings Eleven minutes before the accident, an airport
“wig-wagging,” before the propeller hit a barbed- five miles to the east reported calm winds,
wire fence and then a tree, which sheared off the with clear skies and 6 miles visibility in haze.
airplane’s left wing. The pilot and the two left-side Temperature was 27 degrees Celsius with a dew
passengers were killed; the passenger in the point of 23 and altimeter setting of 29.91. Density
right middle seat was seriously injured, while his altitude at the point of departure was estimated
father, in the right front seat, escaped with minor at 2,367 feet; field elevation is 479 msl.
injuries.
PROBABLE CAUSE
Examination of the wreckage showed that the The pilot’s poor judgment/decision making in
flaps had been up during the take-off attempt, attempting the no-flap takeoff, his failure to
though the pilot’s operating handbook estimated comply with weight limitations, and his failure
that using 25 degrees of flaps would shorten the to calculate the airplane’s performance under
takeoff roll by almost one-third. Investigators existing conditions.
found that the airplane was at least 188 pounds
over its certified maximum gross weight at ASI COMMENTS
takeoff, with a center of gravity close to but When maximum performance must be extracted
within the aft limit. The airplane’s operator from the aircraft, correct configuration is
suggested that the aft CG might have contributed essential. The NTSB calculated that with flaps
to a tendency to pitch up, preventing it from up, the airplane would have needed 3,190 feet
gaining flying airspeed. to clear a 50-foot obstacle, just 10 feet less than
the runway length. With 25 degrees of flaps, that
distance would have been cut to 1,870 feet.

21
FIGURE 23 : TAKEOFF AND CLIMB ACCIDENT TRENDS
200 180
12.7%
200
191
175 13.0% 185
146 145
153
13.0%
175
13.2% 143
10.9% 11.7% 10.8% 136
150 155
11.0% 150
11.2%
125 136
10.3%
125
100 100
75 75
39
33 34 32
50 14.2%
12.0% 23 27 27 12.4% 12.6%
29
11.8%
26 25 50
7.6% 9.1% 10.0% 11.7% 10.7%
25 25
Noncommercial Fixed Wing TO/Climb (TYPE)
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
ALL ACCIDENTS FATAL ACCIDENTS

FIGURE 24 : TYPES OF TAKEOFF AND CLIMB ACCIDENTS


15
15 30
30 45
45 60
60 75
75
STALLED/SETTLED
ON TAKEOFF 15 (60.0%) 41 (26.8%)

STALLED DURING CLIMB


1 (0.7%)

LOSS OF CONTROL
4 (16.0%) 67 (43.8%)

WEIGHT/DENSITY
ALTITUDE 2 (8.0%) 8 (5.2%)

RUNWAY CONDITIONS 18 (11.8%)


ALL ACCIDENTS
FATAL ACCIDENTS
OTHER 4 (16.0%) 18 (11.8%)

15
15 30
30 45
45 60
60 75
75

FIGURE 25 : AIRCRAFT INVOLVED IN TAKEOFF AND CLIMB


ACCIDENTS: NON-COMMERCIAL FIXED-WING

Aircraft Class Accidents Fatal Accidents Lethality

Single-engine fixed-gear 132 86% 17 68% 13%


SEF conventional gear 59 9 15%
Single-engine retractable 14 9% 5 20% 36%
Multiengine 7 5% 3 12% 43%

jumped to its highest level since 2003 winds. Eight (including two fatal) were accidents. The certificate levels of the
(Figure 23), though the number of fatal attributed to overweight aircraft and/ pilots involved mirrored those of all
takeoff and climb accidents was the or high density altitudes, while the accident pilots almost exactly.
second-lowest of the decade. The 18 “other” accidents included collisions
proportion of accidents occurring during with vehicles, animals, and other Maneuvering
takeoff and initial climb increased from unexpected obstructions, errors in 67 total / 39 fatal
11% in 2008 to 13% in 2009, but as the use of carburetor heat, and
a proportion of fatal accidents they overruns due to delayed decisions While a higher proportion of weather
actually decreased slightly. to abort the takeoff. accidents are fatal, more fatal accidents
occur in maneuvering flight than any
Loss of aircraft control remains the Takeoff accidents followed the overall other pilot-related category (Figure
most common cause of takeoff patterns of non-commercial fixed-wing 26), a pattern that continued to hold
accidents, accounting for 67, or 44% aircraft in terms of the classes of aircraft in 2009. Thirty-nine of 67 were fatal
of the total (Figure 24). The deadliest involved (Figure 25) except perhaps for (58%), a decrease from 66% the year
type of takeoff accident was the a greater increase in lethality among before but toward the middle of the
departure stall, involved in 27% overall retractable-gear and multiengine range for the preceding decade. Some
(41 of 153) but 60% of fatal accidents aircraft. Again, this is consistent with of the accident maneuvers (such as
(15 of 25). Eighteen accidents, none the greater impact forces created by turns in the airport traffic pattern)
fatal, were caused by attempts to heavier weights and greater speed. were necessary but poorly executed.
take off from runways that were Every one took place in VMC, and Others were risky activities like buzzing
slick, contaminated, or unsuitable for 96% took place during daylight hours, attempts, low-altitude night flights,
reasons of length, slope, or prevailing including 23 of 25 (92%) of the fatal or attempted aerobatics by untrained

22
ACCIDENT
CASE
STUDY
ACCIDENT CASE STUDY #WPR09FA235
AIRCRAFT: Beech BE-95-A55
LOCATION: Minden, Nevada
SEVERITY: Five fatalities

HISTORY OF FLIGHT
The pilot invited four friends to go for a
local flight at the end of a day’s work on a
the previous December his application
for a third-class medical certificate
had reported 4,700 hours of total flight
neighboring ranch. Numerous witnesses, experience, including 90 hours in the
including two other pilots, saw the preceding six months.
airplane make several passes over the
ranch and nearby houses at altitudes as WEATHER
low as 100 feet, and a hiker on a nearby Conditions at the South Lake Tahoe airport,
ridge photographed it flying three to four 13 nm from the accident site, reported clear
wingspans above the valley floor. At the skies and 10 miles visibility, with winds from
end of the last pass, the airplane pulled 220 degrees at 8 knots gusting to 14.
up sharply before banking hard to the left
and dropping nose-first into the ground. PROBABLE CAUSE
The witnesses reported that the engines The pilot’s failure to maintain an adequate
sounded smooth and strong until the airspeed while maneuvering during a low
moment of impact, and physical evidence altitude maneuver that resulted in a stall.
suggested that they were producing full
power until then. ASI COMMENTS
Even experienced pilots don’t always
PILOT INFORMATION understand the aerodynamics of
The pilot, age 58, operated an aircraft accelerated stalls. The high loads produced
maintenance and sales business. He held by abrupt maneuvers cause stalls at
an aircraft and powerplant certificate with speeds well above those listed in the pilot’s
inspection authorization, a private pilot operating handbook, and the resulting
certificate with instrument rating for airplane break will be more sudden and violent
single-engine land, and a multiengine rating than those typically encountered while
limited to VFR flight. Friends confirmed that practicing airwork. At low altitude, recovery
he was in the habit of making only required is probably impossible – another fact that
logbook entries such as flight reviews, but makes buzzing a thoroughly bad idea.

23
2010 NALL REPORT: FIXED-WING ACCIDENTS, DESCENT AND APPROACH

Noncommercial Fixed Wing Maneuvering (TREND)


Noncommercial Fixed Wing Maneuver (TYPE)

FIGURE 26 : MANEUVERING ACCIDENT TRENDS FIGURE 27 : TYPES OF MANEUVERING ACCIDENTS

100
93
6.5% 100 10 20 30 40
84
6.0%
STALL/LOSS
80 85 86
80 OF CONTROL
6.4% 6.4% 26 (66.7%) 35 (52.2%)

72 71
4.9% 5.7% 68 67 HIT WIRES OR
60 62
65
4.9%
5.5% 5.7% 60 STRUCTURES
4.5% 60 8 (20.5%) 25 (37.3%)
21.9%
53 53
19.2% 17.9% 48
40 44 17.8% 45 40 MOUNTAINS
16.1% 41 41 20.2% 39
39
13.6%
15.4%
16.7% 16.7% OR CANYONS
2 (5.1%) 3 (4.5%)
20 20 ALL ACCIDENTS
AEROBATICS FATAL ACCIDENTS
3 (7.7%) 4 (6.0%)
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
ALL ACCIDENTS FATAL ACCIDENTS 10 20 30 40

FIGURE 28 : AIRCRAFT INVOLVED IN MANEUVERING FIGURE 29 : PILOTS INVOLVED IN


ACCIDENTS: NON-COMMERCIAL FIXED-WING MANEUVERING ACCIDENTS

Aircraft Class Accidents Fatal Accidents Lethality Certificate Accidents Fatal Accidents Lethality
Level
Single-engine fixed-gear 52 78% 28 72% 54%
SEF conventional gear 28 17 61% ATP 10 15% 6 15% 60%
Single-engine retractable 9 13% 8 21% 89% Commercial 22 33% 12 31% 55%
Multiengine 6 9% 3 8% 50% Private 32 48% 21 54% 66%
Sport 1 1% 0
Student 1 1% 0
None 1 1% 0
CFI on board 19 28% 10 26% 53%

pilots and/or in unapproved aircraft. multiengine airplanes were involved, of both fatal and non-fatal accidents,
Most were initiated at low altitudes, and half of those accidents were reaching the lowest levels of the past
giving the pilots little time or room to fatal along with eight out of nine in decade (Figure 30). These are defined
respond if anything went wrong. single-engine retractables. as accidents occurring between the
end of the en route phase of flight and
More than half (35 of 67) began with All but one took place in VMC, and only either entry to the airport traffic pattern
stalls or other losses of aircraft control two were at night; 96% occurred in (if VFR) or the missed approach point
at altitudes too low to allow recovery VMC during daylight hours. Commercial or decision height of an instrument
(Figure 27). This indicates that these or airline transport pilots flew 48% of approach procedure on instrument
accidents were more tied to poor the accident aircraft, a proportion one- flights. Their 40% lethality was likewise
judgment than lack of knowledge or third higher than among accident pilots more than one-fifth lower than in recent
skill, and three-quarters of them were overall (Figure 29). Unlike 2008, only one years; it averaged 51% between 2000
fatal. Collisions with wires, structures, of the accident aircraft was flown by an and 2008. The 49 resulting fatalities
or other obstacles caused 25 of unlicensed pilot. Nineteen flights, 28% represent a 13% decrease from 56 the
the remaining 32, but in 17 of them of the total, had at least one CFI on year before.
everyone on board survived. On the board, but only nine of these accidents
other hand, three of the four aerobatic occurred on instructional flights. Figure 31 shows that the largest
accidents and two of the three canyon number of these were caused by either
impacts proved fatal. Descent and Approach stalls or collisions with obstacles or
48 total / 19 fatal terrain (20 each). Stall/spin accidents
Most maneuvering accidents happened caused 29 of the 49 individual
in fixed-gear singles (Figure 28), and The number of descent and approach casualties (59%), and 15 others died in
more than half of those had accidents also decreased in 2009, both collisions. The most consistently lethal
conventional landing gear. Six in absolute numbers and as proportions category was improperly executed

24
ACCIDENT
CASE
STUDY
ACCIDENT CASE STUDY #CEN10FA069
AIRCRAFT: Beech A36
LOCATION: Eagle Pass, Texas
SEVERITY: One fatality
HISTORY OF FLIGHT
The pilot departed from Kerrville, Texas
before dawn and received his IFR clearance
time, he reported 28,425 hours of flight
experience, including 150 hours in the
preceding six months.
from the Houston Air Route Traffic Control
Center. After discussion of the weather, the WEATHER
pilot reported visual contact with a local No reports were available within 30 miles
landmark and said he thought he saw the of the accident site. At Laughlin Air Force
field, but requested the GPS approach to Base and Del Rio, Texas, 33 and 38 miles
Runway 31 “to make sure.” He also advised northeast, respectively, conditions included
that in the event of a missed approach, he’d indefinite ceilings and visibility less than a
divert to Uvalde. No further communications quarter mile in fog. Uvalde, 45 miles to the
were received from the pilot after he was northwest, reported clear skies and 10 miles
cleared for the approach and a change to the visibility. Winds were generally light or calm
local advisory frequency. throughout the area, with no differences
between temperatures and dewpoints. The
Radar track data indicated that the Bonanza accident occurred almost an hour and a half
proceeded inbound to the airport but before sunrise.
drifted off to the east. Just after the last
radar contact at 1,200 feet, it collided with PROBABLE CAUSE
the airport fence on a course aligned with The pilot’s decision to continue the approach
the east perimeter road. A post-impact fire below minimums without visual references,
destroyed the airplane. and subsequent collision with the perimeter
fence/terrain.
PILOT INFORMATION
The 73-year-old pilot held an airline transport ASI COMMENTS
pilot certificate for airplane multiengine land, No matter how expert the pilot or how familiar
a commercial certificate with instrument the airport, nothing less than unequivocal
rating for airplane single and multiengine visual contact with the runway environment
land and sea, and a commercial certificate allows a safe descent below the MDA.
for gliders, as well as a flight instructor Collisions with obstacles are particularly
certificate for single- and multiengine lethal in low-visibility conditions, as the pilot
airplane, instrument airplane, and glider. He is usually unable to see the obstruction in
was issued a first-class medical certificate time to mitigate the impact.
three months before the accident. At that

25
2010 NALL REPORT: FIXED-WING ACCIDENTS, LANDING

Noncommercial Fixed Wing Descent/Approach (TREND) Noncommercial Fixed Wing Descent/Approach (TYPE)

FIGURE 30 : DESCENT/APPROACH ACCIDENT TREND FIGURE 31 : TYPES OF DESCENT/APPROACH ACCIDENTS

100 100 5 10 15 20

STALLS/SPINS
80 82
80 9 (47.4%)
5.8% 20 (41.7%)
73
71
5.0%
5.1% COLLISIONS
60 65
5.2%
66
5.0%
60 7 (36.8%)
20 (41.7%)
52 53 53 53
3.7% 4.0% 4.0% 4.3% LOSS OF
48
40 43 4.1% 40 POWER 3 (6.3%)
14.5% 40
36 34 15.7%
13.1% 11.3% GUSTS/WAKE
28 29
27 27 TURBULENCE
20 25
9.1%
10.4% 10.6%
11.0% 12.1% 20 1 (2.1%)
19 ALL ACCIDENTS
8.2% DEFICIENT
INSTRUMENT FATAL ACCIDENTS
APPROACHES 3 (15.8%) 4 (8.3%)
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
ALL ACCIDENTS FATAL ACCIDENTS 5 10 15 20

FIGURE 32 : AIRCRAFT INVOLVED IN DESCENT/APPROACH FIGURE 33 : FLIGHT CONDITIONS OF DESCENT/APPROACH


ACCIDENTS: NON-COMMERCIAL FIXED-WING ACCIDENTS: NON-COMMERCIAL FIXED-WING

Aircraft Class Accidents Fatal Accidents Lethality Light/Weather Accidents Fatal Accidents Lethality

Single-engine fixed-gear 33 69% 8 42% 24% Day VMC 31 65% 8 42% 26%
SEF conventional gear 15 2 13% Night VMC 7 15% 3 16% 43%
Single-engine retractable 11 23% 7 37% 64% Day IMC 7 15% 6 32% 86%
Multiengine 4 8% 4 21% 100% Night IMC 3 6% 2 11% 67%

instrument approaches, usually 11 of 17 (65%) were fatal compared they accounted for less than 30%. The
involving descents below the published to 26% of accidents in daytime VMC. number of fatal accidents increased
minimum altitude for a segment or Sport pilots were involved in just from four to six, still less than 3% of
descents below the minimum descent two non-fatal accidents (Figure 34). all fatal accidents, and the lethality of
altitude or decision height without the At all higher certificate levels, about landing accidents remained below 2%.
required visual references. Three out 40% of descent/approach accidents The low lethality of landing accidents
of four were fatal, causing five deaths. were fatal. is usually attributed to the low and
However, four accidents of this type decreasing speed of the aircraft and
marked a two-thirds reduction from the Landing the fact that positive control is generally
12 (all fatal) that occurred in 2008. 348 total / 6 fatal maintained until very close to the initial
point of impact. Being on, or at least
The classes of aircraft involved resemble The largest number of accidents close to, the runway usually eliminates
the overall accident distribution (Figure consistently occur during the landing most obstacles.
32), but accident lethality was sharply phase, but these produce almost
higher in retractable-gear singles and no fatalities. The number of landing The types of landing accidents remain
multiengine airplanes. Higher approach accidents in 2009 decreased by 65 fairly constant as well (Figure 36).
speeds and greater mass contribute to from the 2008 total of 413 (Figure 35); Losses of directional control accounted
more violent impacts. this was more than the total decrease for more than half (56%), and more
of 60 in all non-commercial fixed- than one-third of those were blamed
More than one-third of descent/ wing accidents. Landing accidents at least in part on wind conditions,
approach accidents (35%) happened made up the smallest proportion of most often gusts and crosswinds (or,
at night and/or in IMC (Figure 33), and all accidents since 2003, the last time perhaps more appropriately, the pilot’s

26
ACCIDENT
CASE
STUDY
ACCIDENT CASE STUDY #ERA09LA176
AIRCRAFT: Piper PA28-140
LOCATION: Ridgeland, South Carolina
SEVERITY: One fatality, one seriously injured
HISTORY OF FLIGHT
After taking off from Runway 21, the pilot
felt that the engine was not producing
and instrument airplane, and an airframe
and powerplant mechanic’s certificate
with inspection authorization. He had
previously served as an FAA accident-
sufficient power, and completed the traffic
pattern to make a normal landing. He scene investigator.
reported that the airplane never climbed
above 500 agl. A second engine run-up WEATHER
seemed normal, and the pilot made a Beaufort Marine Corps Air Station (NBC),
second takeoff from Runway 21. The engine located 14 nautical miles east of the
again seemed underpowered, and the pilot accident site, reported a broken ceiling at
elected to turn 180 degrees and land on 6,500 feet, 7 statute miles visibility, with
Runway 3. Witnesses described the airplane winds from 180 degrees at 5 knots.
banking back toward the runway from a
low altitude before the right wing struck PROBABLE CAUSE
the pavement. The gear collapsed, and the The pilot’s failure to maintain control of
fuselage suffered impact damage from the the airplane during a precautionary landing.
firewall back to the trailing edges of both Contributing to the accident was a partial
wings. Four days after the accident, the loss of engine power for undetermined
passenger succumbed to his injuries. reasons.

PILOT INFORMATION ASI COMMENTS


The 48-year-old private pilot reported 160 Attempting a sharp turn back to the runway
hours of total flight experience, including from low altitude is a perilous exercise.
40 in the accident make and model. The With the engine still producing some power,
74-year-old passenger was the pilot’s a wider, more gradual turn would have
father. He held an airline transport pilot offered better alignment with the runway
certificate for airplane single-engine and the hope of a softer touchdown. In
land, a commercial pilot certificate for this case, the pilot’s decision to take off a
airplane multiengine land, airplane single- second time after failing to diagnose and
engine sea, and glider, a flight instructor’s remedy the engine’s apparent lack of
certificate for airplane single-engine land power was unfortunate.

27
2010 NALL REPORT: FIXED-WING ACCIDENTS, MECHANICAL

FIGURE 34 : PILOTS INVOLVED IN DESCENT/APPROACH


ACCIDENTS: NON-COMMERCIAL FIXED-WING

Certificate Level Accidents Fatal Accidents Lethality

ATP 8 17% 3 16% 38%


Commercial 14 29% 6 32% 43%
Private 23 48% 9 47% 39%
Noncommercial Fixed Wing Landing (TREND) Noncommercial Fixed
Sport 2 4% Wing Landing (TYPE)
0
None 1 2% 1 5% 100%

FIGURE 35 : LANDING ACCIDENT TRENDS FIGURE 36 : TYPES OF LANDING ACCIDENTS


450 450 20 40 60 80 100 120 140 160 180 200
447
LOSS OF
400 418
33.5%
413 413 400 CONTROL 71 (20.4%)
392 395 31.7% 390 31.3% 33.3% 194 (55.7%)
381 384
350 26.7%
27.2% 27.6%
27.8% 31.4% 350 STALLS 60 (17.2%) 60 (17.2%)
348
300 29.5% 300 SHORT
LANDINGS 2 (0.6%) 1 (0.3%) 3 (0.9%)
250 250 HARD
LANDINGS 2 (0.6%) 26 (7.5%)
200 200 LONG
LANDINGS 18 (5.2%) 2 (0.6%) 18 (5.2%)
150 150
RUNWAY
25 (7.2%) ALL ACCIDENTS
100 100 CONDITIONS
RETRACTABLE AIRSPEED RELATED
50 5 4 8 7 7 10 11 7 4 6 50 GEAR OPERATION 13 (3.7%)
1.8% 1.4% 2.7% 2.4% 2.6% 3.6% 4.3% 2.8% 1.8% 2.6% WIND-RELATED
OTHER 9 (2.6%)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20 40 60 80 100 120 140 160 180 200
ALL ACCIDENTS FATAL ACCIDENTS

inability to handle prevailing winds). landing accidents took place in IMC, Mechanical / Maintenance
Stalls (17%), hard landings (7%), and and none of those were at night. Just 203 total / 24 fatal
runway conditions (7%) made up 19 occurred in visual conditions at
almost another third. Eighteen long night, so 94% of all landing accidents While accidents caused by mechanical
landings resulted in overruns, and only were in VMC during the daytime. failures or improper maintenance
13 accidents were caused by errors remained relatively rare, 2009 saw
in operating retractable gear systems. Not surprisingly, landing accidents sharp increases in both their number
However, the majority of gear-up are the only category that includes and severity (Figure 39). The number of
landings are not considered accidents a disproportionate share of student mechanical accidents jumped 19% to
under the definition set forth in 49 pilots (Figure 38). Students made 203, the second-highest count since
CFR Part 830. Only three aircraft came up almost one-sixth of the pilots 2004, and these made up a greater
up short of the runway for reasons who suffered landing accidents (57 proportion of the overall accident
unrelated to mechanical problems or of 348), more than double the share record than at any time in the past 20
powerplant function. of students among accident pilots years. Twenty-four of them were fatal, a
overall, and more than 60% of all 60% increase from the near-record low
Four-fifths of the accident airplanes accidents involving student pilots were of the year before. The 12% lethality of
were fixed-gear singles, and almost half landing mishaps. CFIs share some mechanical accidents was the highest
of those (48%) were tailwheel models responsibility for this. There has not since 2004, and they caused a larger
(Figure 37). However, half of the six fatal been a fatal landing accident on a share of all fatal accidents than in any
accidents were in multiengine airplanes fixed-wing student solo since 2001. year since 2002. Possible explanations
or retractable-gear singles. Only three could include the deterioration of

28
FIGURE 37 : AIRCRAFT INVOLVED IN LANDING
ACCIDENTS: NON-COMMERCIAL FIXED-WING

Aircraft Class Accidents Fatal Accidents Lethality

Single-engine fixed-gear 280 80% 3 50% 1%


SEF conventional gear 133 1 1%
Single-engine retractable 49 14% 2 33% 4%
Multiengine 19 5% 1 17% 5%

FIGURE 38 : PILOTS INVOLVED IN LANDING


ACCIDENTS: NON-COMMERCIAL FIXED-WING

Certificate Level Accidents Fatal Accidents Lethality

ATP 41 12% 0
Commercial 66 19% 1 17% 2%
Private 180 52% 5 83% 3%
Sport 3 1% 0
Student 57 16% 0
None 1 <1% 0
CFI on board 77 22% 1 17% 1%

components in aircraft that are flown were fatal, while there were no fatalities amateur-built airplanes, which
less frequently and decisions by some among the 12 accidents attributed also accounted for 56 of the 203
owners to defer maintenance or repairs to electrical problems. The relative mechanical accidents overall (28%).
during times of financial difficulty. frequencies of the different types of By comparison, the FAA estimates that
mechanical accidents have remained amateur-built airplanes made up 15%
The most common cause of quite stable over the years. of the non-commercial fixed-wing fleet
mechanical accidents, as in past years, and logged slightly more than 6% of
was powerplant failure, implicated in 89 Despite their greater complexity, total flight time.
(44% of the total) that included multiengine airplanes were not involved
two-thirds of the 24 fatal accidents in a disproportionate number of Other, Unknown, or Not
(Figure 40). Gear and brake mechanical accidents (Figure 41), but Yet Determined
malfunctions caused 53 accidents the proportion involving retractable- 149 total / 62 fatal
(26%), but none were fatal. As in gear singles was two-thirds higher than
2008, the second-highest number of in all other types of accidents combined Almost 13% of 2009’s non-commercial
fatal accidents and second-greatest (29% compared to 17%), and these fixed-wing accidents (149 of 1,181)
lethality came from failures in airframes accidents were almost 60% more likely could not be clearly ascribed to either
and primary flight controls, where to be fatal. However, there were no fatal mechanical or pilot-related causes, and
five accidents out of 19 were fatal, mechanical accidents in multiengine 42% of these were fatal (Figure 42). In
as was the one accident attributed to airplanes in 2009. 25 of the 62 fatal accidents, too little
vacuum system or instrument failure. information was available at the time of
Fuel-system discrepancies led to 29 More than half the fatal mechanical publication to make even preliminary
accidents (14%), including two that accidents (13 of 24) occurred in attributions of their causes. More time

29
2010 NALL REPORT: FIXED-WING ACCIDENTS, OTHER, UNKNOWN, OR NOT YET DETERMINED

Noncommercial Fixed Wing Mechanical (TREND)

Noncommercial Fixed Wing Mechanical (TYPE)

FIGURE 39 : MECHANICAL ACCIDENT TRENDS FIGURE 40 : TYPES OF MECHANICAL ACCIDENTS


250 250 20 40 60 80 100
246
16.8% POWER
226 PLANT 16 (66.7%) 89 (43.8%)
200 202
16.3% 211 213
16.2% 203
200
14.8% GEAR AND
14.4% 189 17.2%
14.3% 183 188 BRAKES 53 (26.1%)
13.7% 15.1%
171
150 13.8% 150 FUEL
SYSTEM 2 (8.3%) 29 (14.3%)
AIRFRAME/
100 100 FLIGHT 5 (20.8%) 19 (9.4%)
CONTROLS

30 35 ELECTRICAL 12 (5.9%)
50 22 10.9% 11.6% 22 25
9.3% 14 18 24
9.8% 15
24
10.3%
50 ALL ACCIDENTS
8.0% 7.4% 7.1% VACUUM/
5.1% 6.7% FATAL ACCIDENTS
INSTRUMENTS 1 (4.2%) 1 (0.5%)

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20 40 60 80 100
ACCIDENTS FATAL ACCIDENTS

FIGURE 41 : AIRCRAFT INVOLVED IN MECHANICAL/MAINTENANCE FIGURE 42 : “OTHER” AND UNCLASSIFIED ACCIDENTS:


ACCIDENTS: NON-COMMERCIAL FIXED-WING NON-COMMERCIAL FIXED-WING

Aircraft Class Accidents Fatal Accidents Lethality Major Cause Accidents Fatal Accidents Lethality

Single-engine fixed-gear 128 63% 13 54% 10% Not yet determined 30 20% 25 40% 83%
Single-engine retractable 59 29% 11 46% 19% Loss of power 70 47% 7 11% 10%
Single-engine turbine 5 1 20% Other 49 33% 30 48% 61%
Multiengine 16 8% 0
Multiengine turbine 5 0

is typically required to investigate these (36%) occurred in amateur-built


fatal accidents, and 18 out of the 25 aircraft, including four of the seven
occurred in the second half of the year. that were fatal, even greater than
Five non-fatal accidents also remained their share of identified mechanical
unclassified at the time of publication. accidents. As noted earlier, amateur-
Just under half of the accidents in the built airplanes were involved in 28%
“other or unknown” category (70 of of all non-commercial fixed-wing
149) arose from the sudden loss of accidents attributed to mechanical
engine power for reasons that could not failures, including 13 of the 24 that
be reconstructed afterward: adequate were fatal, while making up 15% of
fuel was present and investigators the fleet and accounting for a little
found no evidence of pre-accident over 6% of flight time.
discrepancies. Those engines that
remained reasonably intact were The remaining 49, 30 of which were
typically test-run successfully during fatal, included such rare events as
the investigations, and the pilots midair collisions, bird and wildlife
involved did not admit making any strikes, pilot death or incapacitation,
operational errors. While some may and injuries caused to airport ground
have resulted from carburetor icing or crews. Several are discussed under
other avoidable hazards, none could be “Unusual Accident Factors” on page 34.
conclusively identified. Twenty-five of

30
FIGURE 43 : AIRCRAFT CLASS: COMMERCIAL FIXED-WING

Aircraft Class Accidents Fatal Accidents Lethality

Part 137: Aerial Application


Single-engine fixed-gear 52 100% 2 100% 4%
SEF conventional gear 51 2 4%

Part 135: On-Demand


Charter and Cargo
Single-engine fixed-gear 14 47% 0
SEF conventional gear 7 0
Single-engine retractable 3 10% 0
Multiengine 13 43% 0
Multiengine turbine 4 0

FIGURE 44 : TYPE OF OPERATION: COMMERCIAL FIXED-WING

Type of Operation Accidents Fatal Accidents Fatalities

Agricultural 52 63% 2 100% 2


Charter: Non-medical 29 35% 0
Charter: Medical 1 1% 0

FIXED-WING ACCIDENTS
Commercial
After increasing in 2008, the number applicators flew an estimated 31% of cargo and passenger service to remote
of accidents on commercial flights in all commercial fixed-wing time, almost locations. The nearly universal use of
fixed-wing airplanes dropped by more all of it low-altitude maneuvering with taildraggers for agricultural application,
than one-third to 81, the second-lowest heavy payloads. On-demand cargo which accounted for nearly two-thirds
number of the past decade. Only two and air-taxi flights not only play a of commercial fixed-wing accidents,
were fatal, both in crop-dusters, an different role in remote rural areas was the chief reason they were involved
88% decrease from 2008 and an 83% than urban centers, but tend to be in more than twice as high a proportion
improvement over the previous low of carried out in very different aircraft. of commercial accidents (71%) as of
12 recorded in 2003. The estimated Unlike helicopters, fixed-wing aircraft non-commercial (34%).
fatal accident rate of 0.07 per 100,000 transport medical patients between
flight hours was barely a quarter of centers of care rather than evacuating Multiengine airplanes, on the other
that seen in commercial helicopter them from emergency sites. Accident hand, flew just under 50% of all
flights, and an order of magnitude patterns reflect this variety of uses and commercial time and 70% of time
lower than that of non-commercial underlying risks. flown under FAR Part 135, but were
operations. There were no fatalities only involved in 43% of the accidents
on fixed-wing charter or cargo flights Aircraft Class that occurred on charter flights (16%
conducted under Part 135 during The types of fixed-wing aircraft involved of all commercial accidents). Lethality
2009. in commercial GA accidents reflect reached record lows in all types of
the circumstances under which they commercial fixed-wing flying in 2009:
The diversity of commercial fixed- were flown (Figure 43). Almost all Only two of 52 crop-dusting accidents
wing flight operations reflects that of crop-dusters are fixed-gear singles, as (4%) were fatal, and there were no fatal
general aviation as a whole. Aerial are many of the airplanes that provide accidents under Part 135.

31
2010 NALL REPORT: FIXED-WING ACCIDENTS, COMMERCIAL

FIGURE 45 : FLIGHT CONDITIONS: COMMERCIAL FIXED-WING

Light/Weather Accidents Fatal Accidents Lethality

Part 137: Aerial Application


Day VMC 50 98% 2 100% 4%
Night VMC 1 2% 0

Part 135: On-Demand


Charter and Cargo
Day VMC 23 77% 0
Night VMC 3 10% 0
Day IMC 2 7% 0
Night IMC 2 7% 0

FIGURE 46 : PILOTS INVOLVED IN COMMERCIAL FIXED-WING ACCIDENTS

Certificate Level Accidents Fatal Accidents Lethality

Part 137: Aerial Application


ATP 6 12% 0
Commercial 46 88% 2 100% 4%
Flight instructors 12 23% 0

Part 135: On-Demand


Charter and Cargo
ATP 16 53% 0
Commercial 14 47% 0
Two-pilot crews 3 10% 0
Flight instructors 20 67% 0

Type of Operation However, all of the agricultural Part 135 accidents (10%) involved two-
Sixty-three percent of commercial application accidents were in VMC, pilot crews, but the proportion of cargo
fixed-wing accidents took place during and all but one took place during and charter flights flown single-pilot is
agricultural application flights (Figure daylight hours. Seven of 30 Part 135 not known.
44), the same proportion as the year accidents (23%) happened in IMC or
before. These included the only two at night, nearly double the 13% of Accident Causes
fatal accidents, and the only fatalities non-commercial accidents. Mechanical failures were blamed for
were the two pilots. The improvement 28% of commercial accidents (23 of
in the record of charter and on-demand Pilot Qualifications 81), about double their proportion of
cargo operators from 2008, when nine The FAA estimated that in 2008, there non-commercial accidents (Figure
fatal accidents killed 25 individuals, were approximately 18% more airline 7, page 13). Two-thirds of them (16)
was dramatic, and there was only one transport pilots than commercial pilots, were on agricultural application flights,
accident on a medical transport flight. but it is not known how many were which also included all five of the
employed in general aviation. More accidents attributed to unexplained
Flight Conditions than half of the Part 135 accident flights losses of engine power. The four
Commercial accidents also occurred (53%) were flown by ATPs (Figure 46). remaining “other” accidents included
predominantly in daytime VMC (Figure By comparison, only 12% of crop- the fatal crash of a crop-duster that
45), and if all commercial accidents dusting accidents involved ATPs, may have been due to sudden cardiac
are combined, their distribution over and barely one-third as many of the arrest, one bird strike in flight, a clear-
light and weather conditions appears accident pilots held flight instructor air turbulence encounter on an air
very similar to the non-commercial. certificates (23% vs. 67%). Only three ambulance that injured the patient,

32
FIGURE 47 : TYPES OF COMMERCIAL FIXED-WING ACCIDENTS

2 4 6 8 10 12
FUEL
MANAGEMENT 2 (3.9%)

WEATHER 1 (2.0%)

TAKEOFF AND
CLIMB 10 (19.6%)

MANEUVERING 1 (50.0%)
12 (23.5%) 8.3%
DESCENT AND
APPROACH

LANDING ALL ACCIDENTS


FATAL ACCIDENTS
OTHER 3 (5.9%)

2 4 6 8 10 12
Part 137

1 2 3 4 5 6 7 8
FUEL
MANAGEMENT 1 (3.3%)

WEATHER 2 (6.7%)

TAKEOFF AND
CLIMB 4 (13.3%)

MANEUVERING

DESCENT AND
APPROACH 2 (6.7%)

LANDING
8 (26.7%)
OTHER 5 (16.7%)

1 2 3 4 5 6 7 8
Part 135

and a tail strike on the ramp while a higher proportion of maneuvering


loading a Cessna Caravan. accidents were the most dramatic
differences from the non-commercial
The major types of pilot-related accident distribution. Only two
commercial accidents are shown commercial flights (both operating
in Figure 47. Sharp differences are under Part 135) had accidents while
apparent between the two types of taxiing, and there were no commercial
operations. Three-quarters of those on accidents during go-arounds.
crop-dusting flights (22 of 28) occurred
during takeoff or while maneuvering,
which made up less than 20% of
pilot-related Part 135 accidents (four
of 21). On-demand operators, on
the other hand, suffered all eight
landing accidents and the only two
during descent and approach. Fuel-
management and weather accidents
were equally rare in both environments.

Vastly fewer accidents during


approach, descent, and landing and

33
2010 NALL REPORT: FIXED-WING ACCIDENTS, UNUSUAL ACCIDENT FACTORS

FIXED-WING ACCIDENTS
Unusual Accident Factors
Collisions For the second straight year, there was Alcohol and Drugs
15 total / 7 fatal a fatal midair between two airplanes 4 total / 2 fatal
on instructional flights. In this case, a
Non-commercial fixed-wing aircraft Cessna 152 and a Piper PA-28-161 Accidents due to the pilot’s impairment
were involved in nine midair collisions collided while both were conducting by alcohol or other drugs have
in 2009. These included all seven simulated instrument approaches in historically been very rare, and this
fatal collisions, which resulted in a Arizona. The pilot flying the Cessna was the case again in 2009. Only four
total of 19 deaths. Three fatal midairs was ejected from the airplane during were attributed to this cause, all on
were collisions with other categories an uncontrolled descent. The fatal non-commercial fixed-wing flights.
of aircraft: the Hudson River tour collision over Long Beach, California Two of the pilots and one passenger
helicopter, a glider hit by a towplane, also involved an instructional flight, in were killed and a third pilot was
and a powered parachute struck by this case VFR airwork in a Cessna 172 seriously injured, but no one on the
an unregistered homebuilt. There were that collided with a Cessna 310 on a ground was hurt. The impairment of
also non-fatal collisions between a cross-country flight. The other airplanes three of these pilots was attributed
North American T-6 and a Robinson involved in midairs were all on personal to alcohol, while toxicological evidence
R22 helicopter and between a Cessna flights, though the R22 was being used of recent marijuana use was cited in
182 and a Mooney M20; both occurred for dual instruction and the Eurocopter the otherwise unexplained loss of
in airport traffic patterns. AS350 hit over the Hudson River was control that killed the solo pilot of
conducting a commercial air tour. a Cessna 172.
The only other midair in 2009 involved
two crop-dusters attempting to land on No serious injuries resulted from any of Physical Incapacitation
the same runway. Neither was the five on-ground collisions. Four were 2 total / 2 fatal
equipped with a radio. between taxiing airplanes and one was
on a runway, where a Pitts landed on Physical incapacitation of pilots is also
top of a Cessna 172. extremely rare. Only two accidents

34
FIGURE 48 : FIXED-WING AMATEUR-BUILT ACCIDENT TRENDS
250 250
248
20.9%
227 229
17.1% 18.2%
200 204 206 203 202
200
13.7% 197 199 14.4% 194
14.2% 15.1% 16.2%
13.9% 14.5%

150 150

100 71 100
59 60 64 30.0%
54 53 54 56 28.1%
19.3% 48 21.7% 22.4%
41 19.4% 17.6% 21.0%
17.4%
14.6%
50 50

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
ACCIDENTS FATAL ACCIDENTS

FIGURE 49 : PERCENTAGES OF NON-COMMERCIAL FLIGHT TIMES


20 40 60 80 100
85.2%
TC FIXED-WING 71.4%

65.0%

8.9%
TC HELICOPTER 8.9%

5.9%
FLIGHT TIME
ALL ACCIDENTS
5.9% FATAL ACCIDENTS
AMATEUR-BUILT 19.6%

29.1%
20 40 60 80 100

in 2009 were attributed to physical into a house shortly after takeoff, killing Propeller and Rotor Strike Injuries
incapacitation, and both involved both the pilot and one person inside 3 total / none fatal
apparent hypoxia in unpressurized the building.
piston singles operated at high In addition to the ground crewman
altitudes. The pilot of a Cirrus SR22 On-Airport Ground Injuries mentioned above, two pilots were
lost consciousness at FL 250 after 4 accidents / 1 fatal hit by airplane propellers in 2009. All
neglecting to have his oxygen system three survived. One of the pilots was
refilled; the airplane held a steady Four accidents caused two deaths attempting to hand-prop a seaplane,
course on autopilot until its fuel was and three serious injuries to people on while the other was trying to help a
exhausted. The pilot of a Mooney airport grounds. A Piper PA-18 struck passenger apply the brakes after the
M20M also became unresponsive at FL a Jeep during an intentional low pass, pilot jump-started the engine.
250; the airplane passed directly over killing both people in the vehicle. The
its destination airport and continued pilot and the driver had rehearsed this
on the same heading until it entered an maneuver before. A photographer was
uncontrolled descent. At this writing, a struck by the light-sport airplane whose
finding of probable cause has not yet takeoff he was filming, a skydiver’s
been released for either accident. parachute was severed by the Twin
Otter jump plane as it returned to land,
Off-Airport Ground Injuries and a loader suffered a prop strike
1 accident / 1 ground fatality while cleaning a Piper PA-25 after a
crop-dusting run. The engine had been
Only one accident in 2009 caused any left running as it cooled.
serious injury to an uninvolved person
on the ground. A Cessna 310 crashed

35
2010 NALL REPORT: AMATEUR-BUILT AIRCRAFT

Amateur-Built Aircraft
Amateur-Built Aircraft Including e-LSA activity increased the specific crashworthiness standards but
Fixed-wing: 248 total / 71 fatal estimate of amateur-built flight time, are free to experiment with previously
Helicopter: 11 total / 3 fatal thereby reducing the rates. untested systems, including engines
not designed for aircraft use, and
Update and Correction Higher accident rates among modifications of airframes, controls,
The 2009 Nall Report overestimated the amateur-built aircraft should come and instrumentation. Unexpected
accident rates for amateur-built aircraft as no surprise. Both their physical flight characteristics may result, which
in 2008. The report cited an overall rate characteristics and the way they’re must be explored cautiously during the
of 27.29 accidents per 100,000 flight used expose homebuilts to greater risk required flight-test period.
hours and a fatal accident rate of 7.00 and make accidents less survivable.
per 100,000 hours. These have now Even by GA standards, the amateur- In 2009, 248 amateur-built fixed-wing
been corrected to 22.34 and 5.89 built fleet is exceptionally diverse, aircraft were involved in accidents, 19
per 100,000 hours, respectively. ranging from open-framework designs more than in 2008 (Figure 48). This
with no cabin structure to pressurized represents 21% of all non-commercial
Through 2008, the FAA’s General cross-country machines. However, the fixed-wing accident aircraft, a
Aviation and Air Taxi Activity Survey majority are small, simple craft used proportion that has increased steadily
combined all light-sport aircraft in a primarily for short pleasure flights, for more than ten years. Seventy-
single category. The 2009 Nall Report meaning more frequent takeoffs and one of these accidents were fatal,
counted accidents in experimental landings – which together account resulting in 98 deaths; these represent
LSAs in the amateur-built category for almost half of all fixed-wing GA increases of nine and 12, respectively,
without counting their flight time, accidents. The expertise of the from the previous year, accounting for
thus inflating the rate estimates. The builders varies, as do the make-and- 30% of the year’s fatal accidents and
FAA subsequently added a separate model experience of the pilots and the 24% of all fatalities. By comparison,
breakout of experimental and special availability of useful transition training. amateur-built aircraft logged less
LSA activity to the 2009 Activity Survey. Homebuilders are not required to meet than 7% of the corresponding flight

36
FIGURE 50 : TYPES OF AMATEUR-BUILT AIRCRAFT INVOLVED IN ACCIDENTS

Aircraft Class Accidents Fatal Accidents Lethality

Single-engine fixed-gear 217 84% 60 81% 28%


SEF conventional gear 136 35 26%
Single-engine retractable 28 11% 9 12% 32%
Multiengine 3 1% 2 3% 67%
Helicopter 11 4% 3 4% 27%

FIGURE 51 : TYPES OF FIXED-WING AMATEUR-BUILT AIRCRAFT ACCIDENTS


10 20 30 40 50 60 80
MECHANICAL 13 (18.3%) 56 (22.6%) 23.2%

FUEL MANAGEMENT 2 (2.8%) 14 (5.6%) 14.3%

WEATHER 4 (5.6%) 5 (2.0%) 80.0%


TAKEOFF AND
CLIMB 14 (19.7%) 42 (16.9%) 33.3%

MANEUVERING 13 (18.3%) 20 (8.1%) 65.0% ALL ACCIDENTS


DESCENT AND FATAL ACCIDENTS
APPROACH 2 (2.8%) 10 (4.0%) 20.0%
LETHALITY
LANDING 1 (1.4%) 41 (16.5%) 2.4%

OTHER 22 (31.0%) 60 (24.2%) 36.7%

10 20 30 40 50 60 80

time. 2009 surpassed 2008 for the amateur-built flight time to 1.15 million record almost exactly in proportion to
highest numbers of accidents, fatal hours in 2009. the amount of time flown; manufactured
accidents, and individual fatalities in fixed-wing aircraft contributed 85%
the past decade. Their lethality was The accident rate for amateur-built of flight time, 71% of all accidents,
29% compared to 17% for all non- aircraft has held relatively constant over and 65% of fatal accidents. The
commercial accidents in factory- the past ten years, ranging from a high proportion of accidents involving
built airplanes. of 25.42 per 100,000 hours in 2001 to amateur-built aircraft, on the other
a low of 20.40 in 2004. The estimated hand, was more than three times higher
During the same period, the number 2009 rate of 22.45 is roughly in the than their share of hours flown, and
of amateur-built helicopters involved middle of that range, though the fatal their proportion of fatal accidents was
in accidents has ranged from a low of accident rate of 6.41 was second only almost five times as high.
seven (none fatal) in 2001 to a high of to the 6.76 estimated for 2001. These
16, one of which was fatal, in 2002. rate estimates combine both fixed-wing Accidents in amateur-built aircraft
There were 11 in 2009, three of them and helicopter accidents, since the remain a major contributor to the
fatal. This was the first year since 1998 FAA estimates of homebuilt flight overall non-commercial accident
to see more than two fatal accidents in activity do not distinguish between rates. In 2009, the accident rate among
homebuilt helicopters. aircraft categories. amateur-built aircraft was just under
four times the rate for type-certificated
Experimental LSAs accounted for Figure 49 illustrates the proportions aircraft, and their fatal accident
almost 15% of all time flown by of non-commercial flight time and rate was more than six and a half
amateur-built aircraft. In addition, the non-commercial accidents in 2009 that times higher.
estimated level of activity of traditional were attributed to type-certificated
amateur-built aircraft increased by airplanes, type-certificated helicopters, Since 1999, amateur-built aircraft have
almost 13% from its 2008 estimate of and all amateur-built aircraft combined. consistently had accident rates from
872,024, bringing the total amount of Helicopters figured into the accident 3.6 to 5.1 times higher than those of

37
2010 NALL REPORT: AMATEUR-BUILT AIRCRAFT

type-certificated fixed-wing airplanes and two of the three twins. There was higher, though the overall increase in
in non-commercial operation, and fatal one fewer helicopter accident than in the number of mechanical accidents
accident rates from 4.3 to 7.6 times as 2008, but three were fatal compared to in 2009 closed the gap somewhat.
high. Compared to non-commercial none the year before. Together these categories accounted
flights in type-certificated helicopters, for almost one-third (33%) of all
the excess accident risk has increased The types of accidents suffered by accidents in amateur-built airplanes,
from 1.9 times in 2002 to 3.3 times amateur-built fixed-wing airplanes more than one and a half times the
in 2009, and the excess risk of fatal in 2009 was little changed from the 20% share in the manufactured sector.
accidents has never dropped below pattern reported in previous years, but The proportion of fatal accidents in
2.4. In 2009, it rose to 7.5. once again suggests some differences these two categories was also sharply
between the manufactured and higher, 21% among amateur-builts
All but three of the 248 airplanes were homebuilt fleets (Figure 51). Landing compared to only 7% in certified
single-engine (Figure 50), and 217 of accidents accounted for only 17% aircraft.
these (89%) had fixed gear (including of the amateur-built total compared
14 seaplanes or amphibians). The 28 to 33% of those in type-certificated
with retractable gear are nine fewer airplanes. On the other hand, the
than in 2008. A total of 140 of the shares attributed to mechanical failures
accident aircraft had conventional (23%) and unexplained losses of
landing gear, including two retractables engine power (10%) were noticeably

38
Summary
• The accuracy and consistency of • The accident rate for helicopters accidents even though just 9% of all
this year’s report are improved by the operated non-commercially increased accidents fell into those categories.
exclusion of accidents that occurred from 6.65 per 100,000 flight hours in
outside the boundaries of the U.S. 2008 to 7.40 in 2009. However, this is • Mechanical accidents were both
National Airspace System. The same still a 41% reduction from the recent more common and more lethal than in
correction has been applied to data peak of 12.62 in 2002. The number of recent years, accounting for a record-
from the past ten years to assure the fatal accidents was down by five, and high 17% of all accidents. More than
validity of historical comparisons. the fatal accident rate decreased by half the fatal mechanical accidents
22%. occurred in amateur-built airplanes.
• The number of accidents on
commercial fixed-wing flights • There were 60 fewer accidents on • Personal flights accounted for less
decreased by one-third from 2008, and non-commercial fixed-wing flights than 47% of non-commercial fixed-
the two fatal accidents represent an than in 2008, but as a percentage the wing flight time but led to 78% of all
88% decrease from the previous year. decrease was barely half the estimated and 84% of fatal accidents. Not only
No fatal accidents occurred on fixed- reduction in flight activity. There were did these make up 94% of all accidents
wing charter or cargo flights. 10 more fatal accidents and eight more involving private pilots, but three-fifths
individual fatalities. The estimated total of those involving commercial pilots
• The commercial helicopter accident and fatal accident rates both increased, and two-thirds of those suffered by
rate maintained its recent improvement but by amounts that remain within the ATPs.
despite a slight increase from 2008. The margins of error of the corresponding
overall rate of commercial helicopter flight-time estimates. • Amateur-built aircraft continued to
accidents has decreased 71% have significantly higher rates of both
since 2003, from 8.20 accidents per • Accidents on non-commercial fixed- fatal and non-fatal accidents than
100,000 flight hours to 2.38, and the wing flights continued to follow familiar comparable type-certificated aircraft,
fatal accident rate has been reduced patterns. More than 70% were judged suffering particularly from greater
by 85% (from 2.16 to 0.32) over the to have been pilot-related. Almost numbers of mechanical failures and
same period. Only four fatal accidents one-third of all accidents occurred unexplained losses of engine power.
occurred on commercial helicopter during landing attempts, while weather
flights in 2009, but the 16 fatalities that and maneuvering accidents were the
resulted are still in the middle of the most consistently lethal. Together
range for the preceding decade. they accounted for 28% of the fatal

39
2010 NALL REPORT: APPENDIX

Appendix
General Aviation Safety Limited Cockpit Resources and More Takeoffs and Landings: During
vs. Airlines Flight Support: Usually, a single pilot takeoffs and landings aircraft are
GA accident rates have always been conducts GA operations, and the pilot close to the ground and in a more
higher than airline accident rates. typically handles all aspects of the vulnerable configuration than in other
People often ask about the reasons for flight, from flight planning to piloting. phases of flight. On a per hour basis,
this disparity. There are several: Air carrier operations require at least GA conducts many more takeoffs and
two pilots. Likewise, airlines have landings than either air carriers or the
Variety Of Missions: GA pilots conduct dispatchers, mechanics, loadmasters, military.
a wider range of operations. Some and others to assist with operations
operations, such as aerial application and consult with before and during a Less Weather-Tolerant Aircraft: Most
(crop-dusting, in common parlance) flight. GA aircraft cannot fly over or around
and banner towing, have inherent weather the way airliners can, and
mission-related risks. Greater Variety Of Facilities: GA they often do not have the systems to
operations are conducted at about avoid or cope with hazardous weather
Variability Of Pilot Certificate and 5,300 public-use and 8,000 private-use conditions, such as ice.
Experience Levels: All airline flights airports, while airlines are confined to
are crewed by at least one ATP (airline only about 600 of the larger public-use What Is General Aviation?
transport pilot), the most demanding airports. Many GA-only airports lack the Although GA is typically characterized
rating. GA is the training ground precision approaches, long runways, by recreational flying, it encompasses
for most pilots, and while the GA approach lighting systems, and the much more. Besides providing
community has its share of ATPs, the advanced services of airline-served personal, business, and freight
community also includes many new airports. (There are also another 6,000 transportation, GA supports diverse
and low-time pilots and a great variety GA-only landing areas that are not activities such as law enforcement,
of experience in between. technically airports, such as heliports forest fire fighting, air ambulance,
and seaplane bases.) logging, fish and wildlife spotting, and

40
FIGURE 52 : WHAT DOES GENERAL AVIATION FLY?

Aircraft Class Commercial Non-Commercial

Piston single-engine 2,457 138,192


Piston multiengine 1,223 15,251
Turboprop single-engine 1,666 2,292
Turboprop multiengine 812 4,284
Turbojet 2,649 8,619
Helicopter 2,938 7,046
Experimental 119 24,300
Light sport 2 6,545

Total 11,866 206,529

other vital services. For a breakdown than 12,500 pounds must first “level the playing field” in
of GA activities and their accident • Weight-shift control aircraft terms of exposure to risk. The most
statistics, see “Type of Flying” • Powered parachutes common way to do this is to compare
on page 42. • Gyroplanes accidents per 100,000 flight hours.
• Gliders GA flight hours are estimated using
What Does General Aviation Fly? • Airships data from an annual aircraft activity
General aviation aircraft are as varied • Balloons survey conducted by the FAA. In the
as their pilots and the types of last few years, the FAA has made a
operations flown. The following aircraft Figure 52 shows the FAA’s estimate of considerable investment to improve
categories and classes are included in the number of powered GA aircraft that both the accuracy and sample size of
this year’s Nall Report: were active in 2009, sorted by category the activity survey. Whether this survey
• Piston single-engine and class, separately for aircraft accurately reports the total hours has
• Piston multiengine primarily operated commercially and been debated for years, but even with
• Turboprop single-engine other GA users. The estimates of total likely inaccuracies, the relationships
• Turboprop multiengine flight time used in this report are based between accident categories will
• Turbojet on 99.2 percent of the GA fleet. remain constant. For instance, landing
• Helicopter accidents will still account for the
• Experimental Interpreting Aviation Accident majority of minor injury mishaps, while
• Light sport Statistics: What is the accident rate? weather and maneuvering flight will still
Meaningful comparisons are based on claim the most lives.
The following aircraft categories, equal exposure to risk. However, this
classes, and operations are not alone does not determine total risk. Accident investigators and safety
included in this year’s Nall Report: Experience, proficiency, equipment, researchers determine the probability
• FAR Part 121 airline operations and flight conditions all have a safety that a given accident was the result of a
• Military operations impact. To compare different airplanes, particular cause or sequence of events.
• Fixed-wing aircraft weighing more pilots, types of operations, etc., we This report shows the percentage of

41
2010 NALL REPORT: APPENDIX

accidents attributed to a particular Substantial damage – As with connection with their occupation or in
accident category and the percentage “destroyed,” the definition of the furtherance of a private business.
of accident sequences that began in a substantial for accident reporting
particular phase of flight. Thus we can purposes does not necessarily Instruction: Flying accomplished in
identify and concentrate on accidents correlate with “substantial” in terms supervised training under the direction
that carry the greatest risk. of financial loss. Contrary to popular of an accredited instructor.
misconception, there is no dollar value
NTSB Definitions that defines “substantial” damage. Corporate: The use of aircraft owned
Accident/Incident (NTSB Part 830) Because of the high cost of many or leased, and operated by a corporate
The following definitions of terms used repairs, large sums may be spent to or business firm for the transportation
in this report have been extracted from repair damage resulting from incidents of personnel or cargo in furtherance
NTSB Part 830 of the Federal Aviation that do not meet the NTSB definition of the corporation’s or firm’s business,
Regulations. It is included in most of substantial damage. (1) Except as and which are flown by professional
commercially available FAR/AIM digests provided below, substantial damage pilots receiving a direct salary or
and should be referenced for detailed means damage or structural failure compensation for piloting.
information. that adversely affects the structural
strength, performance, or flight Aerial Application: The operation of
Aircraft Accident characteristics of the aircraft, and aircraft for the purpose of dispensing
An occurrence incidental to flight in which would normally require major any substance for plant nourishment,
which, “as a result of the operation repair or replacement of the affected soil treatment, propagation of plant life,
of an aircraft, any person (occupant part. (2) Engine failure, damage limited pest control, or fire control, including
or non-occupant) receives fatal or to an engine, bent fairings or cowling, flying to and from the application site.
serious injury or any aircraft receives dented skin, small puncture holes in
substantial damage.” the skin or fabric, ground damage to Aerial Observation: The operation
rotor or propeller blades, damage to of an aircraft for the purpose of
A fatal injury is one that results in death landing gear, wheels, tires, flaps, engine pipeline/power line patrol, land and
within 30 days of the accident. accessories, brakes, or wing tips are animal surveys, etc. This does not
not considered “substantial damage.” include traffic observation (electronic
A serious injury is one that: (1) Requires newsgathering) or sightseeing.
hospitalization for more than 48 hours, Minor damage is any damage that does
commencing within seven days from not qualify as substantial, such as that Other Work Use: The operation of
the date the injury was received. (2) in item (2) under substantial damage. an aircraft for the purpose of aerial
Results in a fracture of any bone photography, banner/glider towing,
(except simple fractures of fingers, Type of Flying parachuting, demonstration or test
toes, or nose). (3) Involves lacerations The purpose for which an aircraft flying, racing, aerobatics, etc.
that cause severe hemorrhages, nerve, is being operated at the time of
muscle, or tendon damage. (4) Involves an accident: Public Use: Any operation of an aircraft
injury to any internal organ. Or (5) by any federal, state, or local entity.
Involves second- or third-degree burns, On-Demand Air Taxi: Revenue flights,
or any burns affecting more than five conducted by commercial air carriers Ferry: A non-revenue flight for the
percent of body surface. operating under FAR Part 135 that purpose of (1) returning an aircraft to
are not operated in regular scheduled base, (2) delivering an aircraft from
A minor injury is one that does not service, such as charter flights and one location to another, or (3) moving
qualify as fatal or serious. all non-revenue flights incident to an aircraft to and from a maintenance
such flights. base. Ferry flights, under certain terms,
Destroyed means that an aircraft was may be conducted under terms of a
demolished beyond economical repair, Personal: Flying by individuals in their special flight permit.
i.e., substantially damaged to the own or rented aircraft for pleasure
extent that it would be impracticable to or personal transportation not in Positioning: Positioning of the aircraft
rebuild it and return it to an airworthy furtherance of their occupation or without the purpose of revenue.
condition. (This may not coincide company business. This category
with the definition of “total loss” for includes practice flying (for the purpose Other: Any flight that does not meet
insurance purposes. Because of the of increasing or maintaining proficiency) the criteria of any of the above.
variability of insurance limits carried not performed under supervision of an
and such additional factors as time on accredited instructor and not part of an Unknown: A flight whose purpose is
engines and propellers, and aircraft approved flight training program. not known.
condition before an accident, an aircraft
may be “totaled” even though it is Business: The use of aircraft by
not considered “destroyed” for NTSB pilots (not receiving direct salary
accident-reporting purposes.) or compensation for piloting) in

42
Additional Resources

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• Weather and Special Reports you won’t find
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• Popular database searches
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2010 NALL REPORT:

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